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*:
*Use CTRL to
select multiple
years.
Please adjust quantity in payment
page if you have selected more
than one year.
Financial year*:
Employer Name:
    II. BANK DETAILS (Mandatory)
Bank Name*:

Branch*:

Account Number*:

IFS code*:

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

  • Did you sell property or shares or mutual funds during the year?

  • If you stayed in India for more than 182 days during 2014-15, do you have any assets or income in
    any other country?

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

  • Do you need to claim relief u/s 89(1)?

  • Has your income been taxed in any other country for which you need to claim Double Taxation
    Relief in India?

  • 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
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