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PART A - GEN
PERSONAL INFORMATION
First name Middle name Last name PAN
Nikita Sharma ABCDE1234F
Flat/Door/Block No. D-5
Name of Premises/Building/Village DEL Colony
Road/Street/Lane/Post Office Jalahalli
Area/Locality/Taluka/Sub Division
Town/City/District Bangalore
State/Union Territory KARNATAKA Pin Code 540013
Status [√] Individual [ ] HUF
Date of Birth 07/10/1987
Employer Category [ ] Govt [ ] PSU [√] Others Sex [ ] Male [√] Female email address (STD)-Phone No
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FILING STATUS
Designation of Assessing Officer (Ward/Circle)
Return filed under Section [ 11 ]
Whether Original or Revised Return ? [√] Original [ ] Revised
If revised enter, Receipt No. & dt. of filing original return. / /
Residential Status [√] Resident [ ] Non-Resident [ ] Resident but Not Ordinarily Resident
Whether this return is being filed by a representative assessee?
If yes, please furnish following information -[ ] Yes [√] No
(a) Name of the representative
(b) Address of the representative
(c) Permanent Account Number (PAN) of the representative
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