{6} {10}

			Government of the People's Republic of Bangladesh
			National Board of Revenue						Mushak - 6.8
			Debit Note
			[See to clause (g) of sub-rule (1) of rule 40]
			Registered person's name:		{0}
			BIN of the registered person:		{1}
			Registered person's address:		{2}

	Buyer/Recipient Name:		{3}				Debit Note Number:	{7}
	Buyer/Recipient BIN:		{4}				Issue Date:	{8}
	Buyer/Recipient Address:		{5}				Time of Issue:	{9}

SL No	Tax Invoice No and Date	Reasons for Issuing Debit Notes	The Supply Mentioned in the Invoice				Related to Augmentative Coordination
SL No	Tax Invoice No and Date	Reasons for Issuing Debit Notes	Value ¹	Quantity	Amount of Value Added Tax	Amount of Supplementary Duty	Value ¹	Quantity	Amount of Value Added Tax	Amount of Supplementary Duty
1	2	3	4	5	6	7	8	9	10	11

Name of the person in charge:
Designation:
Signature:
Seal:


¹Price excluding all taxes. ” ;