KK 2 Years Itr and Coi

Acknowledgement Number: 989625380250722 Date of filing: 25-Jul-2022
INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, ITR- 4(SUGAM), ITR-5, ITR-6, ITR-7 filed
and verified] 2022-23
(Please see Rule 12 of the Income-tax Rules, 1962)
PAN ABYPH1297B
Name KARISHMA MUKESH KHADIWALA
4TH FLOOR, 23/27 B WING , KANJI GOKULDAS BUILDING , 158, LOHAR CHAWL , MUMBAI , 19-Maharashtra , 91-INDIA ,
Address
400002
Status Individiual Form Number ITR-2
Filed u/s 139(1)-On or before due date e-Filing Acknowledgement Number 989625380250722
Current Year business loss, if any 1 0
Total Income 11,89,660

Taxable Income and Tax details
Book Profit under MAT, where applicable 2 0
Adjusted Total Income under AMT, where applicable 3 11,89,660
Net tax payable 4 1,69,731
Interest and Fee Payable 5 0
Total tax, interest and Fee payable 6 1,69,731
Taxes Paid 7 2,40,000
(+) Tax Payable / (-) Refundable (6-7) 8 (-) 70,270
Accreted Income as per section 115TD 9 0

Accreted Income & Tax Details
Additional Tax payable u/s 115TD 10 0
Interest payable u/s 115TE 11 0
Additional Tax and interest payable 12 0
Tax and interest paid 13 0
(+) Tax Payable / (-) Refundable (12-13) 14 0
Income Tax Return submitted electronically on 25-Jul-2022 16:03:35 from IP address 115.96.218.16 and verified
by KARISHMA MUKESH KHADIWALA having PAN ABYPH1297B on 25-Jul-2022 using Electronic
Verification Code XUE7HM486I generated through Aadhaar OTP mode.
System Generated
Barcode/QR code
ABYPH1297B029896253802507220cbc86400e941b99db90f25267a1a4e8b30d6b1e
DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

Acknowledgement Number:738869260270723 Date of filing : 27-Jul-2023
INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment

[Where the data of the Return of Income in Form ITR-1(SAHAJ), ITR-2, ITR-3, ITR-4(SUGAM), ITR-5, ITR-6, ITR-7 Year
filed and verified]
(Please see Rule 12 of the Income-tax Rules, 1962) 2023-24
PAN ABYPH1297B
Name KARISHMA MUKESH KHADIWALA
4TH FLOOR, 23/27 B WING, KANJI GOKULDAS BUILDING , 158, LOHAR CHAWL, MUMBAI, 19-Maharashtra, 91-
Address
India, 400002
Status Individual Form Number ITR-2
Filed u/s 139(1)-On or before due date e-Filing Acknowledgement Number 738869260270723
Current Year business loss, if any 1 0
Total Income 2 13,79,650

Taxable Income and Tax Details
Book Profit under MAT, where applicable 3 0
Adjusted Total Income under AMT, where applicable 4 13,79,650
Net tax payable 5 2,32,370
Interest and Fee Payable 6 0
Total tax, interest and Fee payable 7 2,32,370
Taxes Paid 8 3,20,000
(+) Tax Payable /(-) Refundable (7-8) 9 (-) 87,630

Accreted Income and Tax Detail
Accreted Income as per section 115TD 10 0
Additional Tax payable u/s 115TD 11 0
0
Interest payable u/s 115TE 12
Additional Tax and interest payable 13 0
Tax and interest paid 14 0
(+) Tax Payable /(-) Refundable (13-14) 15 (+) 0
Income Tax Return submitted electronically on 27-Jul-2023 14:44:20 from IP address 115.96.77.247 and
verified by KARISHMA MUKESH KHADIWALA having PAN ABYPH1297B on 27-Jul-
2023 using paper ITR-Verification Form /Electronic Verification Code 7UD8YVCJ5I generated through
Aadhaar OTP mode
System Generated
Barcode/QR Code
ABYPH1297B02738869260270723098b6095f7a9cb50cd6bd02024c877b890b9a6f8
DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

Acknowledgement Number : 989625380250722 Date of filing : 25-Jul-2022*
INDIAN INCOME TAX RETURN Assessment

FORM
[For Individuals and HUFs not having income from profits and gains of business or profession]
ITR2 Year
(Please see Rule 12 of the Income-tax Rules, 1962)
2022-23
(Please refer instructions)
.
Part A-GEN GENERAL
(A1) First Name (A2)Middle Name (A3) Last Name (A4) PAN
KARISHMA MUKESH KHADIWALA ABYPH1297B
(A5) Status (Tick)
(A6) Flat/Door/Block No. (A7) Name of Premises/Building/Village
Individual
4TH FLOOR, 23/27 B WING KANJI GOKULDAS BUILDING
HUF
(A8) Road/Street/Post Office (A14) Date of Birth/ Formation (DD/MMM/YYYY) 21-Dec-1983
(A9) Area/locality (A15) Aadhaar Number (12 digit) / Aadhaar Enrolment Id (28 digit) (if eligible for Aadhaar)
158, LOHAR CHAWL 9xxx xxxx 5633
(A11) State
(A10) Town/City/District 19 - Maharashtra (A13) Pin code/Zip code
MUMBAI (A12) Country/Region 400002
91 - India
(A16) Residential/Office Phone Number with STD/ISD code Mobile No. 1 (A17) Mobile No. 2
2222089255 919819551634 919833109699
(A18) Email Address-1(self) (A19) Email Address-2
karishma.khadiwala@gmail.com pradip_kapadia@ymail.com
139(1)-On or before due date, 139(4)-After due date, 139(5)-Revised Return,
(a1i) Filed u/s (Tick)[Please see instruction ] 92CD-Modified return, 119(2)(b)-after condonation of delay, 139(8A) -
(A20) Updated return
(a1ii) Or Filed in response to notice u/s 139(9), 142(1), 148
(a2) Are you opting for new tax regime u/s 115BAC? Yes No
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish return of income? – (Tick)
Yes No
(b) If yes, please furnish following information
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due to fulfilling one or
more conditions mentioned in the seventh proviso to section 139(1)]
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current account during
0
(bi) the previous year? (Yes/No)
Yes No
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel to a foreign
0
(bii) country for yourself or for any other person? (Yes/No)
Yes No
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on consumption of electricity
0
(biii) during the previous year? (Yes/No)
Yes No
Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to section 139(1) (If yes, please select the
(biv)
relevant condition from the drop down menu) Yes No
If Revised/Defective/Modified, then enter Receipt No. and
(c)
Date of filing original return (DD/MMM/YYYY)
If filed, in response to a notice u/s 139(9)/142(1)/148 or order
(Unique Number)
u/s 119(2)(b) enter unique number/ Document Identification
(d)
Number (DIN) and date of such notice/order, or if filed u/s
92CD, enter date of advance pricing agreement
.. You were in India for 182 days or more during the previous year [section 6(1)
(a)]
Residential Status in You were in India for 60 days or more during the previous year, and have
(e) India (for individuals) A. Resident been in India for 365 days or more within the 4 precedig years [section (6)(1) (c)]
(Tick applicable option) [where Explanation 1 is not applicable]
You are a citizen of India, who left India, for the purpose of employment, as
a member of the crew of an Indian ship and were in India for 182 days or more
1 of 38
during the previous year and 365 days or more within the preceding 4 years
[Explanation 1(a) of section (6)(1)(c)]
You are a citizen of India or a person of Indian origin and have come on a visit
to India during the previous year and were in India for 182 days or more during
the previous year and 365 days or more within the preceding 4 years; or 120 days
or more during the previous year and 365 days or more within the preceding 4
years if the total income, other than income from foreign sources, exceeds Rs. 15
lakh. [Explanation 1(b) of section (6)(1)(c)]
You have been a non-resident in India in 9 out of 10 preceding years [section
6(6)(a)]
You have been in India for 729 days or less during the 7 preceding years
[section 6(6)(a)
You are a citizen of India or person of Indian origin, who comes on a visit to
B. Resident but not Ordinarily India, having total income, other than the income from foreign sources, exceeding
Resident Rs. 15 lakh and have been in India for 120 days or more but less than 182 days
during the previous year [section 6(6)(c)]
You are a citizen of India having total income, other than the income from
foreign sources, exceeding Rs. 15 lakh during the previous year and not liable to
tax in any other country or territory by reason of your domicile or residence or any
other criteria of similar nature [section 6(6)(d) rws 6(1A)]
You were a non-resident during the previous year.
(i)Please specify the jurisdiction(s) of residence during the previous year -
S.No. Jurisdiction(s) of residence Taxpayer Identification Number(s)
C. Non-resident (ii) In case you are a Citizen of India or a Person of Indian Origin (POI), please
specify -
Total period of stay in India during the Total period of stay in India during the 4
previous year (in days) preceding years (in days)
Residential Status in India
(for HUF) (Tick applicable D. Resident Resident but not Ordinarily Resident Non-resident
option)
(f) Do you want to claim the benefit under section 115H? (applicable in case of resident) Yes No
(g) Are you governed by Portuguese Civil Code as per section 5A? Tick) Yes No (If "YES" please fill Schedule 5A)
Whether this return is being filed by a Representative Assesse? Yes No

If yes, please furnish following information -
(1) Name of the representative
(h)
(2) Capacity of representative(drop down to be provided)
(3) Address of the Representative
(4) Permanent Account Number (PAN)/ Aadhaar of the representative
Whether you were Director in a company at any time during the previous year? (Tick) Yes No
(i)
If yes, please furnish following information -
Whether its shares are Director Identification
SI.No Name of company Type of company PAN
listed or unlisted Number (DIN)
Whether you have held unlisted equity shares at any time during the previous year? Yes No
(j)
If yes, please furnish following information in respect of equity shares
Name of Type of Shares transferred
SI. No PAN Opening balance Shares acquired during the year Closing balance
company company during the year
Purchase
price per
share (in
Issue price
Date of case of Sale
No. of Cost of No. of Face value per share No. of No. of Cost of
subscript purchase considera
shares acquisition shares per share (incase of shares shares acquisition
ion/purchase from tion
fresh issue)
existing
sharehol
der)
1a 1b 2 3 4 5 6 7 8 9 10 11 12 13
2 of 38
SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)
Schedule Salary Details of Income from Salary

Name of Employer Nature of employer (Tick) TAN of Employer (mandatory if tax is deducted)
R A PODAR COLLEGE OF COMMERCE & E Others MUMR15239A
CONOMICS
Pincode/
Address of Employer Town/City State
Zipcode
MATUNGA MUMBAI 19 - Maharashtra
400019
1 Gross Salary (1a + 1b + 1c + 1d + 1e) 1 15,33,606
a Salary as per section 17(1) (drop down to be provided) 1a 15,33,606
SI.No. Nature of salary Amount
I Basic Salary 9,39,900
II Dearness Allowance 2,14,914
III Others 1,12,434
IV House Rent Allowance (HRA) 2,39,958
V Conveyance Allowance 26,400
b Value of perquisites as per section 17(2) (drop down to be provided) 1b 0
SI. No. Nature of perquisites Amount
c Profit in lieu of salary as per section 17(3) (drop down to be provided) 1c 0
SI. No. Nature of Profit in lieu of Salary Amount
d Income from retirement benefit account maintained in a notified country u/s 89A 1d 0
SI. No. Country/Region Amount
Income from retirement benefit account maintained in a country "other than notified country
e 1e 0
u/s 89A"
2 Total Gross Salary (from all employers) 2 15,33,606
Less allowances to the extent exempt u/s 10 (Please choose from drop down menu) (please
3 refer instructions) 3 2,39,958
(Note: Ensure that it is included in Total Gross salary in (2) above )
SI. No. Nature of Exempt Allowance Amount
Sec 10(13A)-Allowance to meet expenditure

1 2,39,958
incurred on house rent
3a Less : Income claimed for relief from taxation u/s 89A 3a 0
4 Net Salary (2 - 3 - 3a) 4 12,93,648
5 Deduction u/s 16 (5a + 5b + 5c) 5 52,500
A Standard deduction u/s 16(ia) 5a 50,000
B Entertainment allowance u/s 16(ii) 5b 0
C Professional tax u/s 16(iii) 5c 2,500
6 Income chargeable under the Head ‘Salaries’ (4-5) 6 12,41,148
3 of 38
Schedule HP Details of Income From House Property (Please Refer Instructions)

