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Particulars to be furnished by the contractor under the third proviso to clause (i) of sub-section (3) of section 194C for the Financial Year_________ (Assessment Year) ______ (Omitted)

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..... LARS TO BE FURNISHED BY THE CONTRACTOR UNDER THE THIRD PROVISO TO CLAUSE (i) OF SUB-SECTION (3) OF SECTION 194C FOR THE FINANCIAL YEAR …………………. (ASSESSMENT YEAR ………………. ) 1. Name of the person (contractor) : …………………… …………&he .....

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..... ontractor has quoted) Address of the sub-contractor Amount paid or credited during the year Heavy goods carriage/truck Registration Number Date of Registration 1. 2. 3. VERIFICATION I, ………………………………… ……………………………… , h .....

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