Buyers Registration Numbers    
   TIN NO.:  {LST_NO}    
   CST NO.:  {CST_NO}    
   ECC NO.:  {ECC_NO}    
   TAN NO.:  {TDS_TAN_NO}    
   PAN No.:  {ITAX_PAN_NO}    
   Range :  {RANGE}    
       
       
   Div. :  {DIVISION}    
       
           
Prepared By & Date Checked By & Date


For {COMPANYNAME}
Authorised Signatory
(Subject to {JURISDICTION} Jurisdiction only)