Reliance Retail Limited

20-21, Crossroad Mall, 1 Old Survey R Road, Dehradun,

Uttarakhand Dehradun Uttarakhand 248001

(Original for Recipient)

Tax Invoice

Invoice No : A5R23R9992715274 Invoice/Payment Date & Time : 16 Dec,2022 21:11:41

PAN No : AABCR1718E GST No : 05AABCR1718E1ZV

Order Ref. No. : TB00002A9KD4 Payment Ref. No. : 221216511206812884

Mode of Payment : Credit Card

Customer Name : Vishal Dengre Place of Supply : 05 Uttarakhand

Jio Number : 1353545155 Customer Address : c 208, c 208,Pacific Estate, Dehradun, kanwali
road, Dehradun, Uttarakhand, 248006

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

1 JioFiber_6M_5994 998422 1 6160.19 0.00 5220.49

2 Platform Services - JioFiber_6M_5994 998439 1 912.73 0.00 773.49

Total Taxable Amount 5993.98

CGST (9%) 539.47

SGST (9%) 539.47

Total Amount( `) 7072.92

Total Amount (in words) Seven Thousand Seventy Two Rupees Ninety Two 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: 2023.03.04 14:47:31 IST
Reason: Invoice
Location: 05 Uttarakhand

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

20-21, Crossroad Mall, 1 Old Survey R Road, Dehradun, Uttarakhand Dehradun Uttarakhand 248001

(Original for Recipient)

Payment Receipt

Payment Receipt No : TB00002A9KD4 Date : 16 Dec,2022 21:11:41

Order Ref No : TB00002A9KD4

Customer Name : Vishal Dengre Customer Address : c 208, c 208,Pacific Estate, Dehradun, kanwali
road, Dehradun, Uttarakhand, 248006
Jio Number : 1353545155

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

1 JioFiber_6M_5994 1 7072.92 7072.92

Total Amount ( `) 7072.92

Total Amount (in words) Seven Thousand Seventy Two Rupees Ninety Two 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