You are on page 1of 16
alle /0081480000192 n0322 nf BEWEFICIARY DETAILS. srnaso1s cour EF 0. rx pare (auD/TMR We HAVE DEBITED YOUR ACCOUNT NO. cast ow Funds Transfer Com S0st OW Funds Transfer Com ~ quivalent Anoune Panda Ta DerAIS + ler Comission s2apr0122000¢07 53.279999278296 sion INR 292.75 or, Web Aadres (upRES Two HUNDRED HIGHT THOUSAND ONE KUNORED FORTY FOUR PAISE SIXTY OME ONLY) ZW DATE 47 ov 2021 (CUSTOMER GsT™H wo + 29AABITS35=A1z7 24/3 HORE HOU ‘Sapporeshafebane. com 1 MO, $1 KASTURBA ROAD, XASTURBA ROAD GENGALLRU KARNATAKA PIN- 560 001 FC BANK 2, Sipporeansécbanie.com Wotiticasion (trenmagion) of Original sent to SHIFT (ACK) Elorlty/bellvaly™ : Notead ____ nsbsage Input ae venigdGbe,220202NDFCINBBABNOAG6S544561 ggg tapat ade HOAGEK 10) Single Costoner Credt Transter “ TED, Receiver + aes RrLscoane At : z a agers [iat icdezais7 seas" aabf*oSiS"sSedseion : aheenage Tete ‘Sender 359p951520540050 2am: bank Operation Code aan: $a pee/cure/tocesink settla Ane. Kup RESTAKLI poxtar), oe SRE one 208) Stereney/ RS eSheanuan ooccag! son, Settling S ame & Addreas *8°0"76% far tno ee ey scar era: RSSetAe HEN inatication - Fr BIC {Eko eben gi cee oe vo Raa Ee ane EE crane ERriietlon van SEB ais d, Bangalore-560001 oate-77012022 px tobe deed br rnecion 9 Sa seefeassonoisn ‘Account to be debited for charges a i ("¥en us_a/e mo 00081450000192 2 we Aidt Net off ie. On beneficiary {need ecole 1 86058 AU0 ae Sacto et Py : Level 6 er Stet, Nat yy NSW 20 Aust ener abn acount No ‘Afenos733085 poy en rs sank of merc NA Siney Cov 3 overmor Pp owe, are Pa, yy NSW 20, hoses tso32001 Si code AA ong oo [Son ode soraausx pe 7 "nk of america Sey Level 37, Governor Pill Tower, 1Frrr Place, Sydney NSW 2000, Foreign bank charges ‘Art 8 Photography Foundation (Remitter) “Purpose of Remitance = tees | saao3- Data base, data processing charges: Purpose Code as pet Form A2 for RB reporting Invoice no and date (wherever applicable) Ine Nos 033433 ed 317.122021 ‘SPECIAL REF NO TO BE MENTIONED IN SWIFT /outet 10 nw Nos NV- 031433 dt 17.12.2023 Theabove payment do not fall under Schedules I, land is within the limit of Schedule I ofthe FEMA (current account Wansacions) ‘les, 2000 framed by GOI vide notifeaion no. GSR 381 () dated May 3, 2000 4 m 4 \WWe hereby declare that the transsction the details of which are specifically mentioned in the Schedule hereunder doesnot involve, and Is not designed for the purpose of any contavention oF evasion of the provsens of the aforesaid Actor of any rule, regulation, rnotifation direction or order made thereunder. We aso hereby agree and undertake to give such information/documents a wil reasonably satisfy you about ths transaction n terms ofthe above declaration /We also understand that V We refuse to comply wth any such requirement or make only satisfactory complance therewith, the Bark shall refuse in wring to undertake the transaction and shalifit has reason to believe that any contravention/evasion i contemplated by me/us report the mater to the Reserve Bank fina. ‘We further decare that the undersigned has/have the authority to eve this declaration and undertaking on behalf of the frm ‘seornpary [ck if applicable) NL TDS APPLICABLE CERTIFICATE: A per our understanding no taxis applicable forthe sald transaction: = In case the authority at any time finds that tax actualy deductible onthe amount of embtance has ether not been paid oF not pai in ‘ul, we undertake to pay the sag amount of tax along with the interest due. We shall alo be subjected to provisions