FORM NO.
15CA [See rule 37BB]
Information for payment to Non-Resident
Information to be furnished for payments to a non-resident not
being a company, or to a foreign company
Part D
To be filled up if the remittance is not chargeable to tax under the provisions of the Income-tax Act,
1961 {other than payments referred to in rule 37BB(3)} by the person referred to in rule 37BB(2)
Remitter (Sender) Details
Name of the remitter NSL TEXTILES LIMITED
PAN of the remitter, if available AABCJ1299A
Status of remitter Company
Residential status of remitter Domestic company
TAN of the Remitter -
Address EMGEE HOUSE,3RD FLOOR,
4TH LINE, GUNTUR, Guntur,
Chandramoulinagar S.O, Andhra
Pradesh, INDIA - 522007
Email ID [email protected]
Phone Number 9581412111
Remittee (recipient) Details
Name of recipient of remittance MRS. GAYATRI RATHO JINDEL
PAN of the recipient of remittance, if available -
Address 2, SIMS CLOSE, # 2-14,
SINGAPORE, SINGAPORE,
SINGAPORE, SINGAPORE,
Singapore - 387298
Email ID -
Phone Number -
Country to which remittance is made Country Singapore
Currency US Dollar
Country of which the recipient of remittance is resident, if available Singapore
Remittance (Fund transfer) Details
Amount payable in foreign currency 3,488.64
Amount payable in Indian Currency ₹ 2,56,947
Name of the Bank CANARA BANK
Name of the branch of the bank BANGALORE CORPORATE
SERVICE BR
BSR code of the bank branch (7 digit) 5600151
Name of the authorized dealer Canara Bank
Branch Address of the authorized dealer International Division, Maker
Chambers III, 7th Floor, Nariman
Point, Mumbai 400 021
Proposed date of remittance 17-Sep-2021
Nature of remittance Commission
Please furnish the relevant purpose code as per RBI Other Business Services
S1020 - Commission agent
services
2. I certify that I have reason to believe that the remittance as above is not chargeable under the provision of
Income-tax Act 1961 and is not liable for deduction of tax at source.
Verification
I, MANDAVA CHOWDARY, son/daughter of PRABHAKAR RAO in the capacity of MANAGING DIRECTOR solemnly
declare that the information given above is true to the best of my knowledge and belief and no relevant information
has been concealed. In a case where it is found that the tax actually deductible on the amount of remittance has
not been deducted or after deduction has not been paid or not paid in full, I undertake to pay the amount of tax not
deducted or not paid, as the case may be, along with interest due. I shall also be subject to the provisions of
penalty for the said default as per the provisions of the Income-tax Act, 1961. I further undertake to submit the
requisite documents for enabling the income-tax authorities to determine the nature and amount of income of the
recipient of the above remittance as well as documents required for determining my liability under the income-tax
Act as a person responsible for deduction of tax at source.
Place 182.72.150.14
Date 16-Sep-2021
Name of the person responsible for paying to non-resident MANDAVA CHOWDARY
Designation MANAGING DIRECTOR