Form PDF 833154950210724

Acknowledgement Number : 833154950210724 Date of Filing : 21-Jul-2024*
INDIAN INCOME TAX RETURN

FORM [For Individuals and HUFs not having income from profits and gains of business or profession] Assessment Year
ITR2 (Please see Rule 12 of the Income-tax Rules, 1962) 2024-25
(Please refer instructions for eligibility)
PART A-GENRAL
PERSONAL INFORMATION
(A1) First Name (A2) Middle Name (A3) Last Name (A4) PAN
BHAVESH MULJIBHAI SUTAR JTNPS0275L
(A5) Status (A6) Flat/Door/Block No. (A7) Name of Premises/Building/Village
Individual 00 saraswati society
(A8) Road/Street/Post Office (A9) Area/locality (A10) Town/City/District
Bhachau S.O Bhachau KACHCHH
(A11) State (A12) Country/Region (A13) Pin code/Zip code
11-Gujarat 91-India 370140
(A16) Residential/Office Phone Number with Mobile No. 1
(A17) Mobile No. 2
STD/ISD code 91 9712030256
(A18) Email Address-1 (self)
(A19) Email Address-2
[email protected]
(A14) Date of Birth/Formation (DD/MM/YYYY) (A15) Aadhaar Number(12 digits)/Aadhaar Enrolment Id(28 digits) (if eligible for Aadhaar No.)
15/04/1996 7xxx xxxx 5488
139(1)-On or before due
(A20) (a1i) Filed u/s (Tick)[Please see instruction ] (a1ii) Or Filed in response to notice u/s
date
Do you wish to exercise the option u/s 115BAC(6) of Opting out of new tax regime ? (default is “No”)
(a2) Yes No
Note- For Opting out, option should be exercised along with the return of income filed u/s 139(1)
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish
(b) Yes No
return of income?
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or
(bi) Yes No 0
more current account during the previous year? (Yes/No)
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2
(bii) Yes No 0
lakhs for travel to a foreign country for yourself or for any other person? (Yes/No)
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1
(biii) Yes No 0
lakh on consumption of electricity during the previous year? (Yes/No)
Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to
(biv) Yes No
section 139(1) (If yes, please select the relevant condition from the drop down menu)
If revised/defective/Modified, please enter Date of filling of original return (DD/MM/YYYY) and Receipt
(c)
No. -
Date of filling of original return (DD/MM/YYYY)
Receipt No.
If filed, in response to a notice u/s 139(9)/142(1)/148/153C or order u/s 119(2)(b) enter unique
(d) number/ Document Identification Number (DIN) and date of such notice/order, or if filed u/s 92CD,
enter date of advance pricing agreement-
Unique Number/ Document Identification Number (DIN)
Date of such Notice or Order or if filed u/s 92CD enter date of advance pricing agreement
You were in India for

182 days or more
(e) Residential Status in India (for individuals) Resident
during the previous year
[section 6(1)(a)]
(I) PLEASE SPECIFY THE JURISDICTION(S) OF RESIDENCE DURING THE PREVIOUS YEAR -
Sl.
Jurisdiction(s) of Residence Taxpayer Identification Number(s)
No.
1 2 3
(ii) In case you are a Citizen of India or a Person of Indian Origin (POI), please specify -
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Total period of stay in India during the previous year (in days) 0
Total period of stay in India during the 4 preceding years (in days) 0
(f) Do you want to claim the benefit under section 115H? (applicable in case of resident) No
(g) Are you governed by Portuguese Civil Code as per section 5A?(If "YES" please fill Schedule 5A) No
(h) Whether you are an FPI? Yes No
If yes, provide SEBI Registration Number
(i) Whether this return is being filed by a Representative Assesse? No
(1) Name of the representative
(2) Capacity of the Representative
(3) Address of the representative
(4) Permanent Account Number (PAN) of the Representative
(5) Aadhaar No. of the Representative
(j) Whether you were Director in a company at any time during the previous year? Yes No
Sl. Whether its shares are Director Identification

Name Of Company Type of Company PAN
No. listed or unlisted Number (DIN)
1 2 3 4 5 6
(k) Whether you have held unlisted equity shares at any time during the previous year? Yes No
Shares acquired during the year

Shares
Opening balance Purchas transferred Closing Balance
e price during the year
Name Issue
Type of PAN of per
Sl. Of Price
Compan Compan Date of Face share(in
No. Compan per
y y No. of subscrip Value case of
y share(in
Cost of Shares tion/pur per purchas Sale Cost of
No. of case of No. of No. of
acquisiti chase share e from Conside Shares acquisit
Shares fresh
on existing Shares ration ion
issue)
share
holder)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
(l) Legal Entity Identifier (LEI) details (mandatory if refund is 50 Crores or more)
(a) LEI Number
(b) Valid upto date
SCHEDULE SALARY - DETAILS OF INCOME FROM SALARY
Name of Employer Nature of Employer

TAN of Employer (mandatory if tax is deducted)
GANESH DEEP CONSULTANCY Others
Address of employer
Town/City State Pin code/ Zip code
Near taluka school no. 01, Bhachau,
BHACHAU 11-Gujarat 370140
Gujarat 370140
1 Gross Salary (1a + 1b + 1c + 1d + 1e + 1f) 1 3,60,000
Salary as per section 17(1) (drop down to be

a 1a 3,60,000
provided)
Sl
Nature of Salary Description Amount
No.
1 2 3 4
1 Basic Salary 3,60,000
Value of perquisites as per section 17(2) (drop

b 1b 0
down to be provided)
Sl
Nature of Perquisites Description Amount
No.
1 2 3 4
Profit in lieu of salary as per section 17(3) (drop

c 1c 0
down to be provided)
Sl Nature of Profit in lieu

Description Amount
No. of salary
1 2 3 4
Income from retirement benefit account

d 1d 0
maintained in a notified country u/s 89A
Sl
Country/Region Amount
No.
1 2 3

e maintained in a country "other than notified 1e 0
country u/s 89A"
Income taxable during the previous year on which
f relief u/s 89A was claimed in any earlier previous 1f 0
year
2 Total Gross Salary (from all employers) 2 3,60,000
Less : Allowances to the extent exempt u/s 10 (Ensure that it is included in Total Gross
3 3 0
salary in (2) above)
Sl. Nature of Exempt

Description Amount
No. Allowance
1 2 3 4
3a Less : Income claimed for relief from taxation u/s 89A 3a 0
4 Net Salary (2 - 3 - 3a) 4 3,60,000
5 Deduction u/s 16 (5a + 5b + 5c) 5 50,000
A Standard deduction u/s 16(ia) 5a 50,000
B Entertainment allowance u/s 16(ii) 5b 0
C Professional tax u/s 16(iii) 5c 0
6 Income chargeable under the Head 'Salaries' (4 - 5) 6 3,10,000
SCHEDULE HP - DETAILS OF INCOME FROM HOUSE PROPERTY
2 Pass through income/loss if any * 2 0
Income under the head “Income from house property” (1k) + 2 (if negative take the
3 3 0
figure to 2i of schedule CYLA)
SCHEDULE CG CAPITAL GAINS
A Short-term Capital Gains (STCG) (Sub-items 3 and 4 are not applicable for residents) A
From sale of land or building or both (fill up details separately for each
1 A1
property)
Note 1 : Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA.
Note 2 : In case of more than one buyer, please indicate the respective percentage share and amount.
From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on
2
which STT is paid under section 111A or 115AD(1) (ii) proviso (for FII)
111A [for others]
a Full value of consideration A2a 7,624
b Deductions under section 48 A2b
i Cost of acquisition without indexation bi 7,005
ii Cost of Improvement without indexation bii 0
Expenditure wholly and exclusively in

iii biii 0
connection with transfer
iv Total (i + ii + iii) biv 7,005
c Balance (A2a – biv) A2c 619
Loss to be disallowed u/s 94(7) or 94(8)- for example if

asset bought/acquired within 3 months prior to record
d date and dividend/income/bonus units are received, A2d 0
then loss arising out of sale of such asset to be ignored
(Enter positive value only)
Short-term capital gain on equity share or equity
e A2e 619
oriented MF (STT paid) (A2c +A 2d)
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company
3 A3
(to be computed with foreign exchange adjustment under first proviso to section 48)
STCG on transactions on which securities transaction
a A3a 0
tax (STT) is paid
STCG on transactions on which securities transaction
b A3b 0
tax (STT) is not paid
For NON-RESIDENT- from sale of securities (other than those at A3) by an FII as per section
4 A4
115AD
In case securities sold include shares of a company
a i A4ai
other than quoted shares, enter the following details
Full value of consideration received/receivable in

a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose of ic 0
Capital Gains (higher of a or b)
Full value of consideration in respect of securities other
ii A4aii 0
than unquoted shares
iii Total(ic+A4ii) A4aiii 0
i Cost of acquisition without indexation bi 0
ii Cost of improvement without indexation bii 0
Expenditure wholly and exclusively in connection with

iii biii 0
transfer
iv Total (bi + bii + biii) biv 0
c Balance (A4aiii – biv) A4c 0
Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/acquired within 3
d months prior to record date and dividend/income/bonus units are received, then loss arising A4d 0
out of sale of such security to be ignored (Enter positive value only)
e Short-term capital gain on sale of securities by an FII (other than those at A2) (c +d) A4e 0
5 From sale of assets other than at A1 or A2 or A3 or A4 above A5
In case of asset sold include shares of a company other

