Form 15CA_Filed Form
Form 15CA_Filed Form
Part D
To be filled up if the remittance is not chargeable to tax under the provisions of the Income-tax Act,
1961 {other than payments referred to in rule 37BB(3)} by the person referred to in rule 37BB(2)
Remitter
Remittee
Currency USD
Country of which the recipient of remittance is resident, if available United Arab Emirates
Remittance
Amount payable
Branch Address of the Authorized dealer Maker Towers `F" Block, 13th
floor, Cuffe Parade, Mumbai
400 005
Please furnish the relevant purpose code as per RBI Other Business Services
S1006 - Business and
management consultancy and
public relations services
2. I certify that I have reason to believe that the remittance as above is not chargeable under the provision of
Income-tax Act 1961 and is not liable for deduction of tax at source.
Verification
I, KAMAL KISHORE KANDWAL, son/daughter of LALIT PRASAD KANDWAL in the capacity of TRUSTEE
(designation) solemnly declare that the information given above is true to the best of my knowledge and belief
and no relevant information has been concealed. In a case where it is found that the tax actually deductible on
the amount of remittance has not been deducted or after deduction has not been paid or not paid in full, I
undertake to pay the amount of tax not deducted or not paid, as the case may be, along with interest due. I shall
also be subject to the provisions of penalty for the said default as per the provisions of the Income-tax Act,
1961. I further undertake to submit the requisite documents for enabling the Income-tax authorities to
determine the nature and amount of income of the recipient of the above remittance as well as documents
required for determining my liability under the Income-tax Act as a person responsible for deduction of tax at
source.
Name of the person responsible for paying to non-resident KAMAL KISHORE KANDWAL
IP Address 103.113.65.215
Date 14-Aug-2024
Income Tax Form submitted electronically on 14-Aug-2024 06:04:30 PM from IP Address 103.113.65.215
and verified by KAMAL KISHORE KANDWAL having PAN/TAN AXPPK7021F on 14-Aug-2024 06:04:23 PM
using Electronic Verification Code TGR9135AKI generated through Aadhaar OTP mode.