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Proforma Invoice for Product Purchase

The document is a series of proforma invoices from Safe and Secure Online Marketing Pvt. Ltd. addressed to various individuals, detailing the purchase of products along with payment instructions and confirmation of PAN. Each invoice includes personal information of the buyer, product details, total cost, and terms of agreement. Buyers are required to print the invoice or write the details if they lack a printer, and sign to confirm their understanding of the terms and conditions.

Uploaded by

gtamojit08
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
3 views25 pages

Proforma Invoice for Product Purchase

The document is a series of proforma invoices from Safe and Secure Online Marketing Pvt. Ltd. addressed to various individuals, detailing the purchase of products along with payment instructions and confirmation of PAN. Each invoice includes personal information of the buyer, product details, total cost, and terms of agreement. Buyers are required to print the invoice or write the details if they lack a printer, and sign to confirm their understanding of the terms and conditions.

Uploaded by

gtamojit08
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR HAREKRUSHNA PARHI Date 09/03/2017
MAHENDRA PRASAD PARHI (FATHER) Logid HPARHIIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9583511717
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID MSASMITA_IND
PAN/GIR No. ATUPP6994K
Parent ID MSASMITA_IND
Ward/Circle No.
Placement L
BFLL:HAPPY-FAMILY
Product Code
BFLL:HAPPY-FAMILY
For sale of Mode of Payment :
Happy Family Pack - Grasim Suit Length & Laranya Lavanya 2 Enter Draft No. ______________ Dt. _________________
sarees Bank ____________________________________________
Rs. 9087/-
Incl. of all taxes Rupees nine thousand and eighty-seven only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >HAREKRUSHNA PARHI Cash/Cheque Details:..........................................................................................

Signature

Incapsula
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR SITANSU SEKHAR PANDA Date 09/03/2017
REENA PANDA (MOTHER) Logid PANDASSIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 7077556017
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID KESHAB_IND
PAN/GIR No. BRKPP4148Q
Parent ID RAHIM_IND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >SITANSU SEKHAR PANDA Cash/Cheque Details:..........................................................................................

Signature

Incapsula
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MS SHILPA PRASAD MAITY Date 09/03/2017
SUMITA MAITY (MOTHER) Logid MSHILPAIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 7205977248
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID MSUMITA_IND
PAN/GIR No.
Parent ID NMOHANTY_IND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the
[Link]:..........................................................................................

S
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MS SHILPA MAITY Date 09/03/2017
SUMITA MAITY (MOTHER) Logid SHILPAIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 7205977248
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID MSUMITA_IND
PAN/GIR No.
Parent ID MSHILPAIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >SHILPA MAITY Cash/Cheque Details:..........................................................................................

Signature

Incapsula
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR ABINASH MOHANTY Date 16/03/2017
BRUNDABATI MOHANTY (MOTHER) Logid MABINASHIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9124131004
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID HPARHIIND
PAN/GIR No.
Parent ID HPARHIIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >ABINASH MOHANTY Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm
PLEASE CLICK ON CONFIRM AFTER PRINTING

Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : M/S BRUNDABATI MOHANTY Date 16/03/2017
ABINASH MOHANTY (SON)
C/O SACHIDA NANDA SAHU (CHANDMARI PADIA) Logid MBRUNDAIND
SAHADEV KHUNTA
BALASORE Date ofBirth
[Link]
INDIA Tel. No. 9124131004
756001

IncomeTax
Assessee
Reference ID MABINASHIND
PAN/GIR No. CXRPM3732M
Parent ID MABINASHIND
Ward/Circle No.
Placement L
TL
Product Code
TL

Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/- Rupees seven thousand, eight hundred and seventy-two
Incl. of all taxes only

CONFIRMATION OF PAN (Permanent Account Number)


Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the by
me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >BRUNDABATI MOHANTY Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR MANOJ KUMAR PATRA Date 16/03/2017
BASANTIBALA PATRA (MOTHER) Logid PMANOJIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 8456872240
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID MSUMITA_IND
PAN/GIR No. CAAPP3842D
Parent ID MDIBAKAR_IND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >MANOJ KUMAR PATRA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm
PLEASE CLICK ON CONFIRM AFTER PRINTING

Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MS RUPALI PATRA Date 16/03/2017
MANORANJAN PATRA
C/O SACHIDA NANDA SAHU (CHANDMARI PADIA) Logid PRUPALIIND
SAHADEV KHUNTA
BALASORE Date ofBirth
[Link]
INDIA Tel. No. 9861577174
756001

IncomeTax
Assessee
Reference ID PBIKRAM_IND
PAN/GIR No.
Parent ID DASRASMI_IND
Ward/Circle No.
Placement L
TL
Product Code
TL

Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two only

CONFIRMATION OF PAN (Permanent Account Number)


Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________ (Please
enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence and
coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have registered
myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any deposit,
subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price of the product in
terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will be paid
by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement and the
Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >RUPALI PATRA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MS SUMITA MAITY Date 23/03/2017
SHILPA MAITY (DAUGHTER) Logid MSUMITA2IND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 8658455826
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID MSUMITA_IND
PAN/GIR No.
Parent ID PMANOJIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >SUMITA MAITY Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR RANJEET SINGH Date 23/03/2017
SANKUNTALA SINGH (WIFE) Logid SRANJEETIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 8908007174
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID KAMESHWER_IND
PAN/GIR No. CUJPS1882F
Parent ID PRANASIA_IND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >RANJEET SINGH Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR RANJEET SINGH Date 23/03/2017
SANKUNTALA SINGH (WIFE) Logid SRANJEET2IND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 8908007174
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID SRANJEETIND
PAN/GIR No. CUJPS1882F
Parent ID SRANJEETIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >RANJEET SINGH Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR RANJEET SINGH Date 23/03/2017
SANKUNTALA SINGH (WIFE) Logid SRANJEET3IND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 8908007174
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID SRANJEETIND
PAN/GIR No. CUJPS1882F
Parent ID SRANJEETIND
Ward/Circle No.
Placement R
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >RANJEET SINGH Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR GOUTAM BEHERA Date 29/03/2017
SABITA BEHERA (MOTHER) Logid BGOUTAMIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9078290612
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID MSUMITA_IND
PAN/GIR No.
Parent ID SHILPAIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >GOUTAM BEHERA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR MANORANJAN PATRA Date 06/04/2017
RUPALI PTRA (WIFE) Logid PMANONIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9439794101
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID PRUPALIIND
PAN/GIR No. BBRPP5638L
Parent ID PRUPALIIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >MANORANJAN PATRA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR MANORANJAN PATRA Date 06/04/2017
RUPALI PTRA (WIFE) Logid PMANONIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9439794101
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID PRUPALIIND
PAN/GIR No. BBRPP5638L
Parent ID PRUPALIIND
Ward/Circle No.
Placement L
TL
Product Code
TL
Mode of Payment :
For sale of Enter Draft No. ______________ Dt. _________________
Grasim Suit Lengths (2 pieces of men suits) Bank ____________________________________________
Rs. 7872/-
Incl. of all taxes Rupees seven thousand, eight hundred and seventy-two
only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >MANORANJAN PATRA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR UMESH CHANDRA SAHOO Date 04/05/2017
RAGHUNATH SAHOO (FATHER) Logid UMESHIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 8763752455
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID UMESH3_IND
PAN/GIR No. FINPS7590P
Parent ID NNARAYAN_IND
Ward/Circle No.
Placement L
GR_SUITSHIRT
Product Code
GR_SUITSHIRT
For sale of Mode of Payment :
Grasim fabric of 2suitlength(3.1mtrs each)& 4pant(1.2mtrs Enter Draft No. ______________ Dt. _________________
each)& 4shirts(2.25mtrs each) Bank ____________________________________________
Rs. 9520/-
Incl. of all taxes Rupees nine thousand, five hundred and twenty only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >UMESH CHANDRA SAHOO Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR SANTOSH KUMAR PANDA Date 04/05/2017
SANJAY KUMAR PANDA (FATHER) Logid PSANTOSHIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9040931559
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID SHILPAIND
PAN/GIR No. BKSPP5759E
Parent ID SHILPAIND
Ward/Circle No.
Placement R
TL
Product Code
TL

