Application for Registration as Tax Deductor at source (u/s 51) or Tax Collector at source (u/s 52)

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....State/UT - District - Part-A (i) Legal Name of the Tax Deductor or Tax Collector( As mentioned in PAN/TAN) (ii) PAN (iii) (Enter PAN of the Business; PAN of Individual in case of Proprietorship concern) TAN (Enter TAN, if PAN is not available) (iv) Email Address (v) Mobile Number Note - Information submitted above is subject to online verification before proceeding to fill up Part-B.....

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....ter State/UT 7. Date of liability to deduct/collect tax DD/MM/YYYY 24 24 2 Q à­« Q Q 8. (a) Address of principal place of business Building No./Flat No. Name of the Premises/Building City/Town/Locality/Village Block/Taluka Latitude State (b) Contact Information Office Email Address Mobile Number (c) Nature of possession of premises Own Floor No. Road/Street District ....

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....13. Details of Authorized Signatory Checkbox for Primary Authorized Signatory Details of Signatory No. 1 Particulars Name Photo Name of Father Floor No Locality/Village PIN Code First Name Middle Name Last Name Date of Birth DD/MM/YYYY Gender Mobile Number Telephone No. with STD Designation/Status PAN Are you a citizen of India? Yes/No Email address Director Identification....