a i A5a
than quoted shares enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose of ic 0
Capital Gains (higher of a or b)
Full value of consideration in respect of assets other
ii A5aii 0
than unquoted shares
iii Total(ic+A4aii) A5aiii 0

iii biii 0
transfer
c Balance (A5aiii – biv) A5c 0
In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- for example if asset
d bought /acquired within 3 months prior to record date and dividend/income/bonus units are A5d 0
received, then loss arising out of sale of such asset to be ignored (Enter positive value only)
e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) A5e 0
6 Amount deemed to be short term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous
a years shown below was deposited in the Capital Gains Accounts Scheme within due date for A6a
that year?
Amount not used for
Section under which New Asset acquired/constructed new asset or
Sl. Previous year in which
deduction claimed in remained unutilized in
No. asset transferred Year in which asset Amount utilised out of Capital gains account
that year
acquired/constructed Capital Gains account (X)
1 2 3 4 5 6
b Amount deemed to be short term capital gains, other than at 'a' A6b 0
Total amount deemed to be short term capital gains (axi + axii + b) A6 0
Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI)
7 A7 0
(A7a + A7b + A7c)
Pass Through Income/ Loss in the nature of Short Term
a A7a 0
Capital Gain, chargeable @ 15%
Pass Through Income/ Loss in the nature of Short Term
b A7b 0
Pass Through Income / Loss in the nature of Short Term
c A7c 0
Capital Gain, chargeable at applicable rates
Amount of STCG included in A1 – A7 but not chargeable to tax or chargeable at special rates
8 A8
in India as per DTAA
Rate as
Item No. per Applicabl
Whether
A1 to A7 Country Treaty Section Rate as e rate
Sl. Amount Article of TRC
above in Code & (enter of I. T. per I. T. [lower of
No. of income DTAA obtained
which Name NIL, if not Act Act (6) or
(Y/N)
included chargeabl (9)]
e)
1 2 3 4 5 6 7 8 9 10
a Total amount of STCG not chargeable to tax in India as per DTAA A8a 0
Total amount of STCG chargeable to tax at special rates in India

b A8b 0
as per DTAA
9 Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6 + A7 - A8a) A9 619
B Long-term capital gain (LTCG) (Sub-items 5, 6, 7 & 8 are not applicable for residents) B
From sale of land or building or both (fill up details separately for each
1 B1
property)(in case of co-ownership, enter your share of Capital Gain)
Note 1 : Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA.
Note 2 : In case of more than one buyer, please indicate the respective percentage share and amount.
2 From sale of bonds or debenture (other than capital indexed bonds issued by Government) B2
a Full value of consideration B2a 0
b Deductions under section 48 B2b
iii Expenditure wholly and exclusively in connection with transfer biii 0
c Balance (B2a – biv) B2c 0
d Deduction under section 54F (Specify details in item D below) B2d 0
e LTCG on bonds or debenture (2c – 2d) B2e 0
3 From sale of,
From sale of equity share in a company or unit of equity oriented fund or unit of a business
4 B4
trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 112A) B4a 0
Deduction under section 54F (Specify details in item D

b B4b 0
below)
Long-term Capital Gains on sale of capital assets at B4
c B4c 0
above (B4a – B4b)
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed
5 B5
with foreign exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit B5a 0
Deduction under sections 54F (Specify details in item D

b B5b 0
below)
c LTCG on share or debenture (5a-5b) B5c 0
For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or
6 GDR as referred in sec. 115AC, (iii) securities by FII as referred to in sec. 115AD (other than B6
securities referred to in section 112A for which column B7 is to be filled up)
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund
7 B7
or unit of a business trust on which STT is paid under section 112A
LTCG u/s 112A (column 14 of Schedule 115AD(1)(b)
a B7a 0
(iii))
Deduction under section 54F (Specify details in item D
b B7b 0
below)
Long-term Capital Gains on sale of capital assets at B7
c B7c 0
above (7a – 7b)
8 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A) B8
LTCG on sale of specified asset (computed without

a B8a 0
indexation)
Less deduction under section 115F (Specify details in
b B8b 0
item D below)
c Balance LTCG on sale of specified asset (8a – 8b) B8c 0
LTCG on sale of asset, other than specified asset

d B8d 0
(computed without indexation)
Less deduction under section 115F (Specify details in
e B8e 0
item D below)
Balance LTCG on sale of asset, other than specified
f B8f 0
asset (8d- 8e)
9 From sale of assets where B1 to B8 above are not applicable B9
In case assets sold include share of a

a i company other than quoted shares, enter the ai 0
following details
Full value of consideration
a received/receivable in respect of unquoted ia 0
shares
Fair market value of unquoted shares
b ib 0
determined in the prescribed manner
Full value of consideration in respect of
unquoted shares adopted as per section 50CA
c ic 0
for the purpose of Capital Gains (higher of a
or b)
Full value of consideration in respect of assets
ii aii 0
other than unquoted shares
iii Total (ic + ii) aiii 0
b Deductions under section 48 B9b
i Cost of acquisition with indexation bi 0
ii Cost of improvement with indexation bii 0

iii biii 0
transfer
c Balance (aiii – biv) B9c 0
d Deduction under sections 54F (Specify details in item D below) B9d 0
e Long-term Capital Gains on assets at B9 above ( (9c – 9d) B9e 0
10 Amount deemed to be long-term capital gains 10
Whether any amount of unutilized capital gain on asset transferred during the previous year
a shown below was deposited in the Capital Gains Accounts Scheme within due date for that
year?
Amount not used for
Section under which New Asset acquired/constructed new asset or
Sl. Previous year in which
deduction claimed in remained unutilized in
No. asset transferred Year in which asset Amount utilised out of Capital gains account
that year
acquired/constructed Capital Gains account (X)
1 2 3 4 5 6
b Amount deemed to be long-term capital gains, other than at 'a' 0
Total amount deemed to be long-term capital gains(aXi + aXii+aXiii + b ) B10 0
Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI)
11 B11 0
(B11a1+ B11a2 + B11b)
Pass Through Income/ Loss in the nature of Long Term
a1 B11a1 0
Capital Gain, chargeable @ 10% u/s 112A
a2 Capital Gain, chargeable @ 10% under sections other B11a2 0
than u/s 112A
a3 B11a3 0
Amount of LTCG included in B1 - B11 but not chargeable to tax or chargeable at special rates
12 B12
Whether
Item No. B1 Rate as per
Tax Applicable
to B11 Country Treaty
Sl. Amount of Article of Residency Section of Rate as per rate [lower
above in Code & (enter NIL,
No. income DTAA Certificate I.T. Act I.T. Act of (6) or
which Name if not
obtained (9)]
included chargeable)
(Y/N)
1 2 3 4 5 6 7 8 9 10
a Total amount of LTCG not chargeable to tax as per DTAA B12a 0
b Total amount of LTCG chargeable to tax at special rates as per DTAA B12b 0
Total long term capital gain chargeable under I.T. Act

13 B13 0
(B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e+B10 + B11 - B12a)
C1 Sum of Capital Gain Incomes (9ii + 9iii + 9iv + 9v + 9vi + 9vii + 9viii of table E below) C1 619
C2 Income from transfer of Virtual Digital Assets (Col. 7 of Schedule VDA) C2 0
C3 Income chargeable under the head "CAPITAL GAINS"(C1 + C2) C3 619
D Information about deduction claimed against Capital Gains D
1 In case of deduction u/s 54 / 54B / 54EC / 54F / 54GB / 115F give following details
a Deduction claimed u/s 54
Amount
Date of
deposited in Amount
purchase/con
Date of Cost of new Capital Gains of
Sl. struction of Date of
Transfer of residential Accounts Account number IFS code deductio
No. new deposit
Original Asset house Scheme n
residential
before due claimed
house
date
1 2 3 4 5 6 7 8 9
b Deduction claimed u/s 54B
Amount
Date of deposited in Amount
Date of Cost of new purchase of Capital Gains of
Sl. Date of
transfer of agricultural new Accounts Account number IFS code deductio
No. deposit
original asset land agricultural Scheme n
land before due claimed
date
1 2 3 4 5 6 7 8 9
c Deduction claimed u/s 54EC
Amount invested in
Sl. Date of Transfer of Original specified/notified bonds Amount of deduction
Date of investment
No. Asset (not exceeding fifty lakh claimed
rupees)
1 2 3 4 5
d Deduction claimed u/s 54F
Amount
Date of
deposited in Amount
purchase/con
Date of Cost of new Capital Gains of
Sl. struction of Date of
Transfer of residential Accounts Account number IFS code deductio
No. new deposit
Original Asset house Scheme n
residential
before due claimed
house
date
1 2 3 4 5 6 7 8 9
e Deduction claimed u/s 115F (for Non-Resident Indians)
Amount invested in new

