DECLARATION

(This declaration should be completed by the proprietor, partner, director and/or authorized signatory,
who has the authority to do so)

1.Legal name of the entity :

2. Registered office Address :
3.Business office Address:
4. Business Type :
5.Form of Client’s Entity: Proprietorship / Partnership / HUF / Private Ltd. /
Public Ltd / Others. (Please tick the correct option)
6.Name of Proprietor / Partner / Karta / Director / Chief Executive signing this form:

I of do hereby declare that my company does not have a TAN number as the scale of my business is not as
required by the regulatory norms defined by the Government of India. I further agree that I will not deduct
any TDS for the same We also undertake the responsibility to inform all subsequent changes in the
constitution or working of firm, affecting the accuracy of the answers given will be promptly communicated
to your Organization.

IP Address
(Specimen signatures of firm’s authorized representative)