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To: *GANDAR OIL AND REFINAERY-MUMBAI

Certified that the goods** ordered for in our purchase order No........................ dated ...................... supplied as per Bill /

Date from which registration is valid: 28/12/2010

Serial No: 33201131401016124575

Cash Memo / Challan as stated below *

goods for sale/ resale and are covered by my/our Registration Certificate No. CSTNo:620949 Registration Date:28/12/2010

(TIN:33894662489 Registration Date :28/12/2010) issued under the Central Sales Tax Act, 1956.

Purchased from you as per Bill / Cash Memo / Challan No ...........................dated ......................... as stated below *

are for *** resale/use in manufacture/processing of goods for sale/ use in mining/ use in generation /distribution of power / packing of

Form C

[See rule 12(1)]

Original

Form of declaration

Date of Issue: 22/05/2013

Name of the purchasing dealer to whom issued along withhis Registration Certificate No

SAYAR PETRO INDIA PVT. LTD., 33894662489

Name of Issuing State: Tamil Nadu

Office of Issue: THIRUVANNAMALAI - II

It is further certified that I / We am / are not registered under section 7 of the said Act, in the state of ............................................

NOTE: 1.Counter Foil - To be retained by the purchasing dealer; Duplicate - To be retained by the selling dealer.

[Original - To be furnished to the prescribed authority in accordance with the rules framed under Section 13(4)(e) by the appropriate stateGovernment]

**Particulars of Bil l/Cash Memo[/Challan] Date .. .. .. .. .. ... .. .. .. ..No... .. .. .. .. .. .. .. Amount: 661081(details enclosed)

***Strike out whichever is not applicable.

2.The contents of this 'C' form may be verified from the website www.tinxsys.com after 15 days from the date of issue of C form

5.Seller TIN verified from Tinxsys

3.This form is printed by Purchaser.

4.Please visit our website http://tnvat.gov.in for verifying genuineness of the 'C' form by giving C form number.

The above statements are true to the best of my knowledge and belief.

in which the goods covered by this form are / will be delivered

Name and address of the purchasing dealer in full: SAYAR PETRO INDIA PVT. LTD.,40A THIRUMANJANAGOPURA STREET TIRUVANNAMALAI-TIRUVANNAMALAI

(Status of the person signing the declaration in relation to the dealer)]

*Name & Address of the seller with name of the State: GANDAR OIL AND REFINAERY-MUMBAIUNIT NO.2 PLOT NO.2 SURVEY NO 678/1/3VILLAGE NAROLI, NEARNAROLI CHECK POSTSILVASSA-396230Dadra and Nagar Haveli

Date:22/05/2013 (Signature)............................................

(Name of the person signing the declaration)

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2 900000240 16/04/2013 198336

1 900000293 16/04/2013 462745

Total 661081

Slno Invoice No Invoice Date Purchase Value Pur.Ord.No/Date

TIN ==>33894662489 Seller Name ==>GANDAR OIL AND REFINAERY-MUMBAI Sel ler TIN ==> 26000003744

Serial Number : 33201131401016124575

8/10/2019 33894662489042013[1].pdf

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To: *GANDAR OIL AND REFINAERY-MUMBAI

Certified that the goods** ordered for in our purchase order No........................ dated ...................... supplied as per Bill /

Date from which registration is valid: 28/12/2010

Serial No: 33201131401016124575

Cash Memo / Challan as stated below *

goods for sale/ resale and are covered by my/our Registration Certificate No. CSTNo:620949 Registration Date:28/12/2010

(TIN:33894662489 Registration Date :28/12/2010) issued under the Central Sales Tax Act, 1956.

Purchased from you as per Bill / Cash Memo / Challan No ...........................dated ......................... as stated below *

are for *** resale/use in manufacture/processing of goods for sale/ use in mining/ use in generation /distribution of power / packing of

Form C

[See rule 12(1)]

Duplicate

Form of declaration

Date of Issue: 22/05/2013

Name of the purchasing dealer to whom issued along withhis Registration Certificate No

SAYAR PETRO INDIA PVT. LTD., 33894662489

Name of Issuing State: Tamil Nadu

Office of Issue: THIRUVANNAMALAI - II

It is further certified that I / We am / are not registered under section 7 of the said Act, in the state of ............................................

NOTE: 1.Counter Foil - To be retained by the purchasing dealer; Duplicate - To be retained by the selling dealer.

[Original - To be furnished to the prescribed authority in accordance with the rules framed under Section 13(4)(e) by the appropriate stateGovernment]

**Particulars of Bil l/Cash Memo[/Challan] Date .. .. .. .. .. ... .. .. .. ..No... .. .. .. .. .. .. .. Amount: 661081(details enclosed)

***Strike out whichever is not applicable.

2.The contents of this 'C' form may be verified from the website www.tinxsys.com after 15 days from the date of issue of C form

5.Seller TIN verified from Tinxsys

3.This form is printed by Purchaser.