Sl. Date of Transfer of original Amount of deduction
specified asset or savings Date of investment
No. foreign exchange asset claimed
certificate
1 2 3 4 5
f Total deduction claimed (1a + 1b + 1c + 1d + 1e) 1f 0
Set-off of current year capital losses with current year capital gains (excluding amounts included in
E E
A8a & B12a which is not chargeable under DTAA)
Capital
Current
Gain of
year's
current
capital
year (Fill Short- Short- Long-
gains
Sl. this Short- Short- Term Term Long- Long- Term
Type of Capital gain remaining
No. column Term15% Term 30% Applicable Covered Term 10% Term 20% Covered
after set
only if Rate By DTAA By DTAA
off
computed
(9=1-2-3-
figure is
4-5-6-7-8)
positive)
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Capital Loss to be set off (Fill this

i row only if computed figure is 0 0 0 0 0 0 0
negative)
ii Short Term Capital Gain 15% 619 0 0 0 619
iii Short Term Capital Gain 30% 0 0 0 0 0
Short Term Capital Gain Applicable

iv 0 0 0 0 0
Rate
Short Term Capital Gain Covered
v 0 0 0 0 0
By DTAA
vi Long Term Capital Gain 10% 0 0 0 0 0 0 0 0
vii Long Term Capital Gain 20% 0 0 0 0 0 0 0 0
Long Term Capital Gain Covered By

viii 0 0 0 0 0 0 0 0
DTAA
Total loss set off (ii + iii + iv + v +
ix 0 0 0 0 0 0 0
vi+vii+viii)
x Loss remaining after set off (i-ix) 0 0 0 0 0 0 0
F Information about accrual/receipt of capital gain
Sl. Type of Capital gain/

Upto 15/6 16/6 to 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
No. Date
(i) (ii) (iii) (iv) (v)
Short-term capital
gains taxable at the
1 rate of 15% Enter value 619 0 0 0 0
from item 3iii of
schedule BFLA, if any.
Short-term capital
from item 3iv of
schedule BFLA, if any
Short-term capital
gains taxable at
3 applicable rates Enter 0 0 0 0 0
value from item 3v of
Short-term capital
gains taxable at DTAA
4 rates Enter value from 0 0 0 0 0
item 3vi of schedule
BFLA, if any.
Long- term capital
from item 3vi of
Long- term capital
from item 3vii of
Long- term capital

7 rate DTAA rates Enter 0 0 0 0 0
value from item 3ix of
Capital gains on
transfer of Virtual
Digital Asset taxable at
8 0 0 0 0 0
the rate of 30% Enter
value from item 16 of
schedule SI, if any
SCHEDULE VDA - INCOME FROM TRANSFER OF VIRTUAL DIGITAL ASSETS

Cost of Acquisition
(In case of gift; a. Income from
Head under which Enter the amount on transfer of Virtual
Sl. Consideration
Date of Acquisition Date of Transfer income to be taxed which tax is paid u/s Digital Assets (enter
No. Received
(Capital Gain) 56(2)(x) if any b. In nil in case of loss)
any other case cost (Col. 6 – Col. 5)
to previous owner)
1 2 3 4 5 6 7
Total (Sum of all Positive Incomes of Capital Gain in Col. 7) 0
SCHEDULE 112A FROM SALE OF EQUITY SHARE IN A COMPANY OR UNIT OF EQUITY ORIENTED FUND OR UNIT OF A BUSINESS TRUST
ON WHICH STT IS PAID UNDER SECTION 112A
Full
Value of
Conside
ration If
shares/u
nits are
acquired
on or
before
If the
31st
long Total
January,
Cost of term Fair Fair Expendi
2018 Balance
acquisiti capital Market Market ture
(Total (6- 13)
Sale- on asset Value Value of wholly
Name of Sale Total Item 4
Share/U No. of price without Cost of was per capital and
Sl. ISIN the Value) deducti (a) of
nit Shares per indexati acquisiti acquire share/u asset as exclusiv
No. Code Share (4*5) or ons LTCG
acquired /Units Share on on d before nit as per ely in
/Unit If (7+12) Schedul
/Unit (higher 01.02.2 on 31st section connecti
shares/u e of
of 8 or 018, - January, 55 (2) on with
nits are ITR2
9) Lower 2018 (ac)- transfer
acquired
of 6 or (4*10)
after
11
31st
January,
2018 -
Please
enter
Full
Value of
Conside
ration
1 1a 2 3 4 5 6 7 8 9 10 11 12 13 14
Total 0 0 0 0 0 0 0 0
SCHEDULE 115 AD(1)(B)(III) PROVISO : FOR NON-RESIDENTS - FROM SALE OF EQUITY SHARE IN A COMPANY OR UNIT OF EQUITY
ORIENTED FUND OR UNIT OF A BUSINESS TRUST ON WHICH STT IS PAID UNDER SECTION 112A
Full
Value of
Conside
ration If
shares/u
nits are
acquired
on or
before
If the
31st
long Total
January,
Cost of term Fair Fair Expendi
2018 Balance
acquisiti capital Market Market ture
(Total (6-13)
Sale on asset Value Value of wholly
Name of Sale Total Item 7
Share/U No. of price without Cost of was per capital and
Sl. ISIN the Value) deducti (a) of
nit Shares per indexati acquisiti acquire share asset as exclusiv
No. Code Share (4*5) or ons LTCG
acquired /Units Share/U on on d before /unit as per ely in
/Unit If (7+12) Schedul
nit (higher 01.02.2 on 31st section connecti
shares/u e of
of 8 or 018, January, 55(2) on with
nits are ITR2
9) Lower 2018 (ac)- transfer
acquired
of 6 or (4*10)
after
11
31st
January,
2018 -
(Please
enter
Full
Value of
Conside
ration)
1 1a 2 3 4 5 6 7 8 9 10 11 12 13 14
Total 0 0 0 0 0 0 0 0
SCHEDULE OS INCOME FROM OTHER SOURCES
1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) 1 9,803
A Dividends, Gross (ai +aii) 1a 0
ai Dividend income [other than (ii)] 1ai 0
aii Dividend income u/s 2(22)(e) 1aii 0
B Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 9,803
bi From Savings Bank bi 1,222
From Deposits (Bank/ Post Office/ Co-operative

bii bii 8,581
Society)
biii From Income-tax Refund biii 0
biv In the nature of Pass through income/ loss biv 0
Interest accrued on contributions to provident

bv fund to the extent taxable as per first proviso to bv 0
section 10(11)
bvi fund to the extent taxable as per second bvi 0
proviso to section 10(11)
bvii fund to the extent taxable as per first proviso to bvii 0
section 10(12)
bviii fund to the extent taxable as per second bviii 0
proviso to section 10(12)
bix Others ix 0
c Rental income from machinery, plants, buildings, etc., Gross 1c 0
Income of the nature referred to in section 56(2)(x) which is chargeable to

d 1d 0
tax (di + dii + diii + div + dv)
Aggregate value of sum of money received
i i 0
without consideration
In case immovable property is received without
ii ii 0
consideration, stamp duty value of property
In case immovable property is received for
inadequate consideration stamp duty value of
iii iii 0
property in excess of such consideration as
adjusted as per section 56(2)(x)
In case any other property is received without
iv iv 0
consideration, fair market value of property
In case any other property is received for
v inadequate consideration, fair market value of v 0
property in excess of such consideration
e Any other income (please specify nature) 1e 0
Sl.
Nature Amount
No.
1 2 3
1 Family Pension 0

2 0
maintained in a notified country u/s 89A
Sl
Country/Region Amount
No.
1 2 3

3 maintained in a country "other than notified 0
country u/s 89A
Income taxable during the previous year on
4 which relief u/s 89A was claimed in any earlier 0
previous year
Any specified sum received by a unit holder
5 from a business trust during the previous year 0
referred to in section 56(2)(xii)
Any sum received, including the amount
allocated by way of bonus, at any time during a
6 0
previous year, under a life insurance policy
referred to in section 56(2)(xiii)
2 Income chargeable at special rates (2a(i)+2a(ii)+ 2b+ 2c+ 2d + 2e +2f elements related to Sl. No.1) 2 0
Winnings from lotteries, crossword puzzle, races, card games etc.

a(i) 2a(i) 0
chargeable u/s 115BB
a(ii) Income by way of winnings from online games chargeable u/s 115BBJ 2a(ii) 0
b Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 2b 0
i Cash credits u/s 68 2b(i) 0
ii Unexplained investments u/s 69 2b(ii) 0
iii Unexplained money etc. u/s 69A 2b(iii) 0
iv Undisclosed investments etc. u/s 69B 2b(iv) 0
v Unexplained expenditure etc. u/s 69C 2b(v) 0
vi Amount borrowed or repaid on hundi u/s 69D 2b(vi) 0
Accumulated balance of recognised provident fund taxable u/s

c 2c
111
Sl.
Assessment Year Income benefit Tax benefit
No.
1 2 3 4
Total 0 0
d Any other income chargeable at special rate (total of di to dxx) 2d 0
Sl.
Nature Amount
No.
1 2 3
Pass through income in the nature of income from other sources claimed as
e 2e 0
chargeable at special rates
Sl.
Nature Amount
No.
1 2 3
Amount included in 1 and 2 above, which is claimed as chargeable at

f 2f 0
special rates in India as per DTAA (total of column (2) of table below)
Rate as
Item per Applicabl
Country Whether
No.1ai, Treaty Rate as e rate
Sl. Amount /Region Article of TRC Section
1b to 2 in (enter per I.T. [lower of
No. of income Code and DTAA obtained of I.T. Act
which NIL, if not Act (6) or
Name (Y/N)
included chargeabl (8)]
e)
1 2 3 4 5 6 7 8 9 10
Deductions under section 57 (other than those relating to income chargeable at special rates under
3 3
2a, 2b & 2d)
Expenses / Deductions other than "aii" (in case other than family
ai 3ai 0
pension)
Interest expenditure u/s 57(i) on dividend (available only if
aii income offered in 1a) - entered amount Interest expenditure 3aii 0
claimed
Interest expenditure claimed
Eligible amount of interest expenditure u/s 57(i) – Computed

