Return of taxable securities transactions

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..... …………... ………… 2. Date of registration of trust deed for the Mutual Fund under the Indian Registration Act, 1908 3. Names and addresses of trustees - Schedule A Seal and Signature of 4. Name and address of asset management company for the fund Receiving Official 5. Permanent Account Number (PAN) of asset management company for the fund 6. Financial year (Transactions relating to which are reported) - 7. Ward/ circle/ range .....

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..... ation I, .........(full name in block letters), son/ daughter of .......... solemnly declare that to the best of my knowledge and belief the information given in this return and schedules accompanying it is correct and complete and that the total value of taxable securities transactions and other particulars shown therein are truly stated and are in accordance with provisions of Chapter VII of the Finance (No.2) Act, 2004 and Securities Transaction Tax Rules, 2004. I further declare that I am making this return in my capacity as ........... and I am also competent to make this return and verify it. Date ............ Place ........... (Name and Signature ) Schedule .....

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..... Tax/Interest Name of the bank branch BSR code of bank branch Date of deposit Serial No. of challan Amount (In Rs.) (In Rs.) (In Rs.) (In Rs.) (In Rs.) (In Rs.) (In Rs.) (In Rs.) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total Notes: 1. This Form must be used by a recognised stock exchange only. 2. Details .....

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