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[Notification No. 111/2022/F. No. 370142/32/2022-TPL] [Notification No. 49/2022/F.No.370142/6/2022-TPL]

40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]

MINISTRY OF FINANCE

(Department of Revenue)

(CENTRAL BOARD OF DIRECT TAXES)

NOTIFICATION

New Delhi, the 1st April, 2022

INCOME-TAX G.S.R. 252(E).—In exercise of the powers conferred by section 139 read with section 295 of the Income-tax Act, 1961 (43 of 1961), the Central Board of Direct Taxes hereby makes the following rules further to amend Income-tax Rules, 1962, namely:- 1. Short title and commencement.— (1) These rules may be called the Income-tax (5 th Amendment) Rules, 2022. (2) They shall come into force with effect from the 1st day of April, 2022. 2. In the Income-tax Rules, 1962, in Appendix-II, for Form ITR-7, the following Form shall be substituted, namely:— ‘FORM ITR-7 INDIAN INCOME TAX RETURN [For persons including companies required to furnish return under sections 139(4A) or 139(4B) or 139(4C) or 139(4D) only] (Please see rule 12 of the Income-tax Rules, 1962) (Please refer instructions for guidance) Assessment Year 2 0 2 2 – 2 3 Part A-GEN PERSONAL INFORMATION (A1) Name (as mentioned in deed of creation/ establishing/ incorporation/ formation) (A2) PAN (A4) Flat/Door/Block No (A5) Name Of Premises/Building/Village (A3) Date of formation/incorporation (DD/MM/YYYY) / / (A6) Road/Street/Post Office (A7) Area/Locality (A11) Status (see instructions)  (A12) Sub Status (see instructions)  (A8) Town/City/District (A9) State (A10) Pin code/Zip code (A13) Office Phone Number with STD code/Mobile No. 1 (A14) Mobile No. 2 (A15) Email Address 1 (A16) Email Address 2 (A17) (i) Return furnished under section 139(4A) 139(4B) 139(4C) 139(4D) (ii) Please specify the section under which the exemption is claimed (dropdown to be provided) (A18) Whether any project/institution is run by the assessee? (Yes/No) If Yes, then please furnish the details: Details of the projects/institutions run by you Sl. Name of the project/institution (see instruction) Nature of activity (see instruction) Classification (see instructions) 1 2 3 4 [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 41 (A22) Whether you have held unlisted equity shares at any time during the previous year? (Tick)   Yes  No If yes, please furnish following information in respect of equity shares Name of compa ny Type of the company P A N Opening balance Shares acquired during the year Shares transferred during the year Closing balance No. of shar es Cost of acquisiti on No. of shar es Date of subscripti on / purchase Fac e valu e per shar e Issu e pric e per shar e (in case of fres h issu e) Purchase price per share (in case of purchase from existing sharehold er) No. of shar es Sale considerati on No. of share s Cost of acquisiti on (A19) Details of registration/provisional registration or approval under the Income-tax Act (Mandatory, if required to be registered) Sl. Section under which registered/provision ally registered or approved/notified Date of registration/provisional registration or approval Approval/ Notification/ Unique Registration No. (URN) Approving / registering Authority Date from which registration//pro visional registration/ approval is effective 1 (Dropdowns to be provided) 2 (A20) Details of registration/provisional registration or approval under any law other than Income-tax Act (including the registration under Foreign Contribution (Regulation) Act, 2010, registration on DARPAN portal of Niti Aayog and registration with SEBI) Sl. Law under/Portal on which registered Specify details in case ‘Any other Law’ Date of registration or approval Approval/ Notification/ Registration No. Approving/ registering Authority Date from which the registration is effective 1 (Dropdowns to be provided) 2 FILIN G STAT US (A21) (ai) Return filed u/s (Tick) [Please see instruction] 139(1)-On or before due date, 139(4)-After due date, 139(5)-Revised Return, 92CD-Modified return, 119(2)(b)- after condonation of delay. (aii) Or filed in response to notice u/s  139(9),  142(1),  148 (b) If revised/ defective/Modified, then enter Receipt No. and Date of filing original return (DD/MM/YYYY) __ /___/___ (c) If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C or order u/s 119(2)(b), enter unique number/ Document Identification Number (DIN) and date of such notice/order, or if filed u/s 92CD enter date of advance pricing agreement (unique number) __ /___/___ (d) Residential status? (Tick)  Resident  Non-resident (e) Whether any income included in total income for which claim under sections 90/90A/91 has been made?  Yes No [applicable in the case of resident] [if yes, ensure to fill Schedule FSI and Schedule TR] (f) Whether this return is being filed by a representative assessee? (Tick)   Yes  No If yes, please furnish following information – (1) Name of the representative (2) Capacity of the Representative (drop down to be provided) (3) Address of the representative (4) Permanent Account Number (PAN)/Aadhaar No. of the representative (g) Whether you are Partner in a firm? (Tick)   Yes  No If yes, please furnish following information Name of Firm PAN 42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 1a 1b 2 3 4 5 6 7 8 9 10 11 12 13 OTHER DETAILS (A23) i Where, in any of the projects/institutions run by you, one of the charitable purposes is advancement of any other object of general public utility then,- a i Whether there is any activity in the nature of trade, commerce or business referred to in proviso to section 2(15)?  Yes  No ii If yes, then percentage of receipt from such activity vis-à-vis total receipts % b i Whether there is any activity of rendering any service in relation to any trade, commerce or business for any consideration as referred to in proviso to section 2(15)?  Yes  No ii If yes, then percentage of receipt from such activity vis-à-vis total receipts % ii If ‘a’ or ‘b’ is YES, the aggregate annual receipts from such activities in respect of that institution Sl. Name of the project/Institution Amount of aggregate annual receipts from such activities a b (A24) i Is there any change in the objects/activities during the Year on the basis of which approval/registration/provisional registration was granted?  Yes  No ii If yes, please furnish following information:- A date of such change (DD/MM/YYYY) ____/____/______ __ B Whether an application for fresh registration/provisional registration has been made in the prescribed form and manner within the stipulated period of thirty days as per clause (ab) of sub-section (1) of section 12A / sub-clause (v) of clause (ac) of sub-section (1) of section 12A  Yes  No C Whether fresh registration/provisional registration has been granted under section 12AA/12AB  Yes  No D date of such fresh registration/provisional registration (DD/MM/YYYY) ____/____/______ __ (A25) Whether liable to tax at maximum marginal rate under section 164? (If disallowable u/s 13(1)(c) and/or 13(1)(d))?  Yes  No (A26) Is this your first return?  Yes  No [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 43 AUDIT INFORMATION (A27) (i) Are you liable for audit under the Income-tax Act?(Tick)   Yes  No, If yes, furnish following information- (ii) Section under which you are liable for audit (specify section). Please mention date of audit report. (DD/MM/YY) a Name of the auditor signing the tax audit report b Membership No. of the auditor c Name of the auditor (proprietorship/ firm) d Permanent Account Number (PAN)/Aadhaar No. of the proprietorship/ firm e Date of audit report f Date of furnishing of the audit report ____/____/______ (DD/MM/YYYY). (A28) (i) If liable to audit under any Act other than the Income-tax Act, mention the Act, section and date of furnishing the audit report? Act and section (DD/MM/YY) Act and section (DD/MM/YY) MEMBER’S INFORMATION G (A29) i. Particulars of persons who were members in the AOP on 31st day of March, 2022 (to be filled by venture capital fund/ investment fund) S.No Name and Address Percentage of share (if determinate) PAN Aadhaar Number/ Enrolment Id (if eligible for Aadhaar) Sta tus (1) (2) (3) (4) (5) (6) ii Particulars regarding the Author(s) / Founder(s) / Trustee(s) / Manager(s), etc., of the Trust or Institution [to be mandatorily filled in by all persons filing ITR-7 A Details of all the Author (s)/ Founder (s)/ Settlor (s)/Trustee (s)/ Members of society/Members of the Governing Council/ Director (s)/ shareholders holding 5% or more of shareholding / Office Bearer (s) as on the date of applications Sl. Nam e Relati on Percentage Of shareholding in case of shareholder Whethe r Residen t of India? Unique Identificati on Number ID Code Address Mobile number E-mail address B In case if any of persons (as mentioned in row A above) is not an individual then provide the following details of the natural persons who are beneficial owners (5% or more) of such person as on the date of application Sl. Name Whether Resident of India? Uni que Ide ntifi cati on Nu mb er ID Code Address Perce ntage of benef icial owne rship C Name(s) of the person(s) who has / have made substantial contribution to the trust / institution in terms of section 13(3)(b) Sl. Name and address PAN Aadhaar Number/ Enrolment Id (if available) D Name(s) of relative(s) of author(s), founder(s), trustee(s), manager(s), and substantial contributor(s) and where any such author, founder, trustee, manager or substantial contributor is a Hindu undivided family, also the names of the members of the family and their relatives Sl. Name and address PAN Aadhaar Number/ Enrolment Id 44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE) Year of accumulation (F.Yr.) Balance amount available for application (9) = (5) – (6) – (7) – (8) Amount invested or deposited in the modes specified in section 11(5) out of 9 Amount invested or deposited in the modes other than specified in section 11(5) out of 9 (if applicable) Amount which is not utilized during the period of accumulation (if applicable) Amount deemed to be income within meaning of subsection (3) of section 11 (if applicable) 13=(7)+(8)+(11)+(12) (9) (10) (11) (12) (13) 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 Total Schedule I Details of amounts accumulated / set apart within the meaning of section 11(2) or in terms of third proviso to section 10(23C)/10(21) read with section 35(1). Year of accumulation (F.Yr.) Amount accumulated in the year of accumulation Purpose of accumulation Amount applied for charitable/ religious/scientific /social science or statistical research purposes upto the beginning of the previous year Balance to be applied (2-4) Amounts applied for charitable or religious or scientific or social science or statistical research purpose during the previous year out of previous years’ accumulation Amount applied for purposes other than the purpose for which such accumulation was made (if applicable) Amount credited or paid to any trust or institution registered u/s 12AA/12AB or approved under subclauses (iv)/(v)/(vi)/(via) of clause (23C) of section 10 (if applicable) (1) (2) (3) (4) (5) (6) (7) (8) 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 Total [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 45 Schedule J Statement showing the funds and investments as on the last day of the previous year [to be filled if registered under section 12A/12AA/12AB or approved under section 10(23C)(iv)/10(23C)(v)/ 10(23C)(vi)/10(23C)(via)/10(21)] DETAILS OF INVESTMENT OF FUNDS A1 Details of corpus Corpus Donation Opening Balance as on 01.04.2021 (1) Receive d/Treated as corpus during the year (2) Applied during the year (3) Amount invested or deposited back in to corpus (which was earlier applied and not claimed as applicatio n) (4) Financial year in which (4) was applied earlier (5) Closing Balance as on 31.03.2022 (6) [(1+2+4)-3=6] (6=7+8) Invested in modes specified in section 11(5) as on 31.03.202 2 (7) Invested in modes other than specified in section 11(5) as on 31.03.2022 (8) i. Representing donations received for the renovation or repair of places notified u/s 80G(2)(b)