a(iia) 3a(iia) 0
Amount
aiii Deduction u/s. 57(iia) (in case of family pension only) 3aiii 0
b Depreciation 3b 0
c Total 3c 0
4 Amounts not deductible u/s 58 4 0
5 Profits chargeable to tax u/s 59 5 0
5a Income claimed for relief from taxation u/s 89A 5a 0
Net Income from other sources chargeable at normal applicable rates(1 ( after reducing income
6 6 9,803
related to DTAA portion) - 3 + 4 + 5 - 5a ) (if negative take the figure to 3i of Schedule CYLA)
7 Income from other sources (other than from owning race horses) (2 + 6) (enter 6 as nil, if negative) 7 9,803
8 Income from the activity of owning and maintaining race horses 8
a Receipts 8a 0
b Deductions under section 57 in relation to receipts at 8a only 8b 0
c Amounts not deductible u/s 58 8c 0
d Profits chargeable to tax u/s 59 8d 0
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 6xii of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 9,803
10 Information about accrual/receipt of income from Other Sources 10
Sl.
Other Source Income Upto 15/6 From 16/6 to 15/9 From 16/9 to 15/12 From 16/12 to 15/3 From 16/3 to 31/3
No.
(i) (ii) (iii) (iv) (v)
Income by way of
winnings from lotteries,
crossword puzzles,
1(i) races, games, 0 0 0 0 0
gambling, betting etc.
referred to in section
2(24)(ix)
Income by way of
1(ii) winnings from online 0 0 0 0 0
games u/s 115BBJ
Dividend Income
2 0 0 0 0 0
referred in Sl.no.1a(i)
Dividend Income u/s
115A(1)(a)(i) other
than as per proviso to
3(i) 0 0 0 0 0
sec 115A(1)(a)(A) @
20% (Including PTI
Income)
Dividend Income as per
proviso to sec 115A(1)
3(ii) 0 0 0 0 0
(a)(A) @10% (Including
PTI Income)
Dividend Income u/s
4 0 0 0 0 0
115AC @ 10%
Dividend Income u/s
5 115ACA (1)(a) @ 10% 0 0 0 0 0
(Including PTI Income)
Dividend Income (other
than units referred to
6 in section 115AB) u/s 0 0 0 0 0
115AD(1) (i) @ 20%
(Including PTI Income)
Dividend income
7 0 0 0 0 0
taxable at DTAA rates
Income from
retirement benefit
account maintained in
8 a notified country u /s 0 0 0 0 0
89A (Taxable portion
after reducing relief u/s
89A)
SCHEDULE CYLA DETAILS OF INCOME AFTER SET OFF OF CURRENT YEAR LOSSES
Net loss from Other
Income of current year sources chargeable at
Sl. Head / Source of (Fill this column only if House property loss of normal applicable rates Current year’s income
No. Income income is zero or the current year set off (other than loss from remaining after set off
positive) race horses) of the
current year set off
1 2 3 4
Loss to be set off (Fill

this row only if
i 0 0
computed figure is
negative)
ii Salaries 3,10,000 0 0 3,10,000
iii House property 0 0 0
Short-term capital gain

iv 619 0 0 619
taxable @ 15%
v 0 0 0 0
taxable @ 30%
vi taxable at applicable 0 0 0 0
rates

vii taxable at special rates 0 0 0 0
Long term capital gain
viii 0 0 0 0
taxable @ 10%
Long term capital gain
ix 0 0 0 0
taxable @ 20%
Long term capital gains
x taxable at special rates 0 0 0 0
Net income from other
xi sources chargeable at 9,803 0 9,803
normal applicable rates
Profit from the activity
of owning and
xii 0 0 0 0
maintaining race
horses
Total loss set off (ii + iii
xiii + iv + v + vi + vii + viii 0 0
+ ix + x + xi + xii)
Loss remaining after
xiv 0 0
set-off (i – xiii)
SCHEDULE BFLA DETAILS OF INCOME AFTER SET OFF OF BROUGHT FORWARD LOSSES OF EARLIER YEARS
Income after set off, if any, of
Sl. Current year’s income
Head/Source of income current year’s losses as per 5 Brought forward loss set off
No. remaining after set off
of Schedule CYLA)
1 2 3
1 Salaries 3,10,000 3,10,000
2 House property 0 0 0
Short-term capital gain taxable @

3 619 0 619
15%
Short-term capital gain taxable @
4 0 0 0
30%
Short-term capital gain taxable at
5 0 0 0
applicable rates
Short-term capital gain taxable at
6 0 0 0
special rates in India as per DTAA
Long term capital gain taxable @
7 0 0 0
10%
Long term capital gain taxable @
8 0 0 0
20%
Long term capital gains taxable at
9 0 0 0
special rates in India as per DTAA
Net income from other sources
10 chargeable at normal applicable 9,803 9,803
rates
Profit from owning and maintaining
11 0 0 0
race horses
Total of brought forward loss set off (2ii + 2iii + 2iv + 2v+ 2vi + 2vii
12 0
+2viii+ 2ix + 2xi)
Current year's income remaining after set off Total of (3i + 3ii + 3iii + 3iv + 3v+ 3vi + 3vii + 3viii+ 3ix +
13 3,20,422
3x + 3xi)
SCHEDULE CFL DETAILS OF LOSSES TO BE CARRIED FORWARD TO FUTURE YEARS

Loss from owning
Sl. Short-term capital Long-term Capital
AssesmentYear Date of filling House property loss and maintaining
No. loss loss
race horses
1 2 3 4 5 6
i 2016-17 0 0 0
ii 2017-18 0 0 0
iii 2018-19 0 0 0
iv 2019-20 0 0 0
v 2020-21 0 0 0 0
vi 2021-22 0 0 0 0
vii 2022-23 0 0 0 0
viii 2023-24 0 0 0 0
Total of earlier year

ix 0 0 0 0
losses
Adjustment of above
x losses in Schedule 0 0 0 0
BFLA
2024-25(Current year
xi 0 0 0 0
losses)
Total loss carried
xii 0 0 0 0
forward to future years
SCHEDULE VI-A DEDUCTIONS UNDER CHAPTER VI-A
Amounts System Calculated
1 Part B - Deduction in respect of certain payments
80C - Life insurance premium, deferred annuity, contributions to provident 6,507

a 6,507
fund, subscription to certain equity shares or debentures, etc.
b 80CCC - Payment in respect Pension Fund 0 0
c 80CCD(1) - Contribution to pension scheme of Central Government 0 0
80CCD(1B)- Contribution to pension scheme of Central Government by the 0

d 0
Employee
80CCD(2) - Contribution to pension scheme of Central Government by the 0

e 0
Employer
f 80D-Deduction in respect of Health Insurance premia 0 0
80DD - Maintenance including medical treatment of a dependent who is a 0

g 0
person with disability
80DDB - Medical treatment of

h 0 0
specified disease
i 80E - Interest on loan taken for higher education 0 0
j 80EE - Interest on loan taken for residential house property 0 0
80EEA - Deduction in respect of interest on loan taken for certain house

k 0 0
property
l 80EEB - Deduction in respect of purchase of electric vehicle 0 0
80G - Donations to certain funds, charitable institutions, etc. (Please fill

m 0 0
80G Schedule. This field is auto-populated from schedule.)
n 80GG - Rent paid 0 0
80GGA - Certain donations for scientific research or rural development

o 0 0
(Please fill 80GGA Schedule. This field is auto-populated from schedule.)
p 80GGC - Donation to Political party 0 0
2 Part C, CA and D- Deduction in respect of certain incomes/other deduction
q 80QQB - Royalty income of authors of certain books. 0 0
r 80RRB - Royalty on patents 0 0
s 80TTA - Interest on saving bank Accounts 1,222 1,222
t 80TTB - Interest on deposits in case of senior citizens 0 0
u 80U - In case of a person with disability. 0 0
ua 80CCH-Contribution to Agnipath Scheme 0 0
v Deduction (Total a to ua) 7,729 7,729
SCHEDULE 80G DETAILS OF DONATIONS ENTITLED FOR DEDUCTION UNDER SECTION 80G
A Donations entitled for 100% deduction without qualifying limit
City or Amount of donation Eligible

Sl. Name of State code PAN of the
Address Town or Pin code Amount of
No. the Donee & Name Donee Donation in Donation in Total
District Donation
cash other mode donation
1 2 3 4 5 6 7 8 9 10 11
Total 0 0 0 0
B Donations entitled for 50% deduction without qualifying limit

District Donation
1 2 3 4 5 6 7 8 9 10 11
Total 0 0 0 0
C Donations entitled for 100% deduction subject to qualifying limit

District Donation
1 2 3 4 5 6 7 8 9 10 11
Total 0 0 0 0
D Donations entitled for 50% deduction subject to qualifying limit
ARN Amount of donation

City or Eligible
Sl. Name of State code PAN of the (Donation
Address Town or Pin code Donation Amount of
No. the Donee & Name Donee Reference Donation Total
District in other Donation
Number) in cash donation
mode
1 2 3 4 5 6 7 8 9 10 11 12
Total 0 0 0 0
E Total Amount of Donations (Aix + Bix + Cix + Dix) 0 0 0 0
SCHEDULE 80GGA DETAILS OF DONATIONS FOR SCIENTIFIC RESEARCH OR RURAL DEVELOPMENT

