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 : 29R22R9991927431 Invoice/Payment Date & Time : 31 Mar,2022 20:34:20

PAN No : AABCR1718E GST No : 29AABCR1718E1ZL

Order Ref. No. : TB00001J581W Payment Ref. No. : 209072117252

Mode of Payment : UPI

Customer Name : Rick Bera Place of Supply : 29 Karnataka

Jio Number : 8367963027 Customer Address : G1, K F Kallimath, Mukambika Nagar,

Kumareshwar Nagar Near shivalaya temple,
Dharwad, Karnataka, 580005

Sr. Taxable
Item Name HSN/SAC Qty MRP/Unit( `) Discount( `)
No. Amount( `)

1 JioFiber_1M_399 998422 1 470.82 0.00 399.00

Total Taxable Amount 399.00

CGST (9%) 35.91

SGST (9%) 35.91

Total Amount( `) 470.82

Total Amount (in words) Four Hundred Seventy Rupees Eighty Two Paisa Only
Telecommunication services to be provided by Reliance Jio Infocomm Limited
Platform services to be provided by Jio Platforms 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: 2022.05.22 17:28:26 IST
Reason: Invoice
Location: 29 Karnataka

Digital Signature

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

2nd Floor, No.62/2, RIL Building, Richmond Road, Bangaluru Urban, Bangalore Bangalore Karnataka 560025

(Original for Recipient)

Payment Receipt

Payment Receipt No : TB00001J581W Date : 31 Mar,2022 20:34:20

Order Ref No : TB00001J581W

Customer Name : Rick Bera Customer Address : G1, K F Kallimath, Mukambika Nagar,
Kumareshwar Nagar Near shivalaya temple,
Jio Number : 8367963027 Dharwad, Karnataka, 580005

Sr. No. Plan Details Qty MRP/Unit( `) Total( `)

1 JioFiber_1M_399 1 470.82 470.82

Total Amount ( `) 470.82

Total Amount (in words) Four Hundred Seventy Rupees Eighty Two Paisa Only

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

This is a computer generated payment receipt, hence does not require signature.

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