AIR INDIA LTD.

Finance Building, old airport, Kalina Santacruz, Mumbai

GSTIN : 27AACCN6194P1ZP

TAX INVOICE

Invoice No. : 271812BP01AAI787

Invoice Date : 31/01/18

Bill To Period Covered : 01/01/18 To 31/01/18

Name : CELOFE PVT LTD
Address : F 128 AGRO FOOD PARK MIA
State/ Union Territory : RAJASTHAN
State / Union Territory Code : 08
GSTIN : 08AAFCC7123A1Z5
All Amounts in INR

S. Description of Services HSN Value of service Other Taxes and Amounts CGST SGST/ UTGST IGST
Place of Supply Total taxable value Discount Net taxable value
No code (sector fares)
Taxable* Non Taxable* Rate Amount Rate Amount Rate Amount
Domestic/International
1 9964 RAJASTHAN 3,380.00 70.00 296.00 3,450.00 0.00 3,450.00 0.00 0.00 0.00 0.00 5.00 173.00
Scheduled Air transport
services of passengers

Total 3,380.00 70.00 296.00 3,450.00 0.00 3,450.00 0.00 0.00 173.00

Total Invoice value (In figure) 3,919.00

Total Invoice value (In words) ( INR THREE THOUSAND NINE HUNDRED NINETEEN ONLY. )
Whether Reverse charge applicable (Y/N) N

Notes : Signature
Details of all the journeys flown per passenger have been captured in the attached annexure.
For AIR INDIA LTD.

PSF/UDF/ADF is collected by AIR INDIA LTD. on behalf of Airport Operator as a pure agent. AIR INDIA LTD. has not supplied any service against
collection of PSF/UDF/ADF from passengers.

Authorized Signatory
Declaration
Certified that the particulars given above are true and correct.

Page 1 of 4
Tax Amount - Others:

All Amounts in INR

Other Taxes and Amounts

S. No Description of services
Tax Code Amount

1 Domestic/International Scheduled Air transport services of passengers

Taxable Tax &

Other Charges

YR 70.00

Total 70.00
Non Taxable Tax &
Other Charges

WO 154.00

YM 142.00

Total 296.00

Grand Total 366.00

Page 2 of 4
Annexure (Journey wise details per passenger)
All Amounts in INR

Place of supply Value of service Rate of Tax

Journey covered (Registered state Taxable Value
S. Place of Place of Net taxable
Passenger's Name Ticket Number Total Journey under present of Recipient) of services Discount
No Embarkation Disembarkation value SGST/
invoice State/UT Sector Fare Taxable Non Taxable CGST Amount Amount IGST Amount
UGST

1 BHARAL/AKSHAT 2123866744 BOM-DEL BOM-DEL RAJASTHAN BOM DEL 3,380.00 70.00 296.00 3,450.00 0.00 3,450.00 0.00 0.00 0.00 0.00 5.00 173.00

Grand Total 3,380.00 70.00 296.00 3,450.00 0.00 3,450.00 0.00 0.00 173.00

Page 3 of 4
Annexure (Tax wise details per passenger)

All Amounts in INR

Taxes & other charges

S. No Ticket Number Passenger's Name
Tax Code Amount

1 2123866744 BHARAL/AKSHAT

Taxable Tax &

Other Charges

YR 70.00

Total 70.00
Non Taxable Tax
& Other Charges

WO 154.00

YM 142.00

Total 296.00

Grand Total 366.00

Page 4 of 4