OTHER DETAILS A Where, n any of the projects/nsttutons run by you, one of the chartable purposes s advancement of any other object of general publc ut

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1 FORM ITR-7 INDIAN INCOME TAX RETURN [For persons ncludng companes requred to furnsh return under secton 139(4A) or secton 139(4B) or secton 139(4C) or secton 139(4D)] (Please see rule 12 of the Income-tax Rules,1962) (Also see attached nstructons for gudance) Assessment Year Part A-GEN Name (as mentoned n deed of creaton/establshng/ncorporaton/formaton) PAN PERSONAL INFORMATION Flat/Door/Block No Name Of Premses/Buldng/Vllage Date of formaton/ncorporaton (DD/MM/YYYY) / / Road/Street/Post Offce Area/Localty Status (see nstructons para 11b) Town/Cty/Dstrct State Pn code Offce Phone Number wth STD code/moble No. 1 Fax Number/Moble No. 2 Income Tax Ward/Crcle Emal Address 1 Emal Address 2 Detals of the projects/nsttutons run by you Sl. Name of the project/nsttuton Nature of actvty (see nstructon para 11d) 1 Classfcaton (see nstructons para 11d) Approval/ Notfcaton/ Regstraton No. Approvng/ regsterng Authorty Secton under whch exempton clamed, f any (see nstructon para 11e) FILING STATUS (a) Return fled[please see nstructon no.-6] On or before due date-139(1), After due date-139(4), Revsed Return-139(5) Modfed return-92cd OR In response to notce u/s 139(9)- defectve, 142(1), 148, 153A, 153C (b) Return furnshed under secton 139(4A) 139(4B) 139(4C) 139(4D) (c) (d) If revsed/n response to defectve/modfed, then enter Recept No and Date of flng orgnal return (DD/MM/YYYY) If fled, n response to a notce u/s 139(9)/142(1)/148/153A/153C enter date of such notce, or u/s 92CD enter date of advance prcng agreement (e) Resdental status? (Tck) Resdent Non-resdent (f) (g) / / / / Whether any ncome ncluded n total ncome for whch for whch clam under secton 90/90A/91 has been made? Yes No [applcable n the case of resdent] [f yes, ensure to fll Schedule FSI and Schedule TR] Whether any transacton has been made wth a person located n a jursdcton notfed u/s 94A of the Act? (h) In the case of non-resdent, s there a permanent establshment (PE) n Inda (Tck) () Whether ths return s beng fled by a representatve assessee? (Tck) If yes, please furnsh followng nformaton - (1) Name of the representatve (2) Address of the representatve (3) Permanent Account Number (PAN) of the representatve For Offce Use Only For Offce Use Only Recept No. Date Seal and Sgnature of recevng offcal Page 1 of 17

2 OTHER DETAILS A Where, n any of the projects/nsttutons run by you, one of the chartable purposes s advancement of any other object of general publc utlty then,- whether there s any actvty n the nature of trade, commerce or busness referred to a b n provso to secton 2(15)? whether there s any actvty of renderng any servce n relaton to any trade, commerce or busness for any consderaton as referred to n provso to secton 2(15)? If a or b s YES, the aggregate annual recepts from such actvtes n respect of that nsttuton Sl. a Name of the project/insttuton Amount of aggregate annual recepts from such actvtes b B Unversty/ Educatonal Insttuton/ Hosptal/ Other Insttuton elgble for exempton u/s 10(23C)(ad) and 110(23C)(ae) Tck, f applcable Secton 10(23C)(ad) Name of the Unversty/ Educatonal Insttuton/ Hosptal/ Other Insttuton Aggregate annual recepts (Rs.) v 10(23C)(ae) v C Whether Regstered u/s 12A/12AA? If yes, then enter Regstraton No. Commssoner/Drector of Income-tax (Exemptons) who granted regstraton Date of Regstraton (DD/MM/YYYY) / / v Whether actvty s,- chartable, relgous or both? Please tck as applcable. D Whether approval obtaned under secton 35? If yes, then enter the relevant clause of secton 35 and Regstraton No. E F Date of Approval (DD/MM/YYYY) / / v Approvng Authorty v Whether research s,- Scentfc, Socal Scence or Statstcal? Please tck as applcable v In case of busness actvty n research, whether t s Incdental or Not ncdental? Please tck as applcable Whether approval obtaned u/s 80G? If yes, then enter Approval No. Date of Approval (DD/MM/YYYY) / / Is there any change n the objects/actvtes durng the Year on the bass of whch approval/regstraton was granted? G Whether a poltcal party as per secton 13A? (f yes, please fll schedule LA) If yes, then whether regstered? If yes, then enter regstraton number under secton 29A of the Representaton of People Act, 1951 H Whether an Electoral Trust? (f yes, please fll schedule ET) If yes, then enter approval number? Page 2 of 17

