Declaration form for not imposing higher TDS rate as per sec 206AB of the Income Tax Act,

1961
To
M/s. Bharat Petroleum Corporation Limited
Mumbai.
1 Name of the entity PALANIANDAVAR BULK CARRIER
2 Vendor code 200193
3 PAN number AKIPP1722A
4 ITR filed for the financial year 2018-19 Yes/No : Yes
If Yes, mention ITR acknowledgement 112178790140818
number
5 ITR filed for the financial year 2019-20 Yes/No : Yes
If Yes, mention ITR acknowledgement 213841191231019
number
6 Whether total of TDS&TCS of FY 2018-19 Yes/No : No
was ₹50,000 or more (As per 26AS form
available in your Income Tax e-filing
portal)
7 Whether total of TDS&TCS of FY 2019-20 Yes/No : Yes
was ₹50,000 or more (As per 26AS form
available in your Income Tax e-filing
portal)
Screen shot of the acknowledgement number is attached as Annexure 1.
I hereby declare that I am duly authorized to give this declaration and the information stated
above is true to the best of my knowledge and belief.
I hereby undertake to indemnify your entity for any interest or any penal consequences that
may arise due to incorrect reporting of above information.
I hereby confirm that I shall provide a revised declaration as soon as I file my income tax return
for Financial Year 2020-21 or the due date applicable to me u/s 139(1) has lapsed whichever is
earlier.
Yours Faithfully

For Vendor’s Name : PALANIANDAVAR BULK CARRIER

NAME of Authorized Person : K.PONNUSAMY

Designation : Proprietor
Date:
 ANNEXURE 1
SCREENSHOT OF ACKNOWLEDGEMENT NUMBER
Financial Year – 2018-19
Financial Year – 2019-20