Flat/Door/Block No Name Of Premises/Building/Village Date of formation/incorporation (DD/MM/YYYY) / /

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1 FORM ITR-7 INDIAN INCOME TAX RETURN [For persons ncludng companes requred to furnsh return under sectons 139(4A) or 139(4B) or 139(4C) or 139(4D) or 139(4E) or 139(4F)] (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/ estalshng/ ncorporaton/ formaton) PAN 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 11) Town/Cty/Dstrct State Pn code/zp code Offce Phone Numer wth STD code/mole No. 1 Fax Numer/Mole No. 2 Income Tax Ward/Crcle PERSONAL INFORMATION Emal Address 1 Emal Address 2 Detals of the projects/nsttutons run y you Sl. Name of the project/nsttuton (see nstructon para 11ca) Nature of actvty (see nstructon para 11d) 1 Classfcaton (see nstructons para 11d) Aggregate annual recepts Detals of regstraton or approval Sl. Date of regstraton or approval Secton under whch regstered or approved Approval/ Notfcaton/ Regstraton No. Approvng/ regsterng Authorty FILING STATUS 4 (a) Return fled[please see nstructon No.-6] On or efore due date-139(1), After due date-139(4), Revsed Return-139(5) Modfed return-92cd under secton 119(2)(), OR In response to notce u/s 139(9)- defectve, 142(1), 148, 153A, 153C () Return furnshed under secton 139(4A) 139(4B) 139(4C) 139(4D) 139(4E) 139(4F) (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) For Offce Use Only / / / / Whether any ncome ncluded n total ncome for whch for whch clam under secton 90/90A/91 has een made? Yes No [applcale n the case of resdent] [f yes, ensure to fll Schedule FSI and Schedule TR] Whether any transacton has een made wth a person located n a jursdcton notfed u/s 94A of the Act? Yes No For Offce Use Only Recept No. Date Seal and Sgnature of recevng offcal Page 1

2 OTHER DETAILS (h) In the case of non-resdent, s there a permanent estalshment (PE) n Inda (Tck) Yes No () A Whether ths return s eng fled y a representatve assessee? (Tck) Yes No If yes, please furnsh followng nformaton - (1) Name of the representatve (2) Address of the representatve (3) Permanent Account Numer (PAN) of the representatve Where, n any of the projects/nsttutons run y you, one of the chartale purposes s advancement of any other oject of general pulc utlty then,- a whether there s any actvty n the nature of trade, commerce or usness referred to n provso to secton 2(15)? Yes No If yes, then percentage of recept from such actvty vs-à-vs total recepts % whether there s any actvty of renderng any servce n relaton to any trade, commerce or usness for any consderaton as referred to n provso to secton 2(15)? Yes No If yes, then percentage of recept from such actvty vs-à-vs total recepts % If a or s YES, the aggregate annual recepts from such actvtes n respect of that nsttuton Sl. Name of the project/insttuton Amount of aggregate annual recepts from such actvtes a Whether approval otaned u/s 80G? Yes No B C If yes, then enter Approval No. Date of Approval (DD/MM/YYYY) / / Is there any change n the ojects/actvtes durng the Year on the ass of whch approval/regstraton was granted? Yes No If yes, please furnsh followng nformaton:- a date of such change (DD/MM/YYYY) / / whether an applcaton for fresh regstraton has een made n the prescred form and manner wthn the stpulated perod of thrty days as per Clause (a) of su-secton (1) of secton 12A Yes No c whether fresh regstraton has een granted under secton 12AA Yes No d date of such fresh regstraton (DD/MM/YYYY) / / D Whether a poltcal party as per secton 13A? (f yes, please fll schedule LA) Yes No If yes, then whether regstered? Yes No If yes, then enter regstraton numer under secton 29A of the Representaton of People Act, 1951 E Whether an Electoral Trust? (f yes, please fll schedule ET) Yes No If yes, then enter approval numer? Date of Approval (DD/MM/YYYY) / / F Whether regstered under Foregn Contruton (Regulaton) Act, 2010 (FCRA)? Yes No If yes, then enter Regstraton No. Date of Regstraton (DD/MM/YYYY) / / v a Total amount of foregn contruton receved durng the year, f any Rs. Specfy the purpose for whch the aove contruton s receved G Whether a usness trust regstered wth SEBI? Yes No Page 2

