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eLife.Net Pvt. Ltd.

eLife Centre, B-208, Crystal Plaza, New Link Road Andheri (W), MUMBAI 400053, MAHARASHTRA INDIA. Tele: +91 22 42647922 / +91 22 42955670/71/72 Email: web:

Invoice Form
Purchaser: Mailing Address: Date of Birth: DD MM YYYY

City: State: Contact No.: Registration Date: Selling EBA Name (Sponsors Name) DD MM YYYY

Pin Code: PAN: Selling EBA ID (Sponsors ID)

Account Details ::
User Name EBA ID

Package Details ::

Package 1 (eLife Holiday Accommodation Package)

(Inclusive of all Taxes)

Total Amount: Rs.4,455.00

Payment Details ::
Draft No./Transaction No. Issuing Date Issuing Bank

Note: Demand draft received with different details will not be entertained and will be sent back after deducting processing charges of Rs. 113/- (inclusive service tax).


I Confirm that I am 18 years of age and have completed 10th grade of schooling. I have read and completely understood the Terms and Conditions for redeeming the voucher for 3 Nights and 4 Days Hotel Accommodation ( eLife Holiday Accommodation Package ) and agree to them Voluntarily. I have received Educational Package (Free) online immediately after registration. I have completely 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 eLife 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 Terms & Conditions and FAQs applicable to eLife.Net Pvt. Ltd. as given on website and agree / accept to them. I am signing this DECLARATION Voluntarily 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 the Terms and Conditions of the company, failing which could be addressed exclusively in Mumbai jurisdiction only.
Verified that the above information provided DECLARATION made by me is correct in all respect and theVerified that the signatures of the Purchaser are authentic and he /she is atleast 18 years of age.

Signatures of Purchaser

Signatures of Selling EBA (Sponsor)

Please take a print of this invoice and send us duly signed in invoice with the Demand Draft (in favour of "eLife.Net Pvt. Ltd." payable at Mumbai) at the address given above. No sale will be entertained without the receipt of duly signed in invoice by the Purchaser and Selling EBA. Purchaser and Selling EBA must keep a photo copy of this invoice for their own records.
It is the responsibility of the Selling EBA to verify the age of Purchaser and to provide us authentic signatures of the Purchaser. Company will not be responsible if received invoice contains forged signatures of the Purchaser.

Please note that signing on behalf of somebody else is a serious offence.

Service Tax Reg. No. AACCE9166GST001

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