Relevant
clause Amount of Donation
City Or Eligible
Sl. under Name of State Code PAN of
Address Town Or Pincode Donation Amount of
No. which Donee & Name Donee Donation Total
District in other donation
deduction in cash Donation
is claimed mode
1 2 3 4 5 6 7 8 9 10 11 12
Total Donations 0 0 0 0
SCHEDULE 80GGC DETAILS OF CONTRIBUTION MADE TO POLITICAL PARTIES

Transaction Reference
Amount of Contribution Eligible number for UPI transfer
Sl. IFSC code of
Date Amount of or Cheque
No. Contribution in Contribution in Total Bank
Contribution number/IMPS/NEFT/RTG
Cash other mode Contribution S reference number
(1) (2) (3) (4) (5) (6) (7) (8)
Total 0 0 0 0
SCHEDULE AMT - COMPUTATION OF ALTERNATE MINIMUM TAX PAYABLE UNDER SECTION 115JC
1 Total Income as per item 12 of PART-B-TI 1 3,12,690
2 Adjustment as per section 115JC(2) 2
Deduction claimed under any section included in Chapter VI-A under the
a heading "C.— Deductions in respect of certain incomes" 2a 0
3 Adjusted Total Income under section 115JC(1) (1+2a) 3 3,12,690
4 Tax payable under section 115JC [18.5% of (3)] (if 3 is greater than Rs. 20 lakhs) 4 0
SCHEDULE AMTC - COMPUTATION OF TAX CREDIT UNDER SECTION 115JD
1 Tax under section 115JC in assessment year 2024-25 (1d of Part-B-TTI) 1 0
2 Tax under other provisions of the Act in assessment year 2024-25 (7 of Part-B-TTI) 2 0
Amount of tax against which credit is available [enter (2 – 1) if 2 is greater than 1,

3 3 0
otherwise enter 0]
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned
4
in 3 above and cannot exceed the sum of AMT Credit Brought Forward)
AMT Credit
AMT Credit
Balance AMT
Sl. Balance brought Utilised during the
Assessment Year Credit Carried
No. Set-off in earlier forward to the Current
Gross Forward
assessment years current Assessment Year
assessment year
(A) (B1) (B2) (B3) = (B1) – (B2) (C) (D)= (B3) - (C)
1 2013-14 0 0 0 0 0
2 2014-15 0 0 0 0 0
3 2015-16 0 0 0 0 0
4 2016-17 0 0 0 0 0
5 2017-18 0 0 0 0 0
6 2018-19 0 0 0 0 0
7 2019-20 0 0 0 0 0
8 2020-21 0 0 0 0 0
9 2021-22 0 0 0 0 0
10 2022-23 0 0 0 0 0
11 2023-24 0 0 0 0 0
Current AY (enter 1 -
12 0 0
2, if 1>2 else enter 0
Total 0 0 0 0 0
Amount of tax credit under section 115JD utilised during the year [total of item No. 4
5 5 0
(C)]
Amount of AMT liability available for credit in subsequent assessment years [total of 4
6 6 0
(D)]
SCHEDULE SPI - INCOME OF SPECIFIED PERSONS (SPOUSE, MINOR CHILD ETC.) INCLUDABLE IN INCOME OF THE ASSESSEE AS PER
SECTION 64
Sl. PAN of person Aadhaar of person Head of Income in
Name of person Relationship Amount (Rs)
No. (optional) (optional) which included
1 2 3 4 5 6
SCHEDULE SI - INCOME CHARGEABLE TO TAX AT SPECIAL RATES (PLEASE SEE INSTRUCTIONS NO. 9 FOR RATE OF TAX) INCOME
CHARGEABLE TO TAX AT SPECIAL RATES
Sl.
Section/Description Special rate (%) Income (i) Tax thereon (ii)
No.
1 2 3 4 5
111 - Tax on accumulated balance

1 1.0 0 0
of recognised PF
111A STCG on shares units on
2 15.0 619 93
which STT paid
3 112 LTCG on Others 20.0 0 0
112 proviso - Long term capital

4 10.0 0 0
gains (without indexing)
112A-LTCG on equity shares/units
5 of equity oriented fund/units of 10.0 0 0
business trust on which STT is paid
112(1)(c)(iii)(Long term capital
gains on transfer of unlisted
6 10.0 0 0
securities in the case of non-
residents)
115BB (Winnings from lotteries,
crosswords puzzles, races
including horse races, card games
7 30.0 0 0
and other games of any sort or
gambling or betting of any form or
nature whatsoever)
115BBJ - Winnings from online
8 30.0 0 0
games
115AD(1)(ii) -STCG (other than on
equity share or equity oriented
9 30.0 0 0
mutual fund referred to in section
111A) by an FII
115AD(1)(b)(ii) Proviso- Short term
10 capital gains referred to in section 15.0 0 0
111A
Dividends received by non-
resident (not being company) or
11 foreign company chargeable u/s 20.0 0 0
115A(1)(a) other than first proviso
to section 115A(1)(a)(A)
Proviso to sec 115A(1)(a)(A)-
Dividend received by non-resident
(not being company) or foreign
12 company from a unit in an 10.0 0 0
International Financial Services
Centre, as referred to in sub-
section (1A) of section 80LA
115A(1)(a)(ii)- Interest received
13 from govt/Indian Concerns recived 20.0 0 0
in Foreign Currency
115A(1) (a)(iia) -Interest from
14 5.0 0 0
Infrastructure Debt Fund
115A(1) (a)(iiaa) -Interest as per
15 5.0 0 0
Sec. 194LC(1)
115A(1) (a)(iiaa) -Interest as
16 referred in proviso to section 4.0 0 0
194LC(1)
115A(1) (a)(iiab) -Interest as per
17 5.0 0 0
Sec. 194LD
115A(1)(a)(iiac) -Interest as per
18 5.0 0 0
Sec. 194LBA
115A(1) (a)(iii) - Income received
19 in respect of units of UTI 20.0 0 0
purchased in Foreign Currency
115A(1)(b)(A) & 115A(1)(b)(B)-
20 Income from royalty & technical 10.0 0 0
services
115AC(1)(a) - Income by way of
21 interest on bonds purchased in 10.0 0 0
foreign currency - non-resident
115AC(1)(b) - Income by way of

22 Dividend on GDRs purchased in 10.0 0 0
115AC(1)(c) -LTCG arising from the
transfer of bonds or GDR
23 10.0 0 0
purchased in foreign currency -
non-resident
115ACA(1)(a) - Income from GDR
24 purchased in foreign currency - 10.0 0 0
resident
115ACA(1)(b) - LTCG arising from
25 the transfer of GDR purchased in 10.0 0 0
foreign currency -resident
115AD(1)(i) -Income (other than
Dividend) received by an FII in
26 20.0 0 0
respect of securities (other than
units as per Sec 115AB)
115AD(1)(i) Proviso -Income
received by an FII in respect of
27 5.0 0 0
bonds or government securities as
per Sec 194LD
115AD(1)(iii)-Long term capital
28 10.0 0 0
gains by an FII
29 Proviso to 115AD(iii) 10.0 0 0
115BBA - Tax on non-residents

30 20.0 0 0
sportsmen or sports associations
31 115BBC - Anonymous donations 30.0 0 0
115BBE - Tax on income referred

32 to in sections 68 or 69 or 69A or 60.0 0 0
69B or 69C or 69D
115BBF -Tax on income from
33 10.0 0 0
patent
115BBG -Tax on income from
34 10.0 0 0
transfer of carbon credits
35 115E(a) Investment income 20.0 0 0
115E(a)-LTCG on any asset other

36 than a specified asset-non resident 20.0 0 0
Indian
115E(b) - Income by way of long
37 10.0 0 0
term capital gains
STCGDTAARate - STCG Chargeable
38 at special rates in India as per 1.0 0 0
DTAA
LTCGDTAARate - LTCG Chargeable
39 at special rates in India as per 1.0 0 0
DTAA
OSDTAARate - Other source
40 income chargeable under DTAA 1.0 0 0
rates
Pass Through Income in the nature
of Short Term Capital Gain
41 15.0 0 0
chargeable @ 15% Under Section
111A
42 of Short Term Capital Gain 30.0 0 0
chargeable @ 30%
43 of Long Term Capital Gain 10.0 0 0
chargeable @ 10%
chargeable @ 10% u/s 112A
chargeable @ 20%
PTI-115A(1)(a)(i)- Dividends
46 interest and income from units 20.0 0 0
purchase in foreign currency
Proviso to sec 115A(1)(a)(A) PTI-