3 If yes, then enter Regstraton No. Date of Regstraton (DD/MM/YYYY) / / H Whether lale to tax at maxmum margnal rate under secton 164? Yes No I Is ths your frst return? Yes No J Are you lale for audt under the Income-tax Act?(Tck) Yes No, If yes, furnsh followng nformaton- Secton under whch you are lale for audt (specfy secton). Please menton date of audt report. (DD/MM/YY) (see Instructon 6()) AUDIT INFORMATION MEMBER S INFORMATION 12A K L a Name of the audtor sgnng the tax audt report Memershp No. of the audtor c Name of the audtor (propretorshp/ frm) d Permanent Account Numer (PAN) of the propretorshp/ frm e Date of audt report f Date of furnshng of the audt report / / (DD/MM/YYYY). If lale to audt under any Act other than the Income-tax Act, menton the Act, secton and date of furnshng the audt report? Act and secton (DD/MM/YY) Act and secton (DD/MM/YY) Partculars of persons who were memers n the AOP on 31 st day of March, 2018 (to e flled y venture captal fund/nvestment fund) Percentage of share Aadhaar Numer/ Enrolment Status S.No Name and Address PAN (f determnate) Id (f elgle for Aadhaar) (see nstructon) (1) (2) (3) (4) (5) (6) Part B TI STATEMENT OF INCOME FOR THE PERIOD ENDED ON 31 ST MARCH, 2018 If regstered under secton 12A/12AA or approved under secton 10(23C)(v)/10(23C)(v)/ 10(23C)(v)/10(23C)(va), fll out tems 1 to 7 (as applcale) 1 Voluntary contruton formng part of corpus as per secton 11(1)(d) [(A + B) of schedule 1 VC] 2 Voluntary Contrutons other than corpus(c (A+B) of schedule VC) 2 3 Aggregate of ncome referred to n sectons 11, 12 and sectons 3 10(23C)(v),10(23C)(v),10(23C)(v) and 10(23C)(va) derved durng the prevous year excludng Voluntary contruton ncluded n 1 and 2 aove (9 of Schedule AI) 4 Applcaton of ncome for chartale or relgous purposes or for the stated ojects of the trust/nsttuton:- Amount appled durng the prevous year - Revenue Account [24(A) of Schedule ER] 4 Amount appled durng the prevous year Captal Account [Excludng applcaton 4 from Borrowed Funds] [8(A) of Schedule EC] Amount appled durng the prevous year - Captal Account (Repayment of Loan) 4 v v v Amount appled durng the prevous year - Utlsaton of surplus accumulated durng an earler year [tem No. 24(B) of Schedule ER + tem No.8(B) of Schedule EC] Amount deemed to have een appled durng the prevous year as per clause (2) of Explanaton to secton 11(1) a If (v) aove applcale, whether opton Form No. 9A has 4va een furnshed to the Assessng Offcer If yes, date of furnshng Form No. 9A (DD/MM/YYYY) 4v Amount accumulated or set apart for applcaton to chartale or relgous purposes or for the stated ojects of the trust/nsttuton to the extent t does not exceed 15 per cent of ncome derved from property held n trust/ nsttuton under secton 11(1)(a)/11(1)() or n terms of thrd provso to secton 10(23C) [restrcted to the maxmum of 15% of (2 + 3) aove] 4v 4v 4v Page 3