1 Pass through income/ loss if any * 1 0
Income under the head "Income from house property" (1k + 2k + 3)

2 2 0
(if negative take the figure to 2i of schedule CYLA)
Please include the income of the specified persons referred to in Schedule SPI and Pass through income referred to in schedule PTI while
NOTE:
computing the income under this head.
Furnishing of PAN/Aadhaar No. of tenant is mandatory, if tax is deducted under section 194-IB.
NOTE:
Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I
4 of 38
Schedule CG Capital Gains
A Short-term capital gain (STCG) (Sub-items 3 and 4 are not applicable for residents)
2 From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which
1
STT is paid under section (i)111A[for others]
a Full value of consideration 2a 1,41,759
b Deductions under section 48
i Cost of acquisition without indexation bi 1,21,913
ii Cost of Improvement without indexation bii 0
Expenditure wholly and exclusively in connection with

iii biii 0
transfer
iv Total (i + ii + iii) biv 1,21,913
c Balance (2a - 2biv) 2c 19,846
Loss to be disallowed u/s 94(7) or 94(8)- for example if asset

bought/acquired within 3 months prior to record date and
d 2d 0
dividend/income/bonus units are received, then loss arising out of
sale of such asset to be ignored (Enter positive value only)
e Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d) A2e 19,846
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be
3
computed with foreign exchange adjustment under first proviso to section 48)
a STCG on transactions on which securities transaction tax (STT) is paid A3a 0
b STCG on transactions on which securities transaction tax (STT) is not paid A3b 0
4 For NON-RESIDENT- from sale of securities (other than those at A2) by an FII as per section 115AD
In case securities sold include shares of a company other than quoted

a i
shares, enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose ic 0
of Capital Gains (higher of a or b)
Full value of consideration in respect of securities other than
ii aii 0
unquoted shares
iii Total (ic + ii) aiii 0
i Cost of acquisition without indexation bi 0
iii Expenditure wholly and exclusively in connection with transfer biii 0
iv Total (i + ii + iii) biv 0
c Balance (4aiii - biv) 4c 0
Loss to be disallowed u/s 94(7) or 94(8)- for example if security

bought/acquired within 3 months prior to record date and dividend/
d 4d 0
income/bonus units are received, then loss arising out of sale of such
security to be ignored (Enter positive value only)
e Short-term capital gain on sale of securities by an FII (other than those at A2) (4c +4d) A4e 0
5 From sale of assets other than at A1 or A2 or A3 or A4 above
In case assets sold include shares of a company other than quoted shares, enter the following
a i
details
5 of 38

a ia 0
b ib 0
c shares adopted as per section 50CA for the purpose ic 0
of Capital Gains (higher of a or b)
Full value of consideration in respect of assets other than
(ii) aii 0
unquoted shares
(iii) Total (ic + ii) aiii 0
iv Total (i + ii + iii) biv 0
c Balance (5aiii - biv) 5c 0
In case of asset (security/unit) loss to be disallowed u/s 94(7) or

94(8)- for example if asset bought/acquired within 3 months prior to
d record date and dividend/income/bonus units are received, then loss 5d 0
arising out of sale of such asset to be ignored (Enter positive value
only)
e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) A5e 0
6 Amount Deemed to be short-term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below
a was deposited in the Capital Gains Accounts Scheme within due date for that year?
Yes No Not applicable If yes, then provide the details below
Section under which New asset acquired/constructed Amount not used for new
SI. Previous year in which
deduction claimed in Year in which asset Amount utilised out of asset or remained unutilized in
No. asset transferred
that year acquired/constructed Capital Gains account Capital gains account (X)
b Amount deemed to be short term capital gains, other than at 'a' 0
Total amount deemed to be short term capital gains (aXi + b) A6 0
Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A7a + A7b +
7 A7 0
A7c)
Pass Through Income/ Loss in the nature of Short Term Capital Gain,
a A7a 0
chargeable @ 15%
b A7b 0
chargeable @ 30%
c A7c 0
chargeable at applicable rates
Amount of STCG included in A1 - A7 but not chargeable to tax or chargeable at special rates in India as per
8
DTAA
Rate as
Item no. A1 Whether
per Treaty Rate as Applicable rate
Sl. Amount of to A7 above Country/Region Article of TRC Section of
(enter per I.T. [lower of (6) or
No. income in which name & code DTAA obtained (Y/ I.T. Act
NIL, if not Act (9)]
included N)
chargeable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
a Total amount of STCG not chargeable to tax in India as per DTAA A8a 0
b Total amount of STCG chargeable to tax at special rates in India as per DTAA A8b 0
9 Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6 + A7 - A8a) A9 19,846
B Long-term capital gain (LTCG) (Sub-items 5, 6, 7 & 8 are not applicable for residents)
2 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a Full value of consideration 2a 0
6 of 38
ii Cost of improvement without indexation bii 0
iv Total (bi + bii +biii) biv 0
c Balance (2a - biv) 2c 0
d Deduction under sections 54F (Specify details in item D below) 2d 0
e LTCG on bonds or debenture (2c – 2d) B2e 0
From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which
4
STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 112A) 4a 10,727
b Deduction under sections 54F (Specify details in item D below) 4b 0
c Long-term Capital Gains on sale of capital assets at B4 above (4a – 4b) B4c 10,727
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign
5
exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit 5a 0
c LTCG on share or debenture (5a – 5b) B5c 0
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a
7
business trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 115AD(1)(b)(iii)) 7a 0
c Long-term Capital Gains sale of capital assets at B7 above (7a–7b) B7c 0
8 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
a LTCG on sale of specified asset (computed without indexation) 8a 0
b Less deduction under section 115F (Specify details in item D below) 8b 0
c Balance LTCG on sale of specified asset (8a – 8b) B8c 0
LTCG on sale of asset, other than specified asset (computed without

d 8d 0
indexation)
e Less deduction under section 115F (Specify details in item D below) 8e 0
f Balance LTCG on sale of asset, other than specified asset (8d – 8e) B8f 0
9 From sale of assets where B1 to B8 above are not applicable
In case assets sold include shares of a company other than quoted

a i
shares, enter the following details
Full value of consideration received/receivable in respect
a ia 0
of unquoted shares
Fair market value of unquoted shares determined in the
b ib 0
prescribed manner
Full value of consideration in respect of unquoted shares
c adopted as per section 50CA for the purpose of Capital ic 0
Gains (higher of a or b)
Full value of consideration in respect of assets other than
ii aii 0
unquoted shares
7 of 38
i Cost of acquisition with indexation bi 0
ii Cost of improvement with indexation bii 0
iv Total (bi + bii +biii) biv 0
c Balance (9aiii – biv) 9c 0
e Long-term Capital Gains on assets at B9 above (9c-9d) 9e 0
10 Amount deemed to be long-term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below
a was deposited in the Capital Gains Accounts Scheme within due date for that year?
Yes No Not applicable. If yes, then provide the details below
New asset acquired/constructed Amount not used for
Previous year Section under which
new asset or remained
Sl.No. in which asset deduction claimed in Year in which asset Amount utilised out of
unutilized in Capital
transferred that year acquired/constructed Capital Gains account
gains account (X)
b Amount deemed to be long term capital gains, other than at 'a' 0
Total amount deemed to be long term capital gains (aXi + aXii + b) B10 0
Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B11a1+B11a2 +
11 B11 0
B11b)
Pass Through Income/ Loss in the nature of Long Term Capital Gain,
a1 B11a1 0
chargeable @ 10% u/s 112A
a2 B11a2 0
chargeable @ 10% under sections other than u/s 112A
b B11b 0
chargeable @ 20%
12 Amount of LTCG included in B1- B11 but not chargeable to tax or chargeable at special rates in India as per DTAA
Rate as per
Item No. B1 to Whether TRC
Amount of Article of Treaty (enter Applicable rate [lower of
SI.No. B11 above in Country/Region name & Code obtained (Y/ Section of I.T. Act Rate as per I.T. Act
income DTAA NIL, if not (6) or (9)]
which included N)
chargeable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
a Total amount of LTCG not chargeable to tax as per DTAA B12a 0
b Total amount of LTCG chargeable to tax at special rates as per DTAA B12b 0
Total long term capital gain chargeable under I.T. Act(B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e

13 B13 10,727
+B10 +B11-B12a)
C Income chargeable under the head “CAPITAL GAINS” (A9 + B13) (take B13 as nil, if loss) C 30,573
D Information about deduction claimed against Capital Gains
1 In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details
a Deduction claimed u/s 54

Date of purchase/
Amount deposited in Capital
Date of transfer of construction of Cost of new residential
Gains Accounts Scheme Amount of deduction claimed
original asset new residential house
before due date
house
b Deduction claimed u/s 54B
Date of purchase Amount deposited in Capital
Date of transfer of Cost of new agricultural
of new agricultural Gains Accounts Scheme Amount of deduction claimed
original asset land
land before due date
c Deduction claimed u/s 54EC
Amount invested in specified/notified
Date of transfer of
bonds (not exceeding fifty lakh Date of investment Amount of deduction claimed
original asset
rupees)
d Deduction claimed u/s 54F
Date of purchase/
Amount deposited in Capital
Date of transfer of construction of Cost of new residential
Amount of deduction claimed Gains Accounts Scheme
original asset new residential house
before due date
house
e Deduction claimed u/s 54GB
8 of 38
Amount
Date of Amount utilised
Cost of new plant Date of deposited in
transfer PAN of the for subscription Date of Amount of
and machinery purchase Capital Gains
of original eligible of equity shares subscription deduction
purchased by the of plant and Accounts
residential company of eligible of shares claimed
eligible company machinery Scheme before
property company
due date
f Deduction claimed u/s 115F (for Non-Resident Indians)
Date of transfer
Amount invested in new specified
of original foreign Date of investment Amount of deduction claimed
asset or savings certificate
exchange asset
g Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f) 1g 0
E Set-off of current year capital losses with current year capital gains (excluding amounts included in A8a & B12a which is not chargeable under DTAA)
Capital Gain of Short term capital loss Long term capital loss
current year (Fill
Current year’s capital gains
this column only if Applicable Covered By Covered By
Sl.No Type of Capital Gain 15% 30% 10% 20% remaining after set off
computed figure is Rate DTAA DTAA
(2) (3) (6) (7) (9=1-2-3-4-6-7-8)
positive) (4) (5) (8)
(1)
Capital Loss to be set
off (Fill this row only
i 0 0 0 0 0 0 0
if computed figure is
negative)
ii 15% 19,846 0 0 0 19,846
iii 30% 0 0 0 0 0
Short term applicable
iv 0 0 0 0 0
capital gain rate
Covered By
v 0 0 0 0
DTAA
vi 10% 10,727 0 0 0 0 0 0 10,727
vii Long term 20% 0 0 0 0 0 0 0 0
capital gain Covered By
viii 0 0 0 0 0 0 0 0
DTAA
ix Total loss set off (ii + iii + iv + v + vi + vii + viii) 0 0 0 0 0 0 0
x Loss remaining after set off (i – ix) 0 0 0 0 0 0 0
The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A6) as reduced by the amount of STCG
not chargeable to tax or chargeable at special rates as per DTAA, which is included therein, if any.
The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B10) as reduced by the amount of LTCG
not chargeable to tax or chargeable at special rates as per DTAA, which is included therein, if any.
F Information about accrual/receipt of capital gain
Type of Capital gain / Date Upto 15/6 16/6 to 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
(i) (ii) (iii) (iv) (v)
Short-term capital gains taxable at the rate of 15%
1 0 17,035 2,811 0 0
Enter value from item 3iii of schedule BFLA, if any.
Short-term capital gains taxable at the rate of 30%
2 0 0 0 0 0
Enter value from item 3iv of schedule BFLA, if any.
Short-term capital gains taxable at applicable rates
3 0 0 0 0 0
Enter value from item 3v of schedule BFLA, if any.
Short-term capital gains taxable at DTAA rates
4 0 0 0 0 0
Enter value from item 3vi of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 10%
5 425 0 0 0 10,302
Enter value from item 3vi of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 20%
6 0 0 0 0 0
Enter value from item 3vii of schedule BFLA, if any.
Long term capital gains taxable at the rate DTAA rates
7 0 0 0 0 0
Enter value from item 3ix of schedule BFLA, if any.
Note: Please include the income of the specified persons(spouse, minor child, etc.) referred to in Schedule SPI while computing the income under this
head
9 of 38
Schedule-112A From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on
which STT is paid under section 112A
SI.No Share/ Unit ISIN Code Name No. of Sale- Full Value Cost of Cost of If the long Fair Market Total Fair Expenditu re Total Balance (6–
Acqu ired of the Shares/ price per of Consider acquisition acquisition term capital Value per Market Value wholly and deductions 13) Item 4(a)
Share/Unit Units Share/Unit ation If without asset was share/unit of capital exclusively (7+12) of LTCG
shares/units indexation acquired as on 31st asset as per in connection Schedule
are acquired (higher before 01.02. January, section 55(2) with transfer of ITR2
on or before of 8 or 9 ) 2018, -Lower 2018 (ac)- (4*10)
31st January, of 6 & 11
2018 (Total
Sale Value)
(4*5) orIf
shares/units
are acquired
after 31st
January,
2018 -
(Please enter
Full Value
of Consider
ation)
(Col 1) (Col 1a) (Col 2 (Col 3) (Col 4) (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1 After 31st January INNOTREQ DILIP BUIL 0 0 16,907 19,760 19,760 0 0 0 0 19,760 -2,853
2018 UIRD DCON LIM
ITED
2 On or Before 31st INE834M0 RATTAN IN 200 12 2,453 2,028 2,028 1,260 6 1,260 0 2,028 425
January 2018 1019 DIA ENTER
PRISES
3 After 31st January INNOTREQ TATA CON 0 0 22,433 9,278 9,278 0 0 0 0 9,278 13,155
2018 UIRD SULTANCY
41,793 31,066 31,066 1,260 1,260 0 31,066 10,727
Total
10 of 38
115AD(1)(b)(iii) proviso For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or
unit of a business trust on which STT is paid under section 112A
SI.No Share/ ISIN Code Name No. of Sale-price per Full Value Cost of Cost of If the long Fair Market Total Fair Expen diture Total Balance
Unit of the Shares/Units Share/Unit of Consider acquisi tion acquisition term capital Value per Market Value wholly and deductions (6-13) Item 7
acquired Share/Unit ation If without asset was share/unit of capital exclus ively (7 + 12) (a) of LTCG
shares/units indexation acquired as on 31st asset as per in connec Schedule
are acquired (Higher before January, section 55(2) tion with of ITR2
on or before of 8 or 9) 01.02 .2018, 2018 (ac)- (4*10) transfer
31st January, -Lower
2018 (Total of 6 & 11
Sale Value)
(4*5) or If
shares/units
are acquired
after 31st
January,
2018 -
(Please enter
Full Value
of Consider
ation)
(Col 1) (Col 1a) (Col 2 (Col 3) (Col 4) (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
0 0 0 0 0 0 0 0
Total
11 of 38
Schedule OS Income from Other Sources

