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Form F15CA - Filed Form

The document is Form No. 15CA, which provides information for payments to non-residents and outlines the necessary details for remittances exceeding five lakh rupees under the Income-tax Act, 1961. It includes sections for remitter and remittee information, accountant certification, and particulars of remittance and TDS. The form is completed by Geetansh Bamania, a director of Edunetwork Private Limited, for a remittance of 8000 USD to Branch Metrics Inc. in the USA.

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Mohammad Ayub
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0% found this document useful (0 votes)
38 views4 pages

Form F15CA - Filed Form

The document is Form No. 15CA, which provides information for payments to non-residents and outlines the necessary details for remittances exceeding five lakh rupees under the Income-tax Act, 1961. It includes sections for remitter and remittee information, accountant certification, and particulars of remittance and TDS. The form is completed by Geetansh Bamania, a director of Edunetwork Private Limited, for a remittance of 8000 USD to Branch Metrics Inc. in the USA.

Uploaded by

Mohammad Ayub
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORM NO.

15CA Acknowledgement
[See rule 37BB] Number
Information to be furnished for payments, to a non-
165200671180919
resident not being a company, or to a foreign company
x
PART A - To be filled up if the remittance is chargeable to tax under the provisions of the Income-tax Act,1961 and
the remittance or the aggregate of such remittances, as the case may be, does not exceed five lakh rupees during the
financial year.
PART B - To be filled up if the remittance is chargeable to tax under the provisions of the Income-tax Act,1961 and
the remittance or the aggregate of such remittances, as the case may be, exceeds five lakh rupees during the financial
year and an order/ certificate u/s 195(2)/ 195(3)/ 197 of Income-tax Act has been obtained from the Assessing Officer.
PART C - To be filled up if the remittance is chargeable to tax under the provisions of Income-tax Act, 1961 and the
remittance or the aggregate of such remittances, as the case may be, exceeds five lakh rupees during the financial year
and a certificate in Form No. 15CB from an accountant as defined in the Explanation below sub-section (2) of section
288 has been obtained.
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).
x
Please select the relevant part from the drop down. PART - C
x
PART - C
Acknowledgement No of 15CB 162202621140919
PART C - Section A
To be filled up if the remittance is chargeable to tax under the provisions of Income-tax Act, 1961 and the remittance
or the aggregate of such remittances, as the case may be, exceeds five lakh rupees during the financial year and a
certificate in Form No. 15CB from an accountant as defined in the Explanation below sub-section (2) of section 288
has been obtained
Section A - GENERAL INFORMATION
REMITTER
Name of Remitter EDUNETWORK PRIVATE LIMITED
PAN of Remitter AADCE0327Q
TAN of the Remitter
Area Code
AO Type
Range Code
AO Number
Principal Place of Business Bangalore
ADDRESS OF THE REMITTER
Flat/ Door/ Building 2nd Floor of No.1
Name of premises/ Building/ Village
Road/ Street KDP Building Kira Layout Dharmaram College Post
Area/ Locality Bangalore South
Town/ City/ District BANGALORE
State KARNATAKA
Country INDIA
Pin Code 560029
Email ID COMPLIANCE@[Link]
Phone Number 7353171849
Status COMPANY
Residential status of remitter Domestic company
REMITTEE
Name of recipient of remittance BRANCH METRICS INC.
PAN of recipient of remittance
Status OTHERS
ADDRESS OF THE RECIPIENT OF REMITTANCE
Flat/ Door/ Building 1400 B, Sea Port Blvd
Name of premises/ Building/ Village Redwood City
Road/ Street Second Floor
Area/ Locality Redwood City
Town/ City/ District Redwood City
State California
Country UNITED STATES OF AMERICA
ZIP Code 94063
Country to which remittance is made UNITED STATES OF AMERICA
Principal Place of Business United States of America
Email Address
(ISD code)-Phone Number
ACCOUNTANT
(a) Name of the Accountant signing the certificate MANISH TOSHNIWAL
(b) Name of the proprietorship/firm of the T A B S AND ASSOCIATES
accountant
(c) ADDRESS OF THE ACCOUNTANT
Flat/ Door/ Building 46
Name of premises/ Building/ Village
