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Pro Forma
GSTIN 33AAICS8192E1Z6
CIN U29309TN1990PTC019725
Synergistix (India) Pvt.Ltd. PAN AAICS8192E / CHES2349D
4th Floor, "Kaba Plaza", IEC Code 0492024367
57 LB Road, Adyar, Chennai: 600020 Bank HDFC Bank
Tel: +91 44 42114825 A/c # 00102790000069
E-mail: info@synergistixindia.com IFSC HDFC0000010
Customer PO # : EMAIL PO SAMPLE BY ASIT Invoice No :
PO Date : 2024-08-01 Invoice Date : 2024-08-02
Payment terms : Advance Vendor Code : --
: Delivered at place & Type of Sale : Regular
Inco Terms & Location
Faridabad Currency : INR
SO # : PI-77534 E-Way Bill No :
Delivery Note ID :
IRN :
Bill To Ship To
VICTOR COLOURS AND COATINGS PVT LTD VICTOR COLOURS
Plot 800, Sector 69, IMT Plot 800, Sector 69, IMT
Faridabad 121004 Faridabad 121004
Haryana Haryana
India India
GSTIN : 06AAACV1510F1ZY GSTIN : 06AAACV1510F1ZY
Sr. Rate (Per
Description of Goods/Service HSN/SAC UOM Lot # Qty Disc % Net Amount
No. Item)
BARIUM TITANATE-TICON C (25KGS)
10 28419000 kg 5 1,850 0 9,250.00
30133
Total Item Net Value 9,250.00
Interstate GST (%) 18.00 1,665.00
Total 10,915.00
Total Invoice Value (in figures) 10,915.00
Total Invoice Value (in words) Ten Thousand Nine Hundred Fifteen Rupees and Zero paisa only
CGST SGST IGST
Sl.No HSN/SAC Taxable Value Rate % Amount Rate % Amount Rate % Amount

Total (in figures) 1,665.00


Total Tax Amount (in words) One Thousand Six Hundred Sixty-five Rupees and Zero paisa only
MSME Declaration
Type Class Reg. No.
Services D TN02D0189606
Please Note:Transit Damages should be
For Synergistix (India) Pvt.Ltd.
reported immediately upon receipt of goods.

Note: Since this invoice is computer generated, no signature is required

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