[including
similar donation
received during
the financial year
2020-21]

ii. – Other than A above Schedule D Details of deemed application of income under clause (2) of Explanation 1 to sub-section (1) of section 11. Year in which income is deemed to be applied (F.Y.) Amount deemed to be applied during the previous year of deeming Reason of deeming application (a) income has not been received during that year (b) any other reason Out of the deemed application claimed, amount required to be applied during the financial year pertaining to current Assessment year Amount of deemed application claimed in earlier years, applied during the financial year pertaining to current AY Amount which could not be applied and deemed to be income u/s 11(1B) during the previous year Balance Amount of deemed income being exemption claimed in earlier years on account of deemed application and required to be applied in FY 2022-23 onwards (1) (2) (3) (4) (5) (4-5) = (6) (2-4)=(7) Dropdowns to be provided Dropdowns to be provided 2021-22 Dropdowns to be provided Total 46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] A2 Details of loan and borrowings Opening Balance As on 01.04.2021 (1) Loan & Borrowings taken for applications towards objectives during the year (2) Applied for the objects of the trust or instituti on during the year (3) Amount of repayment of loan or borrowing during the year (which was earlier applied and not claimed as application) (4) Financial year in which (4) was applied earlier (5) Closing Balance as on 31.03.2022 (6) (1+2-4=6) (6=7+8) Invested in modes specified in section 11(5) as on 31.03.2022 (7) Invested in modes other than specified in section 11(5) as on 31.03.2022 (8) B Details of investment/deposits made under section 11(5) as on 31.03.2022 (Note to Systems: validation notes not to be part of the final notified ITR form, but only to serve as instructions to develop utility) Sl No Investment out of Mode of investment as per section 11(5) Date of Investment Amount of investment (1) (2) (3) (4) (5) i corpus representing donation donations received for the renovation or repair of places notified u/s 80G(2)(b) Dropdown to be provided (Please specify the nature) ii corpus other than (i) iii income accumulated as u/s 11(2) or third proviso to section 10(23C) in earlier years iv income of earlier years up to 15% accumulated or set apart v loans and borrowings vi others (please specify) vii TOTAL C Investment held at any time during the previous year (s) in concern (s) in which persons referred to in section 13(3) have a substantial interest Sl No Name and address of the concern Where the concern is a company (tick as applicable  Number of shares held Class of shares held Nominal value of the investment Income from the investment Whether the amount in col (6) exceeds 5 percent of the capital of the concern during the previous year (tick as applicable  ) (1) (2) (3) (4) (5) (6) (7) (8) i  Yes  No  Yes  No ii  Yes  No  Yes  No iii  Yes  No  Yes  No iv  Yes  No  Yes  No v  Yes  No  Yes  No TOTAL D Other investments as on the last day of the previous year Sl No Name and address of the concern Whether the concern is a company (tick as applicable  ) Class of shares held Number of shares held Nominal value of investment (1) (2) (3) (4) (5) (6) i  Yes  No ii  Yes  No iii  Yes  No [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 47 iv  Yes  No v TOTAL E Voluntary contributions/donations received in kind but not converted into investments in the specified modes u/s 11(5) within the time provided Sl.No Name and address of the donor Value of contribut ion/ donation Value of contribution applied towards objective Amount out of (3) invested in modes prescribed under section 11(5) Balance to be treated as income under section 11(3) (1) (2) (3) (4) (5) (6) i ii iii iv TOTAL Part A-BS CONSOLIDATED BALANCE SHEET AS ON 31ST DAY OF MARCH, 2022 SOURCES OF FUNDS A Sources of Funds 1 Own Funds a Corpus out of the donations received for renovation or repair of places notified u/s 80G(2)(b) (A1(6)i of schedule J) 1a b Other corpus (A1(6)ii of schedule J) 1b c Income accumulated out of non-mandatory application (15% of income which is not mandatory to be applied) 1c d Income accumulated under third proviso to clause (23C) of section 10 or section 11(2) 1d e Balance Amount of deemed Income being exemption claimed in earlier years on account of deemed application and required to be applied in FY 2022-23 onwards (Column 7 of Schedule D) 1e f Any other reserve (Specify the nature) i Specify the nature i ii Specify the nature i iii Total (ai + aii.) 1fiii g Total fund (a+ b+c+d+e+f) 1g 2 Loan and Borrowings a Secured loans a b Unsecured loans (including deposits) b c Total Loan Funds (a+ b) 2c 3 Advances 3 4 Sources of funds (1g + 2c +3) 4 APPLICATION OF FUNDS B Application of funds 1 Fixed assets a Gross Fixed Assets 1a b Depreciation 1b c Net Fixed Assets (1a-1b) 1c 2 Investments kept in modes specified u/s 11(5) (2a+2b+2c) 2 a Investment out of donation received u/s 80G(2)(b) treated as corpus (B(5)i of schedule J) 2a b Investment out of other corpus (B(5)ii of schedule J 2b c Other investments (B(5)vii-B(5)i-B(5)ii of schedule J) 2c 3 Investments kept in modes other than specified u/s 11(5) 3 4 Current assets, loans and advances a Current assets i Inventories i ii Sundry Debtors ii iii Cash and bank balances A Balance with banks iiiA B Cash-in-hand iiiB C Others iiiC D Total Cash and cash equivalents (iiiA + iiiB + iiiC) iiiD iv Other Current Assets iv v Total current assets (i +ii + iiiD + iv) av b Loans and advances b c Total (av + b) c d Current liabilities and provisions i Current liabilities 48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Schedule LA Political Party 1 Whether registered under section 29A of Representation of People Act, 1951  Yes  No a If yes, please enter registration number b Date of Registration ____/_____/_____ POLITICAL PARTY 2 Whether books of account were maintained? (tick as applicable  )  Yes  No 3 Whether the accounts have been audited? (tick as applicable  )  Yes  No If yes, furnish the following information:- a Date of furnishing of the audit report (DD/MM/YYYY) ____/_____/_____ b Name of the auditor signing the audit report c Membership No. of the auditor d Name of the auditor (proprietorship/ firm) e Proprietorship/firm registration No. f Permanent Account Number (PAN) /Aadhaar No. of the auditor (proprietorship/ firm) g Date of audit report ____/_____/_____ 4 Whether the report under sub-section (3) of section 29C of the Representation of the People Act, 1951 for the financial year has been submitted?(tick as applicable  )  Yes  No If yes, then date of submission of the report (DD/MM/YYYY) ____/_____/______ 5 a Whether any voluntary contribution from any person in excess of twenty thousand rupees was received during the year ? (tick as applicable  )  Yes  No b If yes, whether record of each voluntary contribution (other than contributions by way of electoral bonds) in excess of twenty thousand rupees (including name and address of the person who has made such contribution) were maintained? (tick as applicable  )  Yes  No 6 Whether any donation exceeding two thousand rupees was received otherwise than by an account payee cheque or account payee bank draft or use of electronic clearing system through a bank account or through electoral bond? (tick as applicable  )  Yes  No 7 Please furnish the following information:- a Total voluntary contributions received by the party during the F.Y. (b+d) 7a b Aggregate value of all the voluntary contributions received upto Rs. 20,000 during the F.Y. 7b ci Aggregate value of all the voluntary contributions received upto Rs. 2,000 in cash during the F.Y. 7ci cii Aggregate value of all the voluntary contributions received upto Rs. 2,000 other than in cash during the F.Y. 7cii d Aggregate value of all the voluntary contributions received more than Rs. 20,000/- during the F.Y. 7d Schedule ET Electoral Trust ELECTORAL TRUST 1 Whether books of account were maintained? (tick as applicable  )  Yes  No 2 Whether record of each voluntary contribution (including name, address and PAN of the person who has made such contribution along with the mode of contribution) were maintained? (tick as applicable  )  Yes  No 3 Whether record of each eligible political party to whom the distributable contributions have been distributed (including name, address, PAN and registration number of eligible political party) was maintained? (tick as applicable  )  Yes  No 4 Whether the accounts have been audited as per rule 17CA(12)? (tick as applicable )  Yes  No If yes, date of audit report in Form No.10BC (DD/MM/YYYY) _____/_____/______ 5 Whether the report as per rule 17CA(14) furnished to the Commissioner of  Yes  No A Sundry Creditors A B Other payables B C Total (A + B) iC ii Provisions ii iii Total (iC + ii) diii e Net Current Assets (4c – 4diii) 4e 5 Total, application of funds (1+2+3+4e) 5 [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 49 Income-tax or Director of Income-tax?(tick as applicable  ) 6 Details of voluntary contributions received and amounts distributed during the year i Opening balance as on 1st April i ii Voluntary contribution received during the year ii iii Total (i + ii) iii iv Amount distributed to Political parties iv v Amount spent on administrative and management functions of the Trust (Restricted to 5% of Sr.no. ii above OR 5 lakh for first year of incorporation and 3 lakh for subsequent years whichever is lesser) v vi Total (iv + v) vi vii Total amount eligible for exemption under section 13B (Sr.no. 6ii of schedule ET if Amount distributed in 6iv is 95% of 6iii )(As per rule 17CA) vii viii Closing balance as on 31st March (iii – vi) viii Schedule VC Voluntary Contributions [to be mandatorily filled in by all persons filing ITR-7] A Domestic Contribution i Corpus donation (Aia +Aib) Ai a Corpus representing donations received for the renovation or repair of places notified u/s 80G(2)(b) Aia b Corpus other than above Aib ii Other than corpus donation (a) Grants Received from Government Aiia (b) Grants Received from Companies under Corporate Social Responsibility Aiib (c) Other specific grants Aiic (d) Other Donations Aiid (e) Total Aiie iii Voluntary contribution Domestic (Ai + Aiie) Aiii B Foreign contribution i Corpus donation (Bia + Bib) Bi a Corpus representing donations received for the renovation or repair of places notified u/s 80G(2)(b) Bia b Corpus other than above Bib ii Other than corpus donation Bii iii Foreign contribution (Bi + Bii) Biii iv Specify the purpose for which foreign contribution has been received Biv Free text box C Total Contributions (Aiii + Biii) C D Anonymous donations, included in C, chargeable u/s 115BBC [Applicable to assessee claiming exemption u/s 11 or 10(23C)(iv) or 10(23C)(v) or 10(23C)(vi) or 10(23C)(via) or 10(23C)(iiiad) or 10(23C)(iiiae)] I Aggregate of such anonymous donations received i ii 5% of total donations received at C or 1,00,000 whichever is higher ii iii Anonymous donations chargeable u/s 115BBC @ 30% (i – ii) iii Schedule AI Aggregate of income derived during the previous year excluding Voluntary contributions [to be filled by assesses claiming exemption u/s 11 and 12 or u/s 10(23C)(iv) or 10(23C)(v) or 10(23C)(vi) or 10(23C)(via)] AGGREGATE OF INCOME 1 Receipts from main objects 1 2 Receipts from incidental objects 2 3 Rent 3 4 Commission 4 5 Dividend income 5 6 Interest income 6 7 Agriculture income 7 50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 8 Net consideration on transfer of capital asset 8 9 Any other income (specify nature and amount) Nature Amount a Pass through income/Loss (Fill schedule PTI) a b b c c d d e Total (9a+ 9b+ 9c +9d) e 9e 10 Total (1 + 2 + 3 + 4 + 5 + 6 + 7 + 8 + 9) 10 Schedule ER Amount applied to stated objects of the trust/institution during the previous year from all sources referred to in E1 to E8 of this table- Revenue Account [to be filled by assessee claiming exemption u/s 11 and 12 or u/s 10(23C)(iv) or 10(23C)(v) or 10(23C)(vi) or 10(23C)(via)] Amount A Application for establishment and administration (excluding the application not allowed, details whereof are to be filled in C) 1 Rents 1 2 Repairs and maintenance 2 3 Compensation to employees 3 4 Insurance 4 5 Workmen and staff welfare expenses 5 6 Entertainment and Hospitality 6 7 Advertisement 7 8 Professional / Consultancy fees / Fee for technical services 8 9 Conveyance and Traveling expenses other than on foreign travel 9 10 Remuneration to persons specified u/s 13(3) 10 11 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income) 11 12 Interest 12 13 Audit fee 13 14 Other expenses (Specify nature and amount) Nature Amount a a b b c c d d e Total (a+ b+ c+ d) e 14 15 Total (A1 to A14) A15 B Application towards objects of the trust/institution (not being items included in C) 1 Donation to trust or institution registered u/s 12AA/12AB or approved u/s 10(23C)(iv)/(v)/(vi)/(via)– Other than Corpus 1 2 Religious 2 3 Relief of poor 3 4 Educational 4 5 Yoga 5 6 Medical relief 6 7 Preservation of environment 7 8 Preservation of monuments etc. 8 9 General public utility 9 10 Total (B1 to B9) B10 C Expenditure not allowed as application (C1 + C2 + C3 + C4+C5+C6+C7) C 1 Donation to trust or institution registered u/s 12AA/12AB or approved u/s 10(23C)(iv)/(v)/(vi)/(via) towards Corpus 1 2 Donation to trust or institution registered u/s 12AA/12AB or approved u/s 10(23C)(iv)/(v)/(vi)/(via) other than towards corpus in case of donations out of accumulated