Form of application for registration as authorised income-tax practitioner under section 515

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....titioner under section 515(3)(a)(v)/(vi)/(vii)/(viii). Part-A: Personal Information 1. Name (Refer Note 1) 2. Gender (Select One) (i) Male (ii) Female (iii) Transgender 3. Permanent Account Number (PAN)   4. Name of *Father/Husband (Refer Note 1) 5. Permanent Residential Address (Refer Note 2) 6. Present Residential Address (Refer....

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....b) Attach true copy of the certificate mentioned in row 10(ii)(a). (Refer Note 3) (iii) Whether you were disqualified under section 515(4). (Select One) (i) Yes (ii) No (iv) Were you an authorised representative in accordance with the provisions of section 288(2)(vii) of the Income-tax Act, 1961 (43 of 1961) (as it existed prior to its repeal). (Select One) (i) Yes....

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....of my information and belief. Place: Date: _______________ (Signature) *Delete whichever is not applicable Notes: 1. In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, the name shall be provided in full. 2. The address shall contain (i) Country/Region, (ii) Flat/Door/Building, (iii) Road/Street....