Website: www.samsung.com/in, C.I.N.

: U31900DL1995PTC071387 PAN : AAACS5123K Original for Recipient

TAX INVOICE
[Under Rule 46 of Central Goods & Service Tax Rules,2017]

IRN: Not Applicable

Ack No : -NA- Ack Date : -NA- Category of Transaction : B2C Document Type : INV

Samsung India Electronics Pvt. Ltd. Regd Office: 6th Floor, DLF Centre, Sansad Marg, New Delhi-110001
Supplier Name & Address SAMSUNG INDIA ELECTRONICS PVT LTD, C/O Samsung Data Systems India Pvt Ltd ,25 & 28, Khata Khatauni No. 77
Village Gujarpur,Pargana-Dankaur,Udyog Vihar,Ecotech-II,G B Nagar, Greater Noida GREATER NOIDA UTTAR PRADESH 201306

Branch: S5NJ-[SIEL]NCR-DC (Mfg.WH) Order No.: 1192315434 Currency: INR State Code & Name: 09-UTTAR PRADESH

Invoice Number: Z9NJI4016401 Invoice Date: 05.05.2024 PI No: 5919672675 PO No: 33152025602

Nature Of Transaction: Supply Service: No Ref: 7225410383 Place of Supply: 09-UTTAR PRADESH GSTIN: 09AAACS5123K1ZB

Shivam Singhal,Yes bank limited 4th_Floor Max tower sector 16 noida Max tower Level 4thA,Noida,201301
Bill To
Phone No.:7417007151 Customer Code:5775202 PAN No.: State Code & Name: 09-UTTAR PRADESH GSTIN:

Shivam Singhal Yes bank limited 4th_Floor Max tower sector 16 noida Max tower Level 4thA,,Noida,201301
Ship To
Phone No.:7417007151 Customer Code:5775202 PAN No.: State Code & Name: 09-UTTAR PRADESH GSTIN:

Gross Amt. Discount

S.No. Material Code Description of Goods HSN Code UQC Qty Taxable Value GST Rate IGST CGST SGST Total Value
(incl.Tax) (incl.Tax)

Mobile Phone
1 SM-S711BZABINS 85171300 PCS 1.00 33,249.00 0.00 28,177.12 18.00 - 2,535.94 2,535.94 33,249.00
Product Serial No./IMEI No: 351005191981988

Total 1.00 33,249.00 0.00 28,177.12 - - 2,535.94 2,535.94 33,249.00

Tax collected at Source (TCS) 0.00

Grand Total (Invoice Value) 33,249.00

Amount in words: Thirty Three Thousand Two Hundred Forty Nine Rupees

EWB.No.: Not Return Policy: At Samsung we endeavor to deliver the product in good condition. However, in case of any product failure or manufacturing defect, you can choose to return the product as per return policy Ship Via: Surface - SAM-Xpressbees
Applicable provided at Samsung.com. T & C apply SDD

Customer Care: 1800-4072-67864, Need Support: Visit https://www.samsung.com/in/online-help/ Transporter: SAM-Xpressbees SDD

*Keep this invoice for warranty purposes Docket No.: 152435881404961

Payment Terms: PREPAID
Delivery Terms: Door Delivery

Whether Reverse Charge Applicable: No Delivery Terms: Door Delivery Received the Material Stated herein
Signature Not Verified
Customer Signature & Date
Digitally Signed By:
DS SAMSUNG INDIA ELECTRONICS PRIVATE LIMITED 2
Sun 05-May-2024 07:38:53 IST
This is a digitally signed document and does not require manual signature. To dispose of e-waste responsibly, please WhatsApp us at 180057267864 or visit: https://www.samsung.com/in/microsite/care-for-clean-india
Authorised Signatory: Mr. Sang Won Lee

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