income 2 3 Donation to trust or institution registered u/s 12AA/12AB or approved u/s 10(23C)(iv)/(v)/(vi)/(via) not having same objects 3 4 Donation to any person other than trust or institution registered u/s 12AA/12AB or approved u/s 10(23C)(iv)/(v)/(vi)/(via) 4 5 Application outside India for which approval as per proviso to section 11(1)(c) is not obtained 5 6 Applied for any purpose beyond the objects of the trust or institution 6 7 Any other disallowable application 7 D Total application of income-revenue during the year (A15 + B10) D E Source of fund to meet revenue application in Row D E 1 Income derived from the property/income earned during previous year (Excluding 1 [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 51 Schedule EC Amount applied to charitable or religious purposes in India or for the stated objects of the trust/institution during the previous year–Capital Account [from all sources referred to in A1 to A8 of this table] [to be filled by assessees claiming exemption u/s 11 and 12 or u/s 10(23C)(iv) or 10(23C)(v) or 10(23C)(vi) or 10(23C)(via)] Amo unt 1 Addition to Capital work in progress (for which exemption u/s 11(1A) has not been claimed) 1 2 Acquisition of capital asset (not claimed as application of income and for which exemption u/s 11(1A) has not been claimed) 2 3 Cost of new asset for claim of Exemption u/s 11(1A) (restricted to the net consideration) 3 4 Other capital expenses Sl.no . Nature Amount i 4i ii 4ii iii 4iii iv Total expenses (4i + 4ii + 4iii) 4 5 Total capital expenses (1 + 2 +3 +4) 5 A Source of fund to meet capital expenditure 1 Income derived from the property during previous year (Excluding corpus) A 1 2 Income accumulated as under section 11(2) or third proviso to section 10(23C) in earlier years A 2 3 Income deemed to be applied in any preceding year under clause 2 of Explanation 1 of section 11(1) A 3 4 Income of earlier years upto 15% accumulated or set apart A 4 5 Corpus A 5 6 Borrowed Fund A 6 7 Any other (Please specify) A 7 B Total Amount applied during the previous year – Capital Account [5 – A2 – A3 – A4 – A5-A6-A7] B C Amount which was not actually paid during the previous s year out of B C D Amount actually paid during the previous year which accrued during any earlier previous year but not claimed as application of income in earlier previous year D E Total amount to be allowed as application (E=B-C+D) E Schedule IE1 Income & Expenditure statement [Applicable for assessees claiming exemption under sections 10(21), 10(22B), 10(23AAA), 10(23B), 10(23D), 10(23DA), 10(23EC), 10(23ED), 10(23EE), 10(23FB), 10(29A), 10(46), 10(47) and other clauses of section 10 where income is unconditionally exempt] 1 Total receipts including any voluntary contribution 1 2 Application of income towards object of the institution 2 3 Accumulation of income 3 corpus) 2 Income accumulated as under section 11(2) or third proviso to section 10(23C) in earlier years 2 3 Income deemed to be applied in any preceding year under clause (2) of Explanation 1 of section 11(1) (applicable only when exemption is claimed u/s 11 and 12) 3 4 Income of earlier years upto 15% accumulated or set apart 4 5 Corpus 5 6 Borrowed Fund 6 7 Any other (Please specify) 7 F Total Amount applied during the previous year – Revenue Account [A15 + B10 – E2 – E3 – E4 – E5 – E6 – E7] F G Amount which was not actually paid during the previous year out of F G H Amount actually paid during the previous year which accrued during any earlier previous year but not claimed as application of income in earlier previous year H I Total amount to be allowed as application (I=F-G+H) I 52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Schedule IE2 Income & Expenditure statement [Applicable for assessee claiming exemption under sections 10(23A), 10(24)] A 1 Total receipts including any voluntary contribution 1 2 Application of income towards object of the institution 2 3 Accumulation of income 3 B 1 Do you have any income which is taxable? If Yes Please provide details (Tick ) Yes No a Income from House Property? (If yes, Please fill Schedule HP) 1a Yes No b Income from Business or Profession (If yes, Please fill Schedule BP) 1b Yes No c Income from Capital gains (If yes, Please fill Schedule CG) 1c Yes No d Income from other Sources (If yes, Please fill Schedule OS) 1d Yes No Schedule IE- 3 Income & Expenditure statement [applicable for assessee claiming exemption under sections 10(23C)(iiiab) or 10(23C)(iiiac)] (please fill up address for each institution separately) 1 Objective of the institution (drop down to be provided – Educational / Medical) 1 2 Addresses where activity is carrying out 2 3 Total receipts including any voluntary contribution 3 4 Government Grants out of Sl. No. 3 above 4 5 Amount applied for objective 5 6 Balance accumulated 6 Schedule IE- 4 Income & Expenditure statement [applicable for assessee claiming exemption under sections 10(23C)(iiiad) or 10(23C)(iiiae)] (please fill up address for each institution separately) 1 Objective of the institution (drop down to be provided – Educational / Medical) 1 2 Addresses where activity is carrying out 2 3 Gross Annual receipts 3 4 Amount applied for objective 4 5 Balance accumulated 5 Schedule HP Details of Income from House Property (Please refer to instructions) (Drop down to be provided indicating ownership of property) HOUSE PROPERTY 1 Address of property 1 Town/ City State PIN Code/ Zip Code Is the property co-owned?  Yes  No (if “YES” please enter following details) Assessee’s percentage of share in the property Name of Co-owner(s) PAN/Aadhaar No. of Co-owner(s) (optional) Percentage Share in Property I II [Tick  the applicable option]  Let out  Deemed let out Name(s) of Tenant (if let out) PAN/Aadhaar No. of Tenant(s) (if available) PAN/TAN/Aadhaar No. of Tenant(s) (if TDS credit is claimed) I II a Gross rent received or receivable or lettable value (higher of the two, if let out for whole of the year, lower of the two, if let out for part of the year) 1a b The amount of rent which cannot be realized 1b c Tax paid to local authorities 1c d Total (1b + 1c) 1d e Annual value (1a – 1d) 1e f 30% of 1e 1f g Interest payable on borrowed capital 1g h Total (1f + 1g) 1h i Arrears/Unrealised rent received during the year less 30% 1i j Income from house property 1 (1e – 1h + 1i) 1j 2 Address of property 2 Town/ City State PIN Code/ Zip Code Is the property co-owned?  Yes  No (if “YES” please enter following details) Assessee’s percentage of share in the property [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 53 Name of Co-owner(s) PAN/Aadhaar No. of Co-owner(s) (optional) Percentage Share in Property I II [Tick  the applicable option]  Let out  Deemed let out Name(s) of Tenant (if let out) PAN/Aadhaar No. of Tenant(s) (Please see note) PAN/TAN/Aadhaar No. of Tenant(s) (Please see note) I II a Gross rent received/ receivable/ lettable value (higher of the two, if let out for whole of the year, lower of the two, if let out for part of the year) 2a b The amount of rent which cannot be realized 2b c Tax paid to local authorities 2c d Total (2b + 2c) 2d e Annual value (2a – 2d) 2e f 30% of 2e 2f g Interest payable on borrowed capital 2g h Total (2f + 2g) 2h i Arrears/Unrealized rent received during the year less 30% 2i j Income from house property 2 (2e – 2h + 2i) 2j 3 Pass through income/Loss if any * 3 4 Income under the head “Income from house property” (1j + 2j + 3) (if negative take the figure to 2i of schedule CYLA) 4 NOTE► Furnishing of PAN/Aadhaar No. of tenant is mandatory, if tax is deducted under section 194-IB. Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I. Schedule CG Capital Gains CAPITAL GAINS A Short-term Capital Gains (STCG) (Sub-items 4 & 5 are not applicable for residents) Short-term Capital Gains 1 From sale of land or building or both (fill up details separately for each property) (in case of co-ownership, enter your share of capital gain) Date of purchase/ acquisition DD/MM/YYYY Date of sale/transfer DD/MM/YYYY a i Full value of consideration received/receivable ai ii Value of property as per stamp valuation authority aii iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains [in case (aii) does not exceed 1.10 times (ai), take this figure as (ai), or else take (aii)] aiii b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of Improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi + bii + biii) biv c Balance (aiii – biv) 1c d Deduction under section 54D/ 54G/54GA (Specify details in item D below) 1d e Short-term Capital Gains on Immovable property (1c – 1d) A1e F In case of transfer of immovable property, please furnish the following details (see note) S.No. Name of buyer(s) PAN/Aadhaar No. of buyer(s) Percentage share Amount Address of property , Country code, Zip code Pin code State NOTE ►Furnishing of PAN/Aadhaar No. is mandatory, if the tax is deduced under section 194-IA or is quoted by buyer in the documents. In case of more than one buyer, please indicate the respective percentage share and amount. 2 From slump sale A i Fair market value as per Rule 11UAE(2) 2ai ii Fair market value as per Rule 11UAE(3) 2aii iii Full value of consideration (higher of ai or aii) 2aiii B Net worth of the under taking or division 2b C Short term capital gains from slump sale (2aiii-2b) A2c 3 From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid under section 111A or section 115AD(1)(b)(ii) proviso (for FII) 54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] a Full value of consideration 3a b Deductions under section 48 I Cost of acquisition without indexation bi Ii Cost of Improvement without indexation bii Iii Expenditure wholly and exclusively in connection with transfer biii Iv Total (i + ii + iii) biv c Balance (3a – biv) 3c d Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such asset to be ignored (Enter positive value only) 3d e Short-term capital gain on equity share or equity oriented MF (STT paid) (3c +3d) A3e 4 For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be computed with foreign exchange adjustment under first proviso to section 48) a STCG on transactions on which securities transaction tax (STT) is paid A4a b STCG on transactions on which securities transaction tax (STT) is not paid A4b 5 For NON-RESIDENTS- from sale of securities (other than those at A3 above) by an FII as per section 115AD a i In case securities sold include shares of a company other than quoted shares, enter the following details a Full value of consideration received/receivable in respect of unquoted shares ia b Fair market value of unquoted shares determined in the prescribed manner ib c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) ic ii Full value of consideration in respect of securities other than unquoted shares aii iii Total (ic + ii) aiii b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (i + ii + iii) biv c Balance (5aiii – biv) 5c d Loss to be disallowed u/s 94(7) or 94(8) – for example if security bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such security to be ignored (Enter positive value only) 5d e Short-term capital gain on securities (other than those at A3 above) by an FII (5c +5d) A5e 6 From sale of assets other than at A1 or A2 or A3 or A4 or A5 above A i In case assets sold include shares of a company other than quoted shares, enter the following details a Full value of consideration received/receivable in respect of unquoted shares ia b Fair market value of unquoted shares determined in the prescribed manner ib c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) ic ii Full value of consideration in respect of assets other than unquoted shares aii iii Total (ic + ii) aiii B Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of Improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (i + ii + iii) biv C Balance (6aiii – biv) 6c D In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such asset to be ignored (Enter positive value only) 6d E Deemed short term capital gains on depreciable assets 6e f Deduction under section 54D/54G/54GA 6f [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 55 g STCG on assets other than at A1 or A2 or A3 or A4 or A5 above (6c + 6d + 6e – 6f) A6g 7 Amount deemed to be short term capital gains a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? Sl.Yes Previous  No  Not applicable. If yes, then provide the details below year in which asset transferred Section under which deduction claimed in that year New asset acquired/constructed Amount not used for new asset or remained unutilized in Capital gains account (X) Year in which asset acquired/constructed d Amount utilized out of Capital Gains account i 2018-19 54D/54G/54GA b Amount deemed to be short term capital gains u/s 54D/54G/54GA, other than at ‘a’ Amount deemed to be short term capital gains (Xi + b) A7 8 Pass Through Income/Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A8a+A8b + A8c) A8 A8 a Pass Through Income/Loss in the nature of Short Term Capital Gain, chargeable @ 15% A8a b Pass Through Income/Loss in the nature of Short Term Capital Gain, chargeable @ 30% A8b c Pass Through Income/Loss in the nature of Short Term Capital Gain, chargeable at applicable rates A8c 9 Amount of STCG included in A1 – A8 but not chargeable to tax or chargeable at special rates in India as per DTAA Sl. No. Amount of income Item No. A1 to A8 above in which included Country name & Code Article of DTAA Rate as per Treaty (enter NIL, if not chargeable) Whethe r TRC obtained (Y/N) Section of I.T. Act Rate as per I.T. Act Applicable e rate

