Applying As CompanyPartnership FirmLimited Liability Partnership Applying For NewCorrection in existing one Full Name of Company / Partnership Firm / Limited Liability Partnership Date of Incorporation/ Agreement / Partnership Attach Certificate of Registration or Partnership Deed Office Address Flat / Room / Door / Block No. Name of Premises / Building / Village Road / Street / Lane/Post Office Area / Locality / Taluka/ Sub- Division Town / City / District State / Union Territory Pin Code Attach Office Address Proof Source of Income —Please choose an option—SalaryCapital GainsIncome from Business / ProfessionIncome from Other sourcesIncome from House propertyNo income [group business-type] Business/Profession Type 01 Medical Profession and Business02 Engineering03 Architecture04 Chartered Accountant/ Accountancy05 Interior Decoration06 Technical Consultancy07 Company Secretary08 Legal Practitioner and Solicitors09 Government Contractors10 Insurance Agency11 Films, TV and such other entertainment12 Information Technology13 Builders and Developers14 Members of Stock Exchange, Share Brokersand Sub-Brokers15 Performing Arts and Yatra16 Operation of Ships, Hovercraft, Aircrafts orHelicopters17 Plying Taxis, Lorries, Trucks, Buses or otherCommercial Vehicles18 Ownership of Horses or Jockeys19 Cinema Halls and Other Theaters20 Others [/group] Telephone / Landline Number Email Mobile Number Representative Assessee Title —Please choose an option—Shri.Smt.Kumari Last Name First Name Middle Name Proof of Name(Representative Assessee) Address- Flat / Room / Door / Block No. Name of Premises / Building / Village Road / Street / Lane/Post Office Area / Locality / Taluka/ Sub- Division Town / City / District State / Union Territory Pin-Code/ Zip-Code Mobile Number Proof of Address(Representative Assessee) Attach Signature (2X4.5 cms) Your Message I hereby hereby declare that what is stated above is true to the best of my/our information and belief Δ Click Here For Documents Required
