STOCK TRANSFER NOTE

OK LIFECARE PRIVATE LIMITED (H03)

NEAR LPS BOSSARD, GANDHRA MOR, KHARAWAR, ROHTAK 124021, , City: ROHTAK - 124021
(HARYANA [6]) INDIA, M.No.: 7056909400

GSTIN : 06AACCO3993K2Z0
Original for Recipient

Invoice No. : H03/T23/4329

Invoice Date : 21-Nov-2023
Tax is Payble on Reverse Charge : No

Details of Receiver (Billed To) Details of Consignee (Shipped To)

Name : OK LIFECARE PRIVATE LIMITED(SBL05) (SBL05) Name : OK LIFECARE PRIVATE LIMITED(SBL05) (SBL05)
Address : OK LIFECARE PRIVATE LIMITED,FLAT NO. _ 8, APEKSHA Address : OK LIFECARE PRIVATE LIMITED,FLAT NO. _ 8, APEKSHA
HEIGHTS, S.NO. 13, SIDDHIVINAYAK COLONY, HEIGHTS, S.NO. 13, SIDDHIVINAYAK COLONY,
SATAVWADINR MASJID HADAPSAR, PUNE, SATAVWADINR MASJID HADAPSAR, PUNE,
MAHARASHTRA, 411028, , City: PUNE - 411028 MAHARASHTRA, 411028
(MAHARASHTRA [27]) INDIA, M.No.: 7972102770

GSTIN : 27AACCO3993K1ZX GSTIN : 27AACCO3993K1ZX

CGST SGST IGST

Dis Taxable
S.No. Product Name HSN Code Qty UOM Rate Total
count Value
% Amount % Amount % Amount

1 JOINT GYM 30049011 90 Pcs 364.29 32,786.10 0.00 32786.10 0.00 0.00 0.00 0.00 12.00 3934.33

2 CALCIUM + D3 100 21069099 90 Pcs 148.31 13,347.90 0.00 13347.90 0.00 0.00 0.00 0.00 18.00 2402.62
TAB

Total B.V. 18,630.00 Total 46,134.00 0.00 0.00 6,336.95

Invoice Value (In Words) Total 52,471.00

Shipping Charge 0.00

Fifty-Two Thousand Four Hundred Seventy-One Only
Net Payable 52471.00

Amount of Tax Subject to Reverse Charge

Certified that the Particulars given above are true and correct Electronic Reference Number

Remarks:

TAX COLLECTION SUMMARY

Tax (%) Amount CGST Amt. SGST Amt. IGST Amt. Total Amt
12.00 % 32786.1 0 0 3934.33 36720.43
18.00 % 13347.9 0 0 2402.62 15750.52
Total: 46134 0 0 6336.95 52470.95

Term & Conditions :

1. Subject to HARYANA jurisdictions only.

THIS IS A COMPUTER GENERATED DOCUMENT
2. GOODS SUPPLIED ARE REFUNDABLE WITHIN 7 DAYS & EXCHANGEABLE WITHIN 30
HENCE NEEDS NO SIGNATURES
DAYS FROM THE DATE OF INVOICE.

MSG: POLICY NO. 0865088985 TATA AIG General Insurance Company Ltd
 STOCK TRANSFER NOTE
OK LIFECARE PRIVATE LIMITED (H03)
NEAR LPS BOSSARD, GANDHRA MOR, KHARAWAR, ROHTAK 124021, , City: ROHTAK - 124021
(HARYANA [6]) INDIA, M.No.: 7056909400

GSTIN : 06AACCO3993K2Z0
Duplicate for Transporter

Invoice No. : H03/T23/4329

Invoice Date : 21-Nov-2023
Tax is Payble on Reverse Charge : No

Details of Receiver (Billed To) Details of Consignee (Shipped To)

Name : OK LIFECARE PRIVATE LIMITED(SBL05) (SBL05) Name : OK LIFECARE PRIVATE LIMITED(SBL05) (SBL05)
Address : OK LIFECARE PRIVATE LIMITED,FLAT NO. _ 8, APEKSHA Address : OK LIFECARE PRIVATE LIMITED,FLAT NO. _ 8, APEKSHA
HEIGHTS, S.NO. 13, SIDDHIVINAYAK COLONY, HEIGHTS, S.NO. 13, SIDDHIVINAYAK COLONY,
SATAVWADINR MASJID HADAPSAR, PUNE, SATAVWADINR MASJID HADAPSAR, PUNE,
MAHARASHTRA, 411028, , City: PUNE - 411028 MAHARASHTRA, 411028
(MAHARASHTRA [27]) INDIA, M.No.: 7972102770

GSTIN : 27AACCO3993K1ZX GSTIN : 27AACCO3993K1ZX

CGST SGST IGST

Dis Taxable
S.No. Product Name HSN Code Qty UOM Rate Total
count Value
% Amount % Amount % Amount

