Quarterly statement to be furnished by a unit of an International Financial Services Centre, as referred to in section 147(1)(b), in respect of remittances, made for the quarter of ....... of (Tax Year)

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....espect of remittances, made for the quarter of .............. of (Tax Year) Part A: Details of the Unit 1. Name of the unit (refer Note 1) 2. Address (refer Note 2) 3. Permanent Account Number   4. Tax deduction and collection account number   5. Status (refer Note 3) 6. Residential status (refer Note 4) 7. Email id  ....

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....ent Account Number ............ declare that the information given above are correct and complete. and/or (applicable in case where the Unit referred in Sl. No. 1 of Part A is the remitter) 1. I, ..... (full name), having Permanent Account Number ...... in the capacity of ...... (designation) declare that the information given above is true and correct and no relevant information has been....