3 Date of Approval (DD/MM/YYYY) / / I Whether regstered under Foregn Contrbuton (Regulaton) Act, 1976 (FCRA)? If yes, then enter Regstraton No. Date of Regstraton (DD/MM/YYYY) / / v a Total amount of contrbuton receved from outsde Inda durng the year, f any Rs. b Specfy the purpose for whch the above contrbuton s receved J Whether lable to tax at maxmum margnal rate under secton 164? K Is ths your frst return? Are you lable for audt? (Tck), If yes, furnsh followng nformaton- AUDI T INFORMATION Secton under whch you are lable for audt (specfy secton). Please menton date of audt report. (DD/MM/YY) (see Instructon 6()) 12A a Name of the audtor sgnng the tax audt report b Membershp no. of the audtor c Name of the audtor (propretorshp/ frm) d Permanent Account Number (PAN) of the propretorshp/ frm e Date of audt report f Date of furnshng of the audt report / / (DD/MM/YYYY). Part B TI STATEMENT OF INCOME FOR THE PERIOD ENDED ON 31 ST MARCH Income from house property [3c of Schedule HP] (enter nl f loss) 1 STATEMENT OF INCOME 2 Profts and gans of busness or professon [as per tem no. E 35 of schedule BP] 2 3 Income under the head Captal Gans a Short term (A5 of schedule CG) 3a b Long term (B3 of schedule CG) (enter nl f loss ) 3b c Total captal gans (3a + 3b) (enter nl f loss ) 4 Income from other sources [as per tem no. 4 of Schedule OS] 4 5 Voluntary Contrbutons (C of schedule VC) 5 6 Gross ncome [ c ] 6 If regstered under secton 12A/12AA, fll out tems 7 to 13 7 Aggregate of ncome referred to n secton u/s 11 and 12 derved durng the prevous year to the extent that s ncluded n 6 above 8 Voluntary contrbuton formng part of corpus as per secton 11(1)(d) [(A + B) of schedule VC] 9 Applcaton of ncome for chartable or relgous purposes Amount appled to chartable purposes n Inda durng the prevous year - Revenue Account Amount appled to chartable purposes n Inda durng the prevous year Captal Account [Excludng applcaton from Borrowed Funds and amount exempt u/s 11(1A)] Amount appled to chartable purposes n Inda durng the prevous year - Captal Account (Repayment of Loan) v Amount deemed to have been appled to chartable or relgous purposes n Inda durng the prevous year as per clause (2) of Explanaton to secton 11(1) a If (v) above applcable, whether opton to be exercsed n wrtng before due date to the Assessng Offcer Amount accumulated or set apart for applcaton to chartable purposes to the extent t v does not exceed 15 per cent of ncome derved from property held n trust/ nsttuton under secton 11(1)(a)/11(1)(b) [restrcted to the maxmum of 15% of (7-8) above] 3c v 9v Page 3 of 17

4 Amount n addton to amount referred to n (v) above, accumulated or set apart for v specfed purposes f all the condtons n secton 11(2) and 11(5) are fulflled (fll out schedule I) v Amount appled for chartable purpose outsde Inda as per secton 11(1)(c) a Approval number and date of approval by the Board v Total [ v+9v+9v+9v] 10 Addtons Income chargeable under secton 11(1B) (total of col. A(8) + B(5)() of schedule DA) 10 Income chargeable under secton 11(3) 10 Income n respect of whch exempton under secton 11 s not avalable by vrtue of provsons of secton 13 a Beng anonymous donaton at D of schedule VC to the extent appled for chartable purpose 10a b Other than (a) above 10b v Income chargeable under secton 12(2) 10v v Total [ a+10b+10v] 10v 11 Income chargeable u/s 11(4) [as per tem no. E36 of Schedule BP] Total (6 8-9v + 10v + 11) 12 Amount of ncome exempt under any clause of secton 10, to the extent that s ncluded n above 13 Amount elgble for exempton under secton 10(21), 10(22B), 10(23A), 10(23B), 10(23C)(v), 14 10(23C)(v), 10(23C)(v), 10(23C)(va) 14 Amount elgble for exempton under secton 10(23C)(ad), 10(23C)(ae), 10(24), 10(46), 15 10(47) Amount elgble for exempton under any clause, other than those at 14 and 15, of secton Income chargeable under secton 11(3) read wth secton 10(21) 17 Income clamed/ exempt under secton 13A or 13B n case of a Poltcal Party or Electoral 18 Trust (fll Schedule LA or ET) Income chargeable to tax (6 8-9v + 10v ) Losses of current year to be set off aganst 19 (total of 2x, 3x and 4x of Schedule CYLA) Gross Total Income (19-20) Income chargeable to tax at specal rate under secton 111A, 112 etc. ncluded n Deducton u/s 10A or 10AA Deductons under chapter VIA (lmted to 21-22) Total Income [ ] 25 Income whch s ncluded n 25 and chargeable to tax at specal rates (total of () of schedule 26 SI) Net Agrcultural ncome for rate purpose 27 Aggregate Income ( ) [applcable f (25-26) exceeds maxmum amount not chargeable to 28 tax] 28 Anonymous donatons, ncluded n 28, to be taxed under secton 30% (D of 29 schedule VC) Income chargeable at maxmum margnal rates 30 v 9v 9v Part B - TTI Computaton of tax lablty on total ncome 1a Tax Payable on deemed total Income under secton 115JB or 115JC as applcable (7 of 1 Schedule MAT/ 4 of Schedule AMT) 1b Surcharge on (a) above TAX LIABILITY 1c Educaton Cess on (1a+1b) above 1d Total Tax Payable u/s 115JB or 115JC as applcable (1a+1b+1c) 2 Tax payable on total ncome a Tax at normal rates on ( ) of Part B-TI b Tax at specal rates (total of () of Schedule-SI) Tax on anonymous donaton u/s on 29 of Part c B-TI d Tax at maxmum margnal rate on 30 of Part B-TI e Rebate on agrcultural ncome [applcable f (25-26) of Part B-TI exceeds maxmum amount not chargeable to tax] 2a 2b 2c 2d 2e 1a 1b 1c 1d Page 4 of 17

