| SPECIAL REMARKS: | NOTE: | |||||||||
| 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} | |||||||||
| Div. : | {DIVISION} | |||||||||
| Prepared By & Date | Checked By & Date For {COMPANYNAME} |
Authorised Signatory | ||||||||
| (Subject to {JURISDICTION} Jurisdiction only) | ||||||||||