9/3/2016

eBIZ.Com Pvt. Ltd. [Learn & Grow]

eBIZ.com Pvt. Ltd.

eBIZ House
B-18, Sector - 63
NOIDA - 201301 U.P.
INDIA
Purchasing Associate
Date of Birth
Mailing Address

C ontact No.
Registration Date
Selling Associate (Sponsor)

INVOICE FORM (PAID ASSOCIATE)

MR KATAKAM DILEEP VARMA
31/1/1998
C /O-SRINIVAS RAO,D-NO-11-192/7 SRIRAM NAGAR C OLONY YERRABALEM
MANGALAGIRI
MANGALAGIRI-522503,ANDHRA PRADESH
INDIA
9550342703
03 September 2016
MR SHAIK ASIF AHAMMED

Account Details:
User Name
katakamdileepvarma

Tracking Id
904402353

Distributor Id
61462460

Package Details:
eBIZ Holiday A ccommodation Package II

Total A mount
(Inclusive of all Taxes)

Rs. 10,880.00

Payment Details:
Draft No.
Issuing Date
Issuing Bank
823808
3-9-2016
andhra bank
Note: : Demand draft received with different details will not be entertained and will be sent back after
deducting processing charges of Rs 170/-(Inclusive of all Taxes).
DECLARATION :
C ertified that I am 18 years of age or more and have completed 10th grade of schooling. I have read and
completely understood the Terms and C onditions for availing 3 Nights and 4 Days Hotel Holiday
Accommodation Package for a tour and agree to them. I am aware that the product cost could be sent only
if satisfied to eBIZ office within 10 days after the date of registration for Purchase. The refund policy is
understood by 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 FREE WILL, without any PRESSURE / UNDUE
INFLUENC E and INDUC EMENT. I am aware that any dispute arising out of this purchase would first be solved as
per Terms and C onditions of the company, failing which could be addressed exclusively in Noida / Delhi
jurisdiction only.
Verified that the above information provided and the Verified that the signatures of the Purchasing Associate
DECLARATION made by me is correct in all respects. are authentic and he /she is atleast 18 years of age.

Signatures of Purchasing Associate

Signatures of Selling Associate(Sponsor)

Please take a print of this invoice and send us duly signed in invoice with the Demand Draft (in favour of
"eBIZ.com Pvt. Ltd." payable at New Delhi) at the address given above. No sale will be entertained
without the receipt of duly signed in invoice by the Purchasing and Selling Associates. Purchasing
and Selling Associates must keep a photo copy of this invoice for their own records. It is the responsibility

of the Selling Associate to verify the age of Purchasing Associate and to provide us authentic
signatures of the Purchasing Associate. 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.
Service Tax Reg. No. AABCE3009PST001
Note:This is not a receipt of the payment. For payment receipt please log in to your Associate area and print
the receipt (the receipt could only be printed after the payment is received and realised by the company.)
Any Special Request/Permission:

Signature s
C lose

Print

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