FORM NO.31
[See rule 43]
Application for a certificate under the first proviso to sub-section (1A) of section 230 of the
Income-tax Act, 1961
To,
The Assessing Officer,
…………………………
Sir,
I request that *Tax Clearance Certificate be granted to me. I give below the necessary
particulars:
1. Full name of the applicant (in block letters)
2. Permanent Account Number
3. Present address
4. Permanent address
5. Name of father (or husband)
6. Domicile and Nationality
7. Nature of Business or profession etc. in
India
8. Whether exemption is claimed under any
section of Act. ? If so, which?
9. Place(s) at which the business or
profession is/was carried on
10. Date of arrival in India (When were the
previous visits made and what were the
periods of stay in each case)
11. Destination of journey
12. Probable date of departure
13. Mode of travel (by Air/Sea/Land*)
14. Date of intended return, if any.
15. Passport No./Emergency Certificate No.
(a) issued on (date)
(b) from (place and country)
I declare that to the best of my knowledge and belief, the information furnished in the
application is correct and truly stated.
Place :
Yours faithfully
Date :
(Applicant)
*Delete whichever is not applicable.”;