Application for Certificate of residence for the purposes of an agreement under section 90 and 90A of the Income Tax Act, 1961

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..... ____________, _________________, Sir, I request that a certificate of residence in Form No. 10FB be granted in my case/in the case of ________________________ [for person other than individual] 2. The relevant details in this regard are as under: - ( i ) Full Name and address of the applicant ( ii ) .....

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..... ( x ) Purpose of obtaining Tax Residency Certificate (must be specified) ( xi ) Any other detail 3. The following document in support are enclosed: - (1) (2) (3) .....

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