Declaration by a Corporation established by or under a Central Act for non-deduction of tax at source u/s. 194 of the Act by virtue of section 196 of the Act. 
 
(On the letterhead of the Corporation) 
  
I, _____________________________________________________________; in the capacity of ______________ of ______________ (Specify name of the Corporation); hereby declare that: 
 
a. The said Corporation is established by or under a Central Act and a self-attested copy of registration certificate is enclosed. The said Corporation holds ________ equity shares of Unichem Laboratories Limited bearing Folio No. ___ to ____ 
 
b. The income of the said Corporation under _______________ (Specify the law) is exempt from income-tax. 
  
c. Accordingly, by virtue of provisions of section 196 of the Act, it is requested that no deduction of tax be made under section 194 of the Act. 
 
Verification 
I. . . . . . . . . . . . . . . . . . . do hereby declare that to the best of my knowledge and belief what is stated above is correct complete and is truly stated.  
Verified today the . . . . . . . . . . . . . . . . . . . day of. . . . . . . . . . . . .   
 
Name and Signature of the person providing the information  
Place: . . . . . . . . . . . . . . . . . . .   
 
Encl: As above