5 TAXES PAID f Tax Payable on Total Income (2a + 2b+2c+2d 2e) 3 Surcharge on 2f 3 4 Educaton cess, ncludng secondary and hgher educaton cess on (2f+3) 4 5 Gross tax lablty (2f+3+4) 5 6 Gross tax payable (hgher of 5 and 1d) 6 7 Credt under secton 115JAA/115JD of tax pad n earler years (f 5 s more than 1d) ( 5 of Schedule MATC/AMTC) 8 Tax payable after credt under secton 115JAA/115JD [ (6 7)] 8 9 Tax relef a Secton 90/90A (2 of Schedule TR) b Secton 91 (3 of Schedule TR) c Total (9a + 9b) 10 Net tax lablty (8 9c) Interest payable a For default n furnshng the return (secton 234A) b For default n payment of advance tax (secton 234B) c For deferment of advance tax (secton 234C) d Total Interest Payable (11a+11b+11c) 12 Aggregate lablty ( d) Taxes Pad a Advance Tax (from Schedule-IT) b TDS (column 8 of Schedule-TDS) c TCS (column 7 of Schedule-TCS) d Self-Assessment Tax (from Schedule-IT) e Total Taxes Pad (13a+13b+13c + 13d) 14 Amount payable (Enter f 12 s greater than 13e, else enter 0) Refund(If 13e s greater than 12) (refund, f any, wll be drectly credted nto the bank account) 16 Enter your bank account number (the number should be 9 dgts or more as per Core bankng soluton of the bank) 9a 9b 11a 11b 11c 13a 13b 13c 13d 17 IFS Code Type of Account (tck as applcable ) Cash credt, Current, Savngs 18 Do you have,- () any asset (ncludng fnancal nterest n any entty) located outsde Inda or () sgnng authorty n any account located outsde Inda? [applcable only n case of a resdent] [Ensure Schedule FA s fled up f the answer s Yes ] 2f 7 9c 11d 13e 15 Yes No VERIFICATION I, son/ daughter of, holdng permanent account number solemnly declare that to the best of my knowledge and belef, the nformaton gven n the return and the schedules, statements, etc accompanyng t s correct and complete and that the amount of total ncome and other partculars shown theren are truly stated and are n accordance wth the provsons of the Income-tax Act, 1961, n respect of ncome chargeable to ncome-tax for the prevous year relevant to the assessment year I further declare that I am makng ths return n my capacty as and I am also competent to make ths return and verfy t. Place Date Sgn here Schedule I Detals of amounts accumulated / set apart wthn the meanng of secton 11(2) Year of accumulaton (F.Yr.) Amount accumulate d n the year of accumulato n Purpose of accumulaton Amount appled for chartable/ relgous purposes upto the begnnng of the prevous year Amount nvested or deposted n the modes specfed n secton 11(5) Amounts appled for chartable or relgous purpose durng the prevous year Balance amount avalable for applcaton (7) = (2) - (4) (6) Amount deemed to be ncome wthn meanng of sub-secton (3) of secton 11 (1) (2) (3) (4) (5) (6) (7) (8) Page 5 of 17

6 Total Schedule J Statement showng the nvestment of all funds as on the last day of the prevous year A Balance n the corpus fund as on the last day of the prevous year Rs. Balance n the non-corpus fund as on the last day of the year B Detals of nvestment/deposts made under secton 11(5) Sl No Rs. Mode of nvestment as per secton 11(5) Date of nvestment Date of maturty Amount of nvestment Maturty amount (1) (2) (3) (4) (5) (6) Investment n Government Savng Scheme Post Offce Savng Bank Depost n Schedule Bank or co-operatng socetes as per secton 11(5)() v Investment n UTI v Any Other DETAILS OF INVESTMENT OF FUNDS v TOTAL C Investment held at any tme durng the prevous year (s) n concern (s) n whch persons referred to n secton 13(3) have a substantal nterest Sl Name and address Where the concern Number of Class of Nomnal Income from Whether the amount n col (6) No of the concern s a company shares held shares value of the exceeds 5 percent of the (tck as applcable held the nvestment nvestment captal of the concern durng the prevous year (tck as applcable ) (1) (2) (3) (4) (5) (6) (7) (8) v v v TOTAL D Other nvestments as on the last day of the prevous year Sl No Name and address of the concern Whether the concern s a company (tck as applcable ) Class of shares held Number of shares held Nomnal value of nvestment (1) (2) (3) (4) (5) (6) Page 6 of 17

