Information and documents to be furnished by an Indian concern under section 285A

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..... ount Number or Aadhaar Number] (c) Address (ii) if the information is being furnished on behalf of any Indian concern(s) details of such concern (s) : (a) Name (b) 3[Permanent Account Number or Aadhaar Number] (c) Address Yes/No 8. Details of immediate holding entity, intermediate holding entity and ultimate holding entity, - (A) Immediate holding entity: - (a) Name (b) Country of incorporation (c) Country of which it is tax resident (B) Intermediate holding entity: - (a) Name (b) Country of incorporation (c) Country of which it is tax resident (C) Ultimate holding entity: - (a) Name (b)Country of incorporation (c)Country of which it is tax resident 9. (a) Whether share of, or interest in, any company .....

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..... uring the previous year ] 11. (a) Whether share of, or interest in, the company or entity referred to in 9 has been transferred during the previous year, the income from which is deemed to accrue or arise in India under the provisions of section 9(1). (b) If yes give details: - (i). Name of the company or entity (ii). Details of the transaction(s) (iii). Name of transferor along with address (iv). Percentage share/interest transferred including holding percentage of transferor during the period of 12 months preceding the transfer (v). Value of total assets of the company or the entity (vi). Details of transferee along with address Yes/No 12. Whether any transaction in respect of shares of, or interest in, any company or .....

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..... Verification I, ………………………….. [full name in block letters] ………………… son/daughter of …………………………………., on behalf of the above mentioned Indian concern holding 2[Permanent Account Number or Aadhaar Number] ……………………..……., 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 &hel .....

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