ORDERED VIA:

PREPAID
No Collection

NDA
Weight: 82 gms

Invoice
Invoice Number: 331882/2016-17/6

SHIP TO:

VIJAY KUMAR GUPTA

Shipped From

G-404 4TH FLOOR AMRAPALI ZODIAC SECTOR 1

NOIDA
CITY: NOIDA
STATE: UTTAR PRADESH
PIN: 201301
MOBILE: 9871892115

TrideQ Agro Enterprises

11-13-1184/2 Road 11/2 Vasavi Colony
Kothapet

*1227165526180*
AWB #: 1227165526180

ITEM NAME

QTY

VALUE

gpsysq50bl

(Item #
2649315319)
Wayona Kids
Tracker Smart...

2300

Total

SHIPPING FINAL
CHARGE AMOUNT
69

Shipping Address

Billing Address

Vijay Kumar Gupta

G-404 4TH FLOOR AMRAPALI ZODIAC
SECTOR 1
Noida
Noida, Uttar Pradesh- 201301

Vijay Kumar Gupta

G-404 4TH FLOOR AMRAPALI ZODIAC
SECTOR 1
Noida
Noida, Uttar Pradesh- 201301

2369
DESCRIPTION

2300

69

2369

PAYTM ORDER REFERENCE

*1903552347*
SHIPMENT # 1903552347

ORDER # 2496108837
IB : Form 17/Form 18 Required
OB : Form X or Form 600 Required

Wayona Kids Tracker Smart Wrist

Watch with GPS & GSM System with
functions ( Children Safe Security/ SOS
Surveillance/Pedometer / Remote
Power Off/Alarms Anti-lost for
Children) - Blue

TOTAL

QUANTITY

PRICE (INR)

TAX TYPE

TAX
RATE(%)

TAX AMOUNT
(INR)

TOTAL AMOUNT
(INR)

2190.48

CST

109.52

2300

2190.48

109.52

2300

Total Amount in Words: Two Thousand Three Hundred Rupees Only

If undelivered, return to:

(For TrideQ Agro Enterprises)

TRIDEQ AGRO ENTERPRISES

(331882)
11-13-1184/2 Road 11/2 Vasavi Colony
Kothapet
CITY: Hyderabad
STATE: Telangana
PIN: 500035
PHONE: 0120-3062244
SELLER TIN: 36135049619

VAT/ TIN No: 36135049619

PAN: AAHFT4265D
CST No:

Hyderabad, Telangana - 500035

XPRESSBEES - PREPAID

PAYTM
SKU

Invoice Date : 01-01-2017

DECLARATION:
We declare that this invoice shows the actual price of the goods described above and that all particulars are true and correct.The
goods sold are intended for end user consumption and not for resale.

Any issue or problem,

we are available 24 X 7
for you at paytm.com/care

CUSTOMER ACKNOWLEDGEMENT:
I VIJAY KUMAR GUPTA confirm that the said products are being purchased for my internal/personal consumption and not for re-sale.

Paytm Order ID :2496108837

Registered Address: PLOT NO 101 SY NO 8 ROAD NO 11/2 VASAVI COLONY KOTHAPET HYDERABAD
Hyderabad, Telangana - 500035
(This is computer generated receipt and does not require physical signature.)

FORM - XVII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of rule-38 of the UPVAT Rules, 2008]
Declaration by the consigner to be obtained by a transporter, carrier or forwarding agent,
railway container contractor
Declaration No

Date: 0 2 0 1 2 0 1 7

Name and Address of

Consigner

T
P
N
A
Phone No. , if any
8
T.I.N 3 6 1 3 5 0 4

r i
L O
O
P E
8 8
9 6 1

d e Q
A
T
N O
1 1 2
V
T
H Y D
5 5 9 7 7
9

g
1
A
E
7

r
0
S
R
1

o
E n t e r p r i s e s
1
S Y
N O
8
R O A D
A V I
C O L O N Y
K O T H
A B A D
w.e.f

Name and Address of

Consignee

V I J A Y
K U M A R
G U P T A
G 4 0 4
4 T H
F L O O R
A M R A P A L
O D I A C
S E C T O R
1

Phone No. , if any

9 8 7 1 8 9 2 1 1 5

T.I.N

w.e.f

S.NO.

DETAIL OF GOODS RECEIVED FOR TRANSPORTATION

NUMBER

DATE

1.

No. and date of tax invoice/sale invoice/bill/cash memo/

Purchase Invoice/Transfer Challan-

331882/2016-17/6

01/01/2017

2.

Description of goods

1. Wayona Kids Tracker

Smart Wrist Watch with
GPS & GSM System with
functions ( Children Safe
Security/ SOS
Surveillance/Pedometer /
Remote Power Off/
Alarms Anti-lost for
Children) - Blue

01/01/2017

3.

No. of packets / bags / case

4.

Weight / measurement

82

01/01/2017

5.

Value of goods

2300

01/01/2017

6.

Goods Receipt no.& date

1227165526180

01/01/2017

01/01/2017

Name and Address of

transporter, carrier or
forwarding agent railway
container contractor.

