Reliance Retail Limited

3rd Floor, Court House, Lokmanya Tilak Marg,

Dhobi Talao Mumbai MH 400002

(Original for Recipient)

Tax Invoice

Invoice No : A1R23R9127827365 Invoice/Payment Date & Time : 02 Oct,2022 11:45:40

PAN No : EGPPR2413P GST No : 01AABCR1411E1NZ

Order Ref. No. : TB000021AI6G Payment Ref. No. : P02-6862720-12378742

Mode of Payment : Wallet

Customer Name : Anuj Raut Place of Supply : Mumbai

Jio Number : 5528493686 Customer Address : Bhandar Ali Road Char Rasta, Bhandar Ali Chouk
Bolinj Virar West Bolinj Virar,Vasai Palghar,MH 401303

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

1 JioFiber_1M_899 998422 1 1060.82 0.00 899.00

Total Taxable Amount 899.00

CGST (9%) 80.91

SGST (9%) 80.91

Total Amount( `) 1060.82

Total Amount (in words) One Thousand Sixty Rupees Eighty 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 LIMITEDDate:

2022.10.02 11:45:40 IST
Reason: Invoice
Location: Mumbai

Digital Signature

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