Application under section 288(1) [Table: Sl. No. 11] for credit of tax deduction at source

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..... Residential Status (refer Note 3) 5. Email id   6. Contact Number Country Code Number 7. Tax year in which specified income* has been included in the return of income   8. Date on which return of income for relevant tax year was filed   Part B: Details with reference to specified income and tax deduction at source Row No. Total....

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....ection of the Act under which tax deducted Amount of tax out of (F) claimed for tax year Name of deductor Tax deduction and collection account number of deductor Permanent Account Number of deductor H I J K L M N                             *Specified ....

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....claimed in Form No. 102 in any other tax year and will not claim the same. Place: ............ Date: .............. Signature Name: Designation: Notes: 1. In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full. 2. The address shall contain Flat/Door/Block number, Name....