OmniOMS Output Generation

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26 Dec, 2023

Foreign Advance Import Payment Advice

From:
To:
ICICI BANK LIMITED
AKTIV TECHNOLOGIES PRIVATE LIMITED Faridabad-Sector16
PLOT NO 691 AKTIV,ENGINEERS SECTOR 69,IMT, BOOTH NO 104-105,DIST CENTRE SECTOR 16 FARIDABAD
FARIDABAD, HARYANA - 121004 , Haryana -
GSTIN : 06AAVCA4058N1Z0 GSTIN : 06AAACI1195H1ZQ

Category of service : Foreign exchange services


HSN No : 997157
SAC No : 99711919
Registration No : MIV/ST/Bank & Finc / 4

Dear Customer,

Your Customer ID : 588857819

Customer Reference Number :

We advise having debited your account as per the following details towards Advance Import Payment.

Drawer : BEIJING DWIN TECHNOLOGY CO LTD

TOL Ref No : OR23260923

Our Bill No. 0083NSMI0375324 Event Type Realised


Bill Amount USD 117.30 Event Date 26-12-2023
GSTIN Invoice No 3797DL2326001149 Value of Supply for FC conversion 250.00

Break-up of Charges

Description Remitting CCY Amount Deal ID Conversion Rate CCY Amount


Principal Amount USD 117.30 261223474700 @84.32 INR 9,890.74 Dr

Description CCY Amount


Commission INR 500.00 Dr
CGST INR 45.00 Dr
SGST INR 45.00 Dr
Foreign Bank Charges INR 2,541.90 Dr
CGST INR 228.77 Dr
SGST INR 228.77 Dr
Swift INR 300.00 Dr
CGST INR 27.00 Dr
SGST INR 27.00 Dr
Value of supply FC Conversion Tax CGST INR 22.50 Dr
Value of supply FC Conversion Tax SGST INR 22.50 Dr

Debit Advice
A/C Number: 779805000069 Total: INR 3,988.44

Rupee Three Thousand Nine Hundred Eighty Eight and Forty Four Paise Only

A/C Number: 779805000069 Total: INR 9,890.74

Rupee Nine Thousand Eight Hundred Ninety and Seventy Four Paise Only

Please note that the purpose of the above remittance is S0101 ( Advance payment against imports made to countries other than
Nepal and Bhutan ) as confirmed by you.

Place of supply : HARYANA


Place of delivery : HARYANA

Note:

1. Please note that basis Goods and Services Tax (GST) regulations and notified GST rates, Central GST and State/Union Territory
GST or Inter-State GST, as applicable would apply on our fee, charges and foreign currency conversion transactions with effect
from July 1, 2017.

2. Kindly contact your account manager for seeking clarifications (if any), within 7 days.

3. This is a computer generated advice, does not require any manual signature

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