FORM NO.31

[See rule 43]

Application for a certificate under the first proviso to sub-section (1A) of section 230 of the

Income-tax Act, 1961

To,

The Assessing Officer,

…………………………

Sir,

I request that *Tax Clearance Certificate be granted to me. I give below the necessary

particulars:

1. Full name of the applicant (in block letters)

2. Permanent Account Number

3. Present address

4. Permanent address

5. Name of father (or husband) 

6. Domicile and Nationality

7. Nature of Business or profession etc. in

India

8. Whether exemption is claimed under any

section of Act. ? If so, which?

9. Place(s) at which the business or

profession is/was carried on

10. Date of arrival in India (When were the

previous visits made and what were the

periods of stay in each case)

11. Destination of journey

12. Probable date of departure 

13. Mode of travel (by Air/Sea/Land*) 

14. Date of intended return, if any. 

15. Passport No./Emergency Certificate No. 

(a)  issued on (date)

(b)  from (place and country)

I declare that to the best of my knowledge and belief, the information furnished in the

application is correct and truly stated.

Place :

 Yours faithfully

Date :

                                                                                                                    (Applicant)

*Delete whichever is not applicable.”;