My Company

sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004099

To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001611
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032149
xxxxxxPUxxM - 600070
Handoff ID: H000125

Client Ref: HD0004

Phone: 9401865976.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200004 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA RHS

MAA RHS
AWBBD004115

To,
MR AXAXXLA RAGHXXXXDRA – II
Order No: 40001648
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032186
xxxxxxPUxxM - 600067
Handoff ID: H000125

Client Ref: HD0010

Phone: 9401865976.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200010 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004106

To,
MR ASHWINI KUMAR GHOGLE – I
Order No: 40001627
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032114
INDORE - 600066
Handoff ID: H000125

Client Ref: HD0024

Phone: 9757315405.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200024 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004112

To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001645
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032132
xxxxxxPUxxM - 600064
Handoff ID: H000125

Client Ref: HD0006

Phone: 9401865976.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200006 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA TBM
AWBBD004103

To,
MR ANUPAM GAURAV - I
ANUPAM GAURAV
Order No: 40001624
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032162
NEW DELHI - 600063
Handoff ID: H000125

Client Ref: HD0022

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200022 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004108

To,
MR ASHWINI KUMAR GHOGLE – I
Order No: 40001631
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032169
INDORE - 600070
Handoff ID: H000125

Client Ref: HD0005

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200005 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004114
To,
MR ASHWINI KUMAR GHOGLE – I
Order No: 40001647
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032185
INDORE - 600066
Handoff ID: H000125

Client Ref: HD0009

Phone: 9757315405.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200009 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA TBM
AWBBD004093

To,
MR ANUPAM GAURAV
ANUPAM GAURAV
Order No: 40001604
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032091
NEW DELHI - 600063
Handoff ID: H000125

Client Ref: HD0020

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200020 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004105
To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001626
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600065 BIW Ref No: BIW-0000032113

Handoff ID: H000125

Client Ref: HD0023

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200023 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA TBM
AWBBD004111
To,
MR ASHWINI KUMAR GHOGLE
ASHWINI KUMAR Order No: 40001644
14, Near LIC office, 93 M ehta ki chal,
INDORE - 600063 BIW Ref No: BIW-0000032131

Handoff ID: H000125

Client Ref: HD0005

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200005 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004090

To,
MR ASHWINI KUMAR GHOGLE – II
Order No: 40001601
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032139
INDORE - 600060
Handoff ID: H000125

Client Ref: HD0014

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200014 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA RHS

MAA RHS
AWBBD004097
To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001608
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600067 BIW Ref No: BIW-0000032146

Handoff ID: H000125

Client Ref: HD0025

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200025 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004102
To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001623
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032161
xxxxxxPUxxM - 600062
Handoff ID: H000125

Client Ref: HD0021

Phone: 9401865976.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200021 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004106
To,
MR AXAXXLA RAGHXXXXDRA – II
Order No: 40001627
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032165
xxxxxxPUxxM - 600066
Handoff ID: H000125

Client Ref: HD0025

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200025 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MDU

MAA MDU
AWBBD004107

To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001630
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600069 BIW Ref No: BIW-0000032168

Handoff ID: H000125

Client Ref: HD0004

Phone:

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200004 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004110
To,
MR ASHWINI KUMAR GHOGLE
ASHWINI KUMAR Order No: 40001643
14, Near LIC office, 93 M ehta ki chal,
INDORE - 600062 BIW Ref No: BIW-0000032181

Handoff ID: H000125

Client Ref: HD0005

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200005 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004113
To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001646
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600065 BIW Ref No: BIW-0000032184

Handoff ID: H000125

Client Ref: HD0008

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200008 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004092
To,
MR AXAXXLA RAGHXXXXDRA
FG OFFR RxxxxxxxxRA Order No: 40001603
3D xxxxaka, Sai brindxxxn flats,
xxxxxxPUxxM - 600062 BIW Ref No: BIW-0000032090

Handoff ID: H000125

Client Ref: HD0015

Phone: 9401865976.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200015 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004096
To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001607
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032094
xxxxxxPUxxM - 600066
Handoff ID: H000125

Client Ref: HD0023

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200023 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA GND
AWBBD004101
To,
MR NIHAR RANJAN BARICK
NIHAR RANJAN BARICK
Order No: 40001622
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600061
BIW Ref No: BIW-0000032109

Handoff ID: H000125

Client Ref: HD0015

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200015 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004104
To,
MR ANUPAM GAURAV - I
ANUPAM GAURAV
Order No: 40001625
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032112
NEW DELHI - 600064
Handoff ID: H000125

