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Certificate of accountant in respect of compliance to the provisions of clause (23FE) of section 10 of the Income-tax Act, 1961 by the notified Pension Fund

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..... (i.e. the closing balance as on the last date of the preceding financial year) of the investment made which is eligible for exemption under clause (23FE) of section 10: (b) details of the investment by the Pension Fund during the previous year: Sl No Date of investment Amount of investment (In Rs) Nature of investment (Note3) $ Nature of income (note4) # Amount of income on investment during the year (In Rs) Details of the entity in which Investment made Amount of income which is eligible for exemption under clause (23FE) of section 10 (Attach calculation sheet as per relevant rules) Nature of entity (note5) ^ Name PAN If nature of entity code is 3/4/5, whether the entity has made minimum investment of 50 or75 or90 percent as required in item (c) or (d) or (e) of sub-clause (iii) of clause (23FE) of section 10 (Attach calculation sheet as per relevant rules) (1) (2) (3) (4) .....

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..... Total 8. the Pension Fund satisfies all the conditions required for the purposes of exemption under clause (23FE) of section 10 of the Income-tax Act, 1961, that is, - a) Name of the law under which the Pension Fund is created or established b) Details of the funds or plans for which the PF is responsible for administering or investing the assets for: Name of the fund/ plan Purpose for which plan/fund is established (Note 6 $$ Nature of the fund/plan (Note7) ## Percentage of value of assets received from each plan/fund to total value of assets administered orinvested by the PF c) .....

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..... aid during the year v. Amount of loan or borrowing at the end of the year j) Whether separate segmented account is maintained for income and investment in respect of investment which qualifies for exemption under clause (23FE) of section 10 of the Act Yes/No k) Whether it is liable to tax in such foreign country; Yes/No l) In answer to (k) is yes, then whether exemption from taxation for all its income has been provided by such foreign country; Yes/No m) Quarter for which the intimation in Form No. 10BBB has been filed during the previous year. See note 8*** Verification It has been ensured that the information furnished is true and correct in all respects and no relevant information has been concealed or withheld. 2. Neither I, nor any of my partners, is a director, partner or an employee of the above-mentioned entities or its associated concerns. 3. I/ we* fully understand that any state .....

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..... Purpose of the plan/fund Code Retirement 1 Social Security 2 Employment 3 Disability 4 Death benefits 5 Similar compensation (please specify) 6 7. ##One of the following codes is to be selected: Nature of the plan/fund Code Pension Fund 1 Sovereign Wealth Fund 2 Others 3 8. ***One or more of the following codes is to be selected: Intimation in form 10BBB Code Quarter ending 30 th June of the previous year 1 Quarter ending 30 th September of the previous year 2 Quarter ending 30 th December of the previous year 3 Q .....

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..... ion fund has not sold any of the investments made for the purposes of exemption under clause (23FE) of section 10 of the Income-tax Act, 1961 before the expiry of three years from the date on which the investment was made in respect of the said exemption/the pension fund has sold certain investments made for the purposes of exemption under clause (23FE) of section 10 of the Income-tax Act, 1961 before the expiry of three years from the date on which the investment was made in respect of the said exemption, the details of which are as under: Sl. No. Date of Invest-ment Amount Nature [Debt/ Share Capital (Equity/ Preference)/ Unit] Rate of Dividend, if any, (Preference Share/ Unit)/ Interest (Debt) Details of the entity in which Investment made Date of sale Business Trust/ Company or enterprise or entity/ Alternative Investment Fund Name PAN (1) (2) (3) (4) (5) (6) (7) (8) .....

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