Ta Claim Form New
Ta Claim Form New
Ta Claim Form New
Mode of Conveyance, (Tick as applicable) Bus, Train, Air, Taxi & Own Car with No……………………………………..
Station: From…………………………….………..to…………….….…….………………..…..and back…………………………………………….
Air Fare / Rail fare / Bus fare Rs.
Road Mileage (For Taxi/own Car) No. of Kms. One side….…………...x2=……...….@…………... Rs.
Toll Tax, if any Institute Gate Entry No………..………if Toll Tax receipt is not available. Rs.
Local Conveyance with mode, up to bus stand / Railway Station / Air Port by……………..
From .............................................to……….…….………..……& Back……………………….. (Kms………) Rs.
No. of meeting days………..and Sitting fee for BOM, FC, Selection Committee, Senate etc.
per day Rs……......... Rs.
Honorarium of viva voce for UG, PG, PH.D of Rs…………..….…per student and.………....No’s
of students =………..……..and Honorarium for evaluation of Ph.d Thesis of Rs………………... Rs.
Total amount claimed Rs.
Less TDS @ 10% On Honorarium / Sitting fee Rs.
Net payable amount Rs.
Dealing Hand Head Cashier/ Section officer Deputy Registrar ( A&A) Registrar
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To
Director,
Sant Longowal Institute of Engg. & Technology, Longowal
P.O. Longowal, District Sangrur (Punjab)
Pin Code – 148 106
Subject: Declaration pursuant to Section 206AB/206CCA of The Income Tax Act, 1961
Sir,
We would like to inform that we have read and understood the provisions of section
206AB/206CCA of The Income Tax Act, 1961 and in this regard, I/we ____________
having PAN: ____________, hereby declare that I / w e have duly filed my/our Income
Tax Return for two previous years immediately preceding the previous year in which tax is
required to be deducted/collected for which time limit for filing u/s 139(1) has expired
and hence TDS/TCS should be deducted/collected under normal provisions of the act
and not as per section 206AB/206CCA of the Act.
Further, we do hereby declare that information given above is true and correct to the
best of my/our knowledge and belief. In case there is any tax liability, interest or
penalty imposed on the institute on account of this representation/declaration in
future, I/we undertake to fully indemnify the institute for the same.
Thanking you,
For __________________
(Auth. Signatory)
Name of Authorized Signatory
Designation
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