Form for furnishing information with the statement of deduction / collection of tax at source ( tick whichever is applicable ) filed on computer media for the period Q4 (From 01/01/24 to 31/03/24 (dd/mm/yy)#) 1 (a) Tax Deduction Account No. LKNS07477B (d) Financial Year 2023-24 (b) Permanent Account No. PANNOTREQD (e) Assessment year 2024-25 (c) Form No. 27EQ (f) Previous receipt number NA (In case return/statement has been filed earlier) 2 Particulars of the deductor / collector 3 Name of the person responsible for deduction / collection of tax S R DFM DRM OFFICE NORTHERN (a)Name VIPIN KUMAR SHUKLA (a) Name RAILWAY (b)PAN BRLPS6438M (b) Type of deductor* CENTRAL GOVERNMENT (c)Address (c) Branch / division (if any) NIL Flat No. DRM OFFICE (d) Address Name of the premises/building Flat No. DRM OFFICE Road / street / lane NORTHERN RAILWAY Name of the premises/building Area / location NEAR RAIWAY HOSPITAL Road / street / lane NORTHERN RAILWAY Town / City / District MORADABAD Area / location NEAR RAIWAY HOSPITAL State UTTAR PRADESH Town / City / District MORADABAD Pin code 244001 State UTTAR PRADESH Telephone No. - Pin code 244001 E-mail Telephone No. 591-8979569818 E-mail TDSNRMB@GMAIL.COM 4 Control totals Tax deposited Return Type No. of deductee / party Amount paid Tax deducted / collected Sr. No. (Total challan amount) (Regular / Correction type) records ( ) ( ) ( ) 1 REGULAR 28 111749778.27 1117498.00 1117499.00 Total 28 111749778.27 1117498.00 1117499.00 5 Total Number of Annexures enclosed 6 Other Information VERIFICATION I, VIPIN KUMAR SHUKLA , hereby certify that all the particulars furnished above are correct and complete. Place: MORADABAD Signature of person responsible for deducting / collecting tax at source Date: 14/05/2024 Name and designation of person responsible for deducting / collecting tax at source VIPIN KUMAR SHUKLA, ADFM * Mention type of deductor - Government or Others # dd/mm/yy :- date/month/year