[lower of (6)
or (9)]

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) I II a Total amount of STCG not chargeable to tax in India as per DTAA A9a b Total amount of STCG chargeable to tax at special rates in India as per DTAA A9b 10 Total Short-term Capital Gain (A1e+ A2c+ A3e+ A4a+ A4b+ A5e+ A6g+A7 + A8-A9a) A10 B Long-term capital gain (LTCG) (Sub-items 6, 7& 8 are not applicable for residents) Long-term Capital Gains 1 From sale of land or building or both (fill up details separately for each property) (in case of co-ownership, enter your share of Capital Gain) Date of purchase/ acquisition DD/MM/YYYY Date of sale/transfer DD/MM/YYYY a i Full value of consideration received/receivable ai ii Value of property as per stamp valuation authority aii iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains [in case (aii) does not exceed 1.10 times (ai), take this figure as (ai), or else take (aii)] aiii b Deductions under section 48 i Cost of acquisition bi iia Cost of acquisition with indexation biia iib Total Cost of Improvement with indexation biib (a) Cost of Improvement (b) Year of Improvement (c) Cost of Improvement with Indexation Add Row iii Expenditure wholly and exclusively in connection with transfer biii iv Total (biia + biib + biii) biv c Balance (aiii – biv) 1c d Deduction under sections 54D/54EC/54G/54GA (Specify details in item D below) 1d e Long-term Capital Gains on Immovable property (1c – 1d) B1e 56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] f In case of transfer of immovable property, please furnish the following details (see note) S.No. Name of buyer(s) PAN/Aadhaar No. of buyer(s) Percentage share Amount Address of property , Country code, Zip code Pin code State NOTE► Furnishing of PAN/Aadhaar No. is mandatory, if the tax is deduced under section 194-IA or is quoted by buyer in the documents. In case of more than one buyer, please indicate the respective percentage share and amount. 2 From slump sale a i Fair market value as per Rule 11UAE(2) 2ai ii Fair market value as per Rule 11UAE(3) 2aii iii Full value of consideration (higher of ai or aii) 2aiii b Net worth of the under taking or division 2b c Balance (2aiii – 2b) 2c d Deduction u/s 54EC 2d e Long term capital gains from slump sale (2c-2d) B2e 3 From sale of bonds or debenture (other than capital indexed bonds issued by Government) a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi + bii +biii) biv c LTCG on bonds or debenture – (3a-biv) B3c 4 From sale of listed securities (other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable a Full value of consideration 4a b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi + bii +biii) biv c Long Term Capital Gains on assets at B4 (4a – biv) 4c 5 From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A Long-term Capital Gains on sale of capital assets at B5 B5 6 For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign exchange adjustment under first proviso to section 48) LTCG computed without indexation benefit B6 7 For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) units referred in sec. 115AB, (iii) bonds or GDR as referred in sec. 115AC, (iv) securities by FII as referred to in sec. 115AD a i In case securities sold include shares of a company other than quoted shares, enter the following details a Full value of consideration received/receivable in respect of unquoted shares ia b Fair market value of unquoted shares determined in the prescribed manner ib c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) ic ii Full value of consideration in respect of securities other than unquoted shares aii iii Total (ic + ii) aiii b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 57 iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi + bii +biii) biv c Long-term Capital Gains on assets at 7 above in case of NON-REESIDENT (aiii-biv) B7c 8 For NON-RESIDENTS – From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A Long-term Capital Gains on sale of capital assets at B8 B8 9 From sale of assets where B1 to B8 above are not applicable a i In case assets sold include shares of a company other than quoted shares, enter the following details a Full value of consideration received/receivable in respect of unquoted shares ia b Fair market value of unquoted shares determined in the prescribed manner ib c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) ic ii Full value of consideration in respect of assets other than unquoted shares aii iii Total (ic + ii) aiii b Deductions under section 48 i Cost of acquisition with indexation bi ii Cost of improvement with indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi + bii +biii) biv c Balance (aiii – biv) 9c d Deduction under section 54D//54G/54GA (Specify details in item D below) 9d e Long-term Capital Gains on assets at B9 above (9c- 9d) B9e 10 Amount deemed to be long-term capital gains a Whether any amount of unutilized capital gain on asset transferred during the previous year shown below was deposited in the Capital Gains Accounts Scheme within due date for that year?  Yes  No  Not applicable. If yes, then provide the details below S.no Previous year in which asset transferred Section under which deduction claimed in New asset acquired/constructed Amount not used for new asset or remained unutilized in Capital gains account (X) Year in which asset acquired/constructed Amount utilized out of Capital Gains account i 2018-19 54D//54G/54GA b Amount deemed to be long-term capital gains, other than at ‘a’ Amount deemed to be long-term capital gains (Xi + b) B10 11 Pass Through Income/Loss in the nature of Long Term Capital Gain, (Fill up schedule PTI) (B11a1+11a2 + B11b) B11 a1 Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @ 10% u/s 112A B11a1 a2 Pass Through Income/Loss in the nature of Long Term Capital Gain, chargeable @ 10% under sections other than 112A B11a2 b Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @ 20% B11b 12 Amount of LTCG included in items B1 to B11 but not chargeable to tax or chargeable at special rates in India as per DTAA Sl. No. Amount of income Item No. B1 to B11 above in which included Country name & Code Article of DTAA Rate as per Treaty (enter NIL, if not chargeable) Whethe r TRC obtaine d (Y/N) Section of I.T. Act Rate as per I.T. Act Applicable rate

[lower of
(6) or (9)]