of penalty forthe said default as pr the provisions of I act: We undertake to submit requisite documents etc fr enabling the Tauthorties to determine the nature and amount of income ofthe beneficiary ofthe above remittance aswell as documents required for determining our lailities ‘under the IT ACT as 2 person responsible for deduction of tax at sures. The Information given above is True tothe best af our knowledge ‘and bait and no relevant information has been concealed. In case our AD Le. HOFC Bank Ltd demands 15CA and CB for this transaction ‘we wl submit the same within 3 working days. Cases whereby TDS / Withholding taxes are applicable, please submit us Form 25Ca and C, —)__We have not made payment agaist above noice through any other AD Bank nd this remitance is towards fl / part setlement of For ART & PHOTOGRAPHY FOUNDATION the same {tick applicable) FORM AZ (Tobe compete bythe aplicant) (For payments cher than AD Code No0510010-8400008 imparts of goods and ate temitances covering . intermediary trade) (To be filled in by the Authorised Dealer) ieee Ccurency 3860.98 AUD Amount Re. (To be completed by the Authorised Dealer) Ie Art & Photography Foundation PAN No. ‘Address No 26/1,Sua House Kasturbe Cross Road Bangalore-§60009 authorize (Name of AD branch) To debit my Savings Banki Current! RFC/ EEFC A/c. No:00091450000192 together with their charges and * a) Issue a draft: Beneficiary's Name Address. * b) Effect the foreign exchange remittance directly — 41) Beneficiary's Name Blackbaud Pacific Pty Ltd 2) Name and address of the bank Bank of America NA, Sydney, Level 37, Governor Phillip Tower, ‘Farrer Place, Sydney NSW 2000, Australia, BSB:232.001 3) Account Number 17133015 4) SwittBIC Code BOFAAUSX * ¢)Iseue travelers cheque uses for * d) Issue foreign currency notes for ‘Amount (specity currency) — * (Strike out whichever isnot applicable) for the purpose’s indicated below 2) To be filed in by residents only if the remittance is made under LRS. ‘Sr. | Whether under LRS Purpose Code Description No | (Yes/No) 1803 base, data processing charges i fi (3) Payment for import of services (Purpose Group Nos. 02, 03, 05, 06, 07, 08, 09 10, 11, 15, 16 or 17), please indicate: “Name of the country providing ultimate services: Australia” (Remitter should put a tick (¥) against an appropriate purpose code. In case of doubt/ difficulty, the AD bank should be consutted). For ART & PHOTOGRAPHY FOUNDATION Ab Authorised Signatory Declaration (Under FEMA 1998) 1. We, Art & Photography Foundation, hereby deciare that the total amount of foreign exchange purchased from ‘or remitted through, all sources in india during the financial year including this application is as per the extant FEMA Regulations and ceri thatthe source of funds for making the said remittance belongs fo me and the foreign exchange will not be used for prohibited purposes / Foreign exchange purchased from you is for the purpose indicated above. Details of the remittances made/transactions effected under the Liberalised Remittance Scheme in the ‘current Financial Year (April-March). Sr. | Dato “Amount "Name and address of AD branchiFFMC through which the No. ‘transaction has been effected For ART & PHOTOGRAPHY FOUNDATION Certificate by the Authorised Dealer ‘This isto certy thatthe remittance is not being made by/ to ineligible entities and that the remittance isin conformity withthe instructions issued by the Reserve Bank from fime to time under the Scheme. Name and designation of the authorised official: Stamp