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sTRcl: 55 qf$.F, )8\C <€Fif{/ QC E{, QoSU. Rslqlqn qI{, rs, {< }bs-qtt{F1T<F-dAo5tsF--lncorne-tax Ordinance,lgg4 (Ordinance

No. XXXVI of 1984), qss'B Bg ordinance <fu Bfrfus, €i secrion l g5 ,s aq-sss\5l-{cE qrqT <M'q r{16 income Tax Rules, l9g4 ,{ fixqf qr+sE-{ c(rfisc-f,tst< nRxt egql-<t W erc-a-O'q TR-E, rqfi:-

E"ffr-EB Rules €R--(5) rule 17A s*--

(tr) clause (b) sR Table-is< T-q-tT (1) e< qts\otfr{ Sl. No. 31.,{<(BqIK fr"i-A-cs 6RFF5 <'Et{ (2), (3) \s (4) ,q qffiq'Trs.3 "fffi fi"-t"tS1. No. e<( sftcT ffitg q?r<, qql'-

31 85.1 7 8517.i2.10 CcIlular (Mobilelli:<cd ivircIcss) tciephonc set

-) /". 85.r7 8s r 7.7C.00 l-oaderj Frinied Cii"cu!t Board/ PCB; Assembled/Mother" Boaru' l'r:r Cellular Phone; Key; Keypadhousing; Keypad Di:me; Front Shell; Vibrator;Motnr; Toucir Panei; "T-ouch Panel Glass formobile phr:ne, i.iquid Crystal tulodule; CameraModule; lnput- Output (f/O) Port; lnternalEarphone; Mirrophone; Antenna; Receiver

(lce;)qnl, B[ol u.oo

ltBo ql!,Elrn i (5rqB, qffi,s,-. ga r.c, Qo)b,

JJ. 89"01 8901.90.30

Vessels capacity exceeding 50C0 DWT forregistration in Bangladesh operating in Oceanfor at least three consecutive years and notolder than 22 years from the date ofcommissioning;

(cD clause (c) eK'l able-3 s< Tetrr (1 ) €< q..eqt*

1v) Sl. No. 174. e< frlfts +qtn (4) e< s,E< a,.fr<6 f;xgz eftgfratPts q?r<, qqt'*-

"Databasc; opcrating systcntsi d*'elopircnt tools: proclLrcii'it\,:com rtrun icalion or col iaborati on soltri arc " :

(sT) Sl. No. 176. eK fr{ft-F TEFr (4) €_< .!ffin nfu f;xqr efrgfrqtPig qtr<, rqtt,-

"Database; opcr.ating s'stcms: dcvelopmcnt tools: prodLrclivity:corl mun icatio n or coi I aboration soilrvare,, ;

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No

Parliculars olthe persorr fi.om

r.vhorn tax is deducted/ collcctcdDalc of tax

deduction/

colicction

Sourcc o{'

dcductionl

collcction

Scction

Name Addre ss 1'IN

I 2 1l 4 5 6 7

Amount

paidl

credited

Amount of tardeducted/

collectcd

Payment to thc credit ol-the(iovcrnrncr rt

I{cnrarks

Challan*

Nunrber

Challan

Datc

Bank

Narne

Amount

8 9 t0 11 12 1fI-) 11

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(e) rulc 23 sT ai.{ fiTfl ryfl rule 234 cftr<lits Qtr<; {ql:-"23A. Statemcnt regarding tiling of return by emplovces.*--(1) 'l'hc

statetnent to be preparcd and hrrnishcc{ to thc Dcputy Curnrnissioncr'ol"l'axes under sub-scction (2) oi scction l0BA ol'thc Orclinarrcc shailbe made in thc Ibllor.ving lbrm and vcril'icd in the rnanncr indicatc<J

thcrciu. narncly: --

Statcmcnt regarding tiling oI'rclurn of employecs

undcr section 108A olthc Incorrrc 'l'ax Orclinar-rcc, 1984 (XXXVI ol' 1984)

Statemcnt l'or I.'inancial Ycar:

Nalne of the ernployer:.I'IN:

Addrcss:

I ce rtily that--

(a) the above statement contains a complete list of employees andtheir particulars about their filing of the return of income;

(b) the particulars above are correct and complete.

SignatLrrc & Scal

Nanrc:........[)csignation:Datc cll' Sigrrature: ";

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Sl. No. Nanre oltheerlplovcc

Dcsignariorr 'lwclvc-digit'l'axpavcr's

Icicntifi cation Nuntbcr

I 2 J 4

'l-axes

Circle.Taxcs

T.onelUnil

Date ol'filing ol'tlre return of

incornc

'l'he scrial nurnber'

providcd b), the Incott-tc-

tax autlrority upon lilingof the returrr

I{crnarl<s

5 6 1 8

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