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Order Form: Customer Address Information

This document is an order form for Motherson Sumi Wiring, detailing customer and billing information, product descriptions, quantities, and pricing for various networking equipment. The total net amount is INR 1,919,557.50, with payment terms set for 30 days from the invoice date. It also includes terms and conditions regarding service provision and responsibilities of both parties.

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Deepak Jain
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© © All Rights Reserved
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0% found this document useful (0 votes)
34 views4 pages

Order Form: Customer Address Information

This document is an order form for Motherson Sumi Wiring, detailing customer and billing information, product descriptions, quantities, and pricing for various networking equipment. The total net amount is INR 1,919,557.50, with payment terms set for 30 days from the invoice date. It also includes terms and conditions regarding service provision and responsibilities of both parties.

Uploaded by

Deepak Jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

ORDER FORM

Customer Address Information

Bill To Name MOTHERSON SUMI WIRING Ship To Name MOTHERSON SUMI WIRING
INDIA _LIMITED INDIA _LIMITED
Bill To A-3, Sector-84, Gautam Buddha Ship To A-3, Sector-84, Gautam Buddha
Nagar Nagar
Noida Noida
Uttar Pradesh Uttar Pradesh
201305 201305
India India
GSTIN ID/ TAX ID 09AANCM5330P1ZT

MTSL General Information

Quote No. Q-02976-1 Quote PDF (CreatedDate) 31/05/2025


GSTIN ID/TAX ID 09AACCM3199B1ZI Quote Currency INR

MTSL Contact Information

Company Name Motherson Technology Services Address C- 26, Sector 62, NOIDA -
Limited 201309, Uttar Pradesh
Submitted By Gaurav Bhalla Email gaurav.bhalla@motherson.com
Phone +91 9717834493 Created By Aman Dhyani

Product Information

S. Product Product Description Start End Remarks Billing Qty Unit Price Net Total
No. Code / Name Date* Date* Frequency (INR) (INR)
HSN-SAC
Code

1 10000549 / CABLE CAT6 CAT -6 UTP CABLE 16/6/25 31/7/25 One Time 60 7,455.00 447,300.00
85444992

2 20000266 / IO CAT6 AMP CAT-6 RJ 45 I/O 16/6/25 31/7/25 One Time 250 191.10 47,775.00
85366990

3 10000550 / PATCH CORD CAT-6 4 ft Patch 16/6/25 31/7/25 One Time 250 169.05 42,262.50
85444292 4FT CAT 6 Cords
AMP

4 10000551 / PATCH CORD CAT-6 MOUNTING 16/6/25 31/7/25 One Time 250 191.10 47,775.00
85444292 CAT6 7FT CORD BLACK/BLUE
AMP 7FT

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S. Product Product Description Start End Remarks Billing Qty Unit Price Net Total
No. Code / Name Date* Date* Frequency (INR) (INR)
HSN-SAC
Code

5 10000584 / FACE PLATE Face Plate 3x3 Data 16/6/25 31/7/25 One Time 250 126.00 31,500.00
85177090 3X3 DUPLEX
AMP

6 10000552 / JACK PANEL 24 Port CAT6 Jack 16/6/25 31/7/25 One Time 13 5,239.50 68,113.50
85176990 CAT6 Pannel

7 10000556 / 1U SINGLE 1U, Single-sided 16/6/25 31/7/25 One Time 10 2,625.00 26,250.00
85177090 SIDED horizontal Cable
HORIZONTAL manager, finger-duct
CABLE style

8 10000790 / PVC PIPE PVC Pipe with Ace: 16/6/25 31/7/25 One Time 300 47.25 14,175.00
39172390 WITH ACCE

9 10000634 / 12U RACK 12U Rack with Ace: 16/6/25 31/7/25 One Time 7 7,245.00 50,715.00
84733099 WITH ACCE.

10 20000267 / PVC BACK Back Box 3x3 PVC & 16/6/25 31/7/25 One Time 250 36.75 9,187.50
39172390 BOX 3X3 Metal

11 10000791 / FLEXIBLE Flexible Pipe 1” PVC 16/6/25 31/7/25 One Time 150 21.00 3,150.00
39172390 PIPE

12 10000081 / C9200L-DNA- CISCO 10g Module 5 16/6/25 31/7/25 One Time 6 16,275.00 97,650.00
85178020 E-24-3Y year warranty with
DNA

13 10000757 / LC PICTAL LC pictal mm 16/6/25 31/7/25 One Time 12 409.50 4,914.00


85444220

14 10000234 / LC-SC MM LC-SC mm Patch 16/6/25 31/7/25 One Time 4 1,260.00 5,040.00
85444220 PATCH Cords Giga
CORDS GIGA

15 10000252 / 12 PORT 12 Port Rack 16/6/25 31/7/25 One Time 2 8,400.00 16,800.00
85176221 RACK Mounded LIU with
MOUNDED Coppler &Coppler
LIU WITH Panel
COPPL

16 10000256 / SWITCH Aruba 6100 24G 4SFP 16/6/25 31/7/25 One Time 14 71,925.00 1,006,950.00
85176990 + Switch

TOTAL: 1,919,557.50

Net Total (in words) : INR One Million Nine Hundred Nineteen Thousand Five Hundred Fifty Seven
* Date Format : DD/MM/YY
* Start Date and End Date are not applicable for hardware trading items

Remarks

For the Installation charges PO will go to (Star Networks) vendor directly for the based following:-

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Payment Terms

Payment Terms 30 Days from date of invoice

Terms & Conditions

1. GST Charges to be applicable as per actuals.

2. Freight Charges as per actual if applicable.

3. Unless agreed otherwise, the scope of services under this order form will be applicable for the customer's site at the ship-to
address specified in the order form.

4. Motherson Technology Services Limited (MTSL) will provide the services detailed for a period mentioned in the order form.

5. Service Continuation: Service term for the said services shall be auto renewed if neither of the party mentioned otherwise or any
change in the service/cost is there under mutual agreement.

6. In case of increase in requirements over and above the scope as defined in order form pertaining to each service additional charges
would be applicable.

7. Motherson Technology Services Limited (MTSL) responsibility under this order form shall be as per scope mentioned for the
service term of order form.

8. Unless explicitly mentioned otherwise, all services would be rendered remotely and for any onsite travel, all travels costs including
Boarding, Lodging and Out of pocket expenses shall be borne by the Customer.

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9. Customer needs to facilitate the local IT support, in case, hands and feet support is required at any remote site (If Motherson
Technology Services Limited (MTSL) Staff is not provisioned there).

10. Detailed terms that would be applicable to this order form would be as per the approved Samvardhana Motherson Group -
Motherson Technology Services Limited (MTSL) General Terms & Conditions (GTC) and same would be published on MothersonOne.

Accepted for and on behalf of Customer Accepted for and on behalf of Motherson
Technology Services Limited (MTSL)

Signature Signature

Name Name

Designation Designation

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