7 v v TOTAL E Voluntary contrbutons/donatons receved n knd but not converted nto nvestments n the specfed modes u/s 11(5) wthn the tme provded Sl.N Name and address of the Value of Amount out of (3) nvested Balance to be treated as o donor contrbuton/donaton n modes prescrbed under ncome under secton 11(3) secton 11(5) (1) (2) (3) (4) (5) v TOTAL Schedule K Statement of partculars regardng the Author(s) / Founder(s) / Trustee(s) / Manager(s), etc., of the Trust or Insttuton A Name(s) of author(s) / founder(s) / Settlor(s) and address(es), f alve Sl. Name and address PAN B Name(s) of the person(s) who was / were trustee(s) / manager(s) durng the prevous year(s) Sl. Name and address PAN C Name(s) of the person(s) who has / have made substantal contrbuton to the trust / nsttuton n terms of secton 13(3)(b) Sl. Name and address PAN Name(s) of relatve(s) of author(s), founder(s), trustee(s), manager(s), and substantal contrbutor(s) and where any D such author, founder, trustee, manager or substantal contrbutor s a Hndu undvded famly, also the names of the members of the famly and ther relatves Sl. Name and address PAN Page 7 of 17

8 Schedule LA POLITICAL PARTY Poltcal Party 1 Whether books of account were mantaned? (tck as applcable ) 2 Whether record of each voluntary contrbuton n excess of twenty thousand rupees (ncludng name and address of the person who has made such contrbuton) were mantaned? (tck as applcable ) 3 Whether the accounts have been audted? (tck as applcable ) If yes, date of audt (DD/MM/YYYY) / / 4 Whether the report under sub-secton (3) of secton 29C of the Representaton of the People Act, 1951 for the fnancal year has been submtted?(tck as applcable ) 5 If yes, then date of submsson of the report (DD/MM/YYYY) / / Schedule ET ELECTORAL TRUST Electoral Trust 1 Whether books of account were mantaned? (tck as applcable ) 2 Whether record of each voluntary contrbuton (ncludng name, address and PAN of the person who has made such contrbuton along wth the mode of contrbuton) were mantaned? (tck as applcable ) 3 Whether record of each person (ncludng name, address and PAN of such person) to whom voluntary contrbuton has been dstrbuted was mantaned? (tck as applcable ) 4 Whether the accounts have been audted? (tck as applcable ) If yes, date of audt (DD/MM/YYYY ) 5 Whether the report as per rule 17CA(14) furnshed to the Commssoner of Income-tax or Drector of Income-tax?(tck as applcable ) 6 Detals of voluntary contrbuton Openng balance as on 1 st Aprl Voluntary contrbuton receved durng the year Total ( + ) v Amount dstrbuted to Poltcal partes v v Amount spent on managng the affars of the Trust v v Total (v + v) v v Closng balance as on 31 st March ( v) v / / Schedule HP Detals of Income from House Property (Please refer to nstructons) Address of property 1 Town/ Cty State PIN Code 1 Is the property co-owned? (f YES please enter followng detals) Your percentage of share n the property Name of Co-owner(s) PAN of Co-owner(s) (optonal) Percentage Share n Property I HOUSE PROPERTY II (Tck) f let out Name of Tenant PAN of Tenant (optonal) a Annual letable value or rent receved or recevable (hgher of the two, f let out for whole of the year, lower of the two f let out for part of the year) 1a b The amount of rent whch cannot be realzed 1b c Tax pad to local authortes 1c d Total (1b + 1c) 1d e Annual value (1a 1d) (nl, f self -occuped etc. as per secton 23(2)of the Act) 1e f 30% of 1e 1f g Interest payable on borrowed captal 1g h Total (1f + 1g) 1h Income from house property 1 (1f 1) 1 Page 8 of 17

