FORM NO. 39

FORM NO. 39

[See rule 54]

Form of application for registration as authorised

income-tax practitioner

To

The Chief Commissioner or Commissioner of Income-tax,

………………………………………………………………..

I hereby apply for registration as an authorised income-tax practitioner under clause (v)/(vi)/ (vii)  of

section 288(2) of the Income-tax Act, 1961.

The following particulars are fumished herewith:-

1. Name in full [block letters]

2. Father’sname

3. Permanent residential address

4. Present residential address

5. Professional address(es) in India

6. Principal place of profession in India

7. If partner in a firm, names of the firm and other partners

*I certify that I have passed the accountancy examination of (a true copy of the certificate enclosed)

*I certify that I have acquired the educational qualifications of (a true copy of the certificate enclosed)

*I certify that I was an income-tax practitioner within the meaning of clause (iv) of sub-section (2) of

section 61 of the Indian Income- tax Act, 1922, and was actually practising immediately before 1st April

1962, as such and some of the cases in which I appeared in that capacity are as below:

Name and address of Assessment year Designation of the

assessee

 income-tax authority

before whom appeared

  1.

  2.

  3.

I certify that I have been practising as an authorised income-tax practitioner since .................... and that

I have not so far made any application for registration as an authorised income-tax practitioner to any

other Chief Commissioner or Commissioner of Income-tax.

 ………………………

Signature

Verification

I, ………………………………………………….., do declare that what is stated in the above application is

true to the best of my information and belief.

Date ....................

 ………………….

Signature

*Delete inappropriate words.

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