Address:

Phone :
Fax
Email:

INVOICE
To,
Novo Nordisk India Private Limited
Plot No. 32, 47-50,
EPIP Area, Whitefiled
Bangalore - 560 066

DATE:
Invoice No. #:

PAN No:
Kind Attn:

DR.

CONTRACT NO.& DATE

Sl.No

Speaker Agreement dated

DESCRIPTION
1

Speaking Assignment Fees

AMOUNT

(Rupees in words)

Rupees

Name of the Doctor:

Signature:

DR.

TOTAL