Client Ref: HD0022

Phone: 8585951525.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200022 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004110
To,
MR NIHAR RANJAN BARICK
NIHAR RANJAN BARICK
Order No: 40001643
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600062
BIW Ref No: BIW-0000032130

Handoff ID: H000125

Client Ref: HD0004

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200004 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA RHS

MAA RHS
AWBBD004115
To,
MR ASHWINI KUMAR GHOGLE – I
Order No: 40001648
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032135
INDORE - 600067
Handoff ID: H000125

Client Ref: HD0009

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200009 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004118
To,
MR NIHAR RANJAN BARICK – II
NIHAR RANJAN BARICK Order No: 40001651
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600070 BIW Ref No: BIW-0000032138

Handoff ID: H000125

Client Ref: HD0013

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200013 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA TBM
AWBBD004093
To,
MR NIHAR RANJAN BARICK
NIHAR RANJAN BARICK
Order No: 40001604
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600063
BIW Ref No: BIW-0000032142

Handoff ID: H000125

Client Ref: HD0021

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200021 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004096
To,
MR ANUPAM GAURAV - I
ANUPAM GAURAV
Order No: 40001607
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032145
NEW DELHI - 600066
Handoff ID: H000125

Client Ref: HD0024

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200024 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004100
To,
MR NIHAR RANJAN BARICK
NIHAR RANJAN BARICK
Order No: 40001621
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600060
BIW Ref No: BIW-0000032159

Handoff ID: H000125

Client Ref: HD0015

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200015 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA GND
AWBBD004101
To,
MR ASHWINI KUMAR GHOGLE
ASHWINI KUMAR Order No: 40001622
14, Near LIC office, 93 M ehta ki chal,
INDORE - 600061 BIW Ref No: BIW-0000032160

Handoff ID: H000125

Client Ref: HD0020

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200020 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004104
To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001625
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600064 BIW Ref No: BIW-0000032163

Handoff ID: H000125

Client Ref: HD0023

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200023 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004105
To,
MR ASHWINI KUMAR GHOGLE – I
Order No: 40001626
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032164
INDORE - 600065
Handoff ID: H000125

Client Ref: HD0024

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200024 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA GND
AWBBD004109
To,
MR NIHAR RANJAN BARICK
NIHAR RANJAN BARICK
Order No: 40001642
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600061
BIW Ref No: BIW-0000032180

Handoff ID: H000125

Client Ref: HD0004

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200004 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA TBM
AWBBD004111
To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001644
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032182
xxxxxxPUxxM - 600063
Handoff ID: H000125

Client Ref: HD0006

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200006 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004112
To,
MR ANUPAM GAURAV - I
ANUPAM GAURAV
Order No: 40001645
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032183
NEW DELHI - 600064
Handoff ID: H000125

Client Ref: HD0007

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200007 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA MLI
AWBBD004116
To,
MR ASHWINI KUMAR GHOGLE – I
Order No: 40001649
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032085
INDORE - 600068
Handoff ID: H000125

Client Ref: HD0009

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200009 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MDU

MAA MDU
AWBBD004117
To,
MR AXAXXLA RAGHXXXXDRA – II
Order No: 40001650
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032086
xxxxxxPUxxM - 600069
Handoff ID: H000125

Client Ref: HD0010

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200010 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004090
To,
MR NIHAR RANJAN BARICK – II
NIHAR RANJAN BARICK Order No: 40001601
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600060 BIW Ref No: BIW-0000032088

Handoff ID: H000125

Client Ref: HD0013

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200013 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA GND
AWBBD004091
To,
MR ASHWINI KUMAR GHOGLE – II
Order No: 40001602
ASHWINI KUMAR
14, Near LIC office, 93 M ehta ki chal,
BIW Ref No: BIW-0000032089
INDORE - 600061
Handoff ID: H000125

Client Ref: HD0014

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200014 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004094
To,
MR NIHAR RANJAN BARICK
NIHAR RANJAN BARICK
Order No: 40001605
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600064
BIW Ref No: BIW-0000032092

Handoff ID: H000125

Client Ref: HD0021

Phone: 9757315405.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200021 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004095

To,
MR ASHWINI KUMAR GHOGLE
ASHWINI KUMAR Order No: 40001606
14, Near LIC office, 93 M ehta ki chal,
INDORE - 600065 BIW Ref No: BIW-0000032093

Handoff ID: H000125

Client Ref: HD0022

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200022 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA RHS

