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FORM NO. 10F See sub-rule 1 of rule 21AB Information to be provided under sub-section 5 of section 90 or sub-section 5 of section 90A of the Income-tax Act 1961 I son/daughter of Shri. in the capacity of designation do provide the following information relevant to the previous year in my case/in the case Nature of information i Status individual company firm etc* of the assessee ii Permanent Account Number PAN of the assessee if allotted iii Nationality in the case of an individual or Country or specified territory of incorporation or registration in the case of others iv Assessee s tax identification number in the country or number then a unique number on the basis of which the person is identified by the Government of the country or the specified territory of which the assessee claims to be a resident v Period for which the residential status as mentioned in the certificate referred to in sub-section 4 of section 90 or sub-section 4 of section 90A is applicable vi Address of the assessee in the country or territory outside India during the period for which the certificate mentioned in v above is applicable Details I have obtained a certificate referred to in sub-section 4 of section 90 of sub-section 4 of section 90A from the Government of name of country or specified territory outside India. Signature Name Address Verification and belief what is stated above is correct complete and is truly stated* Verified today the day of Signature of the person providing the information Place Notes 1. Delete whichever is not applicable. 2. Write N*A. if the relevant information forms part of the certificate referred to in subsection 4 of section 90 or sub-section 4 of section 90A. in the capacity of designation do provide the following information relevant to the previous year in my case/in the case Nature of information i Status individual company firm etc* of the assessee ii Permanent Account Number PAN of the assessee if allotted iii Nationality in the case of an individual or Country or specified territory of incorporation or registration in the case of others iv Assessee s tax identification number in the country or number then a unique number on the basis of which the person is identified by the Government of the country or the specified territory of which the assessee claims to be a resident v Period for which the residential status as mentioned in the certificate referred to in sub-section 4 of section 90 or sub-section 4 of section 90A is applicable vi Address of the assessee in the country or territory outside India during the period for which the certificate mentioned in v above is applicable Details I have obtained a certificate referred to in sub-section 4 of section 90 of sub-section 4 of section 90A from the Government of name of country or specified territory outside India. Signature Name Address Verification and belief what is stated above is correct complete and is truly stated* Verified today the day of Signature of the person providing the information Place Notes 1.

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Keywords relevant to Form 10f

  • III
  • designation
  • Incorporation
  • applicable
  • allotted
  • specified
  • Nationality
  • verification
  • II
  • SL
  • iv
  • India
  • delete
  • residential
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