1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) 1 1,20,520
a Dividends, Gross (ai+aii) 1a 9,680
ai Dividend income other than (ii) 1ai 9,680
aii Dividend income u/s 2(22)(e) 1aii 0
b Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 65,430
i From Savings Bank bi 63,767
ii From Deposits (Bank/ Post Office/ Co-operative) bii 0
iii From Income-tax Refund biii 1,663
iv In the nature of Pass through income/ loss biv 0
Interest accrued on contributions to provident fund to

v bv 0
the extent taxable as per first proviso to section 10(11)
Interest accrued on contributions to provident fund to 0
vi the extent taxable as per second proviso to section bvi
10(11)
vii bvii 0
the extent taxable as per first proviso to section 10(12)
Interest accrued on contributions to provident fund to 0
viii the extent taxable as per second proviso to section bvii
10(12)
ix Others bix 0
c Rental income from machinery, plants, buildings, etc., Gross 1c 0
Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di + dii + diii + div
d 1d 0
+ dv)
Aggregate value of sum of money received without
i di 0
consideration
In case immovable property is received without
ii dii 0
consideration stamp duty value of property
In case immovable property is received for inadequate 0
consideration stamp duty value of property in excess
iii diii
of such consideration as adjusted as per section 56(2)
(x)
In case any other property is received without
iv div 0
consideration, fair market value of property
In case any other property is received for inadequate 0
v consideration, fair market value of property in excess dv
of such consideration
e Any other income (please specify nature) 1e 45,410
SI.No. Nature Amount
1 Family pension 0
2 Income from retirement benefit account maintained in a notified country u/s 89A 0
Country/Region Amount
3 Income from retirement benefit account maintained in a country "other than notified country u/s 89A" 0
4 Freelancing Income 45,410
2 Income chargeable at special rates (2a + 2b + 2c + 2d + 2e + 2f elements related to Sl. No. 1) 2 0
a Winnings from lotteries, crossword puzzles etc. chargeable u/s 115BB 2a 0
b Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 2b 0
12 of 38
i Cash credits u/s 68 bi 0
ii Unexplained investments u/s 69 bii 0
iii Unexplained money etc. u/s 69A biii 0
iv Undisclosed investments etc. u/s 69B biv 0
v Unexplained expenditurte etc. u/s 69C bv 0
vi Amount borrowed or repaid on hundi u/s 69D bvi 0
c Accumulated balance of recognised provident fund taxable u/s 111 2c 0
S.No. Assessment Year Income Benefit Tax Benefit
(i) (ii) (iii) (iv)
d Any other income chargeable at special rate (total of di to dxx) 2d 0
Pass through income in the nature of income from other sources chargeable at special rates
e 2e 0
(drop down to be provided)
Amount included in 1 and 2 above, which is chargeable at special rates in India as per DTAA
2f 0
(total of column (2) of table below)
SI.No. Amount Item Country/ Article of Rate as per Whether Section of Rate as Applicable
of No.1ai, Region DTAA Treaty (enter TRC I.T. Act per I.T. rate [lower
f income 1b to 2 name & NIL, if not obtained Act of (6) or
in which Code chargeable) (Y/N) (10)]
included
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
3 Deductions under section 57 (other than those relating to income chargeable at special rates under 2a, 2b & 2d)
ai Expenses / Deductions other than "aii" (in case other than family pension) 3ai 0
aii Interest expenditure u/s 57(i) (available only if income offered in 1a) - entered amount 3aii
Interest expenditure claimed 0
a(iia) Eligible amount of interest expenditure u/s 57(i) – Computed Amount 3a(iia) 0
aiii Deduction u/s 57(iia) (in case of family pension only) 3aiii 0
b Depreciation 3b 0
c Total 3c 0
4 Amounts not deductible u/s 58 4 0
5 Profits chargeable to tax u/s 59 5 0
5a Income claimed for relief from taxation u/s 89A 5a 0
Net Income from other sources chargeable at normal applicable rates (1(after reducing income related to
6 6 1,20,520
DTAA portion) – 3 + 4 + 5-5a) (If negative take the figure to 3i of schedule CYLA)
7 Income from other sources (other than from owning race horses)(2+6) (enter 6 as nil, if negative) 7 1,20,520
8 Income from the activity of owning and maintaining race horses
a Receipts 8a 0
b Deductions under section 57 in relation to receipts at 8a only 8b 0
c Amounts not deductible u/s 58 8c 0
d Profits chargeable to tax u/s 59 8d 0
13 of 38
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 6xi of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 1,20,520
10 Information about accrual/receipt of income from Other Sources
S.No. Other Source Income Upto 15/6 From 16/6 to From 16/9 to From 16/12 to From 16/3 to
15/9 15/12 15/3 31/3
(i) (ii) (iii) (iv) (v)
1 Income by way of winnings 0 0 0 0 0

from lotteries, crossword
puzzles, races, games,
gambling, betting etc. referred
to in section 2(24)(ix)
2 Dividend Income referred in 9,680 0 0 0 0
Sl.no.1a(i)
3 Dividend Income u/s 115A(1) 0 0 0 0 0
(a)(i) @ 20% (Including PTI
Income)
4 Dividend Income u/s 115AC @ 0 0 0 0 0
10%
5 Dividend Income u/s 115ACA 0 0 0 0 0
(1)(a) @ 10% (Including PTI
Income)
6 Dividend Income (other than 0 0 0 0 0
units referred to in section
115AB) u/s 115AD(1) (i) @
20% (Including PTI Income)
7 Dividend income taxable at 0 0 0 0 0
DTAA rates
8 Income from retirement benefit 0 0 0 0 0
account maintained in a notified
country u/s 89A (Taxable
portion after reducing relief u/s
89A)
Note:Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while computing the income under this head.
14 of 38
Schedule CYLA Details of Income after Set off of current years Losses
Sl.No. Head/ Source of Income Income of current House property loss of Net loss from Other sources Current year's Income
year (Fill this column the current year set off chargeable at normal applicable remaining after set off
only if income is zero rates (other than loss from race
or positive) horses) of the current year set
off
1 2 3 4=1-2-3
Loss to be set off (Fill this 0 0

i row only if computed figure is
negative)
ii Salaries 12,41,148 0 0 12,41,148
iii House property 0 0 0 0
Short-term capital gain taxable @

iv 19,846 0 0 19,846
15%
v 0 0 0 0
30%
Short-term capital gain taxable at
vi 0 0 0 0
applicable rates
Short-term capital gain taxable 0 0 0 0
vii at special rates in India as per
DTAA
Long term capital gain taxable @
viii 10,727 0 0 10,727
10%
ix 0 0 0 0
20%
Long-term capital gains taxable 0 0 0 0
x at special rates in India as per
DTAA
Net income from Other sources 1,20,520 0 0 1,20,520
xi chargeable at normal applicable
rates
Profit from the activity of owning
xii 0 0 0 0
and maintaining race horses
Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x + xi +
xiii 0 0
xii)
xiv Loss remaining after set-off (i - xiii) 0 0
15 of 38
Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
SI. Head/ Source of Income Income after set off, if Brought forward loss Current year's income
No. any, of current year's set off remaining after set off
losses as per 4 of
Schedule CYLA)
1 2 3
i Salaries 12,41,148 12,41,148
ii House property 0 0 0
iii Short-term capital gain taxable @ 15% 19,846 0 19,846
iv Short-term capital gain taxable @ 30% 0 0 0
v Short-term capital gain taxable at applicable rates 0 0 0
vi Short-term capital gain taxable at special rates in India as per DTAA 0 0 0
vii Long-term capital gain taxable @ 10% 10,727 0 10,727
viii Long term capital gain taxable @ 20% 0 0 0
ix Long term capital gains taxable at special rates in India as per DTAA 0 0 0
Net income from other sources chargeable at normal applicable

x 1,20,520 1,20,520
rates
xi Profit from owning and maintaining race horses 0 0 0
xii Total of brought forward loss set off (2ii + 2iii + 2iv + 2v+ 2vi + 2vii +2viii+ 2ix + 2xi) 0
xiii Current year's income remaining after set off Total of (3i + 3ii + 3iii + 3iv + 3v+ 3vi + 3vii + 3viii+ 3ix + 3x + 3xi) 13,92,241
16 of 38
Schedule CFL Details of Losses to be carried forward to future years

Assessment Date of Filing House property loss Short-term capital loss Long-term Capital loss Loss from owning and
Year (DD/MMM/ maintai ning race horses
YYYY)
1 2 3 4 5 6
i 2014-15 0 0 0
ii 2015-16 0 0 0
iii 2016-17 0 0 0
iv 2017-18 0 0 0
v 2018-19 0 0 0 0
vi 2019-20 0 0 0 0
vii 2020-21 0 0 0 0
viii 2021-22 0 0 0 0
Total of earlier 0 0 0
ix 0
year losses
Adjustment of 0 0 0 0
x above losses in
Schedule BFLA
2022-23 0 0 0 0
xi (Current year
losses)
Total loss 0 0 0 0
xii Carried Forward
to future years
17 of 38
Schedule VI-A Deductions under Chapter VI-A
1 Part B- Deduction in respect of certain payments
a 80C 1,50,000 b 80CCC 0
c 80CCD(1) 0 d 80CCD(1B) 0
e 80CCD(2) 0 f 80D 6,580
g 80DD 0 h 80DDB 0
i 80E 0 j 80EE 0
k 80EEA 0 l 80EEB 0
m 80 G 36,000 n 80GG 0
o 80GGA 0 p 80GGC 0
2 Part C, CA and D- Deduction in respect of certain incomes/other deduction
q 80QQB 0 r 80RRB 0
s 80TTA 10,000 t 80TTB 0
u 80 U 0
v Total deductions under Chapter VI-A (Total of a to u) v 2,02,580
18 of 38
Schedule 80G Details of donations entitled for deduction under section 80G
A Donations entitled for 100% deduction without qualifying limit
Amount of donation
Eligible Amount
Name and Address of Donee PAN of Donee
Donation in of Donation
Donation in cash Total Donation
other mode
Total 0 0 0 0
B Donations entitled for 50% deduction without qualifying limit
Amount of donation
Eligible Amount
Name and Address of donee PAN of Donee
other mode
DONATION
VISHNAGAR
i MAHASANA AAAAV0285F 0 72,000 72,000 36,000
11- Gujarat
384315
Total 0 72,000 72,000 36,000
C Donations entitled for 100% deduction subject to qualifying limit
Amount of donation
Eligible Amount
other mode
Total 0 0 0 0
D Donations entitled for 50% deduction subject to qualifying limit
Amount of donation
Eligible Amount
other mode
Total 0 0 0 0
E Total donations (A + B + C + D) 36,000
19 of 38
Schedule 80GGA Details of donations for scientific research or rural development

SI. Relevant clause under which Name and PAN of Donee Amount of Donation Eligible Amount
No. deduction is claimed (drop down address of Donee Donation in Donation in Total Donation of Donation
to be provided) Cash other mode
Total Donation 0 0 0 0
20 of 38
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 12 of PART-B-TI 1 11,89,660
2 Adjustment as per section 115JC(2)
Deduction claimed under any section included in Chapter VI-A under the
a 2a 0
heading “C.- Deductions in respect of certain incomes”
3 Adjusted Total Income under section 115JC(1)(1+2a) 3 11,89,660
4 Tax payable under section 115JC [18.5% of (3)](if 3 is greater than Rs. 20 lakhs) 4 0
21 of 38
Schedule AMTC Computation of tax credit under section 115JD
1 Tax under section 115JC in assessment year 2022-23 (1d of Part-B-TTI) 1 0
2 Tax under other provisions of the Act in assessment year 2022-23 (7 of Part-B-TTI) 2 1,69,731
3 Amount of tax against which credit is available [enter (2 - 1) if 2 is greater than 1, otherwise enter 0] 3 1,69,731
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned in 3 above and
4
cannot exceed the sum of AMT Credit Brought Forward)
S.No Assessment AMT Credit Utilised Balance AMT Credit
AMT Credit
Year during the Current Carried Forward
(A) Gross Set-off in earlier Balance brought Assessment Year (D)= (B3) -( C)
(B1) assessment years forward to the current (C)
(B2) assessment year
(B3) = (B1)-(B2)
i 2013-14 0 0 0 0 0
ii 2014-15 0 0 0 0 0
iii 2015-16 0 0 0 0 0
iv 2016-17 0 0 0 0 0
v 2017-18 0 0 0 0 0
vi 2018-19 0 0 0 0 0
vii 2019-20 0 0 0 0 0
viii 2020-21 0 0 0 0 0
ix 2021-22 0 0 0 0 0
Current AY 0 0
(enter 1-2,
x
if 1>2 else
enter 0)
xi Total 0 0 0 0 0
5 Amount of tax credit under section 115JD utilised during the year [total of item No 4 (C)] 5 0
6 Amount of AMT liability available for credit in subsequent assessment years [total of 4 (D)] 6 0
22 of 38
Schedule SPI Income of specified persons (spouse, minor child etc.) includable in income of the assessee as per section 64
SI.No Name of person PAN/ Aadhaar of person (optional Relationship Amount(Rs) Head of Income in
which included
23 of 38
Schedule SI Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax) Income chargeable
to tax at special rates
SI.No Section Special rate Income Taxable Tax thereon
Income after
adjusting
for min
chargeable
to tax
1 111A (STCG on shares where STT paid) 15 % 19,846 2,977
112A-LTCG on equity shares/units of equity oriented fund/

