‘FORM NO. 156
[See section 197A(1), 197A(1A) and rule 29C]
[Name cf Asses (Declarant) Papas PAN of the Asessee! KO Pe 206R
‘Status 4, Previous yeartP. OVE= VS -nitial Status
[eierncen (Gare ts ¢ NES BERT
se] 9. Aren/Locality
Flat/Door ack Na. S| 7Namedt Premielfgy] _ 8 Road/ Sea
WO TomniGey/ DP 11 sei GENMAL | PIN ANNO! 13 Binal
TW Telephone No (wihSTD | 15 a) Whether axsased totax under the Yes. NO
(Code) and Mobile No, Tocomestax Act 1961% 7
(BAF yes, latest assesment Year for which assessed
16 Baimated inne for which tis declaration 17. Estimated total income of the PY- in which
Smade 44OR9, Te odinenen inutenadat
18: Decals of Form No. 15G other than this form fled during the previous year if any"
Total No.of Form Ne 150 fied Tegrcgate amon of ome for whish Form No1SO filed
NEL
19 Details of income for which the declaration is filed
S| Wdeniificaton timber of relevant | Nature ofincome | Section under whichtax | Amount of income
No. | investment/account, ete? isdeduetible
DAL. Chatctobast
Signature of the Declarant*
Declaration/ Verification”
sy Welb>apars,..Caseaasnesy. do hereby declare that to the best of “my/our knowl
edgeand belief what isstated aboveis correct, complete andis truly stated. "I/Wedeclare that
the incomes referred to in this form are not includible in the total income of any other person
under sections 60 to 64 of the Income-tax Act, 1961. “I/We further declare that the tax “on
my/our estimated total income including *income/incomes referred to in column 16 “and
amount of ‘income/incomes referred to in column 18 computed in accordance
the provisions of the Income-tax Act, 1961, for the previous year ending on SAa\.Wwesu.f019
levant to the assessment year ...20A%:.20... will be nil. "I/We also declare that ‘my/our
./incomes referred to in column 16 “and the aggregate amount of income/incomes
ed to in column 18 for the previous year ending on Sisk Mwicxierelevant to the
nent year ....2.9.4.°\:.9.0.will not exceed the maximum amount which is not charge-
witli. chakeolarty....
Signature of the Declarant’
Amdt.) Rules 2015, wel, 1-10-2015, Earlier Form No. 15G was
Amat.) Rules, 1982, wef, 21-6-1982. and