9 2 Address of property 2 Town/ Cty State PIN Code Is the property co-owned? (f YES please enter followng detals) Your percentage of share n the property. Name of Co-owner(s) PAN of Co-owner(s) (optonal) Percentage Share n Property I II (Tck) f let out Name of Tenant PAN of Tenant (optonal) Annual letable value or rent receved/ recevable (hgher of the two, f let out for whole of the a year, lower of the two, f let out for part of the year) b The amount of rent whch cannot be realzed 2b c Tax pad to local authortes 2c d Total (2b + 2c) 2d e Annual value (2a 2d) f 30% of 2f 2f g Interest payable on borrowed captal 2g h Total (2f + 2g) Income from house property 2 (2e 2h) 3 Income under the head Income from house property a Rent of earler years realzed under secton 25A/AA b Arrears of rent receved durng the year under secton 25B after deductng 30% c Total ( a + 3b ) (f negatve take the fgure to 2 of schedule CYLA) 2a 2e 2h 2 3a 3b 3c Schedule CG Captal Gans A Short-term captal gan 1 From assets (shares/unts) where secton 111A s applcable (STT pad) a Full value of consderaton 1a b Deductons under secton 48 Cost of acquston b Cost of Improvement b Expendture on transfer b v Total ( + + ) bv c Balance (1a bv) 1c d Loss, f any, to be gnored under secton 94(7) or 1d 94(8) (Enter postve value only) CAPITAL GAINS e Short-term captal gan (1c +1d) 2 From assets where secton 111A s not applcable a Full value of consderaton 2a b Deductons under secton 48 Cost of acquston b Cost of Improvement b Expendture on transfer b v Total ( + + ) bv c Balance (2a bv) 2c d Loss, f any, to be gnored under secton 94(7) or 2d 94(8) (Enter postve value only) e Short-term captal gan (2c + 2d) 2e 3 Deemed short term captal gan on deprecable assets A3 4 Exempton u/s 11(1A) A4 5 Total short term captal gan (A1e + 2e + A3 - A4) A5 B Long term captal gan 1 From asset where provso under secton 112(1) s not applcable a Full value of consderaton b Deductons under secton 48 1a A1e Page 9 of 17

10 Cost of acquston after ndexaton b Cost of mprovement after ndexaton b Expendture on transfer b v Total (b + b +b) bv c Balance (1a bv) 1c d Exempton u/s 11(1A) e Long-term captal gans where provso under secton 112(1) s not applcable (1c 1d) 2 From asset where provso under secton 112(1) s applcable (wthout ndexaton) a Full value of consderaton 2a b Deductons under secton 48 Cost of acquston wthout ndexaton b Cost of mprovement wthout ndexaton b Expendture on transfer b v Total (b + b +b) bv c Balance (2a bv) 2c d Exempton u/s 11(1A) 2d e Long-term captal gans where provso under secton 112(1) s applcable (2c 2d) B2e 3 Total (1e long 1f) term captal gan (B1e + B2e) B3 C Income chargeable under the head CAPITAL GAINS (A5 + B3) (enter B3 as nl, f loss) C 1d B1e Schedule OS OTHER SOURCES Income from other sources 1 Income a Dvdends, Gross b Interest, Gross c Rental ncome from machnery, plants, buldngs, etc., Gross Others, Gross (excludng ncome from ownng race d horses)menton the source Income from wnnngs from lotteres, crossword puzzles etc. v Total (1d + 1d+ 1d) e Total (1a + 1b + 1c + 1dv) f Income ncluded n 1e chargeable to tax at specal rate (Chapter XII/XIIA) (to be taken to schedule SI) Income from wnnngs from lotteres, crossword puzzles, races, games, gamblng, bettng etc (u/s 115BB) Any other ncome under chapter XII/XII-A Income ncluded n 1e chargeable to tax at specal rate (1f +1f) g Gross amount chargeable to tax at normal applcable rates (1e-1f) h Deductons under secton 57 Expenses / Deductons Deprecaton h Total h Income from other sources (other than from ownng race horses and amount chargeable to tax at specal rate) (1g h) (If negatve take the fgure to 4 of schedule CYLA) 2 Income from other sources (other than from ownng race horses) (1f + 1) (enter 1 as nl, f negatve) 2 3 Income from the actvty of ownng and mantanng race horses a Recepts 3a b Deductons under secton 57 n relaton to (3) 3b c Balance (3a 3b) 4 Income under the head Income from other sources (2 + 3c) (take 3c as nl f negatve) 4 1a 1b 1c 1d 1d 1d 1dv h 1e 1 1f 1f 1g 1 3c Schedule- VC Voluntary Contrbutons A Local Corpus fund donaton A Other than corpus fund donaton A Voluntary contrbuton local (A + A) A Page 10 of 17

