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Report by a parent entity or an alternate reporting entity or any other constituent entity, resident in India, for the purposes of sub-section (2) or sub-section (4) of section 286 of the Income-tax Act, 1961

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..... ther the reporting entity is the parent entity of the international group PART A: OVERVIEW OF ALLOCATION OF INCOME, TAXES AND BUSINESS ACTIVITIES BY TAX JURISDICTION Name of the Multinational Enterprise group: Reportable accounting year: Currency used: Tax Jurisdiction Revenues Profit(Loss) before Income Tax Income Tax Paid (on Cash Basis) Income Tax Accrued Reportable Accounting Year Stated Capital Accumulated Earnings Number of Number of Employees Tangible Assets other than Cash an .....

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..... ed in Part A and Part B. (e.g. Source of Data) I son/daughter/wife* of Shri hereby declare that I am furnishing the information in my capacity as (designation) of (name of the assessee) and I am competent to furnish the said information and verify it. Signatur Address of the declarant PAN of the declarant Place: Date: Note 1: *Strike off whichever is not applicable **This form has to be signed by the person competent to verify the return of income under section 140. Note 2: Specific instructions Part A 1. In the column titled Tax Jurisdiction , the Reporting multi-national enterpr .....

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..... isdiction. 3. Under the column titled Profit (Loss) before Income Tax , the Reporting MNE should report the sum of the profit (loss) before income tax for all Constituent Entities resident for tax purposes in the relevant tax jurisdiction. The profit (loss) before income tax should include all extraordinary income and expense items. 4. Under the column titled Income Tax Paid (on Cash Basis) , the Reporting MNE should report the total amount of income tax actually paid during the relevant fiscal year by all Constituent Entities resident for tax purposes in the relevant tax jurisdiction. Taxes paid should include cash taxes paid by the Constituent Entity to the residence tax jurisdiction and to all other tax jurisdictions. Taxes paid .....

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..... rmanent establishments, accumulated earnings should be reported by the legal entity of which it is a permanent establishment. 8. Under the column titled Number of Employees , the Reporting MNE should report the total number of employees on a full-time equivalent (FTE) basis of all Constituent Entities resident for tax purposes in the relevant tax jurisdiction. The number of employees may be reported as of the year-end, on the basis of average employment levels for the year, or on any other basis consistently applied across tax jurisdictions and from year to year. For this purpose, independent contractors participating in the ordinary operating activities of the Constituent Entity may be reported as employees. Reasonable rounding or appr .....

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..... ent from Tax Jurisdiction of Residence , the Reporting MNE should report the name of the tax jurisdiction under whose laws the Constituent Entity of the MNE is organised or incorporated if it is different from the tax jurisdiction of residence. 12. Under the column titled Main Business Activity(-ies) , the Reporting MNE should determine the nature of the main business activity(ies) carried out by the Constituent Entity in the relevant tax jurisdiction, by ticking one or more of the appropriate boxes. In this column, if the Reporting MNE chooses the option Other , then it shall be required to specify the nature of the activity of the Constituent Entity in the Part C: Additional Information section.] ******************* N .....

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