DHL EXPRESS (INDIA) PVT. LTD.

New Express Courier Terminal

Adjacent to International Cargo Terminal, I.G.I. Airport
New Delhi, New Delhi, 110037 INDIA *7564672846*
GSTIN: 07AABCD3611Q1ZK
Toll Free No: 1800-111-345 www.dhl.co.in
PROFORMA INVOICE
BIOSENSE TECHNOLOGIES PRIVATE LIMITED
Account Number : DUTYINBOM
A-233, ROAD NO.21-Y, WAGLE INDUSTRI
THANE, MAHARASHTRA, Proforma Inv No : DEL943888
MUMBAI 400604 HWB Number : 7564672846
400604 27, MAHARASHTRA
Date : 14/12/2021
Attn: VIJAY / MR.ALPESH
Contact Number: 917304445841 Payment Due Date : 14/12/2021

Please Reimburse the Total Charges Shown Below To: DHL EXPRESS (INDIA) PVT. LTD.

Shipment Details
Origin: TPE Pieces: 1 Contents: POLYMIDE HEATER KP10108R8NTC
Destination: BOM Weight: 0.50 Assessed Value: Arrival Date: 11/12/2021

Billing Details
GSTIN: 27AADCB6349R1ZZ CUSTOMS DUTY (REIMBURSEMENT OF COST) 12,268.00
Place of Supply: 27, MAHARASHTRA IGST (REIMBURSEMENT OF COST) 13,470.00
S W SURCHARGE(REIMBURSEMENT OF COST) 1,227.00
Total Non-Taxable: 26,965.00
996719-DISBURSEMENT FEE 674.13
Total Taxable: 674.13 IGST@ 18% 121.34

Advance Payment:
Payment Terms
Cash on delivery unless
stated otherwise on the invoice
Subject to Mumbai Jurisdiction Only.
CIN NO: U64120MH2001PTC131743 Please Pay This Amount: INR 27,760.47
PAN is AABCD 3611 Q to be quoted on TDS Certificate
TDS Certificate should state company name as "DHL Express (India) Pvt. Ltd" and registered office address as given below:
8th Floor, Unit 801-A, Silver Utopia, C G Road, Andheri East, Mumbai - 400099, India. For DHL Express (India) Pvt. Ltd.
Digitally signed by Premkumar Badragiri,
Authorised Signatory
Date: 2021-12-14 06:43:09
Remittance Advice

Company Signature / Stamp: Account Number : DUTYINBOM

We enclose cash for INR 27,760.47
Proforma Inv No : DEL943888
We enclose cheque No. ________________ for INR 27,760.47
HWB Number : 7564672846
The payment can be made via below link
https://delivery.dhl.com/waybill.xhtml?ctrycode=IN Date : 14/12/2021
Note: 1. Cheque will be accepted only up to INR 20,000 from non-account customers
2. Cash will be accepted up to INR 50,000 Total Amount INR : 27,760.47
3 .PAN is compulsory for cash payment above INR 20,000
4.TAN is compulsory in case of TDS deduction
Not all payment options are available to all countries

* 2 7 7 6 0 . 4 7 * * D U T Y I N B O M * * D E L 9 4 3 8 8 8 *

1. Detach this payment advice and return it together with your payment
2. Cheque should be crossed and made payable to DHL EXPRESS (INDIA) PVT. LTD.

The purpose of this document is limited to inform you about the amount due in relation to our services. This document is not to be considered as a tax
invoice under the Goods and Services Tax legislation. Final digitally sign invoice will be provided at the later date.

Customer Endorsement
We acknowledge receipt of the above documentation Account Number : DUTYINBOM

BIOSENSE TECHNOLOGIES PRIVATE LIMITED Proforma Inv No : DEL943888

Company Signature / Stamp: HWB Number : 7564672846

Printed Name / Title: Date : 14/12/2021

Total Amount INR : 27,760.47

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