Personal Information

A1. First Name A2.Middle Name
A3.Last Name * A4.PAN *
A5.Gender* A6.Date of Birth (DD/MM/YYYY)*
A7.Income Tax Ward / Circle Status *
Address
A8.Flat / Door / Building * A9.Road / Street
A10.Area / Locality * A11.Town / City / District *
A12.State * A13.Country *
A14.Pincode * A15.Email Address *
A16.Mobile Number 1 * A17.Mobile Number 2
Landline Number
(Do not prefix STD code with '0')

(STD)       (Landline)

Filing Status

A18.Employer Category
(if in employment) *
A19.Tax Status *
A20.Residential Status *
A21.Return filed under section
(Please see Form Instruction) *
A22.Whether Person governed by Portugese Civil Code under section 5A*
Whether original or revised return? *
A23.If under section: 139(5) - revised return:
Original Acknowledgement Number
Date (DD/MM/YYYY)
If under section: 139(9) - return in response to defective return notice:
Original Acknowledgment Number.
Notice Number
Notice Date (DD/MM/YYYY)
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