FORM. NO. 15C

FORM. NO. 15C

[See rule 29B]

Application by a banking company for a certificate under section 195(3)

of the Income-tax Act, 1961, for receipt of interest and other

sums without deduction of tax

To

The Assessing Officer,

…………………………

…………………………

Sir,

I, .........:...........................……………………………………………….being? the? principal? officer

of…………………………………………………………………..hereby declare:

[name of the banking company]

(a) that................................, is a banking company which is neither an? Indian company nor a com-

pany which has made the prescribed arrangements for the declaration and payment of dividends

within India and which is operating in India through a branch(es) at...........................;

(b) that the head office of the said company is situated at....................................……………

[name of the place

…………………………………………..;

and country]

(c) that the said company is entitled to receive interest (other than ‘Interest on securities’) and other

sums not being dividends, chargeable under the provisions of the Income-tax Act, 1961, during

the financial year …... - …....;

(d) that the company fulfils all the conditions laid down in rule 29B of the Income-tax Rules, 1962.

I, therefore, request that a certificate may be issued authorising the said company to receive interest other

than “Interest on securities” and other sums not being dividends, without deduction of tax under sub-section

(1) of section 195 of? the Income-tax Act, 1961, during the financial year ..... - …..... I hereby declare that

what is stated in this application is correct.

Date .......................

?…………………………..

Signature

…………………………..

…………………………..

Address