Invoice Number(Your Own Series)*
Invoice Date (DD-MM-YYYY)*
ARN Code *
Service Provider Name(ARN Holder)*
Pan NO *
Mobile NO *
State the Service provider *
Service provider Address *
Service Provider Email Id *
GSTIN Registration no. of the service provider
Name of AMC*:
Address Of AMC *:
Service Recipient State:
GSTIN of Service Recipient (to be filled by Service Provider):
Invoice for the month of *      


Amount (Rs)

Distribution Commission for sale of Mutual Fund  
Net Brokerage Amount  
Add: CGST @ %
Add: SGST @ %
Add: IGST @ %

Total Tax:

Rupees in words :
For Service Provider Authorized Signatory
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