2 10 % 10,727 0
units of business trust on which STT is paid
Total 30,573 2,977
24 of 38
Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)
1 Interest income 1 1,58,464
Gross Agricultural receipts (other than income to be excluded under

i i 0
rule 7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture ii 0
2 iii Unabsorbed agricultural loss of previous eight assessment years iii 0
iv Net Agricultural income for the year (i-ii-iii) (enter nil if loss) 2 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the following details (Fill
v
up details separately for each agricultural land
Name of district along with pin code Measurement Whether the Whether the
SI.No
in which agricultural land is located of agricultural agricultural land is agricultural land is
land in Acre owned or held on irrigated or rain-fed
Name of district Pin code
lease
3 Other exempt income (including exempt income of minor child) 3 0
SI.No. Other exempt income Amount
4 Income not chargeable to tax as per DTAA
SI. Amount of Income Nature of Income Country/Region Article of Head of Whether

No. name & Code DTAA Income TRC
obtained
(Y/N)
Total Income from DTAA not chargeable to tax 4 0
5 Pass through income not chargeable to tax (Schedule PTI) 5 0
6 Total (1+2+3+4+5) 6 1,58,464
25 of 38
Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Note: Please refer to the instructions for filling out this schedule
26 of 38
Schedule FSI Details of Income from outside India and tax relief (Available in case of resident)
Note: Please refer to the instructions for filling out this schedule
27 of 38
Schedule TR Details Summary of tax relief claimed for taxes paid outside India (available only in case of resident)
1 Summary of Tax relief claimed
Country/Region Code Taxpayer Identification Total taxes paid outside Total tax relief available Tax Relief Claimed under
Number India (total of (c) of (total of (e) of Schedule section (specify 90, 90A or
Schedule FSI in respect of FSI in respect of each 91)
each country) country)
(a) (b) (c) (d) (e)
Total 0 0
2 Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d)) 2 0
3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d)) 3 0
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by
4 4
the foreign tax authority during the year? If yes, provide the details below
Assessment year in which tax relief allowed in
a Amount of tax refunded 0 b
India
Note: Please refer to the instructions for filling out this schedule.
28 of 38
Schedule FA Details of Foreign Assets and Income from any source outside India
A1 Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country/ Country/ Name of Address of ZIP code Account Status Account Peak Closing Gross interest
No Region Region financial financial Number opening balance balance paid/credited
name code institution institution date During the to the account
period during the period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. No Country/ Country/ Name of Address ZIP code Account Status Account Peak Closing Gross interest paid/
Region Region financial of number opening balance balance credited to the account
name code institution financial date During the during the period (drop
institution period down to be provided
specifying nature of
amount viz. interest/
dividend /proceeds from
sale or redemption of
financial assets/ other
income)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as on 31st
A3
December, 2021
SI. Country/ Country/ Name of Address of ZIP code Nature Date of Initial Peak Closing Total Total gross
No. Region Region entity entity of entity acquiring value value of balance gross proceeds
name code the of the investment amount from
interest investment During the paid/ sale or
Period credited redemption
with of
respect investment
to the during the
holding period
during the
period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar year
ending as on 31st December, 2021
SI. Country/ Country/ Name of Address of ZIP code Date of The cash value or Total gross amount paid/
No. Region name Region code financial financial contract surrender value of credited with respect to the
institution institution the contract contract during the period
in which
insurance
contract held
(1) (2) (3) (4) (5) (6) (7) (8) (9)
B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. Country/ Zip Nature Name and Nature of Date Total Income Nature Income taxable and
No. Region Code of entity Address of the Interest- since Investment (at accrued of offered in this return
Name Entity Direct/ held cost) (in rupees) from Income Amount Schedule Item
and Beneficial such where number
code owner/ Interest offered of
Beneficiary schedule
(1) (2) (2a) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
C Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. Country/ Zip Code Address Ownership- Date of Total Income Nature of Income taxable and
No Region of the Direct/ acquisition Investment derived Income offered in this return
Name and Property Beneficial (at cost) from the Amount Schedule Item
code owner/ (in rupees) property where number of
Beneficiary offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11)
29 of 38
D Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. Country/ Zip code Nature of Ownership- Date of Total Income Nature of Income taxable and
No Region Asset Direct/ acquisition Investment derived Income offered in this return
Name and Beneficial (at cost) from the Amount Schedule Item
code owner/ (in rupees) asset where number of
Beneficiary offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending as on 31st
E
December, 2021 and which has not been included in A to D above.
SI. Name Address Country/ Zip Code Name Account Peak Whether If (7) If (7) is yes, Income
No of the of the Region of the Number Balance/ income is yes, offered in this return
Institution Institution Name and account Investment accrued Income Amount Schedule Item
in which code holder during the is taxable accrued where number of
the year (in in your in the offered schedule
account is rupees) hands? account
held
(1) (2) (3) (3a) (3b) (4) (5) (6) (7) (8) (9) (10) (11)
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor.
SI. Country/ ZIP Name and Name and Name and Name and Date Whether If (8) If (8) is yes, Income
No Region CODE address of the address of address of address of since income is yes, offered in this return
Name trust trustees Settlor Beneficiaries position derived Income Amount Schedule Item
and held is derived where number
code taxable from offered of
in your the schedule
hands? trust
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head
G
business or profession
SI. Country/ ZIP CODE Name and address of Income Nature of Whether If (6) is yes, Income offered in this
No Region the person from whom derived income taxable in return
Name and derived your hands? Amount Schedule Item
code where number of
offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9)
Note: Please refer to instructions for filling out this schedule. In case of an individual, not being an Indian citizen, who is in India on a business, employment or
student visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this schedule if no income is derived
from that asset during the current previous year.
30 of 38
Schedule 5A Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Name of the spouse
PAN/Aadhaar of the spouse
Heads of Income Receipts received under Amount apportioned in Amount of TDS deducted TDS apportioned in the
the head the hands of the spouse on income at (ii) hands of spouse
(i) (ii) (iii) (iv) (v)
1 House Property 0 0 0 0
2 Capital gains 0 0 0 0
3 Other sources 0 0 0 0
4 Total 0 0 0 0
31 of 38
Schedule AL Assets and Liabilities at the end of the year (applicable in a case where total income exceeds Rs.50 lakh)
A Details of immovable assets
SI.No Description Address Pin code Amount (cost) in Rs.
(1) (2) (3) (4) (5)
B Details of movable assets
SI.No Description Amount (cost) in Rs.
(1) (2) (3)
(i) Jewellery, bullion etc. 0
(ii) Archaeological collections, drawings, painting, sculpture or any work of art. 0
(iii) Vehicles, yachts, boats and aircrafts 0
Financial assets. Amount (cost) in Rs.
(a) Bank (including all deposits) 0
(b) Shares and securities. 0

(iv)
(c) Insurance policies. 0
(d) Loans and advances given. 0
(e) Cash in hand. 0
C Liabilities in relation to Assets at (A + B) 0
Note: Please refer to instructions for filling out this schedule.
32 of 38
Information related to Tax deferred - relatable to income on perquisites referred in section 17(2) (vi)
Schedule ESOP
received from employer, being an eligible start-up referred to insection 80-IAC
SI. No Assessment Amount of Tax Has any of the following events occurred during the previous year relevant to current assessment year Amount of Balance amount
Year deferred brought Such specified security or sweat Ceased to be the employee of the Forty-eight months have expired tax payable of tax deferred
forward from equity shares were sold (Specify the employer who allotted or transferred from the end of the relevant in the current to be carried
earlier AY date and amount of tax attributed to such specified security or sweat assessment year in which Assessment Year forward to the next
such sale out of Col 3) equity share? specified security or sweat equity Assessment years
(i) Option selected (ii) Total Amount (i) Option selected (ii) Date of shares referred to in the said Col (3- 7)
of Tax Attributed Ceased to be *clause were allotted. If yes,
out of the sale employee specify date
(1) (2) (3) (4) (5) (6) (7) (8)
1 2021-22 0 0 0 0
2 2022-23 0
33 of 38
Part B – TI Computation of total income
1 Salaries (6 of Schedule S) 1 12,41,148
2 Income from house property (4 of Schedule-HP) (Enter nil if loss) 2 0
3 Capital Gains
Short term
i Short-term chargeable @ 15% (9ii of item E of schedule CG) ai 19,846
ii Short-term chargeable @ 30% (9iii of item E of schedule CG) aii 0

a
iii Short-term chargeable at applicable rate (9iv of item E of schedule CG) aiii 0
iv Short-term chargeable at special rates in India as per DTAA (9v of item E of schedule CG) aiv 0
v Total Short-term (ai + aii + aiii + aiv) (enter nil if loss) 3av 19,846
Long-term
i Long-term chargeable @ 10% (9vi of item E of schedule CG) bi 10,727
b ii Long-term chargeable @ 20%(9vii of item E of schedule CG) bii 0
iii Long-term chargeable at special rates in India as per DTAA (9viii of item E of schedule CG) biii 0
iv Total Long-term (bi + bii+biii) (enter nil if loss) 3biv 10,727
c Total Capital gains (3av + 3biv) (enter nil if loss) 3c 30,573
4 Income from other sources
Net income from other sources chargeable to tax at normal applicable rates (6 of Schedule OS) (enter
a 4a 1,20,520
nil if loss)
b Income chargeable to tax at special rates (2 of Schedule OS) 4b 0
c Income from the activity of owning and maintaining race horses (8e of Schedule OS)(enter nil if loss) 4c 0
d Total (4a + 4b + 4c) (enter nil if loss) 4d 1,20,520
5 Total of head wise income (1+2+3c+4d) 5 13,92,241
6 Losses of current year set off against 5 (total of 2xiii and 3xiii of Schedule CYLA) 6 0
7 Balance after set off current year losses(5-6) (total of column 4 of Schedule CYLA + 2 of Schedule OS) 7 13,92,241
8 Brought forward losses set off against 7 (2xii of Schedule BFLA) 8 0
9 Gross Total income (7-8) (3xiii of Schedule BFLA + 2 of Schedule OS) 9 13,92,241
10 Income chargeable to tax at special rate under section 111A, 112 , 112A etc. included in 9 10 30,573
11 Deductions under Chapter VI-A [v of Schedule VIA and limited to(9-10)] 11 2,02,580
12 Total income (9-11) 12 11,89,660
13 Income which is included in 12 and chargeable to tax at special rates (total of column (i) of schedule SI) 13 30,573
14 Net agricultural income/ any other income for rate purpose (3 of Schedule EI) 14 0
15 Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax] 15 11,59,087
16 Losses of current year to be carried forward (total of row xi of Schedule CFL) 16 0
17 Deemed income under section 115JC (3 of schedule AMT) 17 11,89,660
34 of 38
Part B – TTI Computation of tax liability on total income
a Tax payable on deemed total income u/s 115JC ( (4 of Schedule AMT) 1a 0
b Surcharge on (a) (if applicable) 1b 0

1
c Health and Education Cess @ 4% on (1a+1b) above 1c 0
d Total Tax Payable on deemed total income (1a+1b+1c) 1d 0
Tax payable on total income
a Tax at normal rates on 15 of Part B-TI 2a 1,60,226
2 b Tax at special rates (total of col.(ii) of Schedule SI) 2b 2,977
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds

c 2c 0
maximum amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b - 2c) 2d 1,63,203
3 Rebate under section 87A 3 0
4 Tax payable after rebate (2d - 3) 4 1,63,203
5 Surcharge
Surcharge computed before marginal relief
@ 25% of 15(ii) of Schedule SI

i 5i 0
10% or 15% as applicable of 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) , Dividend
0
ii income u/s 115AD(1)(a) of Schedule SI and Dividend income included in 5ii
Part B TI
ii On [(4) – ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule SI)] 5ii 0
Surcharge after marginal relief
ia @ 25% of 15(ii) of Schedule SI 5ia 0
@10% or 15%, as applicable of 2(ii), 3(ii), 8(ii), 11(ii), 21 (ii), 23(ii) of

