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<title>Form 16</title>
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		<h1>FORM NO. 16A</h1>
		<p>[ See Rule 31 (1) (b) ]</p>
		<h2>PART A</h2>
		<p>Certificate under section 203 of the Income - tax Act, 1961 for tax deducted at source</p>
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		<h4 style="text-align:center; text-decoration:underline;">Name & Address of the Deductor</h4>
		
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RISHABH BULDWELL PRIVATE LIMITED
	
GF - 06RISHABH CORPORATE TOWER
KARKARDOOMA COMMNITYCENTRE
DELHI 110092
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	<h4 style="text-align:center; text-decoration:underline;">Name & Address of the Deductor</h4>
		
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AJAY TENT HOUSE
118 KHANNA MKT.
LODHI ROAD
DELHI
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    <td style="padding-top:5px; padding-bottom:5px;"><center><strong>PAN of the Deductor</strong></center></td>
    <td><center><strong>TAN of the Deductor</strong></center></td>
    <td><center><strong>PAN OF the Deductor</strong></center></td>
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    <td><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="AACCR9776R" /></td>
    <td><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="AACCR9776R" /></td>
    <td><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="AACCR9776R" /></td>
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    <td style="padding-top:5px; padding-bottom:5px;"><center><strong>CIT (TDS)</strong></center></td>
    <td><center><strong>Assessment Year</strong></center></td>
    <td><center><strong>Period</strong></center></td>
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AAYAKAR BHAWAN,
DISTRICT CENTER, 4TH
FLOOR, LUXMI N.
KANPUR 208001</textarea>
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    <td valign="top" align="center"><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="AACCR9776R" /></td>
    <td valign="top" align="center"><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="AACCR9776R" /></td>
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    <td colspan="3" align="center" style="padding-top:5px; padding-bottom:5px;"><center><strong>Summary of Payment</strong></center></td>
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    <td style="padding-top:5px; padding-bottom:5px;"><center><strong>Amount Paid/Credited</strong></center></td>
    <td><center><strong>Nature of Payment</strong><center></td>
    <td><center><strong>Date of Payment/Credit</strong><center></td>
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    <td><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="158320" /></td>
    <td><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="194C - Contract Payment" /></td>
    <td><input type="text" style="width:200; background-color:#e9e9e9; border-width:0 0 0 0;" value="02-12-10" /></td>
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    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
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    <td colspan="2"><center><strong>Summary of tax deducted at source in respect of deductee</strong></center></td>
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    <td width="14%" align="center"><center><strong>Quarter</strong></center></td>
    <td width="36%" align="center">Receipt Nos. of Orginal quarterly<br />
      statements of TDS under sub<br /> section (3) of section 200
	</td>
	<td width="25%" align="center">Amount of tax deducted in<br /> respect of the employee</td>
	<td width="25%" align="center">Amount of tax deposited/remitted<br /> in respect of the deductee</td>
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    <td style="padding-left:10px;">1. </td>
    <td style="padding-left:10px;"><input type="text" style="width:auto; background-color:#e9e9e9; border-width:0 0 0 0;" value="CHVXXLAD" /></td>
	<td><input type="text" style="width:auto; background-color:#e9e9e9; border-width:0 0 0 0; text-align:right" value="15832.00" /></td>
	<td><input type="text" style="width:auto; background-color:#e9e9e9; border-width:0 0 0 0; text-align:right" value="15832.00" /></td>
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			<p><strong>I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGHT BOOK ENTRY</strong></p>
			<p>(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)</p>
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    <td width="10%" class="lefttd" align="center" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px; padding-top:5px; padding-bottom:5px;"><strong>S. No.</strong></td>
    <td width="46%" class="lefttd" align="center"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><strong>Tax Deposited in respect of the deductee (Rs.)</strong></td>
    <td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><center><strong>Book Identification number (BIN)</strong></center></td>
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    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;">&nbsp;</td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;">&nbsp;</td>
    <td  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" class="lefttd" width="11%" align="center">Receipt no of<br /> form no. 24G</td>
    <td  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" class="lefttd" width="16%" align="center">DDO Sequence No. in<br /> the Book Adjustment<br /> Mini Statement</td>
