Statement of income paid or credited by Venture Capital Company or Venture Capital Fund to be furnished under section 222

X X   X X   Extracts   X X   X X

Full Text of the Document

X X   X X   Extracts   X X   X X

....ital Fund: Sl. No. Name PAN ^1[****] Address Contact Number E-mail Id Designation 1.               2. (Repeat, if required)             8. Details of registration of the Venture Capital Company or Venture Capital Fund with Securities and Exchange Board of India (SEBI):   Regulations under which registered (SEBI (Venture Capital Funds) Regulations, 1996 or SEBI (Alternative Investment Funds) Regulations, 2012) Date of registration Registration Number Validity of registration (up to)         9. In a case where Venture Capital Company or Venture ....

X X   X X   Extracts   X X   X X

Full Text of the Document

X X   X X   Extracts   X X   X X

....Repeat, if required, for the multiple capital gains code)   11. Total income from the investments in Venture Capital Undertakings under the head 'Income from other sources' [B]: (i) (a) Dividend:   (b) Proportion to [C] (in %):   (ii) (a) Other:   (b) Proportion to [C] (in %):   12. Total income under all the heads from the investments in Venture Capital Undertakings [C] = [A] + [B]:   13. Details of persons, referred to in section 222(1) by whom the income is received or in whose name it has been credited or deemed to have been credited, in the following format: Sl. No. Name(s) of the investor Address(es) ^2[PAN] Total amo....

X X   X X   Extracts   X X   X X

Full Text of the Document

X X   X X   Extracts   X X   X X

.... I________________________ have examined the books of account and other documents showing the particulars of income earned and the income distributed / credited (including amount deemed to have been credited in accordance with provisions of section 222(5)) to the investors by the_________________ (name of the Venture Capital Company or the Venture Capital Fund) for the tax year ending______________. I affirm that the above particulars are true and correct to the best of my knowledge and belief. Place: Date: Signature: Name of the accountant: Designation: Membership Number: UDIN, if any: Name of the Proprietorship/Firm: Firm Registration Number: Notes: 1. The name shall include full name of the Venture ....