11 B Foregn contrbuton Corpus fund donaton B Other than corpus fund donaton B Foregn contrbuton (B + B) B C Total Contrbutons (A + B) C D Anonymous donatons, ncluded n C, chargeable u/s 115BBC Aggregate of such anonymous donatons receved 5% of total donatons receved at C or 1,00,000 whchever s hgher Anonymous donatons chargeable u/s 30% ( ) Schedule OA General Do you have any ncome under the head busness and professon? (f yes please enter followng detals) 1 Nature of Busness or professon (refer to the nstructons) 1 2 Number of branches 2 3 Method of accountng employed n the prevous year (Tck) mercantle cash Is there any change n method of accountng (Tck) Yes 4 Effect on the proft because of devaton, f any, n the method of accountng employed n the prevous year from accountng standards prescrbed under secton 145A 6 Method of valuaton of closng stock employed n the prevous year 6 Raw Materal (f at cost or market rates whchever s less wrte 1, f at cost wrte 2, f at a market rate wrte 3) Fnshed goods (f at cost or market rates whchever s less wrte 1, f at cost wrte 2, f at b market rate wrte 3) c Is there any change n stock valuaton method (Tck) d Effect on the proft or loss because of devaton, f any, from the method of valuaton prescrbed under secton 145A 5 6d Schedule BP Computaton of ncome from busness or professon A From busness or professon other than speculatve busness and specfed busness 1 Proft before tax as per proft and loss account 1 Net proft or loss from speculatve busness ncluded 2 2 n 1 (enter ve sgn n case of loss) INCOME FROM BUSINESS OR PROFESSION 3 Net proft or loss from Specfed Busness u/s 35AD ncluded n 1 (enter ve sgn n case of loss) 3 4 Proft or loss ncluded n 1, whch s referred to n secton 44AD/44AE 4 5 Income credted to Proft and Loss account (ncluded n 1) whch s exempt a share of ncome from frm(s) 5a b Share of ncome from AOP/ BOI 5b c Any other exempt ncome 5c d Total exempt ncome 6 Balance ( d) 6 Expenses debted to proft and loss account 7 7 consdered under other heads of ncome 8 Expenses debted to proft and loss account whch relate to exempt ncome 9 Total (7 + 8) 9 10 Adjusted proft or loss (6+9) Deemed ncome under secton 33AB/33ABA/35ABB 11 5d 8 Any other tem or tems of addton under secton to 44DA 13 Any other ncome not ncluded n proft and loss account/any other expense not allowable (ncludng ncome from salary, commsson, bonus and nterest from frms n whch company s a partner) Page 11 of 17

12 14 Total ( ) Deducton allowable under secton 32(1)() Any other amount allowable as deducton Total ( ) Income (14 17) Profts and gans of busness or professon deemed to be under - Secton 44AD 19 Secton 44AE Total (19 to 19) 20 Net proft or loss from busness or professon other than speculatve and specfed busness ( ) 21 Net Proft or loss from busness or professon other than speculatve busness and specfed busness after applyng rule 7A, 7B or 7C, f applcable (If rule 7A, 7B or 7C s not applcable, enter same fgure as n 20) B Computaton of ncome from speculatve busness 24 Net proft or loss from speculatve busness as per proft or loss account Addtons n accordance wth secton 28 to 44DA Deductons n accordance wth secton 28 to 44DA Proft or loss from speculatve busness ( ) (enter nl f loss) B27 C Computaton of ncome from specfed busness under secton 35AD C 28 Net proft or loss from specfed busness as per proft or loss account Addtons n accordance wth secton 28 to 44DA 29 Deductons n accordance wth secton 28 to 44DA (other than deducton under secton,- () 35AD, () 32 or 35 on whch deducton u/s 35AD s clamed) 31 Proft or loss from specfed busness ( ) Deductons n accordance wth secton 35AD(1) or 35AD(1A) Proft or loss from specfed busness (31-32) (enter nl f loss) 33 D Income chargeable under the head Profts and gans D (A21+B27+C33) D34 E me Computaton of ncome chargeable to tax under secton 11(4) char gea 35 Income as shown n the accounts of busness under takng [refer secton 11(4)] E35 ble und 36 Income chargeable to tax under secton 11(4) [D34-E35] E36 er Schedule the CYLA Detals of Income after set-off of current years losses hea Sl.No Head/ Source of Income of current House property loss of Busness Loss d Income year the current year set off (other than speculaton or Pro (Fll ths column specfed busness loss) of fts only f ncome s the current year set off and zero or postve) Total loss Total loss gan (3c of Schedule HP) (A21 of Schedule-BP) s (A3 CURRENT YEAR LOSS ADJUSTMENT Loss to be adjusted -> 7+B 41+ House property C47 Busness (excludng ) speculaton ncome and ncome from specfed busness) Speculaton ncome v Specfed busness ncome v Short-term captal gan v Long term captal gan v Other sources (excludng proft from ownng race horses and wnnngs from lottery) v Proft from ownng and mantanng race horses x Total loss set-off x Loss remanng after set-off A21 Other sources loss (other than loss from race horses) of the current year set off Current year s Income remanng after set off Total loss (1 of Schedule-OS) = Page 12 of 17