0
iia Schedule SI On [(4) – ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule 5iia
SI)]
iii Total(ia+iia) 5iii 0
6 Health and Education cess @4% on (4 + 5iv) 6 6,528
7 Gross tax liability (4 + 5iv + 6) 7 1,69,731
8 Gross tax payable (higher of 1d and 7) (8a+8b) 8 1,69,731
Tax on income without including income on perquisites referred in section

1,69,731
a 17(2)(vi) received from employer, being an eligible start-up referred to in 8a
section 80-IAC (Schedule Salary) (8-8b)
Tax deferred - relatable to income on perquisites referred in section 17(2)
0
b (vi) received from employer, being an eligible start-up referred to in section 8b
80-IAC
Tax deferred from earlier years but payable during current AY ( total of col
c 8c 0
7 of schedule Tax deferred on ESOP
9 Credit u/s 115JD of tax paid in earlier years (applicable only if 7 is higher than 1d) (row 5 of Schedule AMTC) 9 0
10 Tax payable after credit u/s 115JD (8a + 8c - 9) 10 1,69,731
11 Tax relief
a Section 89 (Please ensure to submit Form 10E to claim this relief) 11a 0
b Section 90/90A (2 of Schedule TR) 11b 0
c Section 91 (3 of Schedule TR) 11c 0
35 of 38
d Total (11a + 11b + 11c) 11d 0
12 Net tax liability (10 – 11d) (enter zero if negative) 12 1,69,731
13 Interest and fee payable
a Interest for default in furnishing the return (section 234A) 13a 0
b Interest for default in payment of advance tax (section 234B) 13b 0
c Interest for deferment of advance tax (section 234C) 13c 0
d Fee for default in furnishing return of income (section 234F) 13d 0
e Total Interest and Fee Payable (13a+13b+13c+13d) 13e 0
14 Aggregate liability (12 + 13e) 14 1,69,731
15 Taxes Paid
a Advance Tax (from column 5 of 20A) 15a 0
b TDS (total of column 5 of 20B and column 9 of 20C) 15b 2,40,000
c TCS (total of column 5 of 20D) 15c 0
d Self-Assessment Tax (from column 5 of 20A) 15d 0
e Total Taxes Paid (15a + 15b + 15c + 15d) 15e 2,40,000
16 Amount payable (Enter if 14 is greater than 15e, else enter 0) 16 0
17 Refund (If 15e is greater than 14) (Refund, if any, will be directly credited into the bank account) . 17 70,270
18 Do you have a bank account in India (Non- Residents claiming refund with no bank account in India may select No) Yes
IFS Code of the Bank Indicate the account in which you

SI.
in case of Bank Name of the Bank Account Number prefer to get your refund credited,
No
Accounts held in India if any (tick accounts for refund)
1 BKID0000024 BANK OF INDIA 002410310000085
2 CBIN0280606 CENTRAL OF INDIA 1318678311
3 MAHB0000454 BANK OF MAHARASHTRA 60079963087
Note:
1. Minimum one account should be selected for refund credit.
2. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after
processing the return
Rows can be added as required
b) Non-residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details of one foreign bank
ii.
account:
SI.No. SWIFT Code Name of the Bank Country/Region of Location IBAN
Do you at any time during the previous year :-

(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India; or
Yes
19 (ii) have signing authority in any account located outside India; or
(iii) have income from any source outside India? No
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]
20 TAX PAYMENTS
A Details of payments of Advance Tax and Self-Assessment Tax
SI.No. BSR Code Date of Deposit (DD/MMM/YYYY) Serial number of challan Amount(Rs)
(1) (2) (3) (4) (5)
Advance Tax and Self Assessment Tax (total of column 5) 0
36 of 38
Note: Enter the totals of Advance tax and Self-Assessment tax in Sl No. 15a & 15d of Part B-TTI
B Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
SI. Tax Deduction Account Name of the Employer Income chargeable under Total Tax Deducted
No. Number (TAN) of the Employer Salaries
(1) (2) (3) (4) (5)
R.A. PODAR COLLEGE OF CO

I MUMR15239A 14,24,772 2,40,000
M. & ECO. MATUNGA MUMBAI
Note: Please enter total of column 5 in 15b of Part B-TTI
C Details of Tax Deducted at Source (TDS) on Income [As per FORM 16A issued by Deductor(s)]
SI. TDS credit PAN/ Aadhaar TAN of the Unclaimed TDS TDS of the current financial Year TDS credit being claimed this Year (only if Corresponding TDS credit
No. relating to of Other Deductor/PAN/ brought forward (TDS deducted during the FY corresponding income is being offered for tax Receipt/withdrawals being
self /other Person (if Aadhaar of (b/f) 2021-22) this year, not applicable if TDS is deducted u/s offered carried
person TDS credit Tenant/ Buyer 194N) forward
[spouse as related to other Fin. TDS Deduc Deducted in the Claimed Claimed in the hands of spouse as Gross Head of
per section person) Year in b/f ted in hands of spouse as in own per section 5A or any other person Amount Income
5A/other which own per section 5A or hands as per rule 37BA(2) (if applicable)
person as deduc hands any other person
per rule ted as per rule 37BA(2)
37BA(2)] (if applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Income TDS Income TDS PAN/ Aadhaar
I Self SRTA01985E 0 0 0 0 0 0 0 0 OS 0
II Self RTKE03121G 0 0 0 0 0 0 0 0 OS 0
TDS claimed in own hands (total of column 9) 0
Note:Please enter total of column 9 in 15b of Part B- TTI
D Details of Tax Deducted at Source (TDS) on Income [As per Form 16B/16C furnished by Deductor(s)]
SI. TDS credit PAN/ Aadhaar PAN/Aadhaar Unclaimed TDS TDS of the current financial Year TDS credit being claimed this Year (only if Corresponding TDS credit
No. relating to of Other No. of the brought forward (b/ (TDS deducted during the FY corresponding income is being offered for tax Receipt/withdrawals being
self /other Person (if Buyer / Tenant f) 2021-22) this year) offered carried
person TDS credit Fin. TDS b/f Deducted Deducted in the Claimed Claimed in the hands of spouse as Gross Head of forward
[spouse as related to other Year in in own hands of spouse in own per section 5A or any other person Amount Income
per section person) hands as per section hands as per rule 37BA(2) (if applicable)
which
5A/other 5A or any other
deduc
person as person as per rule
ted
per rule 37BA(2) (if applicable)
37BA(2)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Income TDS Income TDS PAN/Aadhaar
TDS claimed in own hands (total of column 9) 0
Note:Please enter total of column 9 in 15b of Part B- TTI
E Details of Tax Collected at Source (TCS) [As per Form 27D issued by Collector(s)]
Tax Deduction and Name of the Collector Amount out of (4) Amount out of (4) being claimed in
SI.No. Tax Collected
Collection Account being claimed the hands of spouse, if section 5A is
Number of the applicable
Collector
(1) (2) (3) (4) (5) (6)
TCS being claimed this year (total of column 5) 0
Note:Please enter total of column (5) in 15c of Part B-TTI
37 of 38
xyz
xyz
VERIFICATION
xyz
I, KARISHMA MUKESH KHADIWALA son/ daughter of MUKESH KHADIWALA solemnly declare that to the best of
my knowledge and belief, the information given in the return and schedules thereto is correct and complete and is in
accordance with the provisions of the Income-tax Act, 1961.
I further declare that I am making return in my capacity as Self and I am also competent to make this return and verify it.
I am holding permanent account number (if allotted) ABYPH1297B A (Please see instruction) I further declare that the
critical assumptions specified in the agreement have been satisfied and all complied with. (Applicable in a case where
return is furnished under section 92CD)
Date: 25-Jul-2022 Sign Here:
xyz
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof 0
38 of 38
Acknowledgement Number : 738869260270723 Date of Filing : 27-Jul-2023*
INDIAN INCOME TAX RETURN

FORM [For Individuals and HUFs not having income from profits and gains of business or profession] Assessment Year
ITR2 (Please see Rule 12 of the Income-tax Rules, 1962) 2023-24
(Please refer instructions for eligibility)
PART A-GENRAL
PERSONAL INFORMATION
(A1) First Name (A2) Middle Name (A3) Last Name (A4) PAN
KARISHMA MUKESH KHADIWALA ABYPH1297B
(A5) Status (A6) Flat/Door/Block No. (A7) Name of Premises/Building/Village
Individual 4TH FLOOR, 23/27 B WING KANJI GOKULDAS BUILDING
(A9) Area/locality (A10) Town/City/District
(A8) Road/Street/Post Office
158, LOHAR CHAWL MUMBAI
(A11) State (A12) Country/Region (A13) Pin code/Zip code
19-Maharashtra 91-India 400002
(A16) Residential/Office Phone Number with
Mobile No. 1 (A17) Mobile No. 2
STD/ISD code
91 9819551634 91 9833109699
22 22089255
(A18) Email Address-1 (self) (A19) Email Address-2
karishma.khadiwala@gmail.com pradip_kapadia@ymail.com
(A14) Date of Birth/Formation (DD/MM/YYYY) (A15) Aadhaar Number(12 digits)/Aadhaar Enrolment Id(28 digits) (if eligible for Aadhaar No.)
21/12/1983 9xxx xxxx 5633
139(1)-On or before due
(A20) (a1i) Filed u/s (Tick)[Please see instruction ] (a1ii) Or Filed in response to notice u/s
date
(a2) Are you opting for new tax regime u/s 115BAC ? Yes No
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish
(b) Yes No
return of income?
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or
(bi) Yes No 0
more current account during the previous year? (Yes/No)
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2
(bii) Yes No 0
lakhs for travel to a foreign country for yourself or for any other person? (Yes/No)
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1
(biii) Yes No 0
lakh on consumption of electricity during the previous year? (Yes/No)
Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to
(biv) Yes No
section 139(1) (If yes, please select the relevant condition from the drop down menu)
If revised/defective/Modified, please enter Date of filling of original return (DD/MM/YYYY) and Receipt
(c)
No. -
Date of filling of original return (DD/MM/YYYY)
Receipt No.
If filed, in response to a notice u/s 139(9)/142(1)/148/153C or order u/s 119(2)(b) enter unique
(d) number/ Document Identification Number (DIN) and date of such notice/order, or if filed u/s 92CD,
enter date of advance pricing agreement-
Unique Number/ Document Identification Number (DIN)
Date of such Notice or Order or if filed u/s 92CD enter date of advance pricing agreement
You were in India for

182 days or more
(e) Residential Status in India (for individuals) Resident
during the previous year
[section 6(1)(a)]
(I) PLEASE SPECIFY THE JURISDICTION(S) OF RESIDENCE DURING THE PREVIOUS YEAR -
Sl No. Jurisdiction(s) of Residence Taxpayer Identification Number(s)
(ii) In case you are a Citizen of India or a Person of Indian Origin (POI), please specify -
Total period of stay in India during the previous year (in days) 0
Total period of stay in India during the 4 preceding years (in days) 0
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
(f) Do you want to claim the benefit under section 115H? (applicable in case of resident) No
(g) Are you governed by Portuguese Civil Code as per section 5A?(If "YES" please fill Schedule 5A) No
(h) Whether this return is being filed by a Representative Assesse? No
(1) Name of the representative
(2) Capacity of the Representative
(3) Address of the representative
(4) Permanent Account Number (PAN) of the Representative
(5) Aadhaar No. of the Representative
(i) Whether you are an FII/FPI? Yes No
If yes, provide SEBI Registration Number
(j) Whether you were Director in a company at any time during the previous year? Yes No
Whether its shares are Director Identification

Sl No. Name Of Company Type of Company PAN
listed or unlisted Number (DIN)
(k) Whether you have held unlisted equity shares at any time during the previous year? Yes No
Shares acquired during the year

Shares
Opening balance Purchas transferred Closing Balance
e price during the year
Issue
Name of Type of PAN of per
Price
Sl No. Compan Compan Compan Date of Face share(in
per
y y y No. of subscrip Value case of
share(in
Cost of Shares tion/pur per purchas Sale Cost of
No. of case of No. of
acquisiti chase share e from No. of
Shares fresh Conside Shares acquisit
on existing Shares ration ion
issue)
share
holder)
SCHEDULE SALARY - DETAILS OF INCOME FROM SALARY

Name of Employer
Nature of Employer TAN of Employer (mandatory if tax is deducted)
R A PODAR COLLEGE OF COMMERCE &
Others MUMR15239A
ECONOMICS
Address of employer Town/City State Pin code/ Zip code
MATUNGA MUMBAI 19-Maharashtra 400019
1 Gross Salary (1a + 1b + 1c + 1d + 1e + 1f) 1 16,75,921
Salary as per section 17(1) (drop down to be

a 1a 16,75,921
provided)
Sl
Nature of Salary Description Amount
No.
1 Basic Salary 9,82,800
2 Dearness Allowance (DA) 3,70,897
Company leased
3 Others 3,600
accommodation
4 Other Allowance 53,268
House Rent Allowance

5 2,65,356
(HRA)
Value of perquisites as per section 17(2) (drop
b 1b 0
down to be provided)
Sl
Nature of Perquisites Description Amount
No.
Profit in lieu of salary as per section 17(3) (drop
c 1c 0
down to be provided)
Sl Nature of Profit in lieu