4.Please visit our website http://tnvat.gov.in for verifying genuineness of the 'C' form by giving C form number.

The above statements are true to the best of my knowledge and belief.

in which the goods covered by this form are / will be delivered

Name and address of the purchasing dealer in full: SAYAR PETRO INDIA PVT. LTD.,40A THIRUMANJANAGOPURA STREET TIRUVANNAMALAI-TIRUVANNAMALAI

(Status of the person signing the declaration in relation to the dealer)]

*Name & Address of the seller with name of the State: GANDAR OIL AND REFINAERY-MUMBAIUNIT NO.2 PLOT NO.2 SURVEY NO 678/1/3VILLAGE NAROLI, NEARNAROLI CHECK POSTSILVASSA-396230Dadra and Nagar Haveli

Date:22/05/2013 (Signature)............................................

(Name of the person signing the declaration)

8/10/2019 33894662489042013[1].pdf

4/6

2 900000240 16/04/2013 198336

1 900000293 16/04/2013 462745

Total 661081

Slno Invoice No Invoice Date Purchase Value Pur.Ord.No/Date

TIN ==>33894662489 Seller Name ==>GANDAR OIL AND REFINAERY-MUMBAI Sel ler TIN ==> 26000003744

Serial Number : 33201131401016124575

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(Name of the person signing the declaration)

Date:22/05/2013 (Signature)............................................

*Name & Address of the seller with name of the State: GANDAR OIL AND REFINAERY-MUMBAIUNIT NO.2 PLOT NO.2 SURVEY NO 678/1/3VILLAGE NAROLI, NEARNAROLI CHECK POSTSILVASSA-396230Dadra and Nagar Haveli

(Status of the person signing the declaration in relation to the dealer)]

Name and address of the purchasing dealer in full: SAYAR PETRO INDIA PVT. LTD.,40A THIRUMANJANAGOPURA STREET TIRUVANNAMALAI-TIRUVANNAMALAI

The above statements are true to the best of my knowledge and belief.

4.Please visit our website http://tnvat.gov.in for verifying genuineness of the 'C' form by giving C form number.

3.This form is printed by Purchaser.

5.Seller TIN verified from Tinxsys

2.The contents of this 'C' form may be verified from the website www.tinxsys.com after 15 days from the date of issue of C form

***Strike out whichever is not applicable.

**Particulars of Bil l/Cash Memo[/Challan] Date .. .. .. .. .. ... .. .. .. ..No... .. .. .. .. .. .. .. Amount: 661081(details enclosed)

[Original - To be furnished to the prescribed authority in accordance with the rules framed under Section 13(4)(e) by the appropriate stateGovernment]

NOTE: 1.Counter Foil - To be retained by the purchasing dealer; Duplicate - To be retained by the selling dealer.

It is further certified that I / We am / are not registered under section 7 of the said Act, in the state of ............................................

Office of Issue: THIRUVANNAMALAI - II

Name of Issuing State: Tamil Nadu

Name of the purchasing dealer to whom issued along withhis Registration Certificate No

SAYAR PETRO INDIA PVT. LTD., 33894662489

Date of Issue: 22/05/2013

Form of declaration

CounterFoil

in which the goods covered by this form are / will be delivered

[See rule 12(1)]

Form C

are for *** resale/use in manufacture/processing of goods for sale/ use in mining/ use in generation /distribution of power / packing of

Purchased from you as per Bill / Cash Memo / Challan No ...........................dated ......................... as stated below *

(TIN:33894662489 Registration Date :28/12/2010) issued under the Central Sales Tax Act, 1956.

goods for sale/ resale and are covered by my/our Registration Certificate No. CSTNo:620949 Registration Date:28/12/2010

Cash Memo / Challan as stated below *

Serial No: 33201131401016124575

Date from which registration is valid: 28/12/2010

Certified that the goods** ordered for in our purchase order No........................ dated ...................... supplied as per Bill /

To: *GANDAR OIL AND REFINAERY-MUMBAI

8/10/2019 33894662489042013[1].pdf

6/6

2 900000240 16/04/2013 198336

1 900000293 16/04/2013 462745

Total 661081

Slno Invoice No Invoice Date Purchase Value Pur.Ord.No/Date

TIN ==>33894662489 Seller Name ==>GANDAR OIL AND REFINAERY-MUMBAI Sel ler TIN ==> 26000003744

Serial Number : 33201131401016124575