and seal Signature: Date: 27-01-2022 ‘Sua House 26/1 Kasturba Cross Road Bangalore 560001 India +91 80 40535233 apfoundation-india.org January 27, 2022 DE TION ‘To whomsoever it may concern We hereby confirm that the payment to the party (Blackbaud Pacific Pty Ltd) will not cross 8 USD 10,00,000 in the project in a year. For Art & Photography Foundation, ALL Trustee Dy) blackbaud Level 2,65 Bory Steet ‘North Syeney NSW 2060 Australia ‘ABN: 78096 925 170 ACN: 095 925 170 Carolina Artegiani Museum of Ait & Photography (MAP) ‘Sua House Bangalore- 560 001 India TAX INVOICE INV-031413 93875 Quote Number: Q-00705049 ‘Museum of Art & Photography (MAP) ‘Sua House Bangalore- 560 001 Karnataka India Invoice Date: 17/11/2021 Invoice Number: INV-031413 Site ID: 93875 Please remit payment via WIRE to: ‘Account Name: Blackbaud Pacific Ply Lid ‘Account Number: 17133015 BSB: 232-001 Account Address: Level 2, 65 Berry Street North Sydney NSW 2060 Bank Name: Bank of America NA, Sydney Branch Bank Address: Level 37, Govemor Philip Tower, 1 Farrer Place Sydney NSW 2000 BIC/SWIFT Code: BOFAAUSX (BOFA Sydney) OBVReference: INV-031413 / 3,860.98, Please email remittance advice to BlackbaudPayments@blackbaud.com ‘Sub Total 3,860.98 AU! Tax 0.00 Au Invoice Total 3.36098 AU! ‘To ensure proper application of your payment, please include: Invoice number INV-031413 and Site ID 93875. For billing inquiries, see our FAQ's on https:/www.blackbaud.com/billingfaqs, or call (02) 8918 1200 select option 3 Payment of this invoice incicates your wilingness to be bound by the Standard Blackbaud Terms and Conditions available on httpsisiwwrw.blackbaud.comiterms, except as stated inthe applicable Order Form, For ART & PHOTOGRAPHY FOUNDATION qn Authorised Signatory Page 1 of 1 FORM NO. 15CA [See rule 37BB] Filing Aye Anare Information to be furnished for payments to a non-resident not | Qe being a company, or to a foreign company Acknowledgement Number -108484350010222 PartC To be filled up if the remittance is chargeable to tax under the provisions of the Income-tax Act, 1961 and the remittance or the aggregate of such remittafices, as the case may be, exceeds five lakh rupees during the financial year and a certificate in Form No. 15CB from an accountant as defined in the Explanation below subsection (2) of section 288 has been obtained. ‘Section A - GENERAL INFORMATION Remitter Name of the remitter ‘ART & PHOTOGRAPHY FOUNDATION PAN of the remitter ‘AABTT93598 TAN of the remitter - ‘Area Code pic ‘AO Type wx Range Code as 502 ‘AO No 1 Principal Place of Business BANGALORE Complete Address of the remitter 1n0.3/1/1,PODDAR North BANGALORE Mahatma : Gandhi Road S.0-560001 Email of the remitter rajagopal@mathesonbosanquet_ com Phone Number of the remitter 9341063906 8 Status Trust Residential status of remitter Resident Remittee Name of recipient of remittance BLACKBAUD PACIFIC PTY LTD PAN of the recipient of remittance : Status Company ‘Address: Level 2, 65 Berry Street, Nor ‘Sydney NSW 2060 Australia Australia, ‘Australia Foreign Australia - 999999 Email address = Phone Number : Country to which remittance is made Australia | Principal Place of Business AUSTRALIA ‘Accountant a. Name of the Accountant signing the certificate SOUNDARARAJAN DEENADAYAL 5 b. Name of the proprietorship/firm of the accountant ‘SRIRAMULU NAIDU & CO ©. Address 68, H BLOCK, GOLDEN ORCHID APARTMENTS, KASTUREA | ROAD, Bangalore G.P.., BANGALORE, Karnataka, INDIA, 560001 4. Registration no. of the accountant 205194 €. Date of certificate 31-Jan-2022 f. Certificate No. 103207030310122 Section B - PARTICULARS OF REMITTANCE AND TDS (as per certificate of the accountant) 5 Remittance ps 1. Country to which remittance is made Australia | | currency ‘Australian Dollar | 2. Amount Payable In foreign currency 3,860.98 | Inindian @) 202,122 al 3. IFSC Code HDFc0000009 | Name of Bank HDFC BANK | pranch ofthe bank = BANGALORE - KASTURBA GANDHI MARG a “@.