Annual Statement under section 9A of the Income-tax Act, 1961 - [See rule 10VB]

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..... 2 Name of the eligible fund 3 Address of the fund 4 Permanent Account Number (if Allotted) 5 Country of Residence 5 Tax Identification No., if any, of co .....

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..... the year? Yes/NO 11 If answer to 10 is Yes provide details of person(s) and percentage interest 12 Details of any shareholding agreement entered during the year in respect of any Indian Concern 13 Details of Fund Manager(s) in India r .....

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..... r of holding (Designation) on behalf of the above mentioned (Name of Fund) solemnly declare that to the best of my knowledge and belief, the information given in the form is correct and complete and that the other particulars shown therein are truly stated. I further declare that I am submitting this form in my capacity as . and I am also competent to .....

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