eBIZ.com Pvt. Ltd.

eBIZ House
B-18, Sector - 63
NOIDA - 201301 U.P.
INDIA
INVOICE FORM (PAID ASSOCIATE)
Purchasing Associate MR PRATIK JAYANTI PATEL
Date of Birth 7/7/1994
Mailing Address C/O-JAYANTI PARBHU PATEL,MASJID FALIA (DNH) SILVAS
SELVAS-396230,DADRA AND NAGAR HAVELI
INDIA
Contact No. 9033585005
Registration Date 21 June 2014
Selling Associate (Sponsor) MR SANDEEP BABUBHAI HALPATI

Account Details:

User Name Tracking Id Distributor Id
tiktik321123 903760752 61248201

Package Details:
eBIZ Holiday Accommodation Package Total Amount
(Inclusive of all Taxes) Rs. 10,675.00

Payment Details:
Draft No. Issuing Date Issuing Bank
504985 19-5-2014 sbi
Note: : Demand draft received with different details will not be entertained and will be sent back after
deducting processing charges of Rs 170/-(Inclusive of all Taxes).

DECLARATION :
Certified that I am atleast 18 years of age and have completed 10th grade of schooling. I have read and
completely understood the Terms and Conditions for availing 3 Nights and 4 Days Hotel Holiday
Accommodation Package and agree to them. I have received eBIZ Special Educational Package (Free)
online immediately after registration. I have understood how to learn Free courses online by myself (using
Computer and Internet at my own cost). I am aware that I can review the purchased Product and the cost of
the product would only be sent, if completely satisfied. I am aware that the product cost could be sent only if
satisfied to eBIZ office within 10 days after the date of registration for Purchase. The refund policy is
understood by me very clearly. I have carefully read the LEGALS (Terms and
Conditions) and FAQsapplicable to eBIZ.com Pvt. Ltd. as given on website www.ebizel.com and agree /
accept to them. I am signing this DECLARATION with complete understanding and with my own WILL, without
any PRESSURE / UNDUE INFLUENCE and INDUCEMENT. I am aware that any dispute arising out of this
purchase would first be solved as per Terms and Conditions of the company, failing which could be addressed
exclusively in Noida / Delhi jurisdiction only.
Verified that the above information provided and
theDECLARATION made by me is correct in all
respects.
Verified that the signatures of the Purchasing Associate
are authentic and he /she is atleast 18 years of age.
Signatures of Purchasing Associate Signatures of Selling Associate(Sponsor)


Please take a print of this invoice and send us duly signed in invoice with the Demand Draft (in favour of
"eBIZ.com Pvt. Ltd." payable at New Delhi) at the address given above. No sale will be entertained without
the receipt of duly signed in invoice by the Purchasing and Selling Associates. Purchasing and Selling
Associates must keep a photo copy of this invoice for their own records. It is the responsibility of the
Selling Associate to verify the age of Purchasing Associate and to provide us authentic signatures of
the Purchasing Associate. Company will not be responsible if received invoice contains forged
signatures of the Purchasing Associate.
Please note that signing on behalf of somebody else is a serious offence.

Service Tax Reg. No. AABCE3009PST001

Note:This is not a receipt of the payment. For payment receipt please log in to your Associate area and print
the receipt (the receipt could only be printed after the payment is received and realised by the company.)
Any Special Request/Permission:

Signatures