__ BSR Code of the bank branch (7 digit) ‘0510010 5. Name of Authorized Dealer HDFC Bank Ltd. Branch Address of the authorized dealer ‘Treasury Department, Sandoz House, 1st Floor, Dr. A.B. Road, 6 Proposed date of remittance 31-Jan-2022 7. Nature of remittance as per agreement/document ‘Subscription Fees 8 Relevant purpose code as per RBI Telecommunication, Computer & Information Services ‘$0803 - Data base, data dividend, etc,(not connected with permanent establishment), please indicate _——— processing charges 9. Incase the remittance is net of taxes, whether tax payable has been No grossed up LT. Act 10. Taxability under the provisions of the Income-tax Act (without considering DTAA) a. The relevant section of the Act under which the remittance is : covered . The amount of income chargeable to tax - , The tax Liability - d. Basis of determining taxable income and tax liability - DTAA 11. Ifany relief is claimed under DTAA |. Whether tax residency certificate is obtained from the recipient of Yes. remittance li Please specify relevant DTA DTAA BTWN INDIA AND ‘AUSTRALIA il, Please specify relevant article of DTAA (Nature of payment as per ARTICLE 7,BUSINESS PROFITS DTAA) iv. Taxable income as per DTA €2,02,122 v. Tax liability as per DTA r0 A. Ifthe remittance is for royalties, fee for technical services, interest, No 2. Article of DTA - b. Rate of TDS required to be deducted in terms of such article of the | - applicable DTAA (%) B. Incase the remittance is on account of business income, please ‘Yes indicate | _ a. The amount of income liable to tax in india z0 ». The basis of arriving at the rate of deduction of tax - | ©. Incase the remittance is on account of capital gains please indicate No 2. Amount of long term capital gains - . Amount of short-term capital gains - ¢. basis of arriving at taxable income : 8} D. Incase of other remittance not covered by sub-items A, B and C No 2. Please specify nature of remittance - . Whether taxable n India as per DTAA No «. Ityes, rate of TOS required to be deducted in terms of such article of the applicable DTAA (%) 4. If not, please furnish brief reasons thereof specifying relevant TAXABLE IN CONTRACTING article of DTAA STATEAS PER DTAA BTWN INDIA AND AUSTRALIA ARTICLE 7,BUSINESS PROFITS Tbs a 12, Amount of tax deducted at source In foreign currency > In indian (®) - 18. Rate of TDS as per Income-tax Act (%) or As per DTAA (%) ‘As per DTAA 14. Actual amount of remittance after TDS (In foreign currency) 3,860.98 | 15._ TDS Date of deduction of tax at source if any 31-Jan-2022 Verification |, ABHISHEK PODDAR, son/daughter of B K PODDAR in the capacity of TRUSTEE (designation) solemnly declare that the information given above is true to the best of my knowledge and belief and no relevant information has been concealed, FORM NO. 15CBisee rule 37BB] Certificate of an accountant | Qe. Acknowledgement Number -103207030310122 We, have examined the agreement (wherever applicable) between M/s. ART & PHOTOGRAPHY FOUNDATION with PAN AABTT9359A (Remitters) and M/s. BLACKBAUD PACIFIC PTY LTD (Beneficiary) requiring the above emittance