13 Schedule MAT MINIMUM ALTERNATE TAX Computaton of Mnmum Alternate Tax payable under secton 115JB Whether the Proft and Loss Account s prepared n accordance wth the provsons of Parts II of Schedule VI to the 1 Companes Act, 1956 (If yes, wrte Y, f no wrte N ) Whether, for the Proft and Loss Account referred to n tem 1 above, the same accountng polces, accountng 2 standards and same method and rates for calculatng deprecaton have been followed as have been adopted for preparng accounts lad before the company at ts annual general body meetng? (If yes, wrte Y, f no wrte N 3 Proft after tax as shown n the Proft and Loss Account 3 4 Addtons (f debted n proft and loss account) Income Tax pad or payable or ts provson a ncludng the amount of deferred tax and the provson therefor b Reserve (except reserve under secton 33AC) c Provsons for unascertaned lablty d Provsons for losses of subsdary companes e Dvdend pad or proposed Expendture related to exempt ncome under sectons f 10, 11 or 12 [exempt ncome excludes ncome exempt under secton 10(38)] g Deprecaton attrbutable to revaluaton of assets Others (ncludng resdual unadjusted tems and h provson for dmnuton n the value of any asset) Total addtons (4a+4b+4c+4d+4e+4f+4g+4h) 4 5 Deductons a Amount wthdrawn from reserve or provsons f credted to Proft and Loss account b Income exempt under sectons 10, 11 or 12 [exempt ncome excludes ncome exempt under secton 10(38)] c Amount wthdrawn from revaluaton reserve and credted to proft and loss account to the extent t does not exceed the amount of deprecaton attrbutable to revaluaton of asset d Loss brought forward or unabsorbed deprecaton whchever s less e Proft of sck ndustral company tll net worth s equal to or exceeds accumulated losses f Others (ncludng resdual unadjusted tems and the amount of deferred tax credted to P&L A/c) g Total deductons (5a+5b+5c+5d+5e+5f) 6 Book proft under secton 115JB (3+ 4 5g) 6 4a 4b 4c 4d 4e 4f 4g 4h 5a 5b 5c 5d 5e 5f 5g 7 Tax payable under secton 115JB [18.5% of (6)] 7 Schedule MATC Computaton of tax credt under secton 115JAA 1 Tax under secton 115JB n assessment year (1d of Part-B-TTI) 1 MAT CREDIT 2 Tax under other provsons of the Act n assessment year (5 of Part-B-TTI) 2 3 Amount of tax aganst whch credt s avalable [enter (2 1) f 2 s greater than 1, otherwse enter 0] 3 4 Utlsaton of MAT credt Avalable [Sum of MAT credt utlzed durng the current year s subject to maxmum of amount mentoned n 3 above and cannot exceed the sum of MAT Credt Brought Forward ] S.No Assessment Year MAT Credt (A) v v v v Gross (B1) Set-off n earler years (B2) Balance Brought forward (B3)=(B2)-(B1) MAT Credt Utlsed durng the Current Year (C) Balance MAT Credt Carred Forward (D)= (B3) (C) Page 13 of 17

14 v (enter 1-2, f 1>2 else enter 0) x Total 5 Amount of tax credt under secton 115JAA utlsed durng the year [enter 4(C)x] 5 6 Amount of MAT lablty avalable for credt n subsequent assessment years [enter 4(D)x] 6 Schedule AMT Computaton of Alternate Mnmum Tax payable under secton 115JC 1 Total Income as per tem 25 of PART-B-TI 1 2 Adjustment as per secton 115JC(2) a Deducton Clamed under any secton ncluded n Chapter VI-A under the headng C. Deductons n respect of certan ncomes b Deducton Clamed u/s 10AA C Total Adjustment (2a+ 2b) 3 Adjusted Total Income under secton 115JC(1) (1+2c) 3 4 Tax payable under secton 115JC [18.5% of (3)] (In the case of Indvdual, HUF, AOP, BOI, AJP ths s applcable f 3 s greater than Rs. 20 lakhs) 2a 2b 2c 4 Schedule AMTC Computaton of tax credt under secton 115JD 1 Tax under secton 115JC n assessment year (1d of Part-B-TTI) 1 2 Tax under other provsons of the Act n assessment year (5 of Part-B-TTI) 2 3 Amount of tax aganst whch credt s avalable [enter (2 1) f 2 s greater than 1, otherwse 3 enter 0] 4 Utlsaton of AMT credt Avalable (Sum of AMT credt utlzed durng the current year s subject to maxmum of amount mentoned n 3 above and cannot exceed the sum of AMT Credt Brought Forward) S.No Assessment Year (AY) AMT Credt (A) Current AY (enter 1-2, f 1>2 else enter 0) v Total Gross (B1) Set-off n earler years (B2) Balance brought forward (B3) = (B1) (B2) 5 Amount of tax credt under secton 115JD utlsed durng the year [total at tem no 4Cv] 5 6 Amount of AMT lablty avalable for credt n subsequent assessment years [total at 4Dv] 6 AMT Credt Utlsed durng the Current Year (C) Balance AMT Credt Carred Forward (D)= (B3) (C) Schedule SI Income chargeable to tax at specal rates [Please see nstructon] Sl Secton Specal rate No (%) 1 111A (STCG on shares where STT pad) provso (LTCG on lsted securtes/ unts wthout ndexaton) (LTCG on others) BB (Wnnngs from lotteres, puzzles, races, games etc.) BBE (Income under secton 68, 69, 69A, 69B, 69C or 69D) Total SPECIAL RATE Income () Tax thereon () Page 14 of 17

