| Remarks | ||||||
| Buyers Registration Numbers | Sellers Registration Numbers | |||||
| TIN NO.: | {LST_NO} | TIN NO.: | {LST_NO} | |||
| CST NO.: | {CST_NO} | CST NO.: | {CST_NO} | |||
| ECC NO.: | {ECC_NO} | ECC NO.: | {ECC_NO} | |||
| TAN NO.: | {TDS_TAN_NO} | TAN NO.: | {TDS_TAN_NO} | |||
| PAN No.: | {ITAX_PAN_NO} | PAN No.: | {ITAX_PAN_NO} | |||
| Range : | {RANGE} | Range : | {RANGE} | |||
| Div. : | {DIVISION} | Div. : | {DIVISION} | |||
| Prepared By & Date | Checked By & Date For {COMPANYNAME} |
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| (Subject to {JURISDICTION} Jurisdiction only) | ||||||