as well as the relevant documents and books of account required for ascertaining the nature of emittance and for determining the rate of deduction of tax at source as per provisions of Chapter- XVII-B. We hereby certify the following - 71 A Name and address of the beneficiary of the remittance BLACKBAUD PACIFIC PTY | uD | Level 2, 65 Berry Street, North Sydney NSW i 2060 Australia Australia iA Australia Foreign Australia - 999999 | B. 1. _ Country to which remittance is made Australia . Currency ‘Australian Dollar 2. Amount payable In foreign currency 3,860.98 In Indian (®) 202,122 3. IFSC Code HDFC0000009 Name of Bank HDFC BANK Branch of the bank BANGALORE - KASTURBA GANDHI MARG 4, BSR code of the bank branch (7 digit) 0510010 5. Name of the Authorized Dealer HDFC Bank Ltd. Branch Address of the Authorized dealer ors Diparniian, Sandoz SO SDN 4 Bratigh Aaaress ot the muttrzed dealer Branch Address of the Authorized desler Acai sete) processing charges , 9. Incase the remittance is net of taxes, whether tax payablehas No been grossed up 10. Taxability under the provisions of the Income-tax Act (without ‘considering DTAA) |. Is remittance chargeable to tax in India No ii not reasons thereof ‘TAXABLE IN CONTRACTING STATE I yes, (a) the relevant section of the Act under which the remittance is covered (©) The amount of income chargeable to tax . (©) The tax Liability : (@) Basis of determining taxable income and tax liability : 11. Ifincome is chargeable to tax in India and any relief is claimed under DTAA i. Whether tax residency certificate is obtained from the Yes I recipient of remittance il, Please specify relevant DTA DTAA BTWN INDIA AND AUSTRALIA il, Please specify relevant article of DTAA ARTICLE 7,BUSINESS PROFITS iv. Taxable income as per DTA €2,02,122 ¥v. Tax lability as per DTAA zo a 11.4. Ifthe remittance is for royalties, fee for technical services, No interest, dividend, etc,(not connected with permanent establishment) please indicate:- ‘a. Article of DTAA : 'b, Rate of TDS required to be deducted in terms of such article - of the applicable DTAA (%) 11.8 Incase the remittance is on account of business incomeplease Yes indicate ‘a, Whether such income is liable to tax in India No b. If so, the basis of arriving at the rate of deduction of tax ©. If not, then please furnish brief reasons thereof. specifying relevant article of DTAA ‘TAXABLE IN CONTRACTING STATE,AS PER DTAA BTWN INDIA AND AUSTRALIA ARTICLE ‘7,BUSINESS PROFITS ce is on account of capital gains, please No _ Amount of long term capital gains S b, Amount of short-term capital gains : ¢. basis of arriving at taxable income - In case of other remittance not covered by sub-items A,B andC No a. Please specify nature of remittance - b. Whether taxable in India as per DTAA No c. If yes, rate of TDS required to be deducted in terms of such = article of the applicable DTAA (%) 4. ifn pee fuish brit reasons threo, speciyng relevent TAXABLE IN CONTRACTING article of STATES PER DTAA BTWN INDIA AND AUSTRALIA ,ARTICLE ‘7,BUSINESS PROFITS: Amount of TDS In foreign currency - In indian (®) - Rate of TDS (%) As per DTAA 7 ‘Actual amount of remittance after TDS (In foreign currency) 3,860.98 e ‘ Ty WRRieesieaeaequse (oa, OEM Date ‘31-Jan-2022 Acknowledgement Number - 103207030310122 ‘This form has been ee signed by SOUNDARARAJAN DEENADAYAL having PAN AAJPD277! eK fromiP | IP ‘Address on a-Jan-2022 05:09:29 PM Dsc SI No and issuer C=IN,0=Capricom Identity Services Pvt Lid..OU=Certifying Authority

You might also like