    <td  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" width="17%" align="center">Date on which Tax deposited<br />(dd/mm/yyyy) </td>
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    <td align="center" valign="top" class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:50px; background-color:#e9e9e9; border-width:0 0 0 0;" value="1." /></td>
    <td class="lefttd" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" valign="top"><textarea style="width:95%; height:50px;">&nbsp;</textarea>
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    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="SANJEEV JAIN" /></td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="SANJEEV JAIN" /></td>
    <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="SANJEEV JAIN" /></td>
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    <td align="center" valign="top" class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:50px; background-color:#e9e9e9; border-width:0 0 0 0;" value="Total" /></td>
    <td class="lefttd" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" valign="top"><textarea style="width:95%; height:50px;">&nbsp;</textarea>
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    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value=".00" /></td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value=".00" /></td>
    <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value=".00" /></td>
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			<br />
			<p><strong>II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGHT CHALLAN</strong></p>
			<p>(The Employer to provide payment wise details of tax deducted and deposited with respect to the deductee)</p>
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    <td width="10%" class="lefttd" align="center" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px; padding-top:5px; padding-bottom:5px;"><strong>S. No.</strong></td>
    <td width="46%" class="lefttd" align="center"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><strong>Tax Deposited in respect of the deductee (Rs.)</strong></td>
    <td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><center><strong>Challan indentification number (CIN)</strong></center></td>
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    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;">&nbsp;</td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;">&nbsp;</td>
    <td  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" class="lefttd" width="11%" align="center">BSR Code of<br />the Bank<br />Branch</td>
    <td  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" class="lefttd" width="16%" align="center">Date on which Tax<br /> deposited (dd/mm/yyyy)</td>
    <td  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;" width="17%" align="center">Challan Serial<br />Number</td>
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    <td align="center" valign="top" class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:50px; background-color:#e9e9e9; border-width:0 0 0 0;" value="1." /></td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><textarea style="width:95%; height:50px;">15832</textarea>	</td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="0331906" /></td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="06/01/2011" /></td>
    <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="01671" /></td>
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    <td align="center" valign="top" class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:50px; background-color:#e9e9e9; border-width:0 0 0 0;" value="Total" /></td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><textarea style="width:95%; height:50px;">15832</textarea>	</td>
    <td class="lefttd" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input name="text" type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="&nbsp;" /></td>
    <td class="lefttd"  style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="&nbsp;" /></td>
    <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:1px;"><input type="text" style="width:100px; background-color:#e9e9e9; border-width:0 0 0 0;" value="&nbsp;" /></td>
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	<h2 style="font-size:18px; text-align:center; margin:0px; padding-top:10px; padding-bottom:10px;">VERIFICATION</h2>
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I, SANJEEV JAIN, son/daughter of working in the capacity of DIRECTOR (designation) do hereby certify that a sum of Rs. 15832.00 [Fifteen Thousand Fight Hundred Thirty Two Only (in words)] has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.</textarea>


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___________________________________
Signature of the person responsible
    for deduction of tax
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    <td width="7%">Place</td>
    <td width="22%"><strong>DELHI</strong></td>
    <td width="36%">&nbsp;</td>
    <td width="11%">Full Name</td>
    <td width="24%"><input type="text" style="width:200px; background-color:#e9e9e9; border-width:0 0 0 0;" value="______________________________" /></td>
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    <td>Date</td>
    <td><strong>15-01-2011</strong></td>
    <td>&nbsp;</td>
    <td>Designation</td>
    <td><input type="text" style="width:200px; background-color:#e9e9e9; border-width:0 0 0 0;" value="______________________________" /></td>
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