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) I II a Total amount of LTCG not chargeable to tax in India as per DTAA B12a b Total amount of LTCG chargeable to tax at special rates in India as per DTAA B12 13 Total long term capital gain] [B1e + B2e + B3c + B4c + B5 + B6 + B7c + B8+ b B9e+ B10+B11-12a] B13 C Income chargeable under the head “CAPITAL GAINS” (A10+ B13) (take B13 as nil, if loss) C D Information about deduction claimed against Capital Gains 58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 1 In case of deduction u/s 54D/54EC /54G/54GA give following details a Deduction claimed u/s 54D i Date of acquisition of original asset ai dd/mm/yyyy ii Cost of purchase/ construction of new land or building for industrial undertaking aii iii Date of purchase of new land or building aiii dd/mm/yyyy iv Amount deposited in Capital Gains Accounts Scheme before due date aiv v Amount of deduction claimed av b Deduction claimed u/s 54EC i Date of transfer of original asset bi dd/mm/yyyy ii Amount invested in specified/notified bonds (not exceeding fifty lakh rupees) ( bii iii Date of investment biii dd/mm/yyyy iv Amount of deduction claimed biv c Deduction claimed u/s 54G i Date of transfer of original asset ci dd/mm/yyyy ii Cost and expenses incurred for purchase or construction of new asset cii iii Date of purchase/construction of new asset in an area other than urban area ciii dd/mm/yyyy iv Amount deposited in Capital Gains Accounts Scheme before due date civ v Amount of deduction claimed cv d Deduction claimed u/s 54GA i Date of transfer of original asset from urban area di dd/mm/yyyy ii Cost and expenses incurred for purchase or construction of new asset dii iii Date of purchase/construction of new asset in SEZ diii dd/mm/yyyy iv Amount deposited in Capital Gains Accounts Scheme before due date div v Amount of deduction claimed dv e Total deduction claimed (1a + 1b + 1c + 1d) E e E Set-off of current year capital losses with current year capital gains (excluding amounts included in A9a & B12a which is NOT chargeable under DTAA) Sl. Type of Capital Gain Gain of current year (Fill this column only if computed figure is positive) Short term capital loss set off Long term capital loss set off Current year’s capital gains remaining after set off (9=1-2-3-4-5-6-7-8) 15% 30% applicable rate DTAA rates 10% 20% DTAA rates 1 2 3 4 5 6 7 8 9 i Loss to be set off (Fill this row if figure computed is negative) (A3e*+ A4a*+ A8a*) (A5e *+ A8b* ) (A1e*+ A2c*+A4b*+A 6g* +A7*+A8c*) A9b (B4c*+ B5*+ B7c*+ B8*+ B9e* B11a1*+B11a2 *) (B1e*+ B2e*+B3c* +B6*+B9e *+ B10*+ B11b*) B12b ii Short term capit al gain 15% (A3e*+ A4a*+ A8a*) iii 30% (A5e*+ A8b*) iv applicable rate (A1e*+ A2c*+A4b*+A6g * +A7*+A8c*) v DTAA rates A9b vi Long term capit al gain 10% (B4c*+ B5*+ B7c*+ B8*+ B9e* B11a1*+B11a2* ) vii 20% (B1e*+ B2e*+B3c*+B6* +B9e*+ B10*+ B11b*) viii DTAA rates B12b ix Total loss set off (ii + iii + iv + v + vi + vii + viii) x Loss remaining after set off (i-ix) The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A8) as reduced by the amount of STCG not chargeable to tax or chargeable at special rates as per DTAA, which is included therein, if any. The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B11) as reduced by the amount of LTCG not chargeable to tax or chargeable at special rates as per DTAA, which is included therein, if any. [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 59 Schedule OS Income from other sources 1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) 1 O T H E R S O U R C E S A Dividends, Gross (ai+aii) 1a i Dividend income other than (ii) ai ii Dividend income u/s 2(22)(e) aii B Interest, Gross (bi + bii + biii + biv + bv) 1b i From Savings Bank bi ii From Deposits (Bank/ Post Office/ Cooperative Society) bii iii From Income-tax Refund biii iv In the nature of Pass-through income/Loss biv v Others bv C Rental income from machinery, plants, buildings, etc., Gross 1c D Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di + dii + diii + div + dv) 1d i Aggregate value of sum of money received without consideration di ii In case immovable property is received without consideration, stamp duty value of property dii iii In case immovable property is received for inadequate consideration, stamp duty value of property in excess of such consideration diii iv In case any other property is received without consideration, fair market value of property div v In case any other property is received for inadequate consideration, fair market value of property in excess of such consideration dv E Any other income (please specify nature) 1e Sl.no Nature Amount Income due to disallowance of exemption under clauses of section 10 Rows can be added as required 2 Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e elements related to Sl. no 1) 2 a Income from winnings from lotteries, crossword puzzles etc. 2a B Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 2b i Cash credits u/s 68 bi ii Unexplained investments u/s 69 bii iii Unexplained money etc. u/s 69A biii iv Undisclosed investments etc. u/s 69B biv v Unexplained expenditure etc. u/s 69C bv vi Amount borrowed or repaid on hundi u/s 69D bvi C Any other income chargeable at special rate (total of ci to cxiv) 2c i Dividends received by non-resident foreign company chargeable u/s 115A(1)(a)(i) ci ii Interest received from Government or Indian concern on foreign currency debts chargeable u/s 115A(1)(a)(ii) cii iii Interest received from Infrastructure Debt Fund chargeable u/s 115A(1)(a)(iia) ciii iv Interest referred to in section 194LC(1) – chargeable u/s 115A(1)(a)(iiaa) @ 5% civ v Interest referred to in Proviso to section 194LC(1) – chargeable u/s 115A(1)(a)(iiaa) @4 % cv vi Interest referred to in section 194LD – chargeable u/s 115A(1)(a)(iiab) cvi vii Distributed income being interest referred to in section 194LBA – chargeable u/s 115A(1)(a)(iiac) cvii viii Income from units of UTI or other Mutual Funds specified in section 10(23D), purchased in Foreign Currency – chargeable u/s 115A(1)(a)(iii) cviii 60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] ix Income from royalty or fees for technical services received from Government or Indian concern – chargeable u/s 115A(1)(b) ix x Income by way of interest from bonds purchased in foreign currency by nonresidents – chargeable u/s 115AC cx xi Income by way of dividends from GDRs purchased in foreign currency by nonresidents – chargeable u/s 115AC cxi xii Income (other than dividend) received by an FII in respect of securities (other than units referred to in section 115AB) – chargeable u/s 115AD(1)(i) cxii xiii Income being dividend received by an FII in respect of securities (other than units referred to in section 115AB) – chargeable u/s 115AD(1)(i) cxiii xiv Income by way of interest received by an FII on bonds or Government securities referred to in section 194LD – chargeable as per proviso to section 115AD(1)(i) cxiv xv Income received by non-residents sportsmen or sports associations chargeable u/s 115BBA cxv xvi Anonymous Donations in certain cases chargeable u/s 115BBC xvi D Pass through income in the nature of income from other sources chargeable at special rates (drop down to be provided) 2d E Amount included in 1 and 2 above, which is chargeable at special rates in India as per DTAA (total of column (2) of table below) 2e Sl. No. Amount of income Item No.1ai, 1b to 1d, 2a, 2c & 2d in which included Country name & Code Article of DTAA Rate as per Treaty (enter NIL, if not chargeable) Whether TRC obtained (Y/N) Section of I.T. Act Rate as per I.T. Act Applicable rate

[lower of
(6) or (9)]

