Website: [Link]/in, C.I.N.
: U31900DL1995PTC071387 PAN : AAACS5123K Original for Recipient
TAX INVOICE
[Under Rule 46 of Central Goods & Service Tax Rules,2017]
IRN: Not Applicable
Ack No : -NA- Ack Date : -NA- Category of Transaction : B2C Document Type : INV
Samsung India Electronics Pvt. Ltd. Regd Office: 6th Floor, DLF Centre, Sansad Marg, New Delhi-110001
Supplier Name & Address SAMSUNG INDIA ELECTRONICS PVT LTD, C/O Samsung Data Systems India Pvt Ltd ,25 & 28, Khata Khatauni No. 77
Village Gujarpur,Pargana-Dankaur,Udyog Vihar,Ecotech-II,G B Nagar, Greater Noida GREATER NOIDA UTTAR PRADESH 201306
Branch: S5NJ-[SIEL]NCR-DC ([Link]) Order No.: 1265676659 Currency: INR State Code & Name: 09-UTTAR PRADESH
Invoice Number: Z9NJI5016348 Invoice Date: 25.04.2025 PI No: 5927945819 PO No: 33358223763 PO Date: 24.04.2025
Nature Of Transaction: Supply Service: No Ref: 7285032242 Place of Supply: 33-TAMIL NADU GSTIN: 09AAACS5123K1ZB
Abdul waheed Shaik,35, Periyanayaki Street, Lakshman Nagar, Perungudi 35, Periyanayaki Street, Lakshman Nagar, Perungudi,Kanchipuram,600096
Bill To
Phone No.:9789888250 Customer Code:5775202 PAN No.: State Code & Name: 33-TAMIL NADU GSTIN:
Abdul waheed Shaik 35, Periyanayaki Street, Lakshman Nagar, Perungudi 35, Periyanayaki Street, Lakshman Nagar, Perungudi,,Kanchipuram,600096
Ship To
Phone No.:9789888250 Customer Code:5775202 PAN No.: State Code & Name: 33-TAMIL NADU GSTIN:
Gross Amt. Discount
[Link]. Material Code Description of Goods HSN Code UQC Qty Taxable Value GST Rate IGST CGST SGST Total Value
([Link]) ([Link])
MOBILE SM S928B DS BLACK W01
1 SM-S928BZKCW01 85171300 PCS 1.00 94,999.00 0.00 80,507.63 18.00 14,491.37 - - 94,999.00
Product Serial No./IMEI No: 352722664954065
Total 1.00 94,999.00 0.00 80,507.63 - 14,491.37 - - 94,999.00
Amount in words: Ninety Four Thousand Nine Hundred Ninety Nine Rupees Only
[Link].: Return Policy: At Samsung we endeavor to deliver the product in good condition. However, in case of any product failure or manufacturing defect, you can choose to return the product as per Ship Via: Surface - SAM-Bluedart
451559850695 return policy provided at [Link]. T & C apply Exchange
Dt.25-Apr-
Customer Care: 1800-4072-67864, Need Support: Visit [Link] Transporter: SAM-Bluedart
2025
Exchange
*Keep this invoice for warranty purposes Docket No.: 90048051483
Amount paid by the Customer after reducing eligible discounts/coupons/exchange etc. from invoice value: INR 57299.0 Payment Terms: PREPAID
Delivery Terms: Door Delivery
Whether Reverse Charge Applicable: No Delivery Terms: Door Delivery Received the Material Stated herein
Customer Signature & Date
Signature Not Verified
This is a digitally signed document and does not require manual signature. To dispose of e-waste responsibly, please WhatsApp us at 180057267864 or visit: [Link]
Digitally Signed By:
DS SAMSUNG INDIA ELECTRONICS PRIVATE LIMITED 2
Fri 25-Apr-2025 [Link] IST
Authorised Signatory: Mr. Jae Ho Lee
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