UNDERTAKING

To, Dated: _________________

Shifa international Hospital Ltd
Sector H-8/4
Islamabad

Dear Customer,

We, ‘M/S, hereby state that we are original importer of the supplies made to you vide our
following bills:

Bill No Date Amount (Rs.) B/E No# B/E Date HS Code

We further state that we have paid income tax under section 148 of the income tax
ordinace2001, at the time of import. Further we confirm that no addition to the value of
such goods has been made by us.

We undertake that because of claiming exemption for non-deduction of with-holding tax

under section 153 of the income tax ordinance 2001, if you suffer, any loss/penalty
imposed by the income tax department, we will compensate the same. In case of any
objection or demand by the tax authorities, we are bound to furnish the evidence of
imports in shape of tax paid bill of entries, as and when desired by you.

Reference SRO 897 of FBR, please do not deduct withholding GST, we are exempted
from 20% deduction of withholding sales tax under the clause XI rule 5 of sales tax
special with holing (2007). Further amendment reference SRO 897 2013 (October 4,
2013).

For : M/s DECLARATION

I___________________
fully conversant
Of the matter and I am
Authorized to sign this
Undertaking
Name :_______________

Designation :_______________

NIC No :_______________

Signature :_______________