Symphony Talent India Pvt. Ltd.

Travel / Expense Claim Form

Employee No. STI0074 Date : 04-11-20

Employee Name SHARAD KUMAR VERMA

Oct Expense
Particular's / Purpose

Sl . Exchange
Bill No Bill Date Expense Detail Currency Amount INR (Rupees)
No Rate

1 1-Oct-20 Internet INR 1,398 1 रु 1,398.00

2 3-Nov-20 Mobile INR 883 1 रु 883.00
3 INR - 1 रु 0.00
4 रु 0.00
5 रु 0.00
6 रु 0.00
7 रु 0.00
8 रु 0.00
9 1 रु 0.00

TOTAL: रु 2,281.00

Employee Signature Approver Signature

Name: SUDHIR DHARAN

Date : 04-Nov-20 Date :04-Nov-2020
 MOBILE SERVICES
Original Copy for Recipient - Tax Invoice

Mr Sharad Kumar Verma Airtel number 9611700110

First Advantage Off Shore Services Pvt Ltd Relationship number 1023917042
Flat No C-003 Golden Star Appts Bill number BM2129I011777230
Ground Floor Golden Star Bill date 03-Nov-2020
Hoodi Circule Bill period 02-Oct-2020 to 01-Nov-2020
Bangalore 560048
Karnataka Pay by date 21-Nov-2020
Landmark :. Credit limit ` 7,800.00
Security deposit ` 300.00
9611700110 1023917042 State Code 29
POS: Karnataka
GST No/UIN No
Email ID: sharad.k.verma@gmail.com

YOUR ACCOUNT SUMMARY THIS MONTH'S CHARGES

Previous balance 881.92 amount(`)

Payments - 882.00 Monthly rentals 748.00
Usage 0.00
Adjustments - 0.00
One time charges 0.00
This month's charges + 882.64
Taxes 134.64

Amount due till

21-Nov-2020 = 882.56
Amount due after
21-Nov-2020 1,000.56 Total (`) 882.64

Total : Eight Hundred Eighty Two Rupees and Sixty Four Paise Only

For Bharti Airtel Limited

Vandana Arora,DGM

Send payment to
YOUR PAYMENT OPTIONS 9611700110.POST@mairtel

Relationship No. 1023917042 Bill No. BM2129I011777230 Amount Due: 882.56 LoB: Mobility
UPI Apps Send payment to 9611700110.POST@mairtel
www.airtel.in/airtel apps UPI/Net Banking/Cards/Wallets/Mobile Banking
pay via SI www.airtel.in/si (Register to si with Credit Cards, ICICI Debit Card)
cheque/DD In favour of "Airtel Relationship no. 1023917042"
cheque/DD No. _____________ Dated _____________ Amount _____________ Bank _____________
Scan & pay via any UPI Apps
Store location www.airtel.in/store Powered by

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(Original for the Receipient)

Name : SHARAD KUMAR VERMA

Address : C-003 GOLDEN STAR APARTMENTS NEAR TYCO
ELECTRONIC HOODI CIRCLE User Id : 102018173496
Bangalore Account No : 102018173496
Karnataka Invoice No. : KA-B1-38681905
India Invoice Date : 01/10/2020
ATRIA CONVERGENCE Zip Code: 560048 Invoice Period : Oct/2020
TECHNOLOGIES LIMITED, Due Date : 15/10/2020
Home : 9632122886
Golden Heights M.NO.1/2,
Mobile : 9611700110
59TH C Cross,4TH M Block
GSTIN : 0
Rajajinagar, Bangalore, 560010
Ph.No : 9121212121,7288999999
E-mail : helpdesk.blr@actcorp.in
GSTIN : 29AACCA8907B1ZU

Previous Due ₹ Payments Received ₹ Adjustments ₹ Invoice Amount ₹ Balance Amount ₹ Amount Payable ₹ Amount Payable ₹
If paid after due date

1,398.3 1,398.3 0 1,398.3 1,398.3 1,398.3 1,498.3

Invoice Charges Account No: 102018173496 User Name:102018173496

Txn No Txn Date Period Description HSN Package/Goods Rate Unit Quantity Discount Taxable CGST CGST SGST SGST Amount
Code Description Amount Rate % Amount Rate % Amount Incl. Tax

KA-B1- 01/10/2020 - Internet Per

38681905,2 01/10/2020 31/10/2020 telecommunications 998422 ACT Storm 1185 Month 31 days 0 1,185 9 106.65 9 106.65 1,398.3
services

Sub Total: 1,185 106.65 106.65 1,398.3

Invoice Amount: 1,185 106.65 106.65 1,398.3

Payments Received Account No: 102018173496 User Name:102018173496

RefNo Txn Date Details Amount Total Remarks

1,398.3 PAYTMPayment for subscriber -

P1-21281084 12/09/2020 Payment: Online Mode 1,398.3 102018173496

Payments : 1,398.3

Total Payments : 1,398.3

Registered office address: No. 1, 2nd and 3rd Floor, Indian Express Building, Queens Road, Bangalore - 560001.
CIN no: U72900KA2000PLC027290 Tel: 08042884288 Fax no: 080-42884200

Terms and Conditions

1. Cheques to be in favour of "M/s ATRIA CONVERGENCE TECHNOLOGIES LIMITED".

2. In case of cheque bounce, Rs.100/- penalty will be levied.

3. 18% interest will be levied on overdue payments

4. ACT Shall levy late fee charge in case the bill is paid after the due date

5. In case of overdue/ defaults, the right to deactivate your services, is reserved.

6. All disputes are subject to Karnataka jurisdiction.

7. Unless otherwise stated,tax on this invoice is not payable under reverse charge.

8. This Invoice is system generated hence signature and stamp is not required

Remittance Slip

Mode Of Payment : Collection Date : Cash/Cheque/DD :

Amount enclosed : EmployeeName : Bank & Branch Details :
AccountNo : 102018173496 Subscriber Name : SHARAD KUMAR VERMA UserName : 102018173496

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