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) I II 3 Deductions under section 57(other than those relating to income chargeable at special rates under 2a, 2b, 2c, 2d & 2e) A Expenses / Deductions (other than entered in c) 3a B Depreciation (available only if income offered in 1c of “schedule OS”) 3b c Interest expenditure on dividend u/s 57(i) (available only if income offered in 1a )- 3c ci Eligible Interest expenditure u/s 57(i) – computed value 3ci d Total 3d 4 Amounts not deductible u/s 58 4 5 Profits chargeable to tax u/s 59 5 6 Net income from other sources chargeable at normal applicable rates (1 (after reducing income related to DTAA portion) – 3 + 4 + 5) (If negative take the figure to 4i of schedule CYLA) 6 7 Income from other sources (other than from owning race horses) (2+6) (enter 6 as nil, if negative) 7 8 Income from the activity of owning and maintaining race horses A Receipts 8a B Deductions under section 57 in relation to receipts at 8a only 8b C Amounts not deductible u/s 58 8c D Profits chargeable to tax u/s 59 8d E Balance (8a – 8b + 8c + 8d) 8e 9 Income under the head “Income from other sources” (7 + 8e) (take 8e as nil if negative) 9 10 Information about accrual/receipt of income from Other Sources S. No. Other Source Income Upto 15/6 From 16/6 to 15/9 From 16/9 to 15/12 From 16/12 to 15/3 From 16/3 to 31/3 (i) (ii) (iii) (iv) (v) [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 61 1 Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc. referred to in section 2(24)(ix) 2 Dividend Income referred in Sl. No. 1a(i) 3 Dividend Income u/s 115A(1)(a)(i) @ 20% (Including PTI) 4 Dividend Income u/s 115AC @ 10% 5 Dividend Income u/s 115ACA (1)(a) @ 10% (Including PTI Income) 6 Dividend Income u/s 115A(1)(a)(iiac) @ 10% (Including PTI Income) 7 Dividend Income (other than units referred to in section 115AB) u/s 115AD(1)(i) @ 20% (Including PTI Income) 8 Dividend income chargeable at DTAA Rates w.r.t.1a(i) Schedule BP Computation of income from business or profession INCOME FROM BUSINESS OR PROFESSION A From business or profession other than speculative business and specified business 1 Profit before tax as per income and expenditure account (as applicable) 1 2a Net profit or loss from speculative business included in 1 (enter –ve sign in case of loss) 2a 2b Net profit or Loss from Specified Business u/s 35AD included in 1 (enter –ve sign in case of loss) 2b Schedule OA General Do you have any income under the head business and profession?  Yes  No (if “yes” please enter following details) 1 Nature of Business or profession (refer to the instructions) 1 2 Number of branches 2 3 Method of accounting employed in the previous year (Tick)   mercantile  cash 3 4 Is there any change in method of accounting (Tick)   Yes 4 5 Effect on the profit because of deviation, if any, in the method of accounting employed in the previous year from accounting standards prescribed under section 145A 5 6 Method of valuation of closing stock employed in the previous year 6 a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)  6a b Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)  6b c Is there any change in stock valuation method (Tick)   Yes  No 6c d Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A 6d 62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 3 Income/ receipts credited to profit and loss account considered under other heads of income a House property 3a b Capital gains 3b c Other sources 3c ci Dividend income 3ci cii other than Dividend income 3cii 4 Profit or loss included in 1, which is referred to in section 44AE 4 5 Income credited to Profit and Loss account (included in 1) which is exempt a Share of income from firm(s) 5a b Share of income from AOP/ BOI 5b c Any other exempt income (specify nature and amount) i ci ii cii iii Total (ci + cii) 5ciii d Total exempt income (5a + 5b + 5ciii) 5d 6 Balance (1– 2a – 2b – 3a – 3b – 3c – 3d – 3e – 4– 5d) 6 7 Expenses debited to profit and loss account considered under other heads of income A House property 7a B Capital gains 7b C Other sources 7c 8 Total (7a + 7b + 7c) 8 9 Adjusted profit or loss (6+9) 9 10 Depreciation and amortization debited to profit and loss account 10 11 Depreciation allowable under Income-tax Act i Depreciation allowable under section 32(1)(ii) and 32(1)(iia) 11i ii Depreciation allowable under section 32(1)(i) (Make your own computation refer Appendix-IA of IT Rules) 11ii iii Total (11i+11ii) 11iii 12 Profit or loss after adjustment for depreciation (10 +11 – 12iii) 12 13 Amounts debited to the profit and loss account, to the extent disallowable under section 36 13 14 Amounts debited to the profit and loss account, to the extent disallowable under section 37 14 15 Amounts debited to the profit and loss account, to the extent disallowable under section 40 15 16 Amounts debited to the profit and loss account, to the extent disallowable under section 40A 16 17 Any amount debited to profit and loss account of the previous year but disallowable under section 43B 17 18 Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act, 2006 18 19 Deemed income under section 41 19 20 Deemed income under sections 32AC/ 32AD/ 33AB/ 33ABA/35ABA/ 35ABB/ 35AC/ 40A(3A)/ 33AC/ 72A 20 21 Deemed income under section 43CA 21 22 Any other item of addition under sections 28 to 44DB 22 23 Any other income not included in profit and loss account/any other expense not allowable (including income from salary, commission, bonus and interest from firms in which company is a partner) 23 24 Total (13+ 14 + 15 + 16 + 17 + 18 + 19 + 20 + 21+22 +23) 24 25 Deduction allowable under section 32(1)(iii) 25 26 Deduction allowable under section 32AD 26 27 Amount allowable as deduction under section 32AC 27 28 Amount of deduction under sections 35 or 35CCC or 35CCD in excess of the amount debited to profit and loss account (if amount deductible under section 35 or 35CCC or 35CCD is lower than amount debited to P&L account, it will go to item 24) 28 29 Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year 29 30 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year 30 31 Any other amount allowable as deduction 31 [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 63 32 Decrease in profit or increase in loss on account of ICDS adjustments and deviation in method of valuation of stock 32 33 Total (25+26+27+28+29+30+31+32) 33 34 Income (12+24 – 33) 34 35 Profits and gains of business or profession deemed to be under – i Section 44AE 35i 36 Net profit or loss from business or profession other than speculative and specified business (34+35) 36 37 Net Profit or loss from business or profession other than speculative business and specified business after applying rule 7A, 7B or 8, if applicable (If rule 7A, 7B or 8 is not applicable, enter same figure as in 36) A37 B Computation of income from speculative business 38 Net profit or loss from speculative business as per profit or loss account 38 39 Additions in accordance with sections 28 to 44DB 39 40 Deductions in accordance with sections 28 to 44DB 40 41 Income from speculative business ) (38+39 – 40) B41 C Computation of income from specified business under section 35AD 42 Net profit or loss from specified business as per profit or loss account 42 43 Additions in accordance with sections 28 to 44DB 43 44 Deductions in accordance with sections 28 to 44DB (other than deduction under section,- (i) 35AD, (ii) 32 or 35 on which deduction u/s 35AD is claimed) 44 45 Profit or loss from specified business ) (42+43 – 44) 45 46 Deductions in accordance with section 35AD(1) 46 47 Income from Specified Business) (45 – 46) C47 48 Relevant clause of sub-section (5) of section 35AD which covers the specified business (to be selected from drop down menu) C48 D Income chargeable under the head ‘Profits and gains’ (A37+B41+C47) D D Income chargeable under the head ‘Profits and gains from business or profession’ (A37+B41+C47) E Intra head set off of business loss of current year Sl. Type of Business income Income of current year (Fill this column only if figure is zero or positive) Business loss set off Business income remaining after set off (1) (2) (3) = (1) – (2) i Loss to be set off (Fill this row only if figure is negative) (A37) ii Income from speculative business (B41) iii Income from specified business (C47) iv Total loss set off (ii + iii) v Loss remaining after set off (i – iv) Schedule CYLA Details of Income after set-off of current years losses CURRENT YEAR LOSS ADJUSTMENT Sl. No. Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss of the current year set off Business Loss (other than speculation or specified business loss) of the current year set off Other sources loss (other than loss from race horses) of the current year set off Current year’s Income remaining after set off Total loss (4 of Schedule –HP) Total loss (A21 of Schedule-BP) Total loss (6 of Schedule-OS) 1 2 3 4 5=1-2-3-4 Loss to be adjusted -> i House property ii Business (excluding speculation income and income from specified business) iii Speculation income 64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] iv Specified business income u/s 35AD v Short-term capital gain taxable @15% vi Short-term capital gain taxable @ 30% vii Short-term capital gain taxable at applicable rates viii Short-term capital gain taxable at special rates in India as per DTAA ix Long term capital gain taxable@ 10% x Long term capital gain taxable @ 20% xi Long term capital gains taxable at special rates in India as per DTAA xii Net Income from Other sources (excluding profit from owning race horses and winnings from lottery) xiii Profit from owning and maintaining race horses xiv Total loss set-off xv Loss remaining after set-off Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA, 115UB PASS THROUGH INCOME Sl . Investment entity covered by section 115UA/115UB Name of business trust/ investment fund PAN of the business trust/ investme nt fund Sl. Head of income Current year income Share of current year loss distribut ed by Investm ent fund Net Income/ Loss 9=7-8 TDS on such amount, if any (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) 1. (drop down to be provided) i House property ii Capital Gains a Short term ai section 111A aii Others b Long term bi section 112A bii sections other than 112A iii Other Sources a Dividend b Others iv Income claimed to be exempt A u/s 10(23FBB) B u/s ………….. C u/s ………… 2. i House property ii Capital Gains A Short term ai section 111A aii Others [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 65 B Long term bi section 112A bii sections other than 112A iii Other Sources A Dividend B Others iv Income claimed to be exempt A u/s 10(23FBB) B u/s ………….. C u/s ………… NOTE ► Please refer to the instructions for filling out this schedule. Schedule SI Income chargeable to tax at special rates [Please see instruction] SPECIAL RATE Sl No Section  Special rate (%) Income (i) Tax thereon (ii) 1 111A (STCG on shares where STT paid)  15 2 115AD (STCG for FIIs on securities where STT not paid)  30 3 112 proviso (LTCG on listed securities/ units without indexation)  10 4 115AC (LTCG for non-resident on bonds/GDR)  10 5 115AD (LTCG for FII on securities)  10 6 112 (LTCG on others)  20 7 112A(LTCG on equity shares/units of equity oriented fund/units of business trust on which STT is paid)  10 8 STCG chargeable at special rates in India as per DTAA  9 LTCG Chargeable at special rates in India as per DTAA  10 115AC (Income by way interest received by non-resident from bonds or GDR purchased in foreign currency)  10 11 115AC (Income by way of Dividend received by non-resident from bonds or GDR purchased in foreign currency  10 12 115BB (Winnings from lotteries, puzzles, races, games etc.)  30 13 115BBE (Income under sections 68, 69, 69A, 69B, 69C or 69D)  60 14 Any other income chargeable at special rate (Drop down to be provided)  (part of 2c of schedule OS) 15 Income from other sources chargeable at special rates in India as per DTAA  (part of 2e of schedule OS) 16 Income in the nature of Short Term Capital Gain chargeable @ 15%  15 17 Pass through Income in the nature of Short Term Capital Gain chargeable @ 30%  30 18 Pass Through Income in the nature of Long Term Capital Gain chargeable @ 10%  10 19 Pass Through Income in the nature of Long Term Capital Gain chargeable @ 20%  20 20 Pass through Income in the nature of Long Term Capital Gain chargeable @ 10% other than section 112A  10 21 Pass through income in the nature of income from other source chargeable at special rates  (2d of schedule OS) 22 Any other income chargeable at special rate (Drop down to be provided in e-filing utility) Total Schedule 115TD Accreted income under section 115TD 1 Aggregate Fair Market Value (FMV) of total assets of trust/institution 1 2 Less: Total liability of trust/institution 2 3 Net value of assets (1 – 2) 3 4 (i) FMV of assets directly acquired out of income referred to in section 10(1) 4i (ii) FMV of assets acquired during the period from the date of creation or establishment to the effective date of registration/provisional registration u/s 12AA/12AB, if benefit u/s 11 and 12 not claimed during the said period 4ii (iii) FMV of assets transferred in accordance with third proviso to section 115TD(2) 4iii (iv) Total (4i + 4ii + 4iii) 4iv 66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 5 Liability in respect of assets at 4 above 5 6 Accreted income as per section 115TD [3 – (4iv – 5)] 6 7 Additional income-tax payable u/s 115TD at maximum marginal rate 7 8 Interest payable u/s 115TE 8 9 Specified date u/s 115TD 9 10 Additional income-tax and interest payable 10 11 Tax and interest paid 11 12 Net payable/refundable (10 – 11) 12 13 Date(s) of deposit of tax on accreted income Date 1 DD/MM/YYYY Date 2 DD/MM/YYYY Date 3 DD/MM/YYYY 14 Name of Bank and Branch 15 BSR Code 16 Serial number of challan 17 Amount deposited Schedule FSI Details of Income from outside India and tax relief (available only in case of resident) INCOME FROM OUTSIDE INDIA AND TAX RELIEF Sl. Country Code Taxpayer Identification Number Sl. Head of income Income from outside India (included in PART B-TI) Tax paid outside India Tax payable on such income under normal provisions in India Tax relief available in India (e)= (c) or (d) whichever is lower Relevant article of DTAA if relief claimed u/s 90 or 90A (a) (b) (c) (d) (e) (f) 1 i House Property ii Business or Profession iii Capital Gains iv Other sources Total 2 i House Property ii Business or Profession iii Capital Gains iv Other sources Total NOTE ► Please refer to the instructions for filling out this schedule. Schedule TR Summary of tax relief claimed for taxes paid outside India (available only in case of resident) TAX RELIEF FOR TAX PAID OUTSIDE INDIA 1 Details of Tax relief claimed Country Code Taxpayer Identification Number Total taxes paid outside India (total of (c) of Schedule FSI in respect of each country) Total tax relief available (total of (e) of Schedule FSI in respect of each country) Section under which relief claimed (specify 90, 90A or 91) (a) (b) (c) (d) (e) Total 2 Total Tax relief available in respect of country where DTAA is applicable (sections 90/90A) (Part of total of 1(d)) 2 3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d)) 3 4 Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the year? If yes, provide the details below 4 Yes/No a Amount of tax refunded b Assessment year in which tax relief allowed in India NOTE ►Please refer to the instructions for filling out this schedule. [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 67 A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the relevant calendar year ending as on 31st December, 2021 Sl No Country name Country code Name of financial institution Address of financial institutio n ZIP code Account number Status Account opening date Peak balance during the period Closing balance Gross amount paid/credited to the account during the period (drop down to be provided specifying nature of amount viz. interest/dividend/proceeds from sale or redemption of financial assets/ other income) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) A3 Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the relevant calendar year ending as on 31st December, 2021 Sl No Country name Country code Name of entity Address of entity ZIP code Nature of entity Date of acquirin g the interest Initial value of the investmen t Peak value of investmen t during the period Closing value Total gross amount paid/credited with respect to the holding during the period Total gross proceeds from sale or redemption of investment during the period (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (i) (ii) A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the relevant calendar year ending as on 31st December, 2021 Sl No Country name Country code Name of financial institution in which insurance contract held Address of financial institution ZIP code Date of contract The cash value or surrender value of the contract Total gross amount paid/credited with respect to the contract during the period (1) (2) (3) (4) (5) (6) (7) (8) (9) (i) (ii) B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the relevant calendar year ending as on 31st December, 2021 Sl No Country Name and code Zip Code Nature of entity Name and Address of the Entity Nature of InterestDirect/ Beneficial owner/ Beneficiary Date since held Total