Phone No. , if any

Service Provider Number

9 7 5 0 0 9 9 0 1 7

w.e.f 2 0 0 4 2 0 1 6

I GPSYS s/o, d/o, w/o............................................,(status) ...................... of the business, do hereby

declare that particulars furnished above are true to the best of my knowledge.
Signature, Name & Status
of the Authorized Person
Seal of Consigner
Date

FORM - XVIII
Department of Commercial Taxes, Government of Uttar Pradesh
[See sub-rule (9)(a) of rule-38 of the UPVAT Rules, 2008]
Declaration by the consignee to be obtained by a transporter, carrier or forwarding agent,
railway container contractor
Declaration No

Date: 0 2 0 1 2 0 1 7

Name and Address of

Consignee

V I J A Y
K U M A R
G U P T A
G 4 0 4
4 T H
F L O O R
A M R A P A L
O D I A C
S E C T O R
1

Phone No. , if any

9 8 7 1 8 9 2 1 1 5

T.I.N

w.e.f

Name and Address of

Consigner

T
P
N
A
Phone No. , if any
8
T.I.N 3 6 1 3 5 0 4

r i
L O
O
P E
8 8
9 6 1

d e Q
A
T
N O
1 1 2
V
T
H Y D
5 5 9 7 7
9

g
1
A
E
7

r
0
S
R
1

o
E n t e r p r i s e s
1
S Y
N O
8
R O A D
A V I
C O L O N Y
K O T H
A B A D
w.e.f

S.NO.

DETAIL OF GOODS DELIVERED TO THE CONSIGNEE

NUMBER

DATE

1.

No. and date of tax invoice/sale invoice/bill/cash memo/

Purchase Invoice/Transfer Challan-

331882/2016-17/6

01/01/2017

2.

Description of goods

1. Wayona Kids Tracker

Smart Wrist Watch with
GPS & GSM System with
functions ( Children Safe
Security/ SOS
Surveillance/Pedometer /
Remote Power Off/
Alarms Anti-lost for
Children) - Blue

01/01/2017

3.

No. of packets / bags / case

4.

Weight / measurement

82

01/01/2017

5.

Value of goods

2300

01/01/2017

6.

Goods Receipt no.& date

1227165526180

01/01/2017

01/01/2017

Name and Address of

transporter, carrier or
forwarding agent railway
container contractor.

Phone No. , if any

Service Provider Number

9 7 5 0 0 9 9 0 1 7

w.e.f 2 0 0 4 2 0 1 6

I VIJAY KUMAR GUPTA s/o, d/o, w/o............................................,(status) ...................... of the

business, do hereby declare that particulars furnished above are true to the best of my knowledge.
Signature, Name & Status
of the Authorized Person
Seal of Consignee
Date

FORM X or FORM 600

FORM OF WAY BILL
[See Rule 33 (1)(d) & 55(1) & (4)]
1. Office of issue
2. Date of issue of Way Bill by consignor

3. Name and address of the Dealer/Person Consigning the

goods

Date

Year

Registration Number

Name: TrideQ Agro Enterprises

TIN/GRN: 36135049619

Address: PLOT NO 101 SY NO 8 ROAD NO 112

VASAVI COLONY KOTHAPET
HYDERABAD

State: Telangana

4. Full Address of Place (a) From which consigned

Month

(b) to which consigned.

Name: TrideQ Agro Enterprises

Name: Vijay Kumar Gupta

Address: PLOT NO 101 SY NO 8 ROAD NO 112

VASAVI COLONY KOTHAPET
HYDERABAD

Address: Vijay Kumar Gupta,g-404 4th Floor

Amrapali Zodiac Sector 1,noida,noida,
Uttar Pradesh- 201301

5. If the consignor is transporting goods:

(a) In pursuance of sale for purpose of delivery to the buyer ; or
(b) After purchasing them; or
(c) From one of the shops or godown to an agent for sale:
(d) From shop or godown to another shop or godown for purpose of storage or sale; or
(e) To his principal, having purchased them on his behalf ; or
(f) To his agent for sale on consignment basis
(Mark " " whichever is applicable)

THE NAME AND ADDRESS OF THE DEALER/PERSON TO WHOM THE GOODS ARE
CONSIGNED OR FROM WHOM GOODS WERE PURCHASED
(Buyer or self or Agent or Principal)

Registration Number

Name: VIJAY KUMAR GUPTA

TIN/GRN:

Address: Vijay Kumar Gupta,g-404 4th Floor

Amrapali Zodiac Sector 1,noida,noida,
Uttar Pradesh- 201301

State: UTTAR PRADESH

6. Description, quantity and value of goods.

Sl.No
1.

Commodity

Invoice No./Date

Quantity

Wayona Kids Tracker Smart Wrist Watch with GPS 331882/2016-17/6/

1
& GSM System with functions ( Children Safe
01-01-2017
Security/ SOS Surveillance/Pedometer / Remote
7. Name and address of the owner of the goods vehicle or vessel by which the goods are consigned
Power Off/Alarms Anti-lost for Children) - Blue
Vehicle/Vessel Number
Name:

Value of Goods
2190.48

Address:

Declaration:
I / We certify that to the best of my / our knowledge the particulars furnished here are true and correct.
Signature of the Consignor