MAA RHS
AWBBD004097
To,
MR ANUPAM GAURAV - I
ANUPAM GAURAV
Order No: 40001608
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032095
NEW DELHI - 600067
Handoff ID: H000125

Client Ref: HD0024

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200024 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA MLI
AWBBD004098
To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001609
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600068 BIW Ref No: BIW-0000032096

Handoff ID: H000125

Client Ref: HD0025

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200025 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004100

To,
MR ANUPAM GAURAV
ANUPAM GAURAV
Order No: 40001621
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032108
NEW DELHI - 600060
Handoff ID: H000125

Client Ref: HD0014

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200014 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004102
To,
MR ASHWINI KUMAR GHOGLE
ASHWINI KUMAR Order No: 40001623
14, Near LIC office, 93 M ehta ki chal,
INDORE - 600062 BIW Ref No: BIW-0000032110

Handoff ID: H000125

Client Ref: HD0020

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200020 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA TBM
AWBBD004103
To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001624
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032111
xxxxxxPUxxM - 600063
Handoff ID: H000125

Client Ref: HD0021

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200021 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004113
To,
MR ANUPAM GAURAV - I
ANUPAM GAURAV
Order No: 40001646
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032133
NEW DELHI - 600065
Handoff ID: H000125

Client Ref: HD0007

Phone: 8585951525.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200007 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA PBR
AWBBD004114
To,
MR NIHAR RANJAN BARICK – I
NIHAR RANJAN BARICK Order No: 40001647
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600066 BIW Ref No: BIW-0000032134

Handoff ID: H000125

Client Ref: HD0008

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200008 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA MLI
AWBBD004116
To,
MR AXAXXLA RAGHXXXXDRA – II
Order No: 40001649
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032136
xxxxxxPUxxM - 600068
Handoff ID: H000125

Client Ref: HD0010

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200010 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA GND
AWBBD004091
To,
MR AXAXXLA RAGHXXXXDRA
FG OFFR RxxxxxxxxRA Order No: 40001602
3D xxxxaka, Sai brindxxxn flats,
xxxxxxPUxxM - 600061 BIW Ref No: BIW-0000032140

Handoff ID: H000125

Client Ref: HD0015

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200015 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004092
To,
MR ANUPAM GAURAV
ANUPAM GAURAV
Order No: 40001603
H NO S-83 1ST FLOOR SCHOO L
BLOCK
BIW Ref No: BIW-0000032141
NEW DELHI - 600062
Handoff ID: H000125

Client Ref: HD0020

Phone: 8585951525.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200020 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA CMT
AWBBD004094
To,
MR ASHWINI KUMAR GHOGLE
ASHWINI KUMAR Order No: 40001605
14, Near LIC office, 93 M ehta ki chal,
INDORE - 600064 BIW Ref No: BIW-0000032143

Handoff ID: H000125

Client Ref: HD0022

Phone:
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200022 2 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MAA

MAA AVD
AWBBD004095
To,
MR AXAXXLA RAGHXXXXDRA – I
Order No: 40001606
FG OFFR RxxxxxxxxRA
3D xxxxaka, Sai brindxxxn flats,
BIW Ref No: BIW-0000032144
xxxxxxPUxxM - 600065
Handoff ID: H000125

Client Ref: HD0023

Phone: 9401865976.0
This consignment from BI Wordwide is a gift and does not carry
commercial value.
Product Code Qty MRP Total Value
BI2200023 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.
 My Company
sssss
ddd, banglore - 600082
DECLARATION FORM
Blue Dart:
MAA MDU

MAA MDU
AWBBD004117
To,
MR NIHAR RANJAN BARICK – II
NIHAR RANJAN BARICK Order No: 40001650
S/O GOKUL CHANDRA BARICK
PATTAMUNDAI - 600069 BIW Ref No: BIW-0000032188

Handoff ID: H000125

Client Ref: HD0013

Phone: 8585951525.0

This consignment from BI Wordwide is a gift and does not carry

commercial value.
Product Code Qty MRP Total Value
BI2200013 1 0 0
GST IN: 12AAAAA1234AAZA

All the terms & conditions of respective combines & BI Worldwide apply Subject to
Chennai Jurisdiction only. E. & O.E. This is a computer generated challan and does not
require signature.

If Undelivered, Return to:

BI Worldwide India Private Limited

Door No.8 & 8A, DRR Avenue, Audco Nagar,
Kattupakkam, Chennai 600056.