Delivery Challan

Bharti Airtel Ltd.

IRN:
Shipped from:
MKOL:136;BILANI METAL(BIMT):PREMISES NO-8/1 G.C.R.C GHAT ROAD PS-SHIBPUR, WARD NO-36 OF HOWRAH MUNICIPALITY:BIMT:HOWRAH Haora WEST BENGAL

GSTIN Number: 19AAACB2894G1ZK Transportation Mode: Road

CIN Number L74899HR1995PLC095967 Vehicle No: WB23F0023
Invoice-cum Challan 5063331 LR No: HHS/673
Number: TPT ID: TPT Name: HO HUM SERVICE PVT LTD
Invoice-cum-Challan Date: 27-AUG-25 Date & Time of Supply: 27-AUG-25
Details of Receiver (Billed to) Details of Consignee (Shipped to)
Legal Entity: Bharti Airtel Ltd. Legal Entity: Bharti Airtel Ltd.
Address: BHARTI AIRTEL LIMITEDHolding No.43 -43-2, Gustia School Road Ward No.21 Brasat M, Address: BHARTI AIRTEL LIMITEDHolding No.43 -43-2, Gustia School Road Ward No.21 Brasat M,
Corporation, Barasat, North Twenty Four Parganas, Barasat, West Bengal, 700128WB700128 Corporation, Barasat, North Twenty Four Parganas, Barasat, West Bengal, 700128WB700128
State: State:
State Code: State Code:
GSTIN 19AAACB2894G1ZK GSTIN Number: 19AAACB2894G1ZK
Number:
S.No Item Code Description of Goods HSN/SAC Co Qty UOM Rate (INR) Total Disco Taxable value CGST SGST IGST
de (GST) unt
Rate Amount Rate Amount Rate Amount

1 CMWLH0024 Outdoor_DC_cbl_2x18AWG_drum _HW 85444920 .1 Number 1096.07 109.607 109.607 0 0 0

2 RO19MWA02 MW Antenna 15 GHz, 0.6 Mtr, Dual Pole for 85177100 1 Number 5230.25 5230.25 5230.25 0 0 0
Ceragon Interface

3 CMWIH0613 IP-20C 15 GHz (1W8) High ( 1+0 Upgradable to 85176290 1 Number 47380.38 47380.38 47380.38 0 0 0
XPIC With OMT)

4 CMWLH0027 Patch Cord-Installation material: Outdoor Rated 85444992 1 Number 1093.61 1093.61 1093.61 0 0 0
Cat5E Cable both side connectorized 50 Mtr

Invoice Value (in Words) 53813.85 0 0 0

Fifty-three thousand eight hundred fourteen Total Taxable Value 53813.85
Total Tax 0
Invoice Total 53813.85

Circle Address: Bharti Airtel Ltd, BLOCK EP-GP FLOOR, 5Infinity Building, SALT LAKE, ELECTRONICS COMPLEX, SECTOR VSECTOR, Kolkata, West Bengal- 700091, , , North 24 Parganas, West
Bengal, India, 700091, Phone: , Fax: , Email:
Regd. Office: Bharti Airtel Ltd BLOCK EP-GP FLOOR, 5Infinity Building, SALT LAKE, ELECTRONICS COMPLEX, SECTOR VSECTOR, Kolkata, West Bengal- 700091 North 24 Parganas IN 700091
 Certified that the Particulars given above are true and correct E-way bill no :
801570658615
TERM & CONDITION For (Bharti Airtel Ltd.)
Declaration:
This material is being sent to our site for our own use and not for sale. Signature:
No commercial value is involved. These packets do not contain any explosive and hazardous material.
The consignment may contain fully depreciated assets which have negligible value and are mentioned only for tracking purpose.
Authorized Signatory
Name:
Designation: This is computer generated document, no signature required.
User Remarks :
Form No. : 6498753
Ship To Locator : MO Kolkata
Ship From Locator : 136-MKOL-1191944

Circle Address: Bharti Airtel Ltd, BLOCK EP-GP FLOOR, 5Infinity Building, SALT LAKE, ELECTRONICS COMPLEX, SECTOR VSECTOR, Kolkata, West Bengal- 700091, , , North 24 Parganas, West
Bengal, India, 700091, Phone: , Fax: , Email:
Regd. Office: Bharti Airtel Ltd BLOCK EP-GP FLOOR, 5Infinity Building, SALT LAKE, ELECTRONICS COMPLEX, SECTOR VSECTOR, Kolkata, West Bengal- 700091 North 24 Parganas IN 700091
 Bharti Airtel Ltd.
Site Return Checklist
SP/NW Eng. Name
SP/NW Eng. Coordinator (Field) Name
SP/NW Eng. Coordinator Contact No
Site ID/ Locator 136-MKOL-1191944
SREQ No. SREQ2493315 Material Receive Date:
DC No. 5063331 OCI Done By:
DC date & Time 27-AUG-25 OCI Date:
Vehicle No. & Reporting
Date
Driver Name & No.
Transporter Name
Auto Print SP/NW Eng. to fill at Site OCI team to fill at Warehouse
S Item Code Material Description DC Item SL NO Actual OK / Cable Length PICK PACKAG Actual Actual Serial No Recevied OK / PACK REMARKS
No QTY Qty DAMA From To SHIP ING Qty in Wh Damag AGING
GE/ REMAR STATUS Receive in e/ Status
FAULT KS WH Faulty
Y
1 RO19MWA0 MW Antenna 15 GHz, 0.6 Mtr, Dual Pole for 1 PA671471D400021
2 Ceragon Interface 5
2 CMWIH0613 IP-20C 15 GHz (1W8) High ( 1+0 Upgradable 1 E362D21687
to XPIC With OMT)
3 CMWLH002 Outdoor_DC_cbl_2x18AWG_drum _HW .1
4
4 CMWLH002 Patch Cord-Installation material: Outdoor 1
7 Rated Cat5E Cable both side connectorized
50 Mtr

Total SRN QTY 3.1

SP/NW Eng. team Driver Name SP/NW Eng. Team Inward Incharge
(Handover by) ( at WH)
Signature Signature Signature Signature
Name Date Name Name
Date Name Date Date

Circle Address: Bharti Airtel Ltd, BLOCK EP-GP FLOOR, 5Infinity Building, SALT LAKE, ELECTRONICS COMPLEX, SECTOR VSECTOR, Kolkata, West Bengal- 700091, , , North 24 Parganas, West
Bengal, India, 700091, Phone: , Fax: , Email:
Regd. Office: Bharti Airtel Ltd BLOCK EP-GP FLOOR, 5Infinity Building, SALT LAKE, ELECTRONICS COMPLEX, SECTOR VSECTOR, Kolkata, West Bengal- 700091 North 24 Parganas IN 700091