Description Amount
No. of salary
Income from retirement benefit account
d 1d 0
maintained in a notified country u/s 89A
Sl
No.
Income from retirement benefit account
e maintained in a country "other than notified 1e 0
country u/s 89A"
Income taxable during the previous year on which
f relief u/s 89A was claimed in any earlier previous 1f 0
year
2 Total Gross Salary (from all employers) 2 16,75,921
3 Less : allowances to the extent exempt u/s 10 3 2,65,356
Sl Nature of Exempt
Description Amount
No. Allowance
Sec 10(13A)-House Rent
1 2,65,356
Allowance
3a Less : Income claimed for relief from taxation u/s 89A 3a 0
4 Net Salary (2 - 3 - 3a) 4 14,10,565
5 Deduction u/s 16 (5a + 5b + 5c) 5 52,500
A Standard deduction u/s 16(ia) 5a 50,000
B Entertainment allowance u/s 16(ii) 5b 0
C Professional tax u/s 16(iii) 5c 2,500
6 Income chargeable under the Head 'Salaries' (4 - 5) 6 13,58,065
SCHEDULE HP - DETAILS OF INCOME FROM HOUSE PROPERTY
2 Pass through income/loss if any * 2 0
Income under the head “Income from house property” (1k) + 2 (if negative take the
3 3 0
figure to 2i of schedule CYLA)
SCHEDULE CG CAPITAL GAINS
A Short-term Capital Gains (STCG) (Sub-items 3 and 4 are not applicable for residents)
From sale of land or building or both (fill up details separately for each
1
property)
Note 1 : Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA.
Note 2 : In case of more than one buyer, please indicate the respective percentage share and amount.
From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on
2
which STT is paid under section 111A or 115AD(1) (ii) proviso (for FII)
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company
3
(to be computed with foreign exchange adjustment under first proviso to section 48)
STCG on transactions on which securities transaction tax (STT) is
a A3a 0
paid
STCG on transactions on which securities transaction tax (STT) is
b A3b 0
not paid
For NON-RESIDENT- from sale of securities (other than those at A3) by an FII as per section
4
115AD
In case securities sold include shares of a company other than
a i
quoted shares, enter the following details
Full value of consideration received/receivable in respect of
a ia 0
unquoted shares
b ib 0
prescribed manner
c adopted as per section 50CA for the purpose of Capital Gains ic 0
(higher of a or b)
ii Full value of consideration in respect of securities other than unquoted shares aii 0
iii Total(ic+ii) aiii 0
iv Total (bi + bii + biii) biv 0
c Balance (aiii – biv) c 0
Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/acquired within 3
d months prior to record date and dividend/income/bonus units are received, then loss arising d 0
out of sale of such security to be ignored (Enter positive value only)
e Short-term capital gain on sale of securities by an FII (other than those at A2) (c +d) e 0
5 From sale of assets other than at A1 or A2 or A3 or A4 above
In case of asset sold include shares of a company other than

a i
quoted shares enter the following details
Full value of consideration received/receivable in respect of
a ia 0
unquoted shares
b ib 0
prescribed manner
c adopted as per section 50CA for the purpose of Capital Gains ic 0
(higher of a or b)
ii Full value of consideration in respect of assets other than unquoted shares aii 0
iii Total(ic+ii) aiii 0
c Balance (aiii – biv) 5c 0
In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- for example if asset
d bought /acquired within 3 months prior to record date and dividend/income/bonus units are 5d 0
received, then loss arising out of sale of such asset to be ignored (Enter positive value only)
e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) 5e 0
6 Amount deemed to be short term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous
a years shown below was deposited in the Capital Gains Accounts Scheme within due date for Not Applicable
that year?
Amount not used for
Section under which New Asset acquired/constructed new asset or
Sl Previous year in which
deduction claimed in remained unutilized in
No. asset transferred Year in which asset Amount utilised out of Capital gains account
that year
acquired/constructed Capital Gains account (X)
b Amount deemed to be short term capital gains, other than at 'a' 0
Total amount deemed to be short term capital gains (axi + axii + b) A6 0
Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI)
7 A7 0
(A7a + A7b + A7c)
Pass Through Income/ Loss in the nature of Short Term Capital
a A7a 0
Gain, chargeable @ 15%
Pass Through Income/ Loss in the nature of Short Term Capital
b A7b 0
Pass Through Income / Loss in the nature of Short Term Capital
c A7c 0
Gain, chargeable at applicable rates
Amount of STCG included in A1 – A7 but not chargeable to tax or chargeable at special rates
8 A8
in India as per DTAA
Rate as
Item No. per Applicabl
Whether
A1 to A7 Country Treaty Section Rate as e rate
Sl Amount Article of TRC
above in Code & (enter of I. T. per I. T. [lower of
No. of income DTAA obtained
which Name NIL, if not Act Act (6) or
(Y/N)
included chargeabl (9)]
e)
a Total amount of STCG not chargeable to tax in India as per DTAA A8a 0
Total amount of STCG chargeable to tax at special rates in India as per

b A8b 0
DTAA
9 Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6 + A7 - A8a) A9 0
B Long-term capital gain (LTCG) (Sub-items 5, 6, 7 & 8 are not applicable for residents)
From sale of land or building or both (fill up details separately for each
1
property)(in case of co-ownership, enter your share of Capital Gain)
Note 1 : Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA.
Note 2 : In case of more than one buyer, please indicate the respective percentage share and amount.
2 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a Full value of consideration a 0
c Balance (a – biv) c 0
d Deduction under section 54F (Specify details in item D below) d 0
e LTCG on bonds or debenture (2c – 2d) B2e 0
From sale of, (i) listed securities (other than a unit) or zero coupon bonds where proviso under section
3
112(1) is applicable
From sale of equity share in a company or unit of equity oriented fund or unit of a business
4
trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 112A) 4a 9,875
b Deduction under section 54F (Specify details in item D below) 4b 0
Long-term Capital Gains on sale of capital assets at B4 above (4a

c 4c 9,875
– 4b)
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed
5
with foreign exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit 5a 0
c LTCG on share or debenture (5a-5b) B5c 0
For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or
6 GDR as referred in sec. 115AC, (iii) securities by FII as referred to in sec. 115AD (other than
securities referred to in section 112A for which column B7 is to be filled up)
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund
7
or unit of a business trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 115AD(1)(b)(iii)) 7a 0
b Deduction under section 54F (Specify details in item D below) 7b 0
Long-term Capital Gains on sale of capital assets at B7 above (7a

c 7c 0
– 7b)
8 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
a LTCG on sale of specified asset (computed without indexation) 8a 0
Less deduction under section 115F (Specify details in item D

b 8b 0
below)
c Balance LTCG on sale of specified asset (8a – 8b) B8c 0
LTCG on sale of asset, other than specified asset (computed

d 8d 0
without indexation)
Less deduction under section 115F (Specify details in item D
e 8e 0
below)
Balance LTCG on sale of asset, other than specified asset (8d-
f 8f 0
8e)
9 From sale of assets where B1 to B8 above are not applicable
In case assets sold include share of a company other

a i 0
than quoted shares, enter the following details
a ia 0
b ib 0
c shares adopted as per section 50CA for the purpose of ic 0
Capital Gains (higher of a or b)
Full value of consideration in respect of assets other
ii aii 0
than unquoted shares
i Cost of acquisition with indexation bi 0
ii Cost of improvement with indexation bii 0
c Balance (aiii – biv) 9c 0
e Long-term Capital Gains on assets at B9 above ( (9c – 9d) 9e 0
10 Amount deemed to be long-term capital gains Not Applicable
Whether any amount of unutilized capital gain on asset transferred during the previous year
a shown below was deposited in the Capital Gains Accounts Scheme within due date for that
year?
Amount not used for
Section under which New Asset acquired/constructed new asset or
Sl Previous year in which remained unutilized in
deduction claimed in
No. asset transferred Year in which asset Amount utilised out of Capital gains account
that year
acquired/constructed Capital Gains account (X)
b Amount deemed to be long-term capital gains, other than at 'a' 0
Total amount deemed to be long-term capital gains(aXi + aXii+aXiii + b ) B10 0
Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI)
11 B11 0
(B11a1+ B11a2 + B11b)
Pass Through Income/ Loss in the nature of Long Term Capital
a1 B11a1 0
Gain, chargeable @ 10% u/s 112A
a2 B11a2 0
Gain, chargeable @ 10% under sections other than u/s 112A
a3 B11a3 0
Amount of LTCG included in B1 - B11 but not chargeable to tax or chargeable at special rates
12
Whether
Item No. B1 Rate as per
Tax Applicable
to B11 Country Treaty
Sl Amount of Article of Residency Section of Rate as per rate [lower
above in Code & (enter NIL,
No. income DTAA Certificate I.T. Act I.T. Act of (6) or
which Name if not
obtained (9)]
included chargeable)
(Y/N)
a Total amount of LTCG not chargeable to tax as per DTAA B12a 0
b Total amount of LTCG chargeable to tax at special rates as per DTAA B12b 0
Total long term capital gain chargeable under I.T. Act

13 B13 9,875
(B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e+B10 + B11 - B12a)
C1 Sum of Capital Gain Incomes (9ii + 9iii + 9iv + 9v + 9vi + 9vii + 9viii of table E below) C1 9,875
C2 Income from transfer of Virtual Digital Assets (Col. 7 of Schedule VDA) C2 0
C3 Income chargeable under the head "CAPITAL GAINS"(C1 + C2) C3 9,875
D Information about deduction claimed against Capital Gains
1 In case of deduction u/s 54 / 54B / 54EC / 54F / 54GB / 115F give following details
a Deduction claimed u/s 54
Amount deposited in
Date of purchase/
Sl Date of Transfer of Cost of new Capital Gains Amount of deduction
construction of new
No. Original Asset residential house Accounts Scheme claimed
residential house
before due date
b Deduction claimed u/s 54B
Amount deposited in
Sl Date of Transfer of Cost of new Date of purchase of Capital Gains Amount of deduction
No. Original Asset agricultural land new agricultural land Accounts Scheme claimed
before due date
c Deduction claimed u/s 54EC
Amount invested in
Sl Date of Transfer of Original specified/notified bonds Amount of deduction
Date of investment
No. Asset (not exceeding fifty lakh claimed
rupees)
d Deduction claimed u/s 54F
Date of Amount deposited in

Sl Date of Transfer of purchase/construction Cost of new Capital Gains Amount of deduction
No. Original Asset of new residential residential house Accounts Scheme claimed
house before due date
e Deduction claimed u/s 54GB
Amount Amount
Cost of new
Date of utilised for deposited in
plant and Date of
transfer of PAN of the subscription Date of Capital Gains Amount of
Sl machinery purchase of
original eligible of equity subscription Accounts deduction
No. purchased by plant and
residential company shares of of shares Scheme claimed
the eligible machinery
property eligible before due
company
company date
f Deduction claimed u/s 115F (for Non-Resident Indians)
Amount invested in new

Sl Date of Transfer of original Amount of deduction
specified asset or savings Date of investment
No. foreign exchange asset claimed
certificate
g Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f) 1g 0
Set-off of current year capital losses with current year capital gains (excluding amounts included in
E
A8a & B12a which is not chargeable under DTAA)
Capital
Current
Gain of
year's
current
Short- Long- capital
year (Fill Short-
Short- Short- Term Long- Long- Term gains
this Term
S. No. Type of Capital gain Term15% Term30% Covered Term10% Term20% Covered remaining
column Applicable
(2) (3) By DTAA (6) (7) By DTAA after set
only if Rate (4)
(5) (8) off(9=1-
computed
2-3-4-6-7-
figure is
8)
positive)
Capital Loss to be set off (Fill this
i row only if computed figure is 0 0 0 0 0 0 0
negative)
ii Short Term Capital Gain 15% 0 0 0 0 0
iii Short Term Capital Gain 30% 0 0 0 0 0
Short Term Capital Gain Applicable

iv 0 0 0 0 0
Rate
Short Term Capital Gain Covered
v 0 0 0 0 0
By DTAA
vi Long Term Capital Gain 10% 9,875 0 0 0 0 0 0 9,875
vii Long Term Capital Gain 20% 0 0 0 0 0 0 0 0
Long Term Capital Gain Covered By

viii 0 0 0 0 0 0 0 0
DTAA
Total loss set off (ii + iii + iv + v +
ix 0 0 0 0 0 0 0
vi+vii+viii)
x Loss remaining after set off (i-ix) 0 0 0 0 0 0 0
F Information about accrual/receipt of capital gain
Sl. Type of Capital gain/

