| PART-I - PERSONAL DETAIL |
S. No. |
Particulars |
Detail / Remark |
1 |
Name |
|
2 |
Father's Name |
|
3 |
D.O.B. |
|
4 |
PAN No. |
|
5 |
Residence Address(with pincode) |
|
6 |
'Whether Married or Single |
|
7 |
Mobile Number |
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8 |
E-Mail Id |
|
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| PART-II - DETAIL OF INCOME |
9 |
Whether Salaried or Self-Employed |
|
10 |
In Salaried, attach copy of Form 16 |
|
11 |
If Self-Employed, Nature of Business |
|
12 |
Income Earned during the year |
|
13 |
Interest from Saving Bank A/c |
|
14 |
Amount of TDS Deducted (furnish copy of TDS Certificates) |
|
15 |
Income Derived from sale-purchase of assets, if any |
|
16 |
Any Long term or Short Term Gain from Trading in Shares |
|
17 |
Any other Income |
|
|
| PART-III - DETAIL OF INVESTMENTS FOR CLAIMING DEDUCTION |
18 |
Detail of Policies Investments for claiming |
|
Nature of Policy (i.e. LIC, NSC, PPF Mutual Funds, Medical Claim, etc) |
Policy Name |
Annual Premium |
|
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Note:-For Claiming Deductions, provide scanned copy of every Investments |
19 |
If married, Exp. Incurred on child education i.e. School Fees |
|
20 |
Whether own a house or living on rent, if on rent mention rent p.m. |
|
|
| PART-IV - DETAIL OF BANK ACCOUNT (mandatory) |
21 |
Bank Name & Branch |
|
|
22 |
Bank A/c No. |
|
|
23 |
Whether Saving or Current |
|
|
24 |
MICR Code of Bank (9 digit) |
|
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| Any Other Detail which you want to furnish:- |
*
*
*
*
*.
|
| Note:-In Case of salaried Employee, provide following detail |
| * Copy of Form-16 –for Employer’s & TDS details |
| * Copy of Form-16A – for Saving Bank/FD/Others Interest income, if any |
| * Copy of Investments made during the year |
| * Copy of Cheque in case of refund |
| * Dmat A/c – capital gains details, if any |
| * Copy of PAN Card |
|
| In Case of Self-Employed, provide following detail |
| * Copy of form 16A-issued by parties for TDS Detail |
| * Copy of Form-16A – for Saving Bank/FD/Others Interest income, if any |
| * Copy of Investments |
| * Copy of Cheque in case of refund |
| * Dmat A/c – capital gains details, if any |
| * Copy of PAN Card |
|