Road/ Street Strand Road
Area/ Locality Strand Road
Town/ City/ District Kolkata
State WEST BENGAL
Country INDIA
Pin Code 700007
(d) Registration no. of the accountant 302474
(e) Date of certificate (DD/MM/YYYY) 14/09/2019
(f) Certificate No 162202621140919
A.O. ORDER
(a) Whether any order/ certificate u/s 195(2)/ No
195(3)/ 197 of Income-tax Act has been obtained
from the Assessing Officer.
(b) Section under which order/certificate has been
obtained.
(c) Name of the Assessing Officer who issued the
order/certificate.
(d) Designation of the Assessing Officer who
issued the order/certificate.
(e) Date of order/certificate (DD/MM/YYYY).
(f) Order/ certificate number.
PART C - Section B
Section B - PARTICULARS OF REMITTANCE AND TDS (as per certificate of the accountant)
REMITTANCE
1. Country to which remittance is made.
Country UNITED STATES OF AMERICA
Name of Country if selected as Others
Currency US DOLLAR
Currency if selected as Others
2. Amount payable.
In foreign currency 8000
In Indian Rs 570960
3. Name of bank ICICI Bank Ltd
Name of bank if selected as Other Bank
Branch of the bank TAVARKERE
4. BSR code of the bank branch (7 digit) 6390304
5. Proposed date of remittance 16/09/2019
6. Nature of remittance as per agreement/ FEES FOR TECHNICAL SERVICES/ FEES FOR INCLUDED SERVI
document CES
Nature of remittance as per agreement/ document
if selected as Others
Relevant purpose code as per RBI Other Business Services
S1006 - Business and management consultancy and public relations
8. In case the remittance is net of taxes, whether No
tax payable has been grossed up?
[Link] T
9. Taxability under the provisions of the Income-tax Act (without considering DTAA).
(a) the relevant section of the Act under which the 195 AND 9(1)(VII) EXPLN 2
remittance is covered
(b) the amount of income chargeable to tax 570960
(c) the tax liability 57096
(d) basis of determining taxable income and tax AS PER INCOME TAX ACT 1961
liability
DTAA
10. If any relief is claimed under DTAA -
(i) Whether tax residency certificate is obtained Yes
from the recipient of remittance
(ii) please specify relevant DTAA USA DTAA
(iii) please specify relevant article of DTAA ARTICLE 12
(iv) taxable income as per DTAA (In Indian Rs.) 570960
(v) tax liability as per DTAA (In Indian Rs.) 0
A. If the remittance is for royalties, fee for Yes
technical services, interest, dividend, etc,(not
connected with permanent establishment) please
indicate:-
(a) Article of DTAA ARTICLE 12
(b) Rate of TDS required to be deducted in terms 0
of such article of the applicable DTAA
B. In case the remittance is on account of business No
income, please indicate:-
(a) The amount of income liable to tax in India
(b) The basis of arriving at the rate of deduction of
tax.
C. In case the remittance is on account of capital No
gains, please indicate:-
(a) amount of long term capital gains
(b) amount of short-term capital gains
(c) basis of arriving at taxable income
D. In case of other remittance not covered by sub- No
items A, B and C
(a) Please specify nature of remittance
(b) Whether taxable in India as per DTAA No
(c) If yes, rate of TDS required to be deducted in
terms of such article of the applicable DTAA
(d) if not, please furnish brief reasons thereof N.A.
specifying relevant article of DTAA
TDS
11. Amount of tax deducted at source
In foreign currency 0
In Indian Rs 0
12. Rate of TDS AS PER DTAA
0
13. Actual amount of remittance after TDS (In 8000
foreign currency)
14. Date of deduction of tax at source, if any (DD/ 14/09/2019
MM/YYYY)

PART-C VERIFICATION
1. I, GEETANSH BAMANIA(Name in full and in block letters) son/daughter/wife of JAGDISH BAMANIA in the
capacity of DIRECTOR (designation) solemnly declare that the information given above is true to the best of my
knowledge and belief and no relevant information has been concealed.

2. I certify that a certificate has been obtained from an accountant, particulars of which are given in this Form, certifying
the amount, nature and correctness of deduction of tax at source.

3. In 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.

4. 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, 1961 as a person responsible for deduction of tax at source.

Date (DD/MM/YYYY): 18/09/2019

Name of the person responsible for paying to non-resident GEETANSH BAMANIA

Place BANGALORE

Designation DIRECTOR

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