Reliance Retail Limited

Gr. Floor, Reliance Corporate IT Park Ltd, 5 TTC Industrial

Area, Thane-Belapur Road, Ghansoli, Navi Mumbai Navi
Mumbai Maharashtra 400701

(Original for Recipient)

Tax Invoice

Invoice No : 27R23R9999965876 Invoice/Payment Date & Time : 09 Feb,2023 12:20:35

PAN No : AABCR1718E GST No : 27AABCR1718E1ZP

Order Ref. No. : TB00001T6XHG

Mode of Payment : Wallet

Customer Name : Farhan Mallick Place of Supply : 27 Maharashtra

Jio Number : 2235619576 Customer Address : STERLING COURT F- 101 KONDIVITA MIDC
MAROL, Andheri east, Maheshwari Nagar,
NEAR MAHESHWARI NAGAR, ANDHERI E,
Maharashtra, 400093

Sr. Taxable
Item Name HSN/SAC Qty MRP/Unit( `) Discount( `)
No. Amount( `)

1 JioFiber_12M_4788 998422 1 5649.84 0.00 4788.00

Total Taxable Amount 4788.00

CGST (9%) 430.92

SGST (9%) 430.92

Total Amount( `) 5649.84

Total Amount (in words) Five Thousand Six Hundred Forty Nine Rupees Eighty Four Paisa Only
Telecommunication services to be provided by Reliance Jio Infocomm Limited
Platform services to be provided by Jio Platforms Limited
All disputes are subjected to Mumbai Jurisdiction
Tax is not payable under Reverse Charge basis for this supply.

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED

Date: 2023.02.09 23:35:40 IST
Reason: Invoice
Location: 27 Maharashtra

Digital Signature

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com
 Reliance Retail Limited

Gr. Floor, Reliance Corporate IT Park Ltd, 5 TTC Industrial Area, Thane-Belapur Road, Ghansoli, Navi Mumbai Navi
Mumbai Maharashtra 400701

(Original for Recipient)

Payment Receipt

Payment Receipt No : TB00001T6XHG Date : 09 Feb,2023 12:20:35

Order Ref No : TB00001T6XHG

Customer Name : Farhan Mallick Customer Address : STERLING COURT F- 101 KONDIVITA MIDC
MAROL, Andheri east, Maheshwari Nagar,
Jio Number : 2235619576 NEAR MAHESHWARI NAGAR, ANDHERI E,
Maharashtra, 400093

Sr. No. Plan Details Qty MRP/Unit( `) Total( `)

1 JioFiber_12M_4788 1 5649.84 5649.84

Total Amount ( `) 5649.84

Total Amount (in words) Five Thousand Six Hundred Forty Nine Rupees Eighty Four Paisa Only

Declaration : Certified that all the particulars given above are true and correct.

This is a computer generated payment receipt, hence does not require signature.

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com