Form for furnishing information with the statement of deduction / collection of tax at source ( tick whichever is applicable ) filed on computer media for the period Q4 (From 01/01/23 to 31/03/23 (dd/mm/yy)#) 1 (a) Tax Deduction Account No. RTKC06769A (d) Financial Year 2022-23 (b) Permanent Account No. PANNOTREQD (e) Assessment year 2023-24 (c) Form No. 26Q (f) Previous receipt number 410000956462075 (In case return/statement has been filed earlier) 2 Particulars of the deductor / collector 3 Name of the person responsible for deduction / collection of tax EXECUTIVE ENGINEER & SENIOR MANAGER (a)Name DURGESH KUMAR SINGH (a) Name CIVIL FARIDABAD PROJECT DIVISION (b)PAN EXMPS6224K (b) Type of deductor* CENTRAL GOVERNMENT (c)Address (c) Branch / division (if any) FARIDABAD Flat No. 655 (d) Address Name of the premises/building Flat No. BUNGLOW NO 8 Road / street / lane Name of the Area / location premises/building Town / City / District DELHI Road / street / lane State HARYANA Area / location Pin code 110077 Town / City / District FARIDABAD Telephone No. - State HARYANA E-mail EECUMSM.FPD@GMAIL.COM Pin code 121001 Telephone No. 91-9811232441 E-mail KUMARMODIASSOCIATES2008@GMAIL.COM 4 Control totals Tax deposited Return Type No. of deductee / party Amount paid Tax deducted / collected Sr. No. (Total challan amount) (Regular / Correction type) records ( ) ( ) ( ) 1 CORRECTION TYPE (C3) 6 19860750.00 397215.00 1496956.00 Total 6 19860750.00 397215.00 1496956.00 5 Total Number of Annexures enclosed 6 Other Information VERIFICATION I, DURGESH KUMAR SINGH , hereby certify that all the particulars furnished above are correct and complete. Place: FARIDABAD Signature of person responsible for deducting / collecting tax at source Date: 14/08/2023 Name and designation of person responsible for deducting / collecting tax at source DURGESH KUMAR SINGH, DDO * Mention type of deductor - Government or Others # dd/mm/yy :- date/month/year