Reliance Retail Limited

C/o. Reliance Corporate IT Park Limited, 17th and 18th

Floor, Plot No. 5, Godrej, Waterside, Sector-V,
Electronics Complex, Salt Lake City, Kolkata, Kolkata,
West Bengal, 700091

(Original for Recipient)

Tax Invoice

Invoice No Date : 07 October, 2022

30R216024683289 GST No : 20AQWER1718E1NG

PAN No : EDPPB8225Q

Order Ref No KL0007JGISUO

Customer Name : GAURAV BERA Place of Supply : 19 West Bengal

Address : West Bengal, 743373
Jio Number : 6291192267

Sr. Taxable Amount( `)

Plan Details SAC Qty MRP( `) Discount( `)
No.

1 MRP 999 778654 1 999.00 0.00 846.61

Total Taxable Amount 846.61

CGST (9%) 76.19

SGST (9%) 76.19

Total Amount 999.00

Total Amount (in words) Nine hundred ninety nine rupees only.

Telecommunication services to be provided by Reliance Jio Infocomm 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: 2022.10.07 10:14:21 IST
Reason: Invoice
Location: 19 West Bengal

Authorized Signatory

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC1G198E www.relianceretail.com