For sale of Mode of Payment :


Grasim Suit Lengths (2 pieces of men suits) Enter Draft No. ______________ Dt. _________________
Rs. 8122/- Bank ____________________________________________
Incl. of all taxes Rupees eight thousand, one hundred and twenty-two only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >SANTOSH KUMAR PANDA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR DEBASHISH PARIDA Date 04/05/2017
BIMALA PARIDA (MOTHER) Logid PDEBASHISHIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9778438579
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID PMAHESHIND
PAN/GIR No.
Parent ID DEBASISHIND
Ward/Circle No.
Placement L
TL
Product Code
TL

For sale of Mode of Payment :


Grasim Suit Lengths (2 pieces of men suits) Enter Draft No. ______________ Dt. _________________
Rs. 8122/- Bank ____________________________________________
Incl. of all taxes Rupees eight thousand, one hundred and twenty-two only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >DEBASHISH PARIDA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR MALAY KUMAR DAS Date 18/05/2017
SUBHRA DAS (MOTHER) Logid DMALAYIND
C/O SACHIDA NANDA SAHU (CHANDMARI Date ofBirth
PADIA)
SAHADEV KHUNTA Tel. No. 9937070590
BALASORE
[Link]
INDIA
756001
IncomeTax
Assessee
Reference ID SHILPAIND
PAN/GIR No. PPTPD1874N
Parent ID MALAYIND
Ward/Circle No.
Placement L
TL
Product Code
TL

For sale of Mode of Payment :


Grasim Suit Lengths (2 pieces of men suits) Enter Draft No. ______________ Dt. _________________
Rs. 8122/- Bank ____________________________________________
Incl. of all taxes Rupees eight thousand, one hundred and twenty-two only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >MALAY KUMAR DAS Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR HADIBANDHU DAS Date 18/05/2017
KALPANA DAS (WIFE) Logid HBDASIND
BRAJENDRA KUMAR DAS ,KALIDASPUR, Date ofBirth
(NEAR TV TOWER).HARIPUR,MOTIGANJ
BALASORE Tel. No. 9938236528
[Link]
INDIA
756003
IncomeTax
Assessee
Reference ID DBALA_IND
PAN/GIR No.
Parent ID SURESHIND
Ward/Circle No.
Placement L
TL
Product Code
TL

For sale of Mode of Payment :


Grasim Suit Lengths (2 pieces of men suits) Enter Draft No. ______________ Dt. _________________
Rs. 8122/- Bank ____________________________________________
Incl. of all taxes Rupees eight thousand, one hundred and twenty-two only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >HADIBANDHU DAS Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

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If you don't have a printer please write all this information on a paper and send it along with your draft.

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HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR RAJENDRA RANA Date 18/05/2017
PARBATI RANA (WIFE) Logid RAJENDRAIND
BRAJENDRA KUMAR DAS ,KALIDASPUR, Date ofBirth
(NEAR TV TOWER).HARIPUR,MOTIGANJ
BALASORE Tel. No. 8598048993
[Link]
INDIA
756003
IncomeTax
Assessee
Reference ID DBALA_IND
PAN/GIR No.
Parent ID HBDASIND
Ward/Circle No.
Placement L
TL
Product Code
TL

For sale of Mode of Payment :


Grasim Suit Lengths (2 pieces of men suits) Enter Draft No. ______________ Dt. _________________
Rs. 8122/- Bank ____________________________________________
Incl. of all taxes Rupees eight thousand, one hundred and twenty-two only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >RAJENDRA RANA Cash/Cheque Details:..........................................................................................

Signature
Proforma Invoice

Confirm

PLEASE CLICK ON CONFIRM AFTER PRINTING


Please print this proforma invoice and send it along with your draft.
If you don't have a printer please write all this information on a paper and send it along with your draft.

Safe and Secure Online Marketing Pvt. Ltd.


HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MS BIJAYINI SAHANI Date 29/06/2017
RABINDRA GHADEI (HUSBAND) Logid SBIJAYINI
C/O-MADHUSUDAN SAMANTA ,TARINI BOOK Date ofBirth
STOR
NEAR CITY CLINIC BALASORE Tel. No. 9583472217
BALASORE
[Link]
INDIA
756002
IncomeTax
Assessee
Reference ID SMANOJIND
PAN/GIR No.
Parent ID SBIJAYIND
Ward/Circle No.
Placement L
MIAKASA1
Product Code
MIAKASA1

For sale of Mode of Payment :


MIAKASA ROYAL DINNER SET 82N Enter Draft No. ______________ Dt. _________________
Rs. 9849/- Bank ____________________________________________
Incl. of all taxes Rupees nine thousand, eight hundred and forty-nine only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________
(Please enclose photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence
and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have
registered myself as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the
same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any
deposit, subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price
of the product in terms of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will
be paid by me annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her
representations to me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement
and the Code of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >BIJAYINI SAHANI Cash/Cheque Details:..........................................................................................

Signature

Proforma Invoice
Safe and Secure Online Marketing Pvt. Ltd.
HO: A-3/24, Janak Puri, New Delhi 110058, India
BO: Indl. Unit 40, Udyog Vihar Phase I, Gurgaon, Haryana
To : MR RAJENDRA SINGH Date 16/11/2017
MAMATA SINGH (WIFE) Logid SRAJENDRAIND
C/O MADHUSUDAN SAMANTA ,AT/PO-BALIA Date ofBirth
TARINI BOOK STORE,NEAR CITY CLINIC,BLS
BALASORE Tel. No. 7873688079
[Link] GST No.
INDIA
756056
IncomeTax
Assessee
Reference ID MADHUIND
PAN/GIR No.
Parent ID SDILLIP
Ward/Circle No.
Placement L
NGSLLL
Product Code
NGSLLL

For sale of Mode of Payment :


GRASIM SUIT LENGTH (2 Pcs.) LARANVYA LAVANYA Enter Draft No. ______________ Dt. _________________
EMBROIDERED SAREE (1 Pc.) Bank ____________________________________________
Rs. 9911.0/- Rupees nine thousand, nine hundred and eleven point zero
Incl. of GST only
CONFIRMATION OF PAN (Permanent Account Number)
Please note that all associates have to confirm the below and sign this document.
Your commissions will not be paid if we do not receive the below document.
o My PAN No. Is ____________________________________________________
o I have applied for PAN No. Till the time I get PAN No from the Income Tax Office, you can quote my GIR No. Which is ___________________________ (Please enclo
photocopy of Form 49A).
o I have not applied for PAN No.
I Agree:
1. I hereby certify that I have attained 18 years of age, being major and am ordering this product on my own accord and free will without any duress, influence and coercion.
2. I have read and understood the Safeshop Agreement, Legal Agreement, Code of Conduct available on the website of SSOM and thereafter agreed and have registered mys
as a customer/user.
3. I understand that my registration on the website is deemed acceptance of the 'User Agreement' and that I shall be bound by the terms and conditions of the same.
4. I have analyzed the aforementioned products/services of SSOM and find the same useful for my purposes and enhancement of my skills and knowledge.
5. I understand that the amount paid through draft attached with this invoice is towards the purchase of the aforementioned product/service and is not towards any deposit,
subscription or membership fee and therefore, I shall have no right to claim any interest or return on the same. I understand I can claim refund of the price of the product in te
of the User Agreement.
6. I understand that access to the online services is valid for a period of one year. The Web Administration and account maintenance facility charges for this will be paid by m
annually prior to the expiry of each term.
7. I understand that the SSOM/referrer, who has referred this product to me is not an agent / employee of SSOM and I shall not SSOM liable for any of his/her representation
me, which are contrary to the contents of the website or official publications of SSOM.
8. In the event that I choose to opt for the optional marketing plan to further refer / promote the product/services of SSOM, I shall be bound by SSOM Agreement and the Co
of Conduct in addition to the main User Agreement, all of which I have read and understood from the website.
9. I accept that all disputes shall be subject to jurisdiction of Courts at New Delhi only.
Name: >RAJENDRAS SINGH Cash/Cheque Details:..........................................................................................

Signature

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