All India Council for Technical Education

Nelson Mandela Marg, Vasant kunj, New Delhi-110070

Mandate Form (For Individuals)

1 Name of the Beneficiary

2 Name of the institute/College/
University/Organization
3 Aadhar Card Number (If allotted)
4 PAN number
5 Complete address of the Beneficiary
for communication

6 Mobile/Telephone no. of the beneficiary

7 Email ID of the Beneficiary
8 Beneficiary Bank Name
9 Branch Name
1 Address of the Bank
0

11 Telephone No. of the Bank

12 Account Number (Full):
13 Bank Branch IFSC Code:
14 Whether the Account is in the name of
Beneficiary
16 Whether the Account is Joint Account (Tick One)

17 Whether the Account is Operational (Tick One)

I hereby declare that the particular given above are correct and complete. If the transaction is delayed or not
effected at all for reasons of incomplete or incorrect information, I would not hold the user institution
responsible.

Date:
Place: Signature of Account holder
 All India Council for Technical Education
Nelson Mandela Marg, Vasant kunj, New Delhi-110070

TA/DA BILL OF NON OFFICIAL MEMBER INVITED TO ATTEND THE

MEETING
Part-I (To be filled by non-official Committee Member)

1 Full Name
2 Designation
3 Full Residence/ Office Address

4 Type of Organization
5 Pay Scale and Present Basic Pay if
in Service (if retired, please
mention details of last pay drawn)
(mentioning GP/Pay Level)
6 Whether Retired or Still in Service
7 PAN Number
8 Purpose of Visit/Meeting
9 Date(s) and Places(s)
of Visit/Meeting
10. Details of Journey (including from and to Residence/Office/ place of stay and
Airport/ Railway Station and place of meeting etc)
Fare
Departure Arrival Mode of
Distanc Paid Air/Rail
Journey
Date e In (Air/Rai Ticket
Air/Rail
From Time At Time Kms. l)Taxi No.
/Road
etc.

11 Whether Staying in rented accommodation (Hotel/Guest House) with Payment of

Some Charges or Making Own Arrangement without Paying any Charges (Strike
Out whichever is not applicable) If staying in Rented Accommodation (Hotel/Guest
House) with Payment of Some Charges, Please Specify
 ✔ Boarding & Lodging Charges per day: NA
✔ Duration of Stay in days: NA
✔ Total Amount (Rs.): NA
(Please attach original receipts of Hotel/Guest House)
1 Name of Colleges/Institutes Visited and the date of visits NA
2 (Please attach separate list if the visits are more then one)
1 Certified that:
3 a) Particulars provided herewith are correct and that I have not claimed TA/DA
and Honorarium etc. for this Journey from any other source.
b) I was not provided free Lodging and / Boarding at the cost of
Govt./University or any Govt. aided Body /any other source
c) I have travelled through private airline due to non-availability of Air India
service suitable for the date/time/venue of the meeting (strike, if not
applicable)
d) I have attached mandate form containing the details of bank account to which
the amount to be remitted.

Date: Signature of
Claimant

Part-II (To Be Filled by Convener / Organizer of the meeting)

1. The Non-official member was invited under the authority of controlling officer and his
attendance as above is confirmed.

Signature:
Name of Convener:
Designation:

Part-III (to be completed by Finance Bureau)

Deo/Asstt. /Acctt. /Const. AO (Fin) Drawing & Disbursing Officer

 Appx. 'A'

PERFORMA

To,
All India Council for Technical Education
Nelson Mandela Marg, Vasant Kunj, New Delhi-110070

Sub: Declaration regarding filing of Income Tax Returns for past years

This letter is to inform you that Finance Act 2021 has introduced new provision w.e.f. 1st July
2021 vide section 206AB/206CCA under Income Tax Act 1961 for deducting/collecting
TDS/TCS at higher rate for non-filing income tax return (ITR) which is otherwise required to be
furnished under section 139 (1) of the Income TaxAct,1961.
In this regard, I, ……………., having PAN: ……………..,hereby declare that I have duly filed
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 not be deducted/collected at a higher rate.
Details of ITR filling has been mentioned below

Assessment Acknowledgement Date of TDS

Year Number Filing Deduction

Further, we do hereby declare that what is stated 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 you or
your organization on account of this representation/declaration in future, I undertake to fully
indemnify you/organization for the same.

Thanks,

For
Name of Authorized Signatory with Designation & Signature