Investment (at cost) (in rupees) Income accrued from such Interest Nature of Income Income taxable and offered in this return Amoun t Schedule where offered Item number of schedule (1) (2a) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) C Details of Immovable Property held (including any beneficial interest) at any time during the relevant calendar period Sl No Country Name and code Zip Code Address of the Property OwnershipDirect/ Beneficial owner/ Beneficiary Date of acquisitio n Total Investment (at cost) (in rupees) Income derived from the property Nature of Income Income taxable and offered in this return Amount Schedule where offered Item number of schedule (1) (2a) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (i) (ii) Schedule FA Details of Foreign Assets and Income from any source outside India DETAILS OF FOREIGN ASSETS A1 Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the relevant calendar year ending as on 31st December, 2021 Sl No Country name Country code Name of financial institution Address of financial institution ZIP code Account number Status Account opening date Peak balance during the period Closing balance Gross interest paid/credited to the account during the period (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) 68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] D Details of any other Capital Asset held (including any beneficial interest) at any time during the relevant calendar year ending as on 31st December, 2021 Sl No Country Name and code Zip Code Nature of Asset OwnershipDirect/ Beneficial owner/ Beneficiary Date of acquisitio n Total Investment (at cost) (in rupees) Income derived from the asset Nature of Income Income taxable and offered in this return Amount Schedule where offered Item number of schedule (1) (2a) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (i) (ii) E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the relevant calendar period and which has not been included in A to D above. Sl No Name of the Institution in which the account is held Address of the Institutio n Countr y Name and Code Zip Code Name of the account holder Accoun t Numbe r Peak Balance/ Investment during the year (in rupees) Whether income accrued is taxable in your hands? If (7) is yes, Income accrued in the account If (7) is yes, Income offered in this return Amount Schedule where offered Item number of schedule (1) (2a) (2b) (3a) (3b) (4) (5) (6) (7) (8) (9) (10) (11) (i) (ii) F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor Sl No Countr y Name and code Zip Code Name and address of the trust Name and address of trustees Name and address of Settlor Name and address of Beneficiarie s Date since position held Whether income derived is taxable in your hands? If (8) is yes, Income derived from the trust If (8) is yes, Income offered in this return Amount Schedule where offered Item number of schedule (1) (2a) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) G Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business or profession Sl No Countr y Name and code Zip Code Name and address of the person from whom derived Income derived Nature of income Whether taxable in your hands? If (6) is yes, Income offered in this return Amount Schedule where offered Item number of schedule (1) (2a) (2b) (3) (4) (5) (6) (7) (8) (9) (i) (ii) NOTE ► Please refer to instructions for filling out this schedule. SCHEDULE SH SHAREHOLDING OF UNLISTED COMPANY If you are an unlisted company, please furnish the following details;- Details of shareholding at the end of the previous year Name of the shareholder Residential status in India Type of share PAN Date of acquisition Number of shares held Face value per share Issue Price per share Amount received Details of equity share application money pending allotment at the end of the previous year Name of the applicant Residential status in India Type of share PAN Date of application Number of shares applied for Application money received Face value per share Proposed issue price Details of shareholders who is not a shareholder at the end of the previous year but was a shareholder at any time during the previous year Name of the shareholder Residential status in India Type of share PAN Number of shares held Face value per share Issue Price per share Amount received Date of acquisition Date on which cease to be shareholder Mode of cessatio n In case of transfer, PAN of the shareholder [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 69 Part-B Part B – TI STATEMENT OF INCOME FOR THE PERIOD ENDED ON 31ST MARCH, 2022 Part B1 – If registered under section 12A/12AA/12AB or approved under section 10(23C)(iv)/10(23C)(v)/ 10(23C)(vi)/10(23C)(via), fill out items 1 to 7 ( if applicable) 1 Voluntary Contributions other than Corpus [(Aiie + Bii) of Schedule VC] 1 2 Voluntary contribution forming part of corpus [(A + B) of schedule Part B-TI] 2 A Corpus representing donations received for the renovation or repair of places notified u/s 80G(2)(b) [Aia +Bia of Schedule VC] A B Corpus other than above [Aib +Bib of Schedule VC] B 3 Amount of corpus donation not eligible for exemption as per Part A1 column (8) of Schedule J 3 4 Amount of corpus donation invested in 11(5) modes and eligible for exemption (2-3) of Part B-TI) 4 5 Aggregate of income referred to in sections 11, 12 and sections 10(23C)(iv), 10(23C)(v), 10(23C)(vi) and 10(23C)(via) derived during the previous year excluding Voluntary contribution included in 1 and 2 above (10 of Schedule AI) 5 6 Application of income for charitable or religious purposes or for the stated objects of the trust/institution:- i Amount applied during the previous year- Revenue Account [Excluding application from borrowed fund, deemed application, previous year accumulation upto 15% etc, i.e. not from the income of prev. year] [Sr.no. I from Schedule ER] 6i ii Amount applied during the previous year- Capital Account [Excluding application from Borrowed Funds, deemed application, previous year accumulation upto 15% etc., i.e. not from income of the prev. year] [Sr.no. E of Schedule EC] 6ii iii Repayment of loan during the previous year [Sr.no. 4 of table A2 of Schedule J] 6iii iiia Amount applied during the previous year- invested or deposited back into specified mode of Corpus fund (disallowed earlier on application of fund for object of trust/institution) invested or deposited back, into one or more of the forms or modes specified in section 11(5) maintained specifically for such corpus, from the income of that year and to the extent of such investment or deposit [Sr.no. 4 of table A1 of Schedule J] 6iiia iv Amount deemed to have been applied during the previous year as per clause (2) of Explanation to section 11(1) < Col 2 of Schedule D for FY 2021-22> 6iv A If (iv) above applicable, whether option in Form No. 9A has been furnished to the Assessing Officer 6iva B If yes, date of furnishing Form No. 9A (DD/MM/YYYY) 6ivb v Amount accumulated or set apart for application to charitable or religious purposes or for the stated objects of the trust/institution to the extent it does not exceed 15 per cent of income derived from property held in trust/ institution under sections 11(1)(a)/11(1)(b) or in terms of third proviso to section 10(23C) [restricted to the maximum of 15% of (1 +5) above] 6v vi Amount in addition to amount referred to in (iv) above, accumulated or set apart for specified purposes if all the conditions in sections 11(2) and 11(5) or third proviso to section 10(23C) are fulfilled) 6vi vii Amount eligible for exemption under section 11(1)(c) 6vii A Approval number given by the Board 6viia B Date of approval by board 6viib viii Total [6i +6ii+6iii+6iiia+6iv+6v+6vi +6vii] 6viii 7 Additions i Income chargeable under section 11(1B) < Total of Col 6 of Schedule D> 7i ii Income chargeable under section 11(3) < Total of Col 13 of Schedule I > 7ii iii Income in respect of which exemption under section 11 is not available A Being anonymous donation (Diii of schedule VC) 7iiia B Disallowable u/s 13(1)(c) or 13(1)(d) (including Part E of Schedule J) 7iiib iv Income chargeable under section 12(2) 7iv v Amount disallowable under section 11(1) r.w.s 40(a)(ia) or 10(23C) r.w.s 40(a)(ia) 7v vi Amount disallowable under section 11(1) r.w.s 40A(3)/(3A) or 10(23C) r.w.s 40A(3)/(3A) 7vi viia Income as per Explanation 3B in case of violation of clause (a) or (b) or (c) or (d) of Explanation 3A to section 11(1) read with section 80G(2)(b) 7viia viib Income as per Explanation 1B in case of violation of clause (a) or (b) or (c) or (d) of Explanation 1A to section 10(23C) read with section 80G(2)(b) 7viib viii Total [7i + 7ii+7iiia+7iiib+7iv+7v + 7vi+7viia+7viib] 7viii 8 Income chargeable u/s 11(4) 8 9 Gross income after Exemption u/s 11/10(23C)(iv)/10(23C)(v)/ 10(23C)(vi)/10(23C)(via) [(1+5- 6viii)+3+7viii+8] 9 70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 10 Income not forming part of item No. 9 above i Income from house property [ 4 of Schedule HP] (enter nil if loss) 10i ii Profits and gains of business or profession [as per item No. D 49 of schedule BP] 10ii iii Income under the head Capital Gains A Short term 10iiia Ai Short-term chargeable @ 15% (9ii of item E of schedule CG) Ai Aii Short-term chargeable @ 30% (9iii of item E of schedule CG) Aii Aiii Short-term chargeable at applicable rate ( 9iv of item E of schedule CG) Aiii Aiv Short-term chargeable at special rates in India as per DTAA (9v of item E of Schedule CG) Aiv Av Total Short-term (ai + aii + aiii + aiv) (enter nil if loss) Av B Long term 10iiib Bi Long-term chargeable @ 10% (9vi of item E of schedule CG) Bi Bii Long-term chargeable @ 20% (9vii of item E of schedule CG) Bii Biii Long-term chargeable at special rates in India as per DTAA (9viii of item E of schedule CG) Biii Biv Total Long-term (bi + bii + biii) (enter nil if loss) Biv C Total capital gains (10iiia +10iiib) (Av+Biv) (enter nil if loss) 10iiic iv Income from other sources [as per item No. 9 of Schedule OS] 10iv v Total (10i + 10ii + 10iiic + 10iv) 10v 11 Gross income (9+10) 11 12 Losses of current year to be set off against 10v (total of 2xiv, 3xiv and 4xiv of Schedule CYLA) 12 13 Total Income (11-12) 13 14 Income which is included in 13 and chargeable to tax at special rates (total of col. (i) of schedule SI) 14 15 Aggregate Income (13-14) [applicable if (13-14) exceeds maximum amount not chargeable to tax] 15 16 Anonymous donations, included in 15, to be taxed under section 115BBC @ 30% (Diii of Schedule VC) 16 17 Income chargeable at maximum marginal rates 17 Part B2 – If claiming exemption under section 13A/13B and under sections 10(21), 10(22B), 10(23A), 10(23AAA), 10(23B), 10(23EC), 10(23ED), 10(23EE), 10(29A), 10(23C)(iiiab), 10(23C)(iiiac), 10(23C)(iiiad), 10(23C)(iiiae), 10(23D), 10(23DA), 10(23FB), 10(24), 10(46), 10(47) 1 Amount eligible for exemption under sections 10(21), 10(22B), 10(23A), 10(23AAA), 10(23B), 10(23EC), 10(23ED), 10(23EE), 10(29A) 1 2 Amount eligible for exemption under sections 10(23C)(iiiab), 10(23C)(iiiac), 10(23C)(iiiad), 10(23C)(iiiae), 10(23D), 10(23DA), 10(23FB), 10(24), 10(46), 10(47) 2 3 Amount eligible for exemption under any other clause of section 10 ((other than those at 1 and 2) 3 4 Income chargeable under section 11(3) read with section 10(21) [Total of Col 13 of Schedule I] 4 5 Income claimed as exempt under section 13A in case of a Political Party 5 6 Income claimed as exempt under section 13B in case of an Electoral Trust (item No. 6vii of Schedule ET) 6 7 Voluntary Contribution received during the year 7 8 Heads of Income i Income from house property [ 4 of Schedule HP] (enter nil if loss) 8i ii Profits and gains of business or profession [as per item No. D 49 of schedule BP] 8ii iii Income under the head Capital Gains A Short term (A5 of schedule CG) 8iiia Ai Short-term chargeable @ 15% (9ii of item E of schedule CG) Ai Aii Short-term chargeable @ 30% (9iii of item E of schedule CG) Aii Aiii Short-term chargeable at applicable rate ( 9iv of item E of schedule CG) Aiii Aiv Short-term chargeable at special rates in India as per DTAA (9v of item E of Schedule CG) Aiv Av Total Short-term (ai + aii + aiii + aiv) (enter nil if loss) Av B Long term (B4 of schedule CG) (enter nil if loss ) 8iiib [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 71 Bi Long-term chargeable @ 10% (9vi of item E of schedule CG) Bi Bii Long-term chargeable @ 20% (9vii of item E of schedule CG) Bii Biii Long-term chargeable at special rates in India as per DTAA (9viii of item E of schedule CG) Biii Biv Total Long-term (bi + bii + biii) (enter nil if loss) Biv C Total capital gains (Av+Biv) (enter nil if loss ) 8iiic iv Income from other sources [as per item No. 9 of Schedule OS] 8iv v Total (8i + 8ii + 8iiic + 8iv) 8v 9 Gross income [7+8v-5-6] +4 9 10 Losses of current year to be set off against 8 (total of 2xiv, 3xiv and 4xiv of Schedule CYLA) 10 11 Gross Total Income (9-10) 11 12 Income which is included in 11 and chargeable to tax at special rates (total of col. (i) of schedule SI) 12 13 Net Agricultural income for rate purpose 13 14 Aggregate Income (11-12+13) [applicable if (11-12) exceeds maximum amount not chargeable to tax] 14 15 Anonymous donations, included in 14, to be taxed under section 115BBC @ 30% (Diii of Schedule VC) 15 16 Income chargeable at maximum marginal rates 16 Part B – TTI Computation of tax liability on total income 1 Tax payable on total income A Tax at normal rates on (15-16-17) of Part B1 of Part B-TI] OR (14-15-16) of Part B2 of Part B-TI 1a b Tax at special rates (total of col. (ii) of Schedule-SI) 1b c Tax on anonymous donation u/s 115BBC @30% on sr.no. 16 of Part BI of Part B-TI OR sr.no. 15 of Part B2 of Part B-TI 1c d Tax at maximum marginal rate on Sr.no. 17 of Part B1 of Part B-TI OR Sr.no. 16 of Part B2 of Part B-TI 1d e Rebate on agricultural income [In Part B2, applicable if (11-12) of Part B-TI exceeds maximum amount not chargeable to tax] 1e f Tax Payable on Total Income (1a+ 1b+1c+ 1d- 1e) 1f 2 Surcharge i 25% of 13 of Schedule SI 2i ii On [1f – (13 of Schedule SI)] 2ii iii Total (i + ii) 2iii 3 Health and Education cess @ 4% on (1f+ 2iii) 3 4 Gross tax liability (1f+ 2iii + 3) 4 5 Tax relief a Sections 90/90A (2 of Schedule TR) 5a b Section 91 (3 of Schedule TR) 5b c Total (5a + 5b) 5c 6 Net tax liability (4 – 5c) 6 7 Interest and fee payable a Interest for default in furnishing the return (section 234A) 7a b Interest for default in payment of advance tax (section 234B) 7b c Interest for deferment of advance tax (section 234C) 7c d Fee for default in furnishing return of income (section 234F) 7d e Total Interest and Fee Payable (7a+ 7b+ 7c+ 7d) 7e 8 Aggregate liability (6 + 7e) 8 TAXES PAID 9 Taxes Paid a Advance Tax (from column 5 of 15A) 9a b TDS (total of column 9 of 15B) 9b c TCS (total of column 7 of 15C) 9c d Self-Assessment Tax (from column 5 of 15A) 9d e Total Taxes Paid (9a+ 9b+ 9c+ 9d) 9e 10 Amount payable (Enter if 8 is greater than 9e, else enter 0) 10 11 Refund(If 9e is greater than 8) (refund, if any, will be directly credited into the bank account) 11 12 Net tax payable on 115TD income including interest u/s 115TE (Sr.no. 12 of Schedule 115TD) 12 72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] BANK ACCOUNT 13 Do you have a bank account in India (Non- Residents claiming refund with no bank account in India may select No) Select Yes or No a) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts) Sl. IFS Code of the Bank in case of Bank Accounts held in India Name of the Bank Account Number Indicate the account used for digital receipts/ payments (tick account(s) ) Indicate the account in which you prefer to get your refund credited, if any (tick one account for refund  ) i ii Note: 1) Minimum one account should be selected for refund credit 2) In case of refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after processing the return Rows can be added as required b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details of one foreign bank account: Sl. No. SWIFT Code Name of the Bank Country of Location IBAN 14 Do you at any time during the previous year,- (i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India; or (ii) have signing authority in any account located outside India; or (iii) have income from any source outside India? [applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]  Yes  No 15 TAX PAYMENTS A Details of payments of Advance Tax and Self-Assessment Tax ADVANCE/ SELF ASSESSMENT TAX Sl No BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) (1) (2) (3) (4) (5) i ii iii iv NOTE ► Enter the totals of Advance tax and Self-Assessment tax in Sl No. 9a & 9d of Part B-TTI B Details of Tax Deducted at Source (TDS) on Income [As per Form 16 A issued or Form 16B/16C/16D furnished by Deductor(s)] C Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)] TCS ON INCOME Sl No Tax Deduction and Tax Collection Account Number of the Collector Name of the Collector Unclaimed TCS brought forward (b/f) TCS of the current Financial Year (TCS collected during the FY 2021- 22) Amount out of (5) or (6) being claimed this Year (only if corresponding income is being offered for tax this year) Amount out of (5) or (6) being carried forward Fin. Year in which collected Amount b/f (1) (2) (3) (4) (5) (6) (7) (8) i ii NOTE ► Please enter total of column (7) in 9c of Part B-TTI Sl No TDS credit relating to self / other person

