Remarks Special Remarks
{POREMARK}  
{POREMARK1}  
{POREMARK2}  
{POREMARK3}  
Sellers Registration Numbers Buyers Registration Numbers
TIN NO.: {LST_NO} TIN NO.: (TIN NO.}
CST NO.: {CST_NO} CST NO.: {CST NO.}
ECC NO.: {ECC_NO} ECC NO.: {ECC NO.}
TAN NO.: {TDS_TAN_NO} TAN NO.: {TAN NO.}
PAN No.: {ITAX_PAN_NO} PAN No.: {PAN NO.}
Range : {RANGE} Range : {RANGE}
 
 
Div. : {DIVISION} Div. : {DIVISION}
 
 
   
Prepared By & Date Checked By & Date


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