Page of
- , , Ph: E-Mail: GSTIN : State Code :
DELIVERY NOTE Delivery Note No.: Transportaion Mode : Delivery Note Date : Veh.No : OrderNo.: Date and Time of Supply : Order Ref : Place of Supply :
Details of Receiver(Billed to) Details of Consignee(Shipped to)
Name : Name : Address : Address : , , Mobile : Mobile : State : State Code : State : State Code : GSTIN :
SN Product Description HSN MRP Qty Unit Selling Rate Disc Taxable Amount GST% CGST(Amt) SGST(Amt) IGST(Amt) Total
TOTAL
IGST 5% : CGST 2.5% : SGST 2.5% : Taxable Amount : IGST 12% : CGST 6% : SGST 6% : IGST : IGST 18% : CGST 9% : SGST 9% : CGST : SGST : Shipping Charges :
Invoice Value (In Words) Discount Total : Roundoff : INVOICE TOTAL :
REMARKS / PAYMENT TERMS :
BANK DETAILS BENEFICIARY NAME : OCTAVIUS TEA & INDUSTRIES LTD BANK NAME : ICICI Bank A/C NUMBER : 6666666666666 BRANCH and IFSCODE : Parliament Street, Delhi Branch, ICIC0006637
Terms and Conditions: * Please pay by draft payable at delhi bank * 20% will be charged if not paid in terms of order/offer * All Disputes subject to delhi Jurisdiction only * Our Responsibility ceases after over to counter * Goods once sold not to be taken back Authorised Signatory
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