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Get Sample 15 G Form.pdf - IBM India Separations

Pany or firm) claiming certain receipts without deduction of tax. PART - I 1 Name of Assessee (Declareant) : 2 PAN : 3 Assessment Year 6 Status : 4 Flat / Door / Block No. : 5 Name of Premises : 7 Assessed in which Ward / Circle 8 Road / Street / Lane : 9 Area / Locality : 10 AO Code (whom assessed last time) : 11 Town / City / District : 12 State : Area Code Range Code AO No. 14 Last Assessment Year in which assessed : 17 Present Ward / Circle 13 PIN 15 Email : A.

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