FORM NO.

10CCD
(See Rule 19 AC)

Certificate under sub-section (3) of Section 80 QQB for

Authors of certain books in receipt of Royalty income etc.

Details of the book

1 ( I) Title : 1. Exam Preparatory Manual Of Forensic

Medicine And Toxicology Questions
And Answers (PB 2021)
9789390709151

( II ) Language : English

(III) Whether Scientific/Literary/ Artistic Scientific

(Please indicate ) :
(IV ) Whether the book is in the nature of a No.
Brochure, Commentary, Guide, Diary,
Journal, Magazine, Textbook for Schools,
Tracts, etc. (Yes/ No ) :

2 Name & Address of the Author of the book : Dr. Gautam Biswas
Prof. & Head
Dept. of Forensic medicines Toxicology
DMC & Hospital,
College Campus, Civil Lines
Ludhiana – 141001
Mob No. – 9888030866
Pan No. – AGJPB1963C

3 Books sold during the previous year : 31/03/2021

ending on
SN BOOKS RS. TOTAL IN
SOLD RS.
1 312 256.75 80106.00
Total Rs.80106.00

( I) No. of books Published- : One

( II ) Value of books sold in Indian Rupees : Rs.80106.00

4 Details of Agreement with the Author :

(a) Whether any lump-sum payment made No

during the year in lieu of all rights in the
book? :
(I) Yes/No ( Please indicate ) :
(II ) If yes, state the amount paid ( in Indian
Rupees ) :
(III) If No, the nature of payment (mark,
where applicable )
(a) Assignment or grant of any of the interest
of Author in the copyright of the books :
(b) Royalty or Copyright Fee : 15% on Rs.80106.00=Rs.12016.00
 Details of payment :

5 ( I) Payment received in Indian Rupees : Rs. 12016.00

( II ) Payment received in Foreign Currency ( : N/A

value in Indian Rupees )

(III) Total payment received : Rs. 12016.00

( IV) If in Foreign Currency, detail of

payment in the following Proforma :

Total Amount Payable during the year Amount Actually Paid Date of Payment

N.A

Verification:

This is to verify that I, Varun Jain, S/o. Shri. Satish Kumar Jain is the Publisher of the books titled,

1. Exam Preparatory Manual Of Forensic Medicine And Toxicology Questions And Answers (PB
2021) 9789390709151

by Dr. A. Agarwal in the capacity of Director of the Publishing House named CBS Publishers &
Distributors Pvt. Ltd., having PAN No. AAACC3200D and have the previous year, made the payment
equivalent Rs. 12016.00 as Copyright Fee/Royalty or as payment in lieu of all rights in the said book
to him/her.

(VARUN JAIN)
Signature and Name of the person
responsible for making payment
Address :
CBS Publishers & Distributors Pvt. Ltd.
4819/XI, PRAHALAD STREET, 24
ANSARI ROAD, DARYA GANJ,
NEW DELHI - 110002
Place: New Delhi
Date: 16/05/2021