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"268:>@BD6:<>BJLNOJPJQJ6OJPJQJOJPJQJCJ[ ,d= l.8f$ FORM NO. 40C
[See rule 77]
Application for recognition
1.Name of the Fund for which recognition under Part A of the Fourth Schedule to the Income-tax Act, 1961 is sought:2.Permanent Account Number of the Fund:3.Date of creation of the fund:4.Name of the employer:5.Address of the employer:6.Business/Profession of the employer:7.Principal place of business of the employer:8.Total number of employees:9.Number of employees employed in India:10.Number of employees subscribing to the fund:(i) In India -(ii) Outside India -11.Place where the accounts of the funds are/will be maintained:12.The number of trustees of the fund:13.The name and address of the trustees:14.(a) Whether it is an irrevocable trust:YesNo(b) If not, the reasons thereof:15.Please indicate the contribution by the employee as a percentage of his salary:16.Please indicate the contribution by the employer as a percentage of employee s salary:17.The contribution being made/proposed to be made by the employer:18.Whether the establishment is covered under YesNoEmployees Provident Fund and Miscellaneous Provisions Act, 1952 (EPF and MP Act):If yes,(a) whether covered under section 1(3) of EPF and MP Act:(b) whether covered under section 1(4) of EPF and MP Act:19.(a) Whether the establishment is exempt under YesNosection 17 of the EPF and MP Act:(b) If yes, please indicate the exemption number/date and enclose documentary proof:(c) If no, please indicate the date of application and attach proof of receipt from Employees Provident Fund Organization:20.(a) Whether the fund was recognized under the YesNoIncome-tax Act, 1961 before 31-3-2006:(b) If yes, please indicate the date of approval and attach a copy of letter of approval:21.If the fund is already in existence, please furnish the following details relevant to the financial year ending prior to the date of application:(a) the total corpus of the fund:(b) investment pattern being followed [give breakup in accordance with the investment pattern prescribed in rule 67(2)]:(c) a copy of the balance-sheet of the fund:22.Whether the establishment has an approved superannuation fund. If yes, please indicate the approval number and date and indicate the authority which has granted the approval:23.Whether the establishment has an approved gratuity fund. If yes, please indicate the approval number and date and indicate the authority which has granted the approval:
VERIFICATION
I/We , the trustees of the above named fund, solemnly declare that the information given in the application is true and correct to the best of my/our information and belief and that the documents sent herewith are the original or true copies thereof.
PAGE \* Arabic 1
Printed from incometaxindia.gov.in
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