Form of application for an assessee, resident in India, seeking to invoke mutual agreement procedure provided for in agreements with other countries or specified territories

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....ies Part A: Particulars of the Applicant 1. Name: (refer Note 1) 2. Address: (refer Note 2) 3. Permanent Account Number (PAN):   4. Email Id:   5. Contact Number: Country Code Number Part B: Other Details 6. Status: (refer Note 3) 7. Tax Year(s):   8. Jurisdictional Circle/ Ward:   9. Name an....

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....ant for deciding my application. I further declare that I am making this application in my capacity as______________ (designation) and that I am holding PAN_______________ and I am competent to make this application and verify it. Place: Date: Signature: Name: Designation: Notes: 1. The name shall include full name of the entity. 2. The address shall include flat/door/bu....