4 v Amount n addton to amount referred to n(v) aove, accumulated or set apart for specfed purposes f all the condtons n secton 11(2) and 11(5) or thrd provso to secton 10(23C) are fulflled (fll out schedule I) v Amount elgle for exempton under secton 11(1)(c) 4v a Approval numer gven y the Board 4va Date of approval y oard 4v x Total [ v+4v+4v+4v] (excludng the tem 4v - Utlsaton of deemed ncome of an earler year) 4x 5 Addtons Corpus donaton to other trust or nsttuton chargeale as per Explanaton 2 to 5 secton 11(1) [tem No. 15() of Schedule ER] Income chargeale under secton 11(1B) 5 Income chargeale under secton 11(3) 5 v Income n respect of whch exempton under secton 11 s not avalale y vrtue of provsons of secton 13 a Beng anonymous donaton at D of schedule VC to the 5va extent appled for chartale purpose Other than (a) aove 5v v Income chargeale under secton 12(2) 5v v Total [ va+5v+5v] 5v 6 Income chargeale u/s 11(4) [as per tem No. E36 of Schedule BP] 6 7 Total (2+3-4x+5v+6) 7 8 Amount elgle for exempton under secton 10(21), 10(22B), 10(23A), 10(23B) 8 9 Amount elgle for exempton under secton 10(23C)(a), 10(23C)(ac), 10(23C)(ad), 9 10(23C)(ae), 10(23D), 10(23DA), 10(23FB), 10(24), 10(46), 10(47) 10 Amount elgle for exempton under any other clause of secton 10 (other than those at 8 and 10 9) 11 Income chargeale under secton 11(3) read wth secton 10(21) Income clamed/ exempt under secton 13A or 13B n case of a Poltcal Party or Electoral 12 Trust (tem No. 11 of Schedule LA or tem No. 6v of Schedule ET) 13 Income not formng part of tem No. 7 & 11 aove Income from house property [3 of Schedule HP] (enter nl f loss) 13 Profts and gans of usness or professon [as per tem No. E 35 of schedule BP] 13 Income under the head Captal Gans a Short term (A5 of schedule CG) 13a Long term (B3 of schedule CG) (enter nl f loss ) 13 c Total captal gans (13a +13) (enter nl f loss ) 13c v Income from other sources [as per tem No. 4 of Schedule OS] 13v v Total ( c + 13v) 13v 14 Gross ncome [ v] Losses of current year to e set off aganst 13v (total of 2x, 3x and 4x of Schedule CYLA) Gross Total Income (14-15) Income chargeale to tax at specal rate under secton 111A, 112 etc. ncluded n Deducton u/s 10AA Deductons under chapter VIA [lmted to (16-17)] Total Income [ ] Income whch s ncluded n 20 and chargeale to tax at specal rates (total of col. () of 21 schedule SI) 22 Net Agrcultural ncome for rate purpose Aggregate Income ( ) [applcale f (20-21) exceeds maxmum amount not 23 chargeale to tax] 24 Anonymous donatons, ncluded n 23, to e taxed under secton 30% (D of 24 schedule VC) 25 Income chargeale at maxmum margnal rates (23-24) 25 4v Part B - TTI Computaton of tax lalty on total ncome 1 1a Tax Payale on deemed total Income under secton 115JB or 115JC as applcale (7 of Schedule MAT/ 4 of Schedule AMT) 1 Surcharge on (a) aove TAX LIABILITY 1c Educaton Cess on (1a+1) aove 1d Total Tax Payale u/s 115JB or 115JC as applcale (1a+1+1c) 2 Tax payale on total ncome a Tax at normal rates on ( ) of Part B-TI 2a 1a 1 1c 1d Page 4