[other
person
as per
rule
37BA(2)
]

PAN/Aadhar of Other Person (if TDS credit related to other person) TAN of the Deductor/ PAN/Aadha r of Tenant/ Buyer Unclaimed TDS brought forward (b/f) TDS of the current Financial Year (TDS Deducted during the FY2021-22) TDS credit being claimed this Year (only if corresponding income is being offered for tax this year), not applicable if TDS is deducted u/s 194N) Corresponding Receipts/ withdrawals offered TDS credit being carried forwar Fin. d Year in which deducte d TDS b/f Deducte d in own hands Deducted in the hands of any other person as per rule 37BA(2) (if applicable) Claime d in own hands Claimed in the hands of any other person as per rule 37BA(2) (if applicable) Gross Amoun t Head of Incom e (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) Income TDS Income TDS PAN/ Aadhaa r i [भाग II—खण्‍ड 3(i)] भारत‍का‍राजपत्र‍:‍असाधारण 73 VERIFICATION I, son/ daughter of , solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules, statements, etc. accompanying it is correct and complete is in accordance with the provisions of the Income-tax Act, 1961. I further declare that I am making this return in my capacity as _____________________________ (drop down to be provided) and I am also competent to make this return and verify it. I am holding permanent account number (if allotted) (Please see instruction). I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied with. (Applicable, in a case where return is furnished under section 92CD) Place Date Sign here .’. 23/2022/F. No. [Notification No.370142/8/2022-TPL-Pt.VII]

SHEFALI SINGH, Under Secy. Note

:- The principal rules were published vide notification S.O. 969 (E), dated the 26th March, 1962 and last amended vide notification GSR 231(E), dated the 30th March, 2022. Uploaded by Dte. of Printing at Government of India Press, Ring Road,

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