FORM NO. 10-IA [See sub-rule (2) of rule 11A] Certificate of the medical authority for certifying ‘person with disability’, ‘severe disability’, ‘autism’, ‘cerebral palsy’ and ‘multiple disability’ for purposes of section 80DD and section 80U Certificate No. Date : This is to certify that Shri/Smt./Ms._______________________________ son/daughter of Shri_________________________________, age______ years___________male/female* residing at____________________________________, Registration No.__________is a person with disability/severe disability* suffering from autism/cerebral palsy/multiple disability*. 2. This condition is progressive/non-progressive/likely to improve/not likely to improve*. 3. Reassessment is recommended/not recommended after a period of__________months/years*. Sd/(Neurologist/Pediatric Neurologist/Civil Surgeon/ Chief Medical Officer*) Name :___________________ Address of Institution/Government hospital : ____________________________________ ____________________________________ Qualification/designation of specialist :____________________ SEAL Signature/Thumb impression* of the patient Note : *Strike out whichever is not applicable.

Printed From Taxmann’s Income Tax Rules on CD

[I

FORM NO. 10-IA

[IPrinted From Taxmann's Income Tax Rules on CD. FORM NO. 10-IA. [See sub-rule (2) of rule 11A]. Certificate of the medical authority for certifying 'person with disability', 'severe disability', 'autism', 'cerebral palsy' and 'multiple disability' for purposes of section. 80DD and section 80U. Certificate No. Date : This is to certify ...

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