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 Q3 (From 01/10/24 to 31/12/24 (dd/mm/yy)#) 1 (a) Tax Deduction Account No. KNPA04080G (d) Financial Year 2024-25 (b) Permanent Account No. AOUPA2155E (e) Assessment year 2025-26 (c) Form No. 27EQ (f) Previous receipt number NA (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 (a) Name ANKIT AGARWAL (a)Name ANKIT AGARWAL (b) Type of deductor* INDIVIDUAL/HUF (b)PAN AOUPA2155E (c) Branch / division (if any) 0 (c)Address (d) Address Flat No. 16/116 B Flat No. 16/116 B Name of the premises/building Name of the premises/building Road / street / lane BHARGAVA ESTATE Road / street / lane BHARGAVA ESTATE Area / location CIVIL LINES Area / location CIVIL LINES Town / City / District KANPUR Town / City / District KANPUR State UTTAR PRADESH State UTTAR PRADESH Pin code 208001 Pin code 208001 Telephone No. - Telephone No. - E-mail ANKIT.SBS0033@GMAIL.COM E-mail ANKIT.SBS0033@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 REGULAR 49 15438384.00 15440.00 15440.00 Total 49 15438384.00 15440.00 15440.00 5 Total Number of Annexures enclosed 6 Other Information VERIFICATION I, ANKIT AGARWAL , hereby certify that all the particulars furnished above are correct and complete. Place: KANPUR Signature of person responsible for deducting / collecting tax at source Date: 14/01/2025 Name and designation of person responsible for deducting / collecting tax at source ANKIT AGARWAL, PROPRIETOR * Mention type of deductor - Government or Others # dd/mm/yy :- date/month/year