Adnan Mehraj

Loli Pora Pattan Baram ulla - 193121 Mobile No: 9541597329

BILL
Custom er’s Nam e & Address For Com m ercial Use:
To: HINDUSTA N THOMPSON A SSOCIA TES PVT. LTD.
Division: KA NTA R IMRB
4th Floor, Industrial Area-A, R K Road, Ludhiana, Punjab -
141001 Bill No: LDHI00322622
State: Punjab Date: 09-May-2022
GST No: 03AAACH1463M2ZQ Maconom y Supplier Code: 171297193
PAN: AAACH1463M GST Reverse Charge Paid:
HSN Code:

Towards my Charges/Fees against Assignment/s stated below:

Job No: 171427425 Original Assignm ent Num ber Revised Assignm ent Num ber Quantity and Am ount
and Date and Date Payable
Job Title: Engagement of LDHAO00568122 05-May- LDHAR00574522 05-May-
A gency to carry out 2022 2022
Functionality A ssessment of
household tap connections
under National Jal Jeevan
Mission
Fieldwork Locations: Z Oth-rural-J&am p;K
Fees for Assignment
Data Collection Type & Segm ent Quantity Rate Quantity Rate Invoice Qty. Am ount
Main Interviews - 1 9000 58 9000 60 129 7740
Main Interviews - 4
Other Fees/Charges
Briefing Charges 9000 5 9000 7 129 903
FE: Singh Pradip Date : Signature :

Totals
A) Fees for Assignm ent Job No Task Code
171427425 51501 7,740
B) Briefing Charges
171427425 53000 903
Grand Total (A + B) for Net Payment 8,643
Rupees in Words: Eight Thousand Six Hundred and Forty Three

Summary
Assignm ent Job No Segm ent Centre Data Quantity Quantity Invoice Quantity Quantity Quantity
Num ber Collection Synched/ Rejected Quantity Paid in Paid in Payable
Type Subm itted by IQ C Accepted Earlier this in
and Invoices Invoice Subsequent
Agreed Invoices
by m e
LDHAR00574522 171427425Main Z Oth- Main 129 0 129 129 0
Interviews rural-J&K Interviews
-4 -1

This “BILL” has been generated and printed using a computer terminal provided at your above stated office premises. The details as stated in
‘Invoice Quantity’ column have been uploaded using the information deposited/submitted by me for my freelance services on the “First Page of the
Questionnaire/Payment Dues Form” either online or physical and accepted by Independent Quality Cell (IQC) of Kantar IMRB. Further I exonerate
the Company for any mistake or omission committed by me in submitting the said information in “First Page of the Questionnaire/Payment Dues
Form”. I hereby also confirm that I have complied by the said terms and conditions as stated in the above referred Assignment Letter/s
specifically to the fact that this is not an employment agreement but merely an assignment to me as a freelancer. Further, if in the event it is
noticed subsequently that I had violated any of the said terms and conditions, I agree to repay the entire amount collected as fees for the above
referred Assignment Letter/s. Kindly release payment within 21 days from the date of submission of this Invoice. I hereby also authorize,
KANTAR IMRB to transfer the payment/amount due to me against this “BILL”, after deducting required applicable tax at source (TDS), directly to
my Bank account, as per the below stated bank details. I further confirm that on receipt of payment for this Invoice in my bank account, the dues
payable to me are paid in full and final for the Quantity delivered and accepted on above assignments as freelancer.

My PA N A ccount Number is : FLZPM7090B

Beneficiary Bank A ccount Name :ADNAN MEHRAJ Beneficiary Bank Name : The Jam m u and Kashm ir Bank
Beneficiary Bank A ccount Number :0779040100002458 Beneficiary IFSC Code : JAKA0MALRO O
E&OE
Bill Received On:

___________________________ ___________________________
Adnan Mehraj
(Signature & Date) Bill Check ed & Cleared On:
Mobile No: 9541597329 ___________________________
Em ail Id: m oham m adadnan24619@gm ail.com Approved by with date ___________________________