Declaration from GVK EMRI Suppliers / vendors of linking Aadhar No.

with
PAN No. and filing of income tax return for 2 years (FY 18-19,19-20)
Referring to the insertion of new section 139AA & Section 206AB under the
Income Tax Act, 1961 w.e.f: 01st July 2021 for TDS/TCS at higher rate for non-
linking of Aadhar no. with PAN & non-filers of IT Return.
Required *

1.Name of Proprietorship Firm/ Partnership Firm/Company/LLP /Society *

(Alpha Numeric)

2.Pan No- Proprietor/ Partnership Firm/Company/LLP/Society*

(Alpha Numeric)-only 10 characters

3. Aadhar No. (Applicable only for Individual/Proprietorship Firm)

Use NA if not applicable
( Numeric)-only 12 characters

4.Have you linked your Aadhar No. with PAN No. on Income Tax Portal
(Applicable only for Individual/Proprietorship Firm) *

Yes
No (Tick Box)
Not applicable

5. Provide Income Tax Return Acknowledgement number for FY 2018-19 *

Use NA if not applicable

Alpha Numeric

6. Provide Income Tax Return Acknowledgement date for FY 2018-19 *

Use NA if not applicable

Alpha Numeric

1
7. Provide Income Tax Return Acknowledgement number for FY 2019-20 *
Use NA if not applicable

Alpha Numeric

8. Provide Income Tax Return Acknowledgement date for FY 2019-20*

Use NA if not applicable

Alpha Numeric

9. Supplier/ Vendor for the following GVK EMRI operating state units *

Alpha Numeric-About 200-characters space to be allowed

10. Declaration: I / We hereby declare that the above details are true and correct
to the best of my / our information and knowledge. In the event that the
above declaration is found to be false or incorrect due to which Deductor is
held liable for any consequences under the Income Tax Act, 1961 or Rules
thereunder than I / We would indemnify the Deductor towards any tax,
interest, and penalty incurred in this regard.

Name of Authorised Person * : Alpha Numeric

Designation of Authorised Person*: Alpha Numeric

Mail ID*: Alpha Numeric

Contact No*- Alpha Numeric