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No (To be filled in by the Assistant Commissioner) w.e.f. d d m m y y y y Book No TIN/TDN 1-Date of Issue --------------------2-Seal of Firm 3- Seal of Issuing Officer (To be filled in by the Contractee/Purchaser) 1- Name and Address of Contractee / Purchaser 2345- TIN / TDN Assessment Year Month ending on Name and Address of Contractor/seller/ supplier TIN / TDN 6- SL. No Name of month w.e.f. d d m m y y y y y y y - y y y d d m m y y y y y y w.

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