Reliance Retail Limited

2nd Floor, No.62/2, RIL Building, Richmond, Road,

Bangaluru Urban, Bangalore, Bangalore, Karnataka,
560025

(Original for Recipient)

Tax Invoice

Invoice No : 29R24I0015935605 Invoice/Payment Date & Time : 07 Jun,2023 09:35:12

PAN No : AABCR1718E GST No : 29AABCR1718E1ZL

Order Ref. No. : BR0009HZNV6P Payment Ref. No. : 20230607010880000873137070

Mode of Payment : UPI

Customer Name : Shashank K V Place of Supply : 29 Karnataka

Jio Number : 9148839107 Address : #164, Venkatappanapalya Harokethanahalli

Dasanapura Hobali, Makali, Karnataka,
562123

Sr. Taxable Amount( )

Plan Details SAC Qty MRP/Unit( ) Discount( )
No.

1 Rs 749-28D-2GB/D 998413 1 749.00 0.00 634.74

Total Taxable Amount 634.74

CGST (9%) 57.13

SGST (9%) 57.13

Total Amount 749.00

Total Amount (in words) Seven Hundred Forty 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

Authorized Signatory

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