APPLICATION FORM (KNOW YOUR TDS)
PROVIDE THE DETAILS AS PER PAN (BLOCK LETTERS) Full Name *
POGAKU SUDHEER KUMAR
Father's Name *
POGAKU SHIVANANDAM
Date of Birth *
0
4
/
1
2
/
1
9
8
7
PAN *
B
A
C
P
P
2
5
6
7
A
HOUSE NO 10-191, NEW GAYATHRI NAGAR, JILLELGUDA, SAROORNAGAR,
Address *
HYDERABAD
PIN Code *
State
TELANGANA
Email *
[email protected]
Mobile No. * 8
0
9
9
5
0
0
0
5
9
8
0
0
8
0
0
OTHER INFORMATION Select Assessment Year. *
AY 2011-12 o
Salaried or Self Employed
*
AY 2012-13 o
AY 2013-14 o o
Salaried / Pensioner
TAN number of the Deductor/Employer (If Available)
AY 2014-15
AY 2015-16 o
Self Employed / Business
D
E
L
D
1
2
3
4
5
R
4
3
3
3
3
2
2
2
2
BANK DETAILS Aadhaar Number Bank Account Number * Name of Bank *
1
0
4
3
2
5
4
4
4
6
8
9
* Type of A/C
HDFC BANK, VANASTHALIPURAM
IFSC CODE (Verify your Checkbook or Bank Passbook for IFSC Code) *
H
Savings Bank A/C.
D
F
C
0
Current Account 0
0
1
0
4
3
NOTE 1. Tax Genius calls the Applicant for collecting full information. 2. Applicant's PAN will be registered at ITD Portal/ Add as a client to E-Return Intermediary. 3. Online Tax Credit Staement (Form 26AS) will be send to Applicant's Email ID. 4. If there are any missing Tax Credits, Applicant need to follow up the Deductor/Employer for the tax credits. 5. Tax Genius reserves the right to reject any Application and refund the Service Charges. 6. Application will be processed within 7 working days and subject to receipt of required inforamtion from Applicant.
** DECLARATION: I here by declare that the details furnished above are ture and correct to the best of my knowledge. Further I hereby authorize Tax Genius LLP to Register / Aleter my Profile at www.incometaxindiaefiling.gov.in for submitting Onlince Compliance. ** I WOULD LIKE TO FILE MY IT RETURN IF EXACT TDS PARTICULARS ARE SEND SIGNED. (Remarks If any) (Signature of the Applicant) * Call Centre: M/s. Tax Genius LLP, Near Govt. Area Hospital , Beside Hetero Pharmacy, TV Colony, Vanasthalipuram, Hyderabad-500070. Email:
[email protected] www.taxgenius.co.in Customer Care: 08099800800
