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TAN NO
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Account Information
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Name
*
Mobile number
*
Email ID
*
Company
*
GSTIN No
Billing Address
Address
*
City
*
State
*
--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep Islands
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Pincode
Country
*
Shipping Address/Delivery Address
Same as Billing Address
Address
*
City
*
State
*
--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep Islands
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Pincode
Country
*
Payment Type
--Select--
Cheque/Draft
Neft
Bank name
Cheque/DD No
Cheque/DD Date
Transaction ID
Transaction Date
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Order Summary
Counters
Billed
Annually
USD
Subtotal
USD
ActualCost
TDS 10 %
(-)
USD
TDSAmt
GST 18 %
USD
ServiceTAX
Total Due
USD
GrandTotal
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