Post on 01-Mar-2021
¥fflxp7FT FTtFfie fin TRqE
fin uRq`iuiTi] tFTrfu, qFGis rfu FreHffro fin un
(H i3tT ffro mFTfha fflqfan) a.fl. arfu ds, nd i.12,Rlrfu tTTRI FTfin FTrfu faiHiffl t} qiH, qF -33iooi
± TTa¥ -oi562-2544o5 ca -adpcrmsachuru@gmail.com
3FT]itF :-ffro/rfu3T/F/fliTTq/2016-17 / iH 8> ffro :-21.03.2015Hennd/H-TTan./in..-...-.................-H{`i I
fa":- sDMc /DDMc / sMc tFT 8OG t} t]i5tT qffi qiiTtT I
mf :-TFTTfin /HTi^icRli/2016 -17/1843, fas 17.03.2017
sqha rat]qiTtllitl Ta Hrfu t]H t} 3FTT i fa a fS fca E} tiT]RIFT€Hfie try si5F FTEFfie ¥ sDMc/BeEae/sMc ffl 8OG ti ERE an qT{iillii:zii€i Tti a,I+a.icii,3If aitT ffro tin fi 3Tfatrfe rfu 5]iTFT tF¥ fa€ilctt+ fatma
fa5" TIT iTtrm a I
STET: 8OG t} tTEiT 3TTqt} fatITan q5T qffi tFiqitFT EH tFTrfu tri
en tF{ ,Hit :- F 3TTan # rfu I
giv±ctds+-ra`<r&|TaralqtralHkapffifats rgffaT cf5* gffr<grchrfu€Trfea_£gOwtr) #1
fflEHE3iialtcmu fan uit¢iiuiTii <iliTci¢ict,
ch3T, F
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.
Printed from wREur _inenmetaxindia.gev.in Pagg 3 of 3