Reliance Jio Infocomm Limited

17-18th floor, TOWER II, Godrej Wateside, PLOT NO.5, BLOCK DP, SECTOR-V, DIST NORTH 24 PARGANAS, P S
ELECTRONICS COMPLEX, SALT LAKE CITY,, Kolkata, West Bengal, 700091

(Original for Recipient)

Tax Invoice

Invoice No : 19R24I0075629575 Invoice/Payment Date & Time : 27/09/23 05:35:21 AM

PAN No : AABCI6363G GST No : 19AABCI6363G1ZG

Mode of Payment : UPI Payment Ref No : CN000003FSZ8

Customer Name : Amresh kumar Singh Place of supply : 19 WEST BENGAL

Mobile Number : 8910468835

MRP/Unit Discount Tax Amount

Sr.No. Order Details Choice Number SAC QTY
(`) (`) (`)

Choice Number 8100558835

1 Booking Charge
998413 1 499.0 0.00 422.88

Total Taxable Amount 422.88

CGST (9%) 38.06

SGST (9%) 38.06

Total Amount 499.0

Total Amount (in words) Four Hundred Ninety Nine Rupees Only

All disputes are subjected to Mumbai Jurisdiction

Tax is not payable under Reverse Charge basis for this supply.
T&C Apply. Please refer to the T&C at www.jio.com

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

Digitally Signed by : Reliance Jio Infocomm Limited

Date : 2023.09.27 05:40:21 IST
Reason : Invoice
Location : 19 WEST BENGAL

Authorized Signatory
Reliance Jio Infocomm Limited F-101, Saffron, Panchavati, 5 Rasta, Near Bank of Baroda, Ambawadi, Ahmedabad,
Gujarat, 380006 CIN: U72900GJ2007PLC105869 www.jio.com