5 TAXES PAID BANK ACCOUNT Tax at specal rates (total of col. () of Schedule-SI) Tax on anonymous donaton u/s on 24 of Part c B-TI d Tax at maxmum margnal rate on 25 of Part B-TI e Reate on agrcultural ncome [applcale f (20-21) of Part B-TI exceeds maxmum amount not chargeale to tax] f Tax Payale on Total Income (2a + 2+2c+2d 2e) 3 Surcharge 25% of 5() of Schedule SI 3 On [(2f) (5() of Schedule SI)] Total ( + ) 4 Educaton cess, ncludng secondary and hgher educaton cess on (2f+3) 4 5 Gross tax lalty (2f+3+4) 5 6 Gross tax payale (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 payale after credt under secton 115JAA/115JD [ (6 7)] 8 9 Tax relef a Secton 90/90A (2 of Schedule TR) Secton 91 (3 of Schedule TR) c Total (9a + 9) 10 Net tax lalty (8 9c) Interest and fee payale a Interest for default n furnshng the return (secton 234A) Interest for default n payment of advance tax (secton 234B) c Interest for deferment of advance tax (secton 234C) d Fee for default n furnshng return of ncome (secton 234F) e Total Interest and Fee Payale (11a+11+11c+11d) 12 Aggregate lalty ( e) Taxes Pad a Advance Tax (from column 5 of19a) TDS (total of column 9of 19B) c TCS (total of column 7 of 19C) d Self-Assessment Tax (from column 5 of 19A) e Total Taxes Pad (13a+13+13c + 13d) 14 Amount payale (Enter f 12 s greater than 13e, else enter 0) Refund(If 13e s greater than 12) (refund, f any, wll e drectly credted nto the ank account) a 9 13a 13 13c 13d Detals of all Bank Accounts held n Inda at any tme durng the prevous year (excludng dormant accounts) (In case of nonresdents, detals of any one foregn Bank Account may e furnshed for the purpose of credt of refund) Sl. IFS Code of the Bank n case of Bank Accounts held n Inda (SWIFT Code n case of foregn Bank Account) Name of the Bank 11a 11 11c 11d 2 2c 2d 2e 3 Account Numer ( (IBAN n case of foregn Bank Accounts) 2f 3 7 9c 11e 13e Indcate the account n whch you prefer to get your refund credted, f any (tck one account ) 17 Do you at any tme durng the prevous year,- () hold, as enefcal owner, enefcary or otherwse, any asset (ncludng fnancal nterest n any entty) located outsde Inda; or () have sgnng authorty n any account located outsde Inda; or Yes () have ncome from any source outsde Inda? [applcale only n case of a resdent] [Ensure Schedule FA s flled up f the answer s Yes ] No VERIFICATION I, son/ daughter of, solemnly declare that to the est of my knowledge and elef, the nformaton gven n the return and the schedules, statements, etc. accompanyng t s correct and complete s n accordance wth the provsons of the Income-tax Act, 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. I am holdng permanent account numer (f allotted) (Please see nstructon). Page 5

6 I further declare that the crtcal assumptons specfed n the agreement have een satsfed and all the terms and condtons of the agreement have een compled wth. (Applcale, n a case where return s furnshed under secton 92CD) Place Date Sgn here 18 TAX PAYMENTS A ADVANCE/ SELF ASSESSMENT TAX B TDS ON INCOME Detals of payments of Advance Tax and Self-Assessment Tax Sl BSR Code Date of Depost (DD/MM/YYYY) Seral Numer of Challan Amount (Rs) No (1) (2) (3) (4) (5) v NOTE Enter the totals of Advance tax and Self-Assessment tax n Sl No. 13a & 13d of Part B-TTI Detals of Tax Deducted at Source (TDS) on Income [As per Form 16 A ssued or Form 26QB/26QC furnshed y Deductor(s)] Sl No TAN of the Name of the Deductor/ PAN Deductor/ of the Buyer/ Buyer/Tenant Tenant Unque TDS Certfcate Numer Unclamed TDS rought forward (/f) Fn. Year n whch deducted Amount /f TDS of the current fn. year Deducted n own hands Deducted n the hands of any other person as per rule 37BA(2) (f applcale) Amount out of (6) or (7) eng clamed ths Year (only f correspondng ncome s eng offered for tax ths year) Clamed n own hands Clamed n the hands of any other person as per rule 37BA(2) (f applcale) Amount out of (6) or (7) eng carred forward (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Income TDS PAN of other person Income TDS PAN of other person C TCS ON INCOME NOTE Please enter total of column (8) n 13 of Part B-TTI Detals of Tax Collected at Source (TCS) [As per Form 27D ssued y the Collector(s)] Sl Name of the Collector Unclamed TCS rought No forward (/f) Tax Deducton and Tax Collecton Account Numer of the Collector TCS of the current fn. year Amount out of (5) or (6) eng Amount out of clamed ths Year (only f (5) or (6) eng correspondng ncome s eng carred offered for tax ths year) forward Fn. Year n Amount whch collected /f (1) (2) (3) (4) (5) (6) (7) (8) NOTE Please enter total of column (7) n 13c of Part B-TTI NOTE: PLEASE FILL SCHEDULES TO THE RETURN FORM (S1 - S15) AS APPLICABLE Page 6

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