Application for a certificate under the first proviso to Sub-Section (1A) of Section 230 of the Income-tax Act, 1961

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..... e below the necessary particulars: 1. Full name of the applicant (in block letters) : 2. 1 [ Permanent Account Number or Aadhaar Number ] : 3. Present address : 4. Permanent address : 5. Name of father (or husband) .....

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..... : 15. Passport No./Emergency Certificate No. (a) issued on (date) (b) from (place and country) I declare that to the best of my knowledge and belief, the information furnished in the application is correct and truly stated. Place ............................... Date ............................... Yours faithfully (Applicant) .....

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