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INCOME-TAX RULES, 1962

FORM NO.1CA[£eg "le 1 7AI

Appliffltio n for registration of charifah[e or FeljgioHs trust ®r institutionHnd€r clfl use (aa) of sub-section (1} flf section 12A of the In"mg-tax Act,19fil

ToThe CommissinHei-Of hacom€-tar]

on behalf ofE tnist iur msti€ution e rfgistRE± mfl afthe

Income-t`ax Act: 1961. The fulfowing pEatieulars are firmished herewith :

1 T FTtrme Of the Thjist!fiastifution infull tin block Eetters}2. Perm!Ias'Bewi AccoacttS NTm!iber

3` AREress

er seet`mnInanegfthE

4. D€taiFs Of the outhor{s}ffounder{s}: --Si.No. Name Address Permane nt Accotjnt NL!mbe r {PfiN|

5. Dtrf e Of i:yeck±on Of the tmist ar estndjfisha¢gp:rf Of the i:rm€ihrf ion6. D8tafls Of the trustee(s}/manclger{s}: -SLNo. N@FTe Address PermanentAccountNumber(PAN}

I also eflffose the follasving docufflefl±s=

I. ¢#) * Origiml/CstiFied copy of the instnrment under whieh the trust/institutinfl imas ciEateifestablished,fogcther with a copy thfren£

{d} * Gri.rimucedfied copy Df deoumfnt evidencing the Greatien cFf the trust or the establishment of theinstrfutinfl, togathff with a cagy thereof. [The orisinals] if enclosed, will be rcturmed}.

2. `Tiro copies of the accounts of the i± trust¢''insttiutinn fu the latest * ofleftTiro#hrae yens.I undertake to communicate fdihwi±h any al€eratinn in the terms Of the inist, or iri the rules gflverming theins€fufron, mere at any time hEH-eaftff.

Jhaf€Signdttife

Resignation

Address

* SrfukE out whicheiur is flut applicable.

roRE NO. ioG[Str€ nee E EAA]

Appli€atjoH for grant of appH)vat or continuance thereof to iHstitnticn or fund undersection BOG(5){vi} of the Income Ltax Act,1961

i Name of the institutinnffund in fun tin bltrsk ietters}

2. Address cf the registered offzce of the institution/fund

3. Legal status [please specify whether the institutiondfund is-{i} constituted as pubHc charhable trust;

{ii} registered under the Sacfaties Registratirm Act918$8 {2i of1858} or undei. any h++r corFgaprmding to that Act in fence in anyput oFlndin;

£ifi} regist,ered under section Z5 tip the f]ompanies Act91956 €1 of1956[;

(£v} a Ufliversity estabtished by law;

(v} any other educatiQrmf institution rermgnised by the Governmentof ky any University established dy' inw cH. afflhiated ta anyUniversity estabfishad by hat[';

€vi) an institution whcfty' or partly financed by the Gi}vermment ®ra iacat authority;

{vii} an institution established with the ot2iect of eonholiing,supervising, requtating or gneoura9ng games or aports and isapprrm'ed far this purpose undsi. section 10{23}; or

{viii| a Flggimental Fund or Non-Public Fund established by thearmed forces of the Union foi' the i*`'elfire of past or presrmtmembers of such forces or their dependants.]

4. Otziects of the institutionffund and geographicai area over which itsactivities are undertaken

S. Names and addresses of ti.u§tefsfoffrsg beaF€rs aF the institution orfufld

Printed frorm wwvy .incomefaxint!ia.gev.in Page 1 Of 3

6L {i} IF registered under sectftm 12A{a} of the Incorm€-tax Aftg thersgf shatjon number and date ofregistratiun

€hi} If notified under sectirm 10{23} or under sgctien io{23C) oF theIncome-tax Actg the details therec}F

€i§i} If reapenses to {i} & {ii} are negative, whether any application forthe same has been filed.? If yes3 enclose a copy Of the same.

7. €a} Period of last appraral5 if any. Please gnclo§e a Cap)7 af theapprova!

ffp} If any changg in the aids and ot*eets and the rules and regulationshave beffl made since the fast approval, the dftaiis thereof

a Asse§§m€nt particulars.€a} Wardj'Cirefe where assesse„d and permanent acenuflt fluniber/SIR

number

fty} Is the income exempt under sectirm lo{E2}, is{22A}, 1S{23}:10{23AA}$ 1S{23C} or llt?

® Whether any arrears Of taxes art} outstanding? If sos give rgasofls

9. Amcunt aceurmuhated for-the puapcises mentfrmed in item f.4) above

lS. (i) Details of mndes in iiThic`h the funds are invested or deposited3showing the nature, value and incorme frc!m the in`t'estment;

{fi) Whether any funds have nut heeff invested in the modes apecifiedlm see{inn 1 i{5}?

11. €f} Is the inst±±utirmffund carrying on any business? If yes5 give details

(fi} Is the business inciriental to the attainment of its objects?

12.

13.

Dgtails of rmture, qunmtity and value of contributions {other than casftyand the manner in which such cofltr±butiens have been utiiisech

Dgtafls of shares, security ar cther pREperdy purchased dy or on b3haifof the t"st fion any interested person as specified in sub-section {3} ofs€ctinn 13 .

Printed from www .incometaHindia.gou.in Page 2 Of 3

14, Ththether any part oFthe inDome or any property of the association wasused oi- applied in a marmer wrhich results directly or indirectly inconferring any bBneffl9 amerity or penquisite {whether crmverted intomene}' or nct}, on any interested person as apBcified in sub. section {3}flf seftfon i3? If so, details thereof.

I cer±±fy that inEirmratinn furi§had above is true to the best Of my knou'fedge and be]ie£ I undsriake. tocomrmunieate fedhwith any aiteratinn fn the terms or ±n the nde§ governing the institution/fund made at anytine hereafter,

Signature

nesjgmtirm

Adde§s

Nct€s : The application form tin tripl!cate} should be sent {n the Cfammfssioner of Iflcoimatax havingjut§dictirm over the institution ar fuird along with the foHowing daeuments :{i} Copy of rggirfuation granted under secticm izA oi` copy Qf nctiEcation issued uflder section £0{EB}

fir saetiun io{23C}.

{ii} Notes on activfiies of iflstitutinn or fund since its inception or during the last thi¥e ycar§: w'hi€heveris !e ssvI

{iii} Capies of accounts nf the insthution er fund E;inca its incepfron or during the last three year§9whiehever i s less.

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