Dividend received by non-resident
(not being company) or foreign
47 company from a unit in an 10.0 0 0
International Financial Services
Centre, as referred to in sub-
section (1A) of section 80LA
PTI-115A(1)(a)(ii)- Interest
received from govt/Indian
48 20.0 0 0
Concerns received in Foreign
Currency
PTI-115A(1) (a)(iia) -Interest from
49 5.0 0 0
Infrastructure Debt Fund
PTI-115A(1) (a)(iiaa) -Interest as
50 5.0 0 0
per Sec. 194LC(1)
PTI-115A(1)(a)(iiaa) -Income
received by non-resident as
51 4.0 0 0
referred in proviso to section
194LC(1)
PTI-115A(1) (a)(iiab) -Interest as
52 5.0 0 0
per Sec. 194LD
PTI-115A(1) (a)(iiac) -Interest as
53 5.0 0 0
per Sec. 194LBA
PTI-115A(1) (a)(iii) -Income
54 received in respect of units of UTI 20.0 0 0
purchased in foreign currency
PTI-115A(1)(b)(A) & PTI-115A(1)(b)
55 (B)- Income from royalty & 10.0 0 0
technical services
PTI-115AC(1)(a) - Income by way
56 of interest on bonds purchased in 10.0 0 0
PTI-115AC(1)(b) - Income by way
57 of Dividend on GDRs purchased in 10.0 0 0
PTI-115ACA(1)(a) - Income from
58 GDR purchased in foreign currency 10.0 0 0
- resident
PTI-115AD(1)(i) - Income (being
dividend) received by an FII in
59 20.0 0 0
units referred to in section 115AB)
115AD(1)(i) - Income (being
dividend) received by an FII in
60 20.0 0 0
units referred to in section 115AB)
PTI-115AD(1)(i) -Income(other than
Dividend) received by an FII in
61 20.0 0 0
units as per Sec 115AB)
PTI-115AD(1)(i) -Income received
by an FII in respect of bonds or
62 5.0 0 0
government securities as per Sec
194LD
PTI-115BBA - Tax on non-residents
63 20.0 0 0
sportsmen or sports associations
PTI-115BBF - Tax on income from
64 10.0 0 0
patent
PTI-115BBG - Tax on income from
65 10.0 0 0
transfer of carbon credits
66 PTI-115E(a) - Investment income 20.0 0 0
67 115BBH - VDA 30.0 0 0
Total 619 93
SCHEDULE EI - DETAILS OF EXEMPT INCOME (INCOME NOT TO BE INCLUDED IN TOTAL INCOME OR NOT CHARGEABLE TO TAX)
1 Interest Income 1 0
Gross Agricultural receipts (other than income to be excluded

2 i i 0
under rule 7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture ii 0
iii Unabsorbed agricultural loss of previous eight assessment years iii 0
iv Net Agricultural income for the year (i – ii – iii) (enter nil if loss) iv 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the
v v
following details (Fill up details separately for each agricultural land)
Wherther the
Measurement of Wherther the
Sl. agricultural land is
Name of District Pin code agricultural land in agricultural land is
No. owned or held on
Acre irrigated or rain fed
lease
1 2 3 4 5 6
3 Other exempt income (including exempt income of minor child) 3 0
Sl.
Nature Of Income Description Amount
No.
1 2 3 4
4 Income claimed as not chargeable to tax as per DTAA 4
Sl. Country code & Whether TRC

Amount Of Income Nature Of Income Article of DTAA Head of Income
No. Name obtained (Y/N)
1 2 3 4 5 6 7
Total Income from DTAA claimed as not chargeable to tax 0
5 Pass through income claimed as not chargeable to tax (Schedule PTI) 5 0
6 Total (1+2+3+4+5) 6 0
SCHEDULE PTI - PASS THROUGH INCOME DETAILS FROM BUSINESS TRUST OR INVENTMENT FUND AS PER SECTION 115UA, 115UB
Share the
Investment Name of current year
PAN of the
entity business loss Net TDS on such
Sl. business Sl. Current Year
covered by trust/ Head of Income distributed income/Loss( amount, If
No. trust/investm No. income
section investment by 7-8) any
ent fund
115UA/115UB fund investment
fund
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SCHEDULE FSI - DETAILS OF INCOME FROM OUTSIDE INDIA AND TAX RELIEF (AVAILABLE IN CASE OF RESIDENT)
Tax payable Tax relief
Relevant
Income from on such available in
Taxpayer article of
Sl. Sl. Head of outside Tax paid income under India(e) = ( c )
Country Code Identification DTAA if relief
No. No. Income India(included outside india normal or (d)
Number claimed u/s 90
in Part B-Ti) provision in whichever is
or 90A
India lower
(a) (b) (c) (d) (e) (f)
SCHEDULE TR - SUMMARY OF TAX RELIEF CLAIMED FOR TAXES PAID OUTSIDE INDIA (AVAILABLE ONLY IN CASE OF RESIDENT)
1 Summary of Tax relief claimed
Total taxes paid outside Total tax relief available

Tax Relief Claimed
Sl. Taxpayer Identification India (total of (c) of (total of (e) of Schedule
Country Code under section (specify
No. Number Schedule FSI in respect FSI in respect of each
90, 90A or 91)
of each country) country)
1 2 3 4 5 6
Total 0 0
Total Tax relief available in respect of country where DTAA is applicable (section
2 2 0
90/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section
3 3 0
91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has been
4 refunded/credited by the foreign tax authority during the year? If yes, provide the 4
details below
a Amount of tax refunded 4a 0
b Assessment year in which tax relief allowed in India 4b
SCHEDULE FA - DETAILS OF FOREIGN ASSETS AND INCOME FROM ANY SOURCE OUTSIDE INDIA
Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st
A1
December, 2023
Gross
interest
Peak
Country Name of Address of Account paid/credite
Sl. Account balance Closing
Name and financial financial Zip Code Status opening d to the
No. number during the balance
Code institution institution date account
period
during the
period
1 2 3 4 5 6 7 8 9 10 11
Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st
A2
December, 2023
Gross
interest
paid/credit
ed to the
account
during the
period
(drop
down to
be
provided
Peak specifying
Country Name of Address of Account
Sl. Nature of Account balance Closing nature of
Name and financial financial ZIP code Status opening
No. Amount number during the balance amount
Code institution institution date
period viz.
interest/di
vidend
/proceeds
from sale
or
redemptio
n of
financial
assets/
other
income)
1 2 3 4 5 6 7 8 9 10 11 12
Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as
A3
on 31st December, 2023
Total Total
gross gross
amount proceeds
Initial Peak value
Date of paid/credit from sale
Country value of of
Sl. Name of Address of Nature of acquiring Closing ed with or
Name and Zip code the investmen
No. entity entity entity the balance respect to redemptio
Code investmen t during
interest the n of
t the period
holding investmen
during the t during
period the period
1 2 3 4 5 6 7 8 9 10 11 12
Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar
A4
year ending as on 31st December, 2023
Total gross
amount
Name of financial
Address of The cash value or paid/credited
Sl. Country Name institution in
financial Zip code Date of contract surrender value with respect to
No. and Code which insurance
institution of the contract the contract
contract held
during the
period
1 2 3 4 5 6 7 8
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st
B
December, 2023
Nature
Income taxable and offered
of
Total Income in this return
Country Interest-
Name of Address Date Investme accrued Nature
Sl. Name Nature Direct
Zip code the of the since nt (at from of Item
No. and of entity /Benefici Schedule
Entity Entity held cost) (in such Income number
Code alowner Amount where
rupees) Interest of
/Benefici offered
schedule
ary
1 2 3 4 5 6 7 8 9 10 11 12 13 14
C Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2023
Ownership Income taxable and offered in

-Direct/ Total Income this return
Country Address of
Sl. Beneficial Date of Investmen derived Nature of
Name and Zip code the Schedule Item
No. owner/ acquisition t (at cost) from the Income
Code Property Amount where number of
Beneficiar (in rupees) property
y offered schedule
1 2 3 4 5 6 7 8 9 10 11 12
Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st December,
D
2023
Ownership Income taxable and offered in
-Direct/ Total Income this return
Country
Sl. Nature of Beneficial Date of Investmen derived Nature of
Name and Zip code Schedule Item
No. Asset owner/ acquisition t (at cost) from the Income
Code Amount where number of
Beneficiar (in rupees) asset
y offered schedule
1 2 3 4 5 6 7 8 9 10 11 12
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending
E
as on 31st December, 2023 and which has not been included in A to D above.
Name of Peak If (7) is yes, Income offered in
Whether If (7) is
the Balance/ this return
Address Name of income yes,
Institutio Country Investme
Sl. of the the Account accrued Income Item
n in Name Zip code nt during Schedule
No. Institutio account Number is taxable accrued number
which the and Code the year Amount where
n holder in your in the of
account (in offered
hands? account schedule
is held rupees)
1 2 3 4 5 6 7 8 9 10 11 12 13
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Wheth
If (8) is yes, Income
er If (8) is
offered in this return
Countr income yes,
Addres Name Addres Name Addres Date
y Name Name Addres derive Income Schedu Item
Sl. Zip s of of s of of s of since
Name of the of s of d is derive
No. code the trustee trustee Benefic Benefic positio le numbe
and trust Settlor Settlor taxabl d from Amoun where r of
trust s s iaries iaries n held
Code e in the t
offere schedu
your trust d le
hands?
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the
G
head business or profession
If (6) is yes, Income offered in this
Name of Address of Whether return
Country
Sl. the person the person Income Nature of taxable in
Name and Zip code Schedule Item
No. from whom from whom derived income your
Code Amount where number of
derived derived hands?
offered schedule
1 2 3 4 5 6 7 8 9 10 11
SCHEDULE 5A - INFORMATION REGARDING APPORTIONMENT OF INCOME BETWEEN SPOUSES GOVERNED BY PORTUGUESE CIVIL CODE
Name of the spouse
PAN of the spouse
Aadhaar number of the

spouse
Sl. Receipts received under Amount apportioned in Amount of TDS deducted TDS apportioned in the
Heads of Income
No. the head the hands of the spouse on income at (ii) hands of spouse
(i) (ii) (iii) (iv) (v)
1 House Property 0 0 0 0
2 Capital gains 0 0 0 0
3 Other sources 0 0 0 0
4 Total 0 0 0 0
SCHEDULE AL ASSETS AND LIABILITIES AT THE END OF THE YEAR (APPLICABLE IN A CASE WHERE TOTAL INCOME EXCEEDS RS.50
LAKH)
A Details of immovable assets
AddressAL
Amount
Sl. Descriptio Name of
Road/ Town/ (cost) in
No. n Flat/ Door/ Premises / Area/
Street/Pos City/ State Country Pin Code Zip Code Rs.
Block No Building / Locality
t Office District
Village
1 2 3 4 5 6 7 8 9 10 11 12
B Details of Movable Asset
SI Description Amount
i Jewellery, bullion etc. 0
ii Archaeological collections, drawings, painting, sculpture or any work of art 0
iii Vehicles, yachts, boats and aircrafts 0
(iv) Financial assets Amount(cost) in Rs.
(a) Bank (including all deposits) 0
(b) Shares and securities 0
(c) Insurance policies 0
(d) Loans and advances given 0
(e) Cash in hand 0
C Liability in relation to Assets at (A+B) 0
INFORMATION RELATED TO TAX DEFERRED - RELATABLE TO INCOME ON PERQUISITES REFERRED IN SECTION