1 JOINT GYM 30049011 90 Pcs 364.29 32,786.10 0.00 32786.10 0.00 0.00 0.00 0.00 12.00 3934.33

2 CALCIUM + D3 100 21069099 90 Pcs 148.31 13,347.90 0.00 13347.90 0.00 0.00 0.00 0.00 18.00 2402.62
TAB

Total B.V. 18,630.00 Total 46,134.00 0.00 0.00 6,336.95

Invoice Value (In Words) Total 52,471.00

Shipping Charge 0.00

Fifty-Two Thousand Four Hundred Seventy-One Only
Net Payable 52471.00

Amount of Tax Subject to Reverse Charge

Certified that the Particulars given above are true and correct Electronic Reference Number

Remarks:

TAX COLLECTION SUMMARY

Tax (%) Amount CGST Amt. SGST Amt. IGST Amt. Total Amt
12.00 % 32786.1 0 0 3934.33 36720.43
18.00 % 13347.9 0 0 2402.62 15750.52
Total: 46134 0 0 6336.95 52470.95

Term & Conditions :

1. Subject to HARYANA jurisdictions only.

THIS IS A COMPUTER GENERATED DOCUMENT
2. GOODS SUPPLIED ARE REFUNDABLE WITHIN 7 DAYS & EXCHANGEABLE WITHIN 30
HENCE NEEDS NO SIGNATURES
DAYS FROM THE DATE OF INVOICE.

MSG: POLICY NO. 0865088985 TATA AIG General Insurance Company Ltd
 STOCK TRANSFER NOTE
OK LIFECARE PRIVATE LIMITED (H03)
NEAR LPS BOSSARD, GANDHRA MOR, KHARAWAR, ROHTAK 124021, , City: ROHTAK - 124021
(HARYANA [6]) INDIA, M.No.: 7056909400

GSTIN : 06AACCO3993K2Z0
Triplicate for Supplier

Invoice No. : H03/T23/4329

Invoice Date : 21-Nov-2023
Tax is Payble on Reverse Charge : No

Details of Receiver (Billed To) Details of Consignee (Shipped To)

Name : OK LIFECARE PRIVATE LIMITED(SBL05) (SBL05) Name : OK LIFECARE PRIVATE LIMITED(SBL05) (SBL05)
Address : OK LIFECARE PRIVATE LIMITED,FLAT NO. _ 8, APEKSHA Address : OK LIFECARE PRIVATE LIMITED,FLAT NO. _ 8, APEKSHA
HEIGHTS, S.NO. 13, SIDDHIVINAYAK COLONY, HEIGHTS, S.NO. 13, SIDDHIVINAYAK COLONY,
SATAVWADINR MASJID HADAPSAR, PUNE, SATAVWADINR MASJID HADAPSAR, PUNE,
MAHARASHTRA, 411028, , City: PUNE - 411028 MAHARASHTRA, 411028
(MAHARASHTRA [27]) INDIA, M.No.: 7972102770

GSTIN : 27AACCO3993K1ZX GSTIN : 27AACCO3993K1ZX

CGST SGST IGST

Dis Taxable
S.No. Product Name HSN Code Qty UOM Rate Total
count Value
% Amount % Amount % Amount

1 JOINT GYM 30049011 90 Pcs 364.29 32,786.10 0.00 32786.10 0.00 0.00 0.00 0.00 12.00 3934.33

2 CALCIUM + D3 100 21069099 90 Pcs 148.31 13,347.90 0.00 13347.90 0.00 0.00 0.00 0.00 18.00 2402.62
TAB

Total B.V. 18,630.00 Total 46,134.00 0.00 0.00 6,336.95

Invoice Value (In Words) Total 52,471.00

Shipping Charge 0.00

Fifty-Two Thousand Four Hundred Seventy-One Only
Net Payable 52471.00

Amount of Tax Subject to Reverse Charge

Certified that the Particulars given above are true and correct Electronic Reference Number

Remarks:

TAX COLLECTION SUMMARY

Tax (%) Amount CGST Amt. SGST Amt. IGST Amt. Total Amt
12.00 % 32786.1 0 0 3934.33 36720.43
18.00 % 13347.9 0 0 2402.62 15750.52
Total: 46134 0 0 6336.95 52470.95

Term & Conditions :

1. Subject to HARYANA jurisdictions only.

THIS IS A COMPUTER GENERATED DOCUMENT
2. GOODS SUPPLIED ARE REFUNDABLE WITHIN 7 DAYS & EXCHANGEABLE WITHIN 30
HENCE NEEDS NO SIGNATURES
DAYS FROM THE DATE OF INVOICE.

MSG: POLICY NO. 0865088985 TATA AIG General Insurance Company Ltd