I. PERSONAL DETAILS*
Name* (Full name without
initials):

PAN*:

AADHAAR*:

Date of Birth*:

Father's Name* (Full
name without initials):

Residential Address*:







Contact Number*:



E-Mail*:

How many days did you
stay in India during the
year*:
#DD/MM/YYYY
Name of
Premises/Building/
Village:
Flat/Door/Block No.:
Road/Street/P.O.:
Area/Locality:
State:
Town/City/District:
Pincode:
Number
Telephone-RES
STD code
Mobile Number*:
Financial year*:
Employer Name:
    II. BANK DETAILS (Mandatory)
Bank Name*:

Branch*:

Account Number*:

IFS code*:

Type of account
(please select)*:
    III. PLEASE SELECT WHICHEVER APPLICABLE*
  • Do you own house property?

  • Do you have dependents or minors whose income needs to be clubbed with yours?

  • Do you need to carry forward previous years' losses?

  • Have you donated to charities where 80G is applicable?

  • Do you have any other non-taxable or exempt income like dividends, agricultural income etc.?

  • Are you governed by Portugese Civil Code?
* Fields are compulsory
Any details/data submitted by you on this site or by e-mail to us shall be kept confidential. We respect your privacy. Personal information shall not be shared with outsiders for any reason other than the intended purpose for which it is submitted.
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