Quarterly statement to be furnished by specified fund in respect of a non-resident referred to in rule 114AAB for the quarter of ………… of ….. (Financial Year)

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..... 1. Name of the fund/ stock broker: 2. Category (specified fund/stock broker): 3. Permanent Account Number/Aadhaar Number: 4. Details of non-resident referred to in sub-rule (1)/ sub-rule (2A) of rule114AAB Sl. No. Name E-mail address Contact number Address in the country or specified territory .....

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..... .......................... Place .. Date Attachments (to be uploaded): Declaration received from the non-resident as referred to in sub-clause (c) of clause (iii) of sub-rule (1) or sub-clause (c) of clause (ii) of sub-rule (2A), as the case may be, of rule 114AAB. ] ************* NOTES:- 1. Inserted vide NOTIFICATION NO. 11/2020 dated 13-02-2020 .....

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..... nt is identified by the Government of that country or the specified territory of which he claims to be a resident (to be furnished if Tax Identification Number is not available) Verification I (full name in block letters), son/daughter of .....

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