Reliance Retail Limited Office Block No.1, 3rd Floor, DB City Mall, Arera , Hills, MP Nagar, Bhopal, Madhya Pradesh, Bhopal, Madhya Pradesh, 462016 (Original for Recipient) Tax Invoice Invoice No : 23R23I0017113167 Invoice/Payment Date & Time : 20 Aug,2022 11:29:04 PAN No : AABCR1718E GST No : 23AABCR1718E1ZX Order Ref. No. : BR00085E4Z5T Payment Ref. No. : P04-9246868-4196398 Mode of Payment : Wallet Customer Name : Ritvik Joshi Place of Supply : 23 Madhya Pradesh Jio Number : 8962221345 Address : Rajendra Nagar, WATER TANK,Indore,52-A DHANWANTRI nagar EXT, WATER TANK, Madhya Pradesh, 452012 Sr. No. Plan Details SAC Qty MRP/Unit( `) Discount( `) 1 Rs 395-3m-6GB 998413 1 395.00 0.00 Taxable Amount( `) 334.74 Total Taxable Amount 334.74 CGST (9%) 30.13 SGST (9%) 30.13 Total Amount 395.00 Total Amount (in words) Three Hundred Ninety Five 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 Digitally signed by DS RELIANCE RETAIL LIMITED Date: 2023.02.06 21:56:48 IST Reason: Invoice Location: 23 Madhya Pradesh Authorized Signatory Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002 CIN: U01100MH1999PLC120563 www.relianceretail.com