FORM NO.

16A
/(See rule 3(1)(b)/
Certificate of deduction of tax at source under section 203 of the Income Tax Act, 1961.
For interest on securities, dividends, interest other than Interest on securities, !innin" from #otter$ or cross!ord
%u&&#e' !inin" from horse race' %a$ments to contractors and su()contractors' insurance commission' %a$ments to non)
resident s%ortsmen*s%orts associations' %a$ments in res%ect of de%osits under +ationa# ,avin"s ,cheme' %a$ments on
account of re%urchase of units ($ -utua# Fund or .nit Trust of India' commission, remuneration or %ri&e on sa#e of
#otter$ tic/ets' ne!' fees for %rofessiona# or technica# services' income in res%ect of units' other sums under section
190' income of forei"n com%anies referred to in section 196A122' income from units referred to in section 1963,
income from forei"n currenc$ (onds or shares of an Indian com%an$ referred to in section 196C' income of Forei"n
Institutiona# Investors from securities referred to in section 19642
+ame and address of the %erson
deductin" tax
Ac/no!#ed"ement +os. of a##
5uarter#$ ,tatement of T4, under
,u(),ection 132 of ,ection 200 as
6rovided ($ TI+ faci#itation Center or
+,47 !e() site
+ame and address of the %erson to
!hom %a$ment made or in !hose
account it is credited
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Tax 4eduction A*C. +o. of The
4eductor
+ature of 6a$ment
Interest other than
interest on securities
6A+*8I9 +o. of the 6a$ee
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U/S 194A
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6A+*8I9 +o. of the 4eductor
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109909 31)03)2010 10991 0 0 10991 e)6a$ament 001030A 29)0F)2010 006@A
Certified that a sum of 9s. 1in !ords) F&(#ee, -$"u./,' N&,e Hu,'re' N&,e#0 ",e ",l0 has (een deducted at
source and %aid to the credit of the Centra# 8ovt. as %er detai#s "iven a(ove.

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5uarter#$ Ac/no!#ed"ement
F

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5.A9T:9 )2010
0001301002@F920

,i"nature of 6ersons res%onsi(#e for deduction of tax

6#aceH 8u!ahati Fu## +ameH A,&l 1/ree2
4atedH 30*0F*2010
4esi"nationH 1/r#,er