SCHEDULE ESOP
17(2) (VI) RECEIVED FROM EMPLOYER, BEING AN ELIGIBLE START - UP REFERRED TO IN SECTION 80-IAC
PAN of the employer being an eligible
startup
DPIIT registration number of the
employer
Has any of the following events occurred during the previous year
relevant to current assessment year
Forty-eight
Such specified security or months have
sweat equity shares were expired from
Ceased to be the employee the end of Balance
sold amount of tax
of the employer who the relevant
allotted or transferred assessment Amount of deferred to
Amount of
Assesement Tax deferred such specified security or year in which tax payable be carried
Sl.No. sweat equity share? specified in the current forward to
Year brought
forward (ii) Total security or Assessment the next
sweat equity Year Assessment
Amount of years Col (3-
(i) Option Tax shares
referred to 9)
Selected Attributed
out of the in the said
sale (i) Option (ii) Date of *clause were
Selected Ceasing allotted. If
yes, specify
date
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1. 0 0 0 0
2. 0 0 0 0
3. 0 0 0 0
4. 0
5. Total Amount of Tax Attributed 0
PART B – TI COMPUTATION OF TOTAL INCOME
1 Salaries (6 of Schedule S) 1 3,10,000
2 Income from house property (4of Schedule-HP) (Enter nil if loss) 2 0
3 Capital Gains 3
a ShortTerm 3a
i Short term chargeable @15% (9ii of item E of Sch CG) ai 619
ii Short term chargeable @30% (9iii of item E of Sch CG) aii 0
iii Short term chargeable at applicable rate (9iv of item E of Sch CG) aiii 0
Short-term chargeable at special rates in India as per DTAA (9v of item E

iv aiv 0
of Schedule CG)
v Total Short term (ai+aii+aiii+aiv) (enter nil if loss) av 619
b LongTerm 3b
i Long term chargeable @10% (9vi of item E of Sch CG) bi 0
ii Long term chargeable @20% (9vii of item E of Sch CG bii 0
Long-term chargeable at special rates in India as per DTAA (9viii of item E

iii biii 0
of schedule CG)
iv Total Long-term (bi + bii + biii) (enter nil if loss) biv 0
c Sum of Short-term / Long-term Capital Gains (3av + 3biv) (enter nil if loss) 3c 619
d Capital gains chargeable @ 30 % u/s 115BBH (C2 of Schedule CG) 3d 0
e Total Capital Gains (3c+3d) 3e 619
4 Income from other sources 4
Net Income from Other sources chargeable to tax at Normal Applicable rates (6 of
a 4a 9,803
Schedule OS) (enter nil if loss)
b Income chargeable to tax at special rates(2 of Schedule OS) 4b 0
Income from the activity of owning & maintaining race horses (8e of Schedule OS)
c 4c 0
(enter nil if loss)
d Total (4a + 4b + 4c)(enter nil if loss) 4d 9,803
5 Total of head wise income (1 + 2 + 3e + 4d) 5 3,20,422
6 Losses of current year set off against 5 6 0
7 Balance after set off current year losses (5-6) 7 3,20,422
8 Brought forward losses set off against 7 8 0
9 Gross Total income (7-8) 9 3,20,422
Income chargeable to tax at special rate under section 111A, 112,, 112A etc. included
10 10 619
in 9
11 Deductions under Chapter VI-A 11 7,729
12 Total income (9 - 11) 12 3,12,690
Income which is included in 12 and chargeable to tax at special rates (total of (i) of
13 13 619
schedule SI)
14 Net agricultural income/ any other income for rate purpose (2 of Schedule EI) 14 0
Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not

15 15 3,12,071
chargeable to tax]
16 Losses of current year to be carried forward (total of row xi of Schedule CFL) 16 0
17 Deemed income under section 115JC (3 of schedule AMT) 17 3,12,690
PARTB-TTI - COMPUTATION OF TAX LIABILITY ON TOTAL INCOME
Tax payable on deemed total income under section 115JC (4 of

1 a 1a 0
Schedule AMT)
b Surcharge on (a) (if applicable) 1b 0
c Health and Education Cess @ 4% on (1a+1b) above 1c 0
d Total Tax Payable on deemed total income (1a+1b+1c) 1d 0
2 Tax payable on total income 2
a Tax at normal rates on 15 of Part B-TI 2a 3,104
b Tax at special rates (total of (ii) of Schedule-SI) 2b 93
Rebate on agricultural income [applicable if (12-13) of Part B-TI

c 2c 0
exceeds maximum amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b -2c) 2d 3,197
3 Rebate under section 87A 3 3,197
4 Tax Payable after rebate (2d-3) 4 0
5 Surcharge 5
Surcharge Computed before marginal relief
25% of tax u/s 115BBE (Income under section 68, 69, 69A, 69B,
i 5i 0
69C or 69D)
10% or 15% as applicable / On [(4) – ( 15(ii) of schedule SI- tax
ii 5ii 0
on income referred to in 5(ii) above)]
Surcharge after marginal relief
25% of tax u/s 115BBE (Income under section 68, 69, 69A, 69B,
ia 5ia 0
69C or 69D)
10% or 15% as applicable / On [(4) – ( 15(ii) of schedule SI- tax
iia 5iia 0
on income referred to in 5(ii) above)]
iii Total (ia + iia) 5iii 0
6 Health and Education cess @ 4% on (4 + 5iii) 6 0
7 Gross tax liability (4 + 5iii + 6) 7 0
8 Gross tax payable (higher of 1d and 7)(8a + 8b) 8 0
Tax on income without including income on perquisites referred

a in section 17(2)(vi) received from employer, being an eligible 8a 0
start-up referred to in section 80-IAC ( Schedule Salary)
Tax deferred - relatable to income on perquisites referred in

b section 17(2)(vi) received from employer, being an eligible start- 8b 0
up referred to in section 80-IAC
Tax deferred from earlier years but payable during current AY (
c 8c 0
total of col 7 of schedule Tax deferred on ESOP
Credit under Section 115JD of tax paid in earlier years (applicable if 7 is more than 1d)(5 of Schedule
9 9 0
AMTC)
10 Tax payable after credit under section 115JD (8a+8c-9) 10 0
11 TaxRelief 11
Section 89 (Please ensure to submit Form 10E to claim this

a 11a 0
relief)
b Section 90/90A (2 of Schedule TR) 11b 0
c Section 91 (3 of Schedule TR) 11c 0
d Total (11a + 11b+ 11c) 11d 0
12 Net tax liability (10-11de) (enter zero if negative) 12 0
13 Interest and fee payable 13
a Interest for default in furnishing the return (section 234A) 13a 0
b Interest for default in payment of advance tax (section 234B) 13b 0
c Interest for deferment of advance tax (section 234C) 13c 0
d Fee for default in furnishing return of income (section 234F) 13d 0
e Total Interest and Fee Payable (13a+13b+13c+13d) 13e 0
14 Aggregate liability (12+13e) 14 0
15 TaxPaid 15
a Advance Tax (from column 5 of 20A) 15a 0
b TDS (total of column 5 of 20B and column 9 of 20C) 15b 0
c TCS (total of column 7(i) of 20D) 15cc 0
d Self Assessment Tax (from column 5 of 20A) 15d 0
e Total Taxes Paid (15a+15b+15c+15d) 15e 0
16 Amount payable (Enter if 14 is greater than 15e, else enter 0) 16 0
17 Refund (If 15e is greater than 14) (Refund, if any, will be directly credited into the bank account) 17 0
Do you have a bank account in India (Non-residents claiming refund with no bank account in India
18 18 Y
may select NO)
a Details of all bank accounts held in india at any time during the previous year(excluding dormant accounts)
IFSC Code of the bank in

Sl.
case bank account held in Name of the Bank Account Number Type of Account
No.
India
1 2 3 4 5
1 SBIN0000554 STATE BANK OF INDIA 33921352226 Savings Account
Note:
1. All bank accounts held at any time is to be reported, except dormant A/c.
2. In case multiple accounts, then refund will be credited to one of the validated accounts after
processing the return.
Rows can be added as required
b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the
ii
details of one foreign bank account:
Sl.
SWIFT Code Name of the Bank Country / Region of Location IBAN
No.
1 2 3 4 5
Do you at any time during the previous year,-

