5/12/2014 eBIZ.Com Pvt. Ltd.

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eBIZ.com Pvt. Ltd.
B-18, Sector - 63
NOIDA - 201301
U.P. INDIA
INVOICE FORM (RENEWAL PAID ASSOCIATE)

Purchasing Associate MR PIKKILI KARUNAKAR
Date of Birth 15/3/1992
Mailing Address C/O-PIKKILI RANGAIAH NAIDU,FLAT NO.301 OCEAN HEIGHTS VUDA
PHASE-2 NEAR SAKER PAKAYA KURMANAPALEM
VISAKHAPATNAM-530046,
INDIA
Contact No. 8008809618
PAN BKYPP0338M
Renewal Period 07 May 2014 -- 07 May 2015
Selling Associate (Sponsor) MRS DADALA SUVARNA SUDHA RANI
Account Details:
User Name Tracking Id Distributor Id
karunakar_pikkili 903128121 61037277
Renewal Package Details:
eBIZ Holiday Accommodation Package (1 Night / 2 Days Holiday Hotel
Accommodation)
Total Amount
(Inclusive of all Taxes) Rs. 4,495.00
Payment Details:
Draft No. Issuing Date Issuing Bank
518187 12-05-2014 STATE BANK OF INDIA
Certified that I am atleast 18 years of age and have completed 10th grade of schooling. I have read and
completely understood the Terms and Conditions for redeeming the voucher for 1 Night / 2 Days and
agree to them. I am completely satisfied with eBIZ Product so I am renewing "eBIZ Holiday
Accommodation Package" online. The refund policy is explained to me very clearly. I have carefully read
the LEGALS (Terms and Conditions) and FAQs applicable to eBIZ.com Pvt. Ltd. as given on website
www.ebizel.com and agree / accept to them. I am signing this DECLARATION with complete
understanding and with my own WILL, without any PRESSURE / UNDUE INFLUENCE and INDUCEMENT. I
am aware that any dispute arising out of this purchase would first be solved as per Terms and Conditions
of the company, failing which could be addressed exclusively in Noida / Delhi jurisdiction only.
Date: 12 May 2014
Place: VISAKHAPATNAM Signatures
Please take a print of this invoice and send us duly signed in invoice with the Demand Draft at the
address given below. No sale will be entertained without the receipt of duly signed in invoice by the
Purchasing Associate. Please keep a copy of this invoice for your own record. It is your responsibility to
provide us your authentic signatures. Company will not be responsible if received invoice contains forged
signatures of the Purchasing Associate.
Please note that signing on behalf of somebody else is a serious offence.
eBIZ.com Pvt. Ltd.
B-18, Sector-63, NOIDA, 201307 U.P. INDIA.
Service Tax Reg. No. AABCE3009PST001
Any Special Request/Permission:
Signatures
(Only to be signed in case of any special request/permission)
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