Original Receiver's Copy

Duplicate Sender's Copy

Triplicate Transporter's Copy

Delivery Challan Note

Sending Location Details Receiving Location Details
Plant Code/Plant
ISP Code 1502580 1100/CW-Gaziabad
Name
Maa Bhagwati Devi Communication, Tata Play Ltd C/o Bakshi Associates Pvt Ltd.
C/o TataPlay ,Vendor Code:1502580,R.N.G.P. Khasra#2593,2755,2761,2763,2766 To 68, 2772-
Address pathak complax, Plant Address
73,Arm Ka Rd,Dhoom,Manikpur Village Gautam
sector-4B ,jivan jyoti Hospital Road. Budh Nagar,Dadri 203207, Uttar Pradesh 203207
City/Pin Code Agra- 282007 City/Pin Code
GSTIN No. 09AAGCS9294M1ZD GSTIN No. 09AAGCS9294M1ZD

Delivery Transporter
1-250318087255 2002926 GR/LR No. 18981
Challan No. Code
Delivery Transporter
10/25/2021 18:18:06 Universal Express GR/LR Date 10/26/2021
Challan Date Name

Material Code Material Description HSN Code UOM Inventory Type Quantity Price Point Total
Digicom Swap box - HD
ZSPSWAPHD2 85287100 Each Defective 11 658 7238
( SAT CR )
Total 7238
Total In Words Seven Thousand Two Hundred Thirty Eight
Mode of Delivery Courier Date of Delivery 10/25/2021 18:18:06
Prepared By C1283792 Checked By
Receiver Signature: Pre-Authenticated For Maa Bhagwati Devi Communication
Signature:

Name of Person Authorized

Authenticating: Signatory:

Disclaimer: Material acknowledgement is subjected to physical verification.

Registered Office: Tata Play Ltd (Formerly known as Tata Sky Ltd), Unit 301 to 305, 3rd Floor, Windsor, Off C.S.T. road, Kalina, Santacrunz (East),
Mumbai -400098. India.
Tel: +91-22-66133000, Fax: +91-22-66133030, CIN: U9210MH2001PLC130365, PAN No. AAGCS9294M, E-mail : contact@tataplay.com, Website: www.
tataplay.com

Annexure – Serial No. Details

Delivery Challan
1-250318087255 ISP Code 1502580
No.
Delivery Challan
10/25/2021 18:18:06 ISP Name Maa Bhagwati Devi Communication
Date

Material Code Material Description HSN Code Inventory Type Serial Number
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 867227101864
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 867312224522
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 867335100659
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 868166106195
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 853037710052
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 853053703916
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 853071763447
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 844082747685
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 864272103945
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 864304149056
ZSPSWAPHD2 Digicom Swap box - HD ( SAT CR ) Defective 864318441697

End of the Report

Report Generated by C1283792 on 05/02/2022 1