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[See clauses (c) and (f) of sub-rule (1) of rule 40]
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Registered person's name:
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{0} |
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BIN of the registered person: |
{1} |
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Challan Issuing Address:
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{2}
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Buyer's name (if applicable):
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{3} |
Invoice No:
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{4} |
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Buyer's BIN:
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{5} |
Date of Issue:
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{6} |
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Delivery destination:
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{7}
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Time of issue:
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{8}
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{10}
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SL No
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Goods/Service Description(In cases with Brand Name)
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Unit of supply
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Quantity
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Unit price 1 (in Taka)
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Total price (in Taka)
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Total price discount (in Taka)
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Total price excluding discount (in Taka)
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Supplementary duty rate
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Supplementary duty amount (in Taka)
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Value Added Tax Rate/ Specific Tax
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Amount of Value Added Tax/Specific Tax (in Taka)
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Value including all duties and taxes
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| 1 |
2 |
3 |
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5 |
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9 |
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12 |
13 |
{9}
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Name of organization Officer-in-charge:
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Designation:
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Signature:
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| Seal: |
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| * Applicable to the supplies made to the withholding entity only and in that case it will be used as combined tax invoice cum withholding certificate. |
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1Value except all kinds of Tax. ” ;
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