THE INSTITUTE OF COMPANY SECRETARIES OF INDIA

IN PURSUIT OF PROFESSIONAL EXCELLENCE

Statutory body under an Act of Parliament
ICSI-SIRC House, No.9 Wheat Crofts Road, Nungambakkam, Chennai, Tamilnadu -600 034

GST No. 33AAATT1103F1Z7

BILL OF SUPPLY
ORIGINAL FOR RECIPIENT
Invoice No : 59078214 Date : 31-Dec-2021
Customer Name: GAYATHRI R Memb./Regn./Ref.No: 340854796/08/2021
GST/UIN No.:

Billing Address: NO.10, PASUMPON SALAI 1ST STREET, GANAPATHY Shipping Address: NO.10, PASUMPON SALAI 1ST STREET, GANAPATHY
NAGAR,ORAGADAM, AMBATTUR,, AMBATTUR, TAMIL NADU NAGAR,ORAGADAM, AMBATTUR,, AMBATTUR, TAMIL
NADU
State: Tamil Nadu State: Tamil Nadu

Sl. No. Item Description SAC Code Qty. Rate/Item(₹) Total Value(₹) Net Value(₹)

1 OTFee - Executive 999259 1 7000.00 7000.00 7000.00

Total ₹ 7000.00 7000.00

Net Value (In figure) (₹) 7000.00

Net Value (In words) Rupees Seven Thousand Only

Related Receipt Amount : 7000.00

Dear Sir/ Madam,

We acknowledge with thanks the receipt of7000.00 against receipt of Bank Transfer0000000278864205, Dated 01/12/2021, Issuing Bank HDFC, Issuing branch TN, Drawee branc

h TN, for Rs.7000.00 towards the above.

for THE INSTITUTE OF COMPANY SECRETARIES OF INDIA
ONLINE CLASSES FOR CS EXECUTIVE JUNE 2022 EXAM BY ICSI SIRC,
Authorised Signatory