15 Schedule IT Sl No TAX PAYMENTS v v v Detals of payments of Advance Tax and Self-Assessment BSR Code Date of Depost (DD/MM/YYYY) Seral Number of Challan Amount (Rs) NOTE Enter the totals of Advance tax and Self-Assessment tax n Sl No. 13a & 13d of Part B-TTI Schedule TDS TDS ON INCOME Sl No Tax Deducton Account Number (TAN) of the Deductor Detals of Tax Deducted at Source (TDS) on Income [As per Form 16 A ssued by Deductor(s) or Form 26QB] Name of the Deductor Unque TDS Certfcate Number Unclamed TDS brought forward (b/f) TDS of the current fn. year Amount out of (6) or (7) beng Amount out of clamed ths Year (only f (6) or (7) beng correspondng ncome s beng carred offered for tax ths year) forward Fn. Year n Amount whch deducted b/f (1) (2) (3) (4) (5) (6) (7) (8) (9) NOTE Please enter total of column (8) of Schedule-TDS n 13b of Part B-TTI Schedule TCS TCS ON INCOME Sl No Tax Deducton and Tax Collecton Account Number of the Collector Detals of Tax Collected at Source (TCS) [As per Form 27D ssued by the Collector(s)] Name of the Collector Unclamed TCS brought forward (b/f) TCS of the current fn. year Amount out of (5) or (6) beng Amount out of clamed ths Year (only f (5) or (6) beng correspondng ncome s beng carred offered for tax ths year) forward Fn. Year n Amount whch collected b/f (1) (2) (3) (4) (5) (6) (7) (8) NOTE Please enter total of column (7) of Schedule-TDS n 13c of Part B-TTI Schedule FSI INCOME FROM OUTSIDE INDIA AND TAX RELIEF Sl. Country Code Taxpayer Identfcaton Number 1 House Property Detals of Income from outsde Inda and tax relef Sl. Head of ncome Income from Tax pad Tax payable on outsde Inda outsde Inda such ncome (ncluded n PART under normal B-TI) provsons n Inda Busness or Professon Captal Gans v Other sources Tax relef avalable n Inda (e)= (c) or (d) whchever s lower Relevant artcle of DTAA f relef clamed u/s 90 or 90A (a) (b) (c) (d) (e) (f) Total 2 House Property Busness or Professon Captal Gans Page 15 of 17

16 v Other sources Total NOTE Please refer to the nstructons for fllng out ths schedule. Schedule TR Summary of tax relef clamed for taxes pad outsde Inda 1 Detals of Tax relef clamed Country Code Taxpayer Total taxes pad outsde Inda Identfcaton (total of (c) of Schedule FSI n Number respect of each country) TAX RELIEF FOR TAX PAID OUTSIDE INDIA Total tax relef avalable (total of (e) of Schedule FSI n respect of each country) Secton under whch relef clamed (specfy 90, 90A or 91) (a) (b) (c) (d) (e) Total 2 Total Tax relef avalable n respect of country where DTAA s applcable (secton 90/90A) (Part of total of 1(d)) 2 3 Total Tax relef avalable n respect of country where DTAA s not applcable (secton 91) (Part of total of 1(d)) 3 4 Whether any tax pad outsde Inda, on whch tax relef was allowed n Inda, has been refunded/credted by the foregn tax authorty durng the year? If yes, provde the detals below 4 Yes/No a Amount of tax refunded NOTE Please refer to the nstructons for fllng out ths schedule. b Assessment year n whch tax relef allowed n Inda Schedule FA Detals of Foregn Assets A Detals of Foregn Bank Accounts Sl No Country Name Country Code Name and Address of the Bank Name mentoned n the account Account Number Peak Balance Durng the Year (n rupees) (1) (2) (3) (4) (5) (6) (7) FOREIGN ASSETS B Detals of Fnancal Interest n any Entty Sl No Country Name Country Code (1) (2) () () C Detals of Immovable Property Country Name (2) Sl No (1) Country Code (3) Nature of entty (3) Address of the Property (4) Name and Address of the Entty (4) Total Investment (at cost) (n rupees) (5) Total Investment (at cost) (n rupees) (5) () () D Detals of any other Asset n the nature of Investment Sl No Country Name Country Code (1) (2) (3) Nature of Asset (4) Total Investment (at cost) (n rupees) (5) () () E Detals of account(s) n whch you have sgnng authorty and whch has not been ncluded n A to D above Page 16 of 17

17 Sl No (1) Name of the Insttuton n whch the account s held (2) Address of the Insttuton (3) Name of the account holder (4) Account Number (5) Peak Balance/Investment durng the year (n rupees) (6) () () F Sl No (1) () () Detals of trusts, created under the laws of a country outsde Inda, n whch you are a trustee, benefcary or settlor Country Name (2) Country Code (3) Name and address of the trust (4) Name and address of trustees (5) Name and address of Settlor (6) Name and address of Benefcares (7) NOTE Please refer to the nstructons for fllng up ths schedule. Page 17 of 17