Upto 15/6 (i) 16/6 to 15/9 (ii) 16/9 to 15/12 (iii) 16/12 to 15/3 (iv) 16/3 to 31/3 (v)
No. Date
Short-term capital
gains taxable at the
1 rate of 15% Enter value 0 0 0 0 0
from item 3iii of
schedule BFLA, if any.
Short-term capital
from item 3iv of
schedule BFLA, if any
Short-term capital
gains taxable at
3 applicable rates Enter 0 0 0 0 0
value from item 3v of
Short-term capital
gains taxable at DTAA
4 rates Enter value from 0 0 0 0 0
item 3vi of schedule
BFLA, if any.
Long- term capital
5 rate of 10% Enter value 0 92 9,783 0 0
from item 3vi of
Long- term capital
from item 3vii of
Long- term capital
7 rate DTAA rates Enter 0 0 0 0 0
value from item 3ix of
Capital gains on
transfer of Virtual
Digital Asset taxable at
8 0 0 0 0 0
the rate of 30% Enter
value from item 16 of
schedule SI, if any
SCHEDULE VDA - INCOME FROM TRANSFER OF VIRTUAL DIGITAL ASSETS
Cost of Acquisition
(In case of gift; a. Income from
Head under which Enter the amount on transfer of Virtual
Consideration
Sl No. Date of Acquisition Date of Transfer income to be taxed which tax is paid u/s Digital Assets (enter
Received
(Capital Gain) 56(2)(x) if any b. In nil in case of loss)
any other case cost (Col. 6 – Col. 5)
to previous owner)
Total (Sum of all Positive Incomes of Capital Gain in Col. 7) 0
SCHEDULE 112A FROM SALE OF EQUITY SHARE IN A COMPANY OR UNIT OF EQUITY ORIENTED FUND OR UNIT OF A BUSINESS TRUST
ON WHICH STT IS PAID UNDER SECTION 112A
Full
Value of
Conside
ration If
shares/u
nits are
acquired
on or
before
If the
31st Total
long
January, Fair Fair Expendi
Cost of term Balance
2018 Market Market ture
acquisiti capital (6- 13)
(Total Value Value of wholly
Sale- on asset Total Item 4
Name of Sale per capital and
Share/U No. of price without Cost of was deducti (a) of
ISIN the Value) share/u asset as exclusiv
nit Shares per indexati acquisiti acquire ons LTCG
Sl No. Code Share (4*5) or nit as per ely in
acquired /Units Share on on (Col. d before (7+12) Schedul
(Col. 2) /Unit If on 31st section connecti
(Col. 1a) (Col. 4) /Unit (higher 8) 01.02.2 (Col. e of
(Col. 3) shares/u January, 55 (2) on with
(Col. 5) of 8 or 018, - 13) ITR2
nits are 2018 (ac)- transfer
9) (Col. Lower (Col.
acquired (Col. (4*10) (Col.
7) of 6 or 14)
after 10) (Col. 12)
11 (Col.
31st 11)
9)
January,
2018 -
Please
enter
Full
Value of
Conside
ration
(Col. 6)
On or
Before INDIA
INE769A
1 31st CEMENTS 2 240 481 389 389 343 171 343 0 389 92
01020
January LTD
2018
On or
Before INDIA
INE769A
2 31st CEMENTS 1 294 294 195 194 171 171 171 0 195 99
01020
January LTD
2018
On or
Before INDIA
INE769A
3 31st CEMENTS 97 294 28,558 18,874 18,874 16,611 171 16,611 0 18,874 9,684
01020
January LTD
2018
On or
Before TAURUS
INF044D
4 31st MUTUAL 300 140 42,039 42,039 3,000 42,039 140 42,039 0 42,039 0
01989
January FUND
2018
Total 71,372 61,497 22,459 59,164 59,164 0 61,497 9,875
SCHEDULE 115 AD(1)(B)(III) PROVISO : FOR NON-RESIDENTS - FROM SALE OF EQUITY SHARE IN A COMPANY OR UNIT OF EQUITY
ORIENTED FUND OR UNIT OF A BUSINESS TRUST ON WHICH STT IS PAID UNDER SECTION 112A
Full
Value of
Conside
ration If
shares/u
nits are
acquired
on or
before
31st If the
Total
January, long
Fair Fair Expendi
2018 Cost of term Balance
Market Market ture
(Total acquisiti capital
Value Value of wholly
(6-13)
Sale Sale on asset Total Item 7
Name of per capital and
Share/U No. of price Value) without Cost of was deducti (a) of
ISIN the share asset as exclusiv
nit Shares per (4*5) or indexati acquisiti acquire ons LTCG
Sl No. Code Share /unit as per ely in
acquired /Units Share/U If on on (Col. d before (7+12) Schedul
(Col. 2) /Unit on 31st section connecti
(Col. 1a) (Col. 4) nit (Col. shares/u (higher 8) 01.02.2 (Col. e of
(Col. 3) January, 55(2) on with
5) nits are of 8 or 018, 13) ITR2
2018 (ac)- transfer
acquired 9) Lower (Col.
(Col. (4*10) (Col.
after (Col.7) of 6 or 14)
10) (Col. 12)
31st 11 (Col.
11)
January, 9)
2018 -
(Please
enter
Full
Value of
Conside
ration)
(Col. 6)
Total 0 0 0 0 0 0 0 0
SCHEDULE OS INCOME FROM OTHER SOURCES
1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) 1 2,57,943
A Dividends, Gross (ai +aii) 1a 11,750
ai Dividend income [other than (ii)] 1ai 11,750
aii Dividend income u/s 2(22)(e) 1aii 0
B Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 1,50,599
bi From Savings Bank bi 1,34,240
From Deposits (Bank/ Post Office/ Co-operative

bii bii 14,609
Society)
biii From Income-tax Refund biii 1,750
biv In the nature of Pass through income/ loss biv 0

bv the extent taxable as per first proviso to section bv 0
10(11)
bvi the extent taxable as per second proviso to section bvi 0
10(11)
bvii the extent taxable as per first proviso to section bvii 0
10(12)
bviii the extent taxable as per second proviso to section bviii 0
10(12)
bix Others ix 0
c Rental income from machinery, plants, buildings, etc., Gross 1c 0
Income of the nature referred to in section 56(2)(x) which is chargeable to

d 1d 0
tax (di + dii + diii + div + dv)
Aggregate value of sum of money received without
i i 0
consideration
In case immovable property is received without
ii ii 0
consideration, stamp duty value of property
In case immovable property is received for inadequate
consideration stamp duty value of property in excess
iii iii 0
of such consideration as adjusted as per section 56(2)
(x)
In case any other property is received without
iv iv 0
consideration, fair market value of property
In case any other property is received for inadequate
v consideration, fair market value of property in excess v 0
of such consideration
e Any other income (please specify nature) e 95,594
Sl
No.
1 Freelancing Income 95594
2 Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e +2f elements related to Sl. No.1) 2 0
a Winnings from lotteries, crossword puzzles etc. chargeable u/s 115BB 2a 0
b Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 2b 0
i Cash credits u/s 68 bi 0
ii Unexplained investments u/s 69 bii 0
iii Unexplained money etc. u/s 69A biii 0
iv Undisclosed investments etc. u/s 69B biv 0
v Unexplained expenditure etc. u/s 69C bv 0
vi Amount borrowed or repaid on hundi u/s 69D bvi 0
c Accumulated balance of recognised provident fund taxable u/s 111 2c
Sl
Assessment Year Income benefit Tax benefit
No.
Total 0 0
d Any other income chargeable at special rate (total of di to dxx) 2d 0
Sl
Nature Amount
No.
Pass through income in the nature of income from other sources chargeable
e 2e 0
at special rates (drop down to be provided)
Sl
Nature Amount
No.
Amount included in 1 and 2 above, which is chargeable at special rates in

f 2f 0
India as per DTAA (total of column (2) of table below)
Rate as
Item per Applicabl
Country Whether
No.1ai, Treaty Rate as e rate
Sl Amount /Region Article of TRC Section
1b to 2 in (enter per I.T. [lower of
No. of income Code and DTAA obtained of I.T. Act
which NIL, if not Act (6) or
Name (Y/N)
included chargeabl (8)]
e)
Deductions under section 57 (other than those relating to income chargeable at special rates under
3 3
2a, 2b & 2d)
ai Expenses / Deductions other than "aii" (in case other than family pension) 3ai 0
Interest expenditure u/s 57(i) on dividend (available only if income offered

aii 3aii 0
in 1a) - entered amount Interest expenditure claimed
Interest expenditure claimed
a(iia) Eligible amount of interest expenditure u/s 57(i) – Computed Amount 3a(iia) 0
aiii Deduction u/s. 57(iia) (in case of family pension only) 3aiii 0
b Depreciation 3b 0
c Total 3c 0
4 Amounts not deductible u/s 58 4 0
5 Profits chargeable to tax u/s 59 5 0
5a Income claimed for relief from taxation u/s 89A 5a 0
INCOME FROM RETIREMENT BENEFIT ACCOUNT MAINTAINED IN A NOTIFIED COUNTRY U/S 89A
Sl
No.
Total 0
Income taxable during the previous year on which relief u/s 89A was claimed in any earlier
2 2 0
previous year
Net Income from other sources chargeable at normal applicable rates(1 ( after reducing income
6 6 2,57,943
related to DTAA portion) - 3 + 4 + 5 - 5a ) (if negative take the figure to 3i of Schedule CYLA)
7 Income from other sources (other than from owning race horses) (2 + 6) (enter 6 as nil, if negative) 7 2,57,943
8 Income from the activity of owning and maintaining race horses 8
a Receipts 8a 0
b Deductions under section 57 in relation to receipts at 8a only 8b 0
c Amounts not deductible u/s 58 8c 0
d Profits chargeable to tax u/s 59 8d 0
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 6xii of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 2,57,943
10 Information about accrual/receipt of income from Other Sources 10
Sl.
Other Source Income Upto 15/6 From 16/6 to 15/9 From 16/9 to 15/12 From 16/12 to 15/3 From 16/3 to 31/3
No.
Income by way of
winnings from lotteries,
crossword puzzles,
1 races, games, 0 0 0 0 0
gambling, betting etc.
referred to in section
2(24)(ix)
Dividend Income
2 11,750 0 0 0 0
referred in Sl.no.1a(i)
Dividend Income u/s
3 115A(1)(a)(i) @ 20% 0 0 0 0 0
(Including PTI Income)
Dividend Income u/s
4 0 0 0 0 0
115AC @ 10%
Dividend Income u/s
5 115ACA (1)(a) @ 10% 0 0 0 0 0
Dividend Income (other
than units referred to
6 in section 115AB) u/s 0 0 0 0 0
115AD(1) (i) @ 20%
Dividend income
7 0 0 0 0 0
taxable at DTAA rates
Income from
retirement benefit
account maintained in
8 a notified country u /s 0 0 0 0 0
89A (Taxable portion
after reducing relief u/s
89A)
SCHEDULE CYLA DETAILS OF INCOME AFTER SET OFF OF CURRENT YEAR LOSSES
Net loss from Other
Income of current year sources chargeable at
Sl. Head / Source of (Fill this column only if House property loss of normal applicable rates Current year’s income
No. Income income is zero or the current year set off (other than loss from remaining after set off
positive) race horses) of the
current year set off
Loss to be set off (Fill
this row only if
i 0 0
computed figure is
negative)
ii Salaries 13,58,065 0 0 13,58,065
iii House property 0 0 0
Short-term capital gain

iv 0 0 0 0
taxable @ 15%
v 0 0 0 0
taxable @ 30%
vi taxable at applicable 0 0 0 0
rates
vii taxable at special rates 0 0 0 0
Long term capital gain
viii 9,875 0 0 9,875
taxable @ 10%
Long term capital gain
ix 0 0 0 0
taxable @ 20%
Long term capital gains
x taxable at special rates 0 0 0 0
Net income from other
xi sources chargeable at 2,57,943 0 2,57,943
normal applicable rates
Profit from the activity

of owning and
xii 0 0 0 0
maintaining race
horses
Total loss set off (ii + iii
xiii + iv + v + vi + vii + viii 0 0
+ ix + x + xi + xii)
Loss remaining after
xiv 0 0
set-off (i – xiii)
SCHEDULE BFLA DETAILS OF INCOME AFTER SET OFF OF BROUGHT FORWARD LOSSES OF EARLIER YEARS
Income after set off, if any, of
Sl. Current year’s income
Head/Source of income current year’s losses as per 5 Brought forward loss set off
No. remaining after set off
of Schedule CYLA)
1 Salaries 13,58,065 13,58,065
2 House property 0 0 0