(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any
entity) located outside India; or
19 19 NO
(ii) have signing authority in any account located outside India; or
(iii) have income from any source outside India?
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]
TAX PAYMENTS
A DETAILS OF PAYMENTS OF ADVANCE TAX AND SELF ASSESSMENT TAX
Sl.
BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (RS)
No.
1 2 3 4 5
Total 0
SCHEDULE TDS1 - DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY AS PER FORM 16 ISSUED BY EMPLOYER(S)]
Sl. Tax Deduction Account Income chargeable under
Name of the Employer Total tax deducted
No. Number (TAN) of the Employer Salary
1 2 3 4 5
Total 0
DETAILS OF TAX DEDUCTED AT SOURCE (TDS) ON INCOME [AS PER FORM 16A ISSUED OR FORM 16B/ 16C/16E FURNISHED BY
DEDUCTOR(S)]
TDS
TDS of the current
credit TDS credit being claimed this Year
Unclaimed Financial Year (TDS
relatin (only if corresponding income is
TDS brought deducted during FY Correspondin
g to being offered for tax this year. Not
Aadha forward (b/f) 2023-24) g Receipt
self PAN of TAN of applicable if TDS is deducted u/s
ar of /withdrawals
/other Other the 194N)
Other Deducted in offered TDS
person Person Deduc
Person the hands of credit
[spous (if TDS tor/PA
(if TDS spouse as per being
Sl. e as credit N/Aad
credit section 5A or Claimed in the hands of carrie
No. per relate haar Fin. Deduc
relate any other spouse as per section 5A or d
sectio d to of Year ted in
d to person as per Claime any other person as per rule forwar
n 5A other Tenan in TDS
other own d in Head d
/other person t/Buye which b/f rule 37BA(2) 37BA(2) (if applicable) Gross
person hands Of
person ) r deduct (if applicable) own Amou
) hands Incom
as per ed nt
e
rule Incom Incom Aadha
TDS TDS PAN
37BA( e e ar
2)]
(10) (10)
(1) (2) (3)(a) (3)(b) (4) (5) (6) (7) (8)(a) (8)(b) (9) (10)(a) (10)(c) (11) (12) (13)
(b) (d)
Total 0
DETAILS OF TAX DEDUCTED AT SOURCE (TDS) ON INCOME [AS PER FORM 16B/16C FURNISHED BY DEDUCTOR(S)]
TDS
credit TDS of the current
relatin Unclaimed Financial Year (TDS TDS credit being claimed this
g to TDS brought deducted during FY Year (only if corresponding Correspondin
self PAN Aadha forward (b/f) 2023-24) income is being offered for tax g Receipt
/other of ar of this year) offered
perso Other Other Deducted in
Aadha TDS
n Perso Perso TAN the hands of
ar No. credit
[spou n (if n (if of the spouse as
of the being
Sl. se as TDS TDS Buyer per section Claimed in the hands of
Buyer carrie
No. per credit credit /Tena
/Tena Fin. Deduc 5A or any spouse as per section 5A d
sectio relate relate nt/De
nt/De Year ted in other person Claim or any other person as per forwa
n 5A d to d to ductor in TDS Head
/other other other
ductor own as per rule ed in rule 37BA(2) (if applicable) Gross rd
which b/f hands 37BA(2) (if Of
perso perso perso own Amou
deduc applicable) hands Incom
n as n) n) nt
ted e
per
Incom Aadha
rule Incom TDS PAN
TDS e ar
37BA( e
2)]
(10) (10) (10) (10)
(1) (2) (3)(a) (3)(b) (4)(a) (4)(b) (5) (6) (7) (8)(a) (8)(b) (9) (11) (12) (13)
(a) (b) (c) (d)
Total 0
SCHEDULE TCS - DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
TCS of the current
financial Year (TCS TCS credit being claimed this
collected during the year
TCS credit Unclaimed TCS FY 2023-24)
relating to brought forward (b/f) Collected
Tax
Self/Other PAN Of in the Claimed in the hand
Deduction
Person Other hands of of spouse as per
and Tax TDS credit
[Spouse as Person (If the section 5A or any
Sl. Collection being
per TCS Credit spouse as other person as per
No. Account carried
section related to Collected per Claimed in rule 37-I(1)(if
Number of forward
5A/Other other in own section 5A own hands applicable)
the Fin. Year
person as person) Amount hands or any
Collector in which
per Rule b/f other
37-I(1) deducte person as
per rule
TCS PAN
37-I(1)) (if
applicable)
1 (2)(i) (2)(ii) (3) (4) (5) (6)(i) (6)(ii) (7)(i) (7)(i)(a) (7)(i)(b) (8)
Total 0
SCHEDULE 80D
If you are individual, whether you or any of your family member(excluding parents) is a senior
1
citizen?If you are HUF, whether any member of HUF is a senior citizen?
(a) Self & Family 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Self & Family including Senior Citizen 0
Medical Expenditure (This deduction to be claimed on which health insurance is

(iii) 0
not claimed at (i) above)
2 Whether any one of your parents is a senior citizen
(a) Parents 0
(b) Parents including Senior Citizen 0
Medical Expenditure (This deduction can be claimed on which health insurance is

(iii) 0
not claimed at (i) above)
3 Eligible Amount of Deduction 0
Schedule 80U Details of deduction in case of a person with disability
Sl. Date of filing of Form Ack. No. of Form 10IA UDID Number (If
Nature of Disability Amount of Deduction
No. 10IA filed available)
(1) (2) (3) (4) (5) (6)
1 0
Details of deduction in respect of maintenance including medical treatment of a dependent who is a person with
Schedule 80DD
disability.
Sl. Nature of Amount of Type of PAN of the Aadhaar of the Date of filing of Ack. No. of Form UDID Number (If
No. Disability Deduction dependent dependent dependent Form 10IA 10IA filed available)
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 0
VERIFICATION
I, BHAVESH MULJIBHAI SUTAR son/ daughter of MULJIBHAI SUTAR solemnly declare that to the best of my knowledge and belief, the information
given in the return and the schedules thereto is correct and complete and is in accordance with the provisions of the Income-tax Act, 1961.
I further declare that I am making this return in my capacity as Self and I am also competent to make this return and verify it. I am holding
permanent account number JTNPS0275L. I further declare that the critical assumptions specified in the agreement have been satisfied and all the
terms and conditions of the agreement have been complied with. (Applicable in a case where return is furnished under section 92CD)
Date: 21-Jul-2024 Place: 152.59.34.162 Sign Here:
If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
TRP PIN (10 digit) Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof 0
Note:
1. Submission date is the system date of e-Filing portal of Income Tax Department. The same is available in the Acknowledgement/ITR-V generated
after submission of return.
2. Verification Date is the date of e-Verification at e-Filing portal of Income Tax Department or the date of receipt of ITR-V at CPC, Bengaluru. The
same will be available in View Returns/Forms option of e-Filing portal. In case of e-Verification, it is available in Acknowledgement”.

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Acknowledgement Number : 833154950210724 Date of Filing : 21-Jul-2024*

INDIAN INCOME TAX RETURN

Date of filling of original return (DD/MM/YYYY)

Unique Number/ Document Identification Number (DIN)

You were in India for

(h) Whether you are an FPI? Yes No

If yes, provide SEBI Registration Number

(i) Whether this return is being filed by a Representative Assesse? No

(1) Name of the representative

(2) Capacity of the Representative

(3) Address of the representative

(4) Permanent Account Number (PAN) of the Representative

(5) Aadhaar No. of the Representative

Sl. Whether its shares are Director Identification

Shares acquired during the year

(a) LEI Number

(b) Valid upto date

SCHEDULE SALARY - DETAILS OF INCOME FROM SALARY

Name of Employer Nature of Employer

1 Gross Salary (1a + 1b + 1c + 1d + 1e + 1f) 1 3,60,000

Salary as per section 17(1) (drop down to be

1 Basic Salary 3,60,000

Value of perquisites as per section 17(2) (drop

Profit in lieu of salary as per section 17(3) (drop

Sl Nature of Profit in lieu

Income from retirement benefit account

Income from retirement benefit account

2 Total Gross Salary (from all employers) 2 3,60,000

Sl. Nature of Exempt

3a Less : Income claimed for relief from taxation u/s 89A 3a 0

4 Net Salary (2 - 3 - 3a) 4 3,60,000

5 Deduction u/s 16 (5a + 5b + 5c) 5 50,000

A Standard deduction u/s 16(ia) 5a 50,000

B Entertainment allowance u/s 16(ii) 5b 0

C Professional tax u/s 16(iii) 5c 0

6 Income chargeable under the Head 'Salaries' (4 - 5) 6 3,10,000

SCHEDULE HP - DETAILS OF INCOME FROM HOUSE PROPERTY

2 Pass through income/loss if any * 2 0

SCHEDULE CG CAPITAL GAINS

111A [for others]

a Full value of consideration A2a 7,624

b Deductions under section 48 A2b

i Cost of acquisition without indexation bi 7,005

ii Cost of Improvement without indexation bii 0

Expenditure wholly and exclusively in

iv Total (i + ii + iii) biv 7,005

c Balance (A2a – biv) A2c 619

Loss to be disallowed u/s 94(7) or 94(8)- for example if

Full value of consideration received/receivable in

iii Total(ic+A4ii) A4aiii 0

b Deductions under section 48 A4b

i Cost of acquisition without indexation bi 0

ii Cost of improvement without indexation bii 0

Expenditure wholly and exclusively in connection with

iv Total (bi + bii + biii) biv 0

c Balance (A4aiii – biv) A4c 0

5 From sale of assets other than at A1 or A2 or A3 or A4 above A5

In case of asset sold include shares of a company other

iii Total(ic+A4aii) A5aiii 0