Form No. 26QA
[See section 206A and rule 31AC]
Particulars required to be maintained for furnishing quarterly return under section 206A
1. (a) Tax deduction and Collection Account No. (TAN) (c) Financial Year
(b) Permanent Account No. (PAN) (d) Assessment Year
2. Particulars of the payer :
(a) Name
(b) Branch/Division/Office/Unit
(c) BSR Code, if any
(d) Address :
(i) Flat/Premises No.
(ii) Name of the premises/building
(iii) Road/Street/Lane
(iv) Area/Location
(v) Town/City/District
(vi) State
(vii) Pin Code
(viii) Telephone No.
(ix) E-mail
3. Details of time deposits for the quarter ended of the Financial Year under section 206A.