(c) Company (See Note 1) :
Tick the appropriate entry
Government Company/Corporation
Government Company/Corporation
Other
established by a Central Act
established by a State Act
Company
Title (M/s)
(tick if applicable)
Name of Company
Designation of the person responsible
for * making payment / collecting tax
(d) Branch/Division of a Company:
Tick the appropriate entry
Government Company/Corporation
Government Company/Corporation
Other
established by a Central Act
established by a State Act
Company
Title (M/s)
(tick if applicable)
Name of Company
Name of Division
Name/Location of Branch
Designation of the person responsible
for * making payment / collecting tax
(e) Individual / Hindu Undivided Family (Karta) - (See Note 2) :
Tick the appropriate entry
Individual
Hindu Undivided Family
Title (tick the appropriate entry for individual)
Shri
Smt.
Kumari
Last Name / Surname
First Name
Middle Name
(f) Branch of Individual Business (Sole proprietorship concern)/ Hindu Undivided Family (Karta)
Tick the appropriate entry
Branch of Individual business
Branch of Hindu Undivided Family
Individual/ Hindu Undivided Family (Karta):
Title (tick the appropriate entry for individual)
Shri
Smt.
Kumari
Last Name / Surname
First Name
Middle Name
Name/Location of branch
(g) Firm / Association of Persons / Association of Persons (Trusts) / Body of Individuals / Artificial Juridical Person (See Note 3) :
Name