Information to be provided under section 159(8)

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....   5. E-mail Id:   6. Contact Number: Country  Code Number     Part B: Residential Information 7. Tax Year:   8. Status: (refer Note 4) 9. Country of residence (in the case of an individual) or Country/Region of incorporation/ registration (in the case of others): (refer Note 5) 10. Tax Identification Num....

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....__________________ hereby affirm that the information provided above is true and correct to the best of my knowledge and belief. I have not concealed any relevant fact. I am submitting this form in my capacity as___________________  (designation), holding PAN___________________  and I am competent to verify and submit this form. Signature: Name: Designation: Place: Date: ....