3 0 0 0
15%
4 0 0 0
30%
5 0 0 0
applicable rates
6 0 0 0
special rates in India as per DTAA
7 9,875 0 9,875
10%
8 0 0 0
20%
Long term capital gains taxable at
9 0 0 0
special rates in India as per DTAA
Net income from other sources
10 chargeable at normal applicable 2,57,943 2,57,943
rates
Profit from owning and maintaining
11 0 0 0
race horses
Total of brought forward loss set off (2ii + 2iii + 2iv + 2v+ 2vi + 2vii
12 0
+2viii+ 2ix + 2xi)
Current year's income remaining after set off Total of (3i + 3ii + 3iii + 3iv + 3v+ 3vi + 3vii + 3viii+ 3ix +
13 16,25,883
3x + 3xi)
SCHEDULE CFL DETAILS OF LOSSES TO BE CARRIED FORWARD TO FUTURE YEARS
Loss from owning
Sl. Short-term capital Long-term Capital
AssesmentYear Date of filling (2) House property loss and maintaining
No. loss loss
race horses
i 2015-16 0 0 0
ii 2016-17 0 0 0
iii 2017-18 0 0 0
iv 2018-19 0 0 0
v 2019-20 0 0 0 0
vi 2020-21 0 0 0 0
vii 2021-22 0 0 0 0
viii 2022-23 0 0 0 0
Total of earlier year

ix 0 0 0 0
losses
Adjustment of above
x losses in Schedule 0 0 0 0
BFLA
2023-24(Current year
xi 0 0 0 0
losses)
Total loss carried
xii 0 0 0 0
forward to future years
SCHEDULE VI-A DEDUCTIONS UNDER CHAPTER VI-A
Amounts System Calculated
1 Part B - Deduction in respect of certain payments
80C - Life insurance premium, deferred annuity, contributions to provident 1,50,000

a 1,73,934
fund, subscription to certain equity shares or debentures, etc.
b 80CCC - Payment in respect Pension Fund 0 0
c 80CCD(1) - Contribution to pension scheme of Central Government 0 0
80CCD(1B)- Contribution to pension scheme of Central Government by the 0

d 0
Employee
80CCD(2) - Contribution to pension scheme of Central Government by the 0

e 0
Employer
f 80D-Deduction in respect of Health Insurance premia 11,238 11,238
80DD - Maintenance including

g medical treatment of a dependent Dependent person with Disability 75,000 75,000
who is a person with disability
80DDB - Medical treatment of

h 0 0
specified disease
i 80E - Interest on loan taken for higher education 0 0
j 80EE - Interest on loan taken for residential house property 0 0
80EEA - Deduction in respect of interest on loan taken for certain house 0

k 0
property
l 80EEB - Deduction in respect of purchase of electric vehicle 0 0
80G - Donations to certain funds, charitable institutions, etc. (Please fill 0

m 0
80G Schedule. This field is auto-populated from schedule.)
n 80GG - Rent paid 0 0
80GGA - Certain donations for scientific research or rural development 0

o 0
(Please fill 80GGA Schedule. This field is auto-populated from schedule.)
p 80GGC - Donation to Political party 0 0
2 Part C, CA and D- Deduction in respect of certain incomes/other deduction
q 80QQB - Royalty income of authors of certain books. 0 0
r 80RRB - Royalty on patents 0 0
s 80TTA - Interest on saving bank Accounts 10,000 10,000
t 80TTB - Interest on deposits in case of senior citizens 0 0
80U - In case of a person with

u 0 0
disability.
ua Any other deduction - 80CCH 0 0
v Deduction (Total a to ua) 2,70,172 2,46,238
SCHEDULE 80G DETAILS OF DONATIONS ENTITLED FOR DEDUCTION UNDER SECTION 80G
A Donations entitled for 100% deduction without qualifying limit
City or Amount of donation Eligible

Name of State code PAN of the
Sl No. Address Town or Pin code Amount of
the Donee & Name Donee Donation in Donation in Total
District Donation
cash other mode donation
Total 0 0 0 0
B Donations entitled for 50% deduction without qualifying limit

District Donation
Total 0 0 0 0
C Donations entitled for 100% deduction subject to qualifying limit

District Donation
Total 0 0 0 0
D Donations entitled for 50% deduction subject to qualifying limit
ARN Amount of donation

City or Eligible
Name of State code PAN of the (Donation
Sl No. Address Town or Pin code Donation Amount of
the Donee & Name Donee Reference Donation Total
District in other Donation
Number) in cash donation
mode
Total 0 0 0 0
E Total Amount of Donations (Aix + Bix + Cix + Dix) 0 0 0 0
SCHEDULE 80GGA DETAILS OF DONATIONS FOR SCIENTIFIC RESEARCH OR RURAL DEVELOPMENT

Relevant
clause Amount of Donation
City Or Eligible
under Name of State Code PAN of
Sl No. Address Town Or Pincode Donation Amount of
which Donee & Name Donee Donation Total
District in other donation
deduction in cash Donation
is claimed mode
Total Donations 0 0 0 0
SCHEDULE AMT - COMPUTATION OF ALTERNATE MINIMUM TAX PAYABLE UNDER SECTION 115JC
1 Total Income as per item 12 of PART-B-TI 1 13,79,650
2 Adjustment as per section 115JC(2)
Deduction claimed under any section included in Chapter VI-A under the
a 2a 0
heading "C.— Deductions in respect of certain incomes"
3 Adjusted Total Income under section 115JC(1) (1+2a) 3 13,79,650
4 Tax payable under section 115JC [18.5% of (3)] (if 3 is greater than Rs. 20 lakhs) 4 0
SCHEDULE AMTC - COMPUTATION OF TAX CREDIT UNDER SECTION 115JD
1 Tax under section 115JC in assessment year 2023-24 (1d of Part-B-TTI) 0
2 Tax under other provisions of the Act in assessment year 2023-24 (7 of Part-B-TTI) 2,32,370
Amount of tax against which credit is available [enter (2 – 1) if 2 is greater than 1,

3 2,32,370
otherwise enter 0]
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned
4
in 3 above and cannot exceed the sum of AMT Credit Brought Forward)
AMT Credit
AMT Credit
Balance AMT
Sl Assessment Year Balance brought Utilised during the Credit Carried
Set-off in earlier forward to the Current
No. (A) Forward (D)= (B3)
Gross (B1) assessment years current Assessment Year
- (C)
(B2) assessment year (C)
(B3) = (B1) – (B2)
1 2013-14 0 0 0 0 0
2 2014-15 0 0 0 0 0
3 2015-16 0 0 0 0 0
4 2016-17 0 0 0 0 0
5 2017-18 0 0 0 0 0
6 2018-19 0 0 0 0 0
7 2019-20 0 0 0 0 0
8 2020-21 0 0 0 0 0
9 2021-22 0 0 0 0 0
10 2022-23 0 0 0 0 0
Current AY (enter 1 -
11 0 0
2, if 1>2 else enter 0
Total 0 0 0 0 0
Amount of tax credit under section 115JD utilised during the year [total of item No. 4
5 0
(C)]
Amount of AMT liability available for credit in subsequent assessment years [total of 4
6 0
(D)]
SCHEDULE SPI - INCOME OF SPECIFIED PERSONS (SPOUSE, MINOR CHILD ETC.) INCLUDABLE IN INCOME OF THE ASSESSEE AS PER
SECTION 64
PAN of person Aadhaar of person Head of Income in
Sl No. Name of person Relationship Amount (Rs)
(optional) (optional) which included
SCHEDULE SI - INCOME CHARGEABLE TO TAX AT SPECIAL RATES (PLEASE SEE INSTRUCTIONS NO. 9 FOR RATE OF TAX) INCOME
CHARGEABLE TO TAX AT SPECIAL RATES
Sl No. Section/Description Special rate (%) Income (i) Tax thereon (ii)
112A-LTCG on equity shares/units

1 of equity oriented fund/units of 10 9,875 0
business trust on which STT is paid
Total 9,875 0
SCHEDULE EI - DETAILS OF EXEMPT INCOME (INCOME NOT TO BE INCLUDED IN TOTAL INCOME OR NOT CHARGEABLE TO TAX)
1 Interest Income 1 1,79,567
Gross Agricultural receipts (other than income to be excluded under rule

2 i i 0
7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture ii 0
iii Unabsorbed agricultural loss of previous eight assessment years iii 0
iv Net Agricultural income for the year (i – ii – iii) (enter nil if loss) 2 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the
v
following details (Fill up details separately for each agricultural land)
Wherther the
Measurement of Wherther the
Sl agricultural land is
Name of District Pin code agricultural land in agricultural land is
No. owned or held on
Acre irrigated or rain fed
lease
3 Other exempt income (including exempt income of minor child) 3 0
Sl
Nature Of Income Description Amount
No.
4 Income not chargeable to tax as per DTAA
Sl Country code & Whether TRC

Amount Of Income Nature Of Income Article of DTAA Head of Income
No. Name obtained (Y/N)
Total Income from DTAA not chargeable to tax 4 0
5 Pass through income not chargeable to tax (Schedule PTI) 5 0
6 Total (1+2+3+4+5) 6 1,79,567
SCHEDULE PTI - PASS THROUGH INCOME DETAILS FROM BUSINESS TRUST OR INVENTMENT FUND AS PER SECTION 115UA, 115UB
Share the
Investment Name of current year
PAN of the
entity business loss Net TDS on such
Sl. business Sl. Current Year
covered by trust/ Head of Income distributed income/Loss(7- amount, If
No. trust/investment No. income
section investment by 8) any
fund
115UA/115UB fund investment
fund
SCHEDULE FSI - DETAILS OF INCOME FROM OUTSIDE INDIA AND TAX RELIEF (AVAILABLE IN CASE OF RESIDENT)
Tax payable Tax relief
Relevant
Income from on such available in
Taxpayer article of
Sl. Sl. Head of outside Tax paid income under India(e) = ( c )
Country Code Identification DTAA if relief
No. No. Income India(included outside india normal or (d)
Number claimed u/s 90
in Part B-Ti) provision in whichever is
or 90A
India lower
SCHEDULE TR - SUMMARY OF TAX RELIEF CLAIMED FOR TAXES PAID OUTSIDE INDIA (AVAILABLE ONLY IN CASE OF RESIDENT)
1 Summary of Tax relief claimed
Total taxes paid Total tax relief

outside India (total of available (total of (e) Tax Relief Claimed
Sl Taxpayer
Country Code (c) of Schedule FSI in of Schedule FSI in under section (specify
No. Identification Number
respect of each respect of each 90, 90A or 91)
country) country)
Total 0 0
Total Tax relief available in respect of country where DTAA is applicable (section
2 2 0
90/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section
3 3 0
91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has been
4 refunded/credited by the foreign tax authority during the year? If yes, provide the 4
details below
a Amount of tax refunded 0
b Assessment year in which tax relief allowed in India
SCHEDULE FA - DETAILS OF FOREIGN ASSETS AND INCOME FROM ANY SOURCE OUTSIDE INDIA
Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st
A1
December, 2022
Gross
interest
Peak
Country Name of Address of Account paid/credite
Account balance Closing
Sl No. Name and financial financial Zip Code Status opening d to the
number during the balance
Code institution institution date account
period
during the
period
Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st
A2
December, 2022
Gross
interest
paid/credit
ed to the
account
during the
period
(drop
down to
be
provided
Peak specifying
Country Name of Address of Account
Nature of Account balance Closing nature of
Sl No. Name and financial financial ZIP code Status opening
Amount number during the balance amount
Code institution institution date
period viz.
interest/di
vidend
/proceeds
from sale
or
redemptio
n of
financial
assets/
other
income)
Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as
A3
on 31st December, 2022
Total Total
gross gross
amount proceeds
Initial Peak value
Date of paid/credit from sale
Country value of of
Name of Address of Nature of acquiring Closing ed with or
Sl No. Name and Zip code the investmen
entity entity entity the balance respect to redemptio
Code investmen t during
interest the n of
t the period
holding investmen
during the t during
period the period
Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar
A4
year ending as on 31st December, 2022
Total gross
amount
Name of financial
Address of The cash value or paid/credited
Country Name institution in
Sl No. financial Zip code Date of contract surrender value with respect to
and Code which insurance
institution of the contract the contract
contract held
during the
period
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st
B
December, 2022
Nature
Income taxable and offered
of
Total Income in this return
Country Interest-
Name of Address Date Investme accrued Nature
Name Nature Direct
Sl No. Zip code the of the since nt (at from of Item
and of entity /Benefici Schedule
Entity Entity held cost) (in such Income Amount number
Code alowner where
rupees) Interest of
/Benefici offered
schedule
ary
C Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2022
Ownership Income taxable and offered in

-Direct/ Total Income this return
Country Address of
Beneficial Date of Investmen derived Nature of
Sl No. Name and Zip code the Schedule Item
owner/ acquisition t (at cost) from the Income
Code Property Amount where number of
Beneficiar (in rupees) property
y offered schedule
Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st December,
D
2022
Ownership Income taxable and offered in
-Direct/ Total Income this return
Country
Nature of Beneficial Date of Investmen derived Nature of
Sl No. Name and Zip code Schedule Item
Asset owner/ acquisition t (at cost) from the Income
Code Amount where number of
Beneficiar (in rupees) asset
y offered schedule
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending
E
as on 31st December, 2022 and which has not been included in A to D above.
Name of Peak If (7) is yes, Income offered in

the Balance/ Whether If (7) is
this return
Institutio Address Country
Name of Investme income yes,
n in of the the Account nt during accrued Income Item
Sl No. Name Zip code Schedule
which the Institutio account Number the year is taxable accrued number
and Code Amount where
account n holder (in in your in the of
hands? account offered
is held rupees) schedule
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Wheth
If (8) is yes, Income
er If (8) is
offered in this return
Countr income yes,
Addres Name Addres Name Addres Date
y Name Name Addres derive Income
Zip s of of s of of s of since Schedu Item
Sl No. Name of the of s of d is derive le numbe
code the trustee trustee Benefic Benefic positio
and trust Settlor Settlor taxabl d from Amoun where r of
trust s s iaries iaries n held
Code e in the t
offere schedu
your trust d le
hands?
Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the
G
head business or profession
If (6) is yes, Income offered in this
Name of Address of Whether
Country return
the person the person Income Nature of taxable in
Sl No. Name and Zip code Schedule Item
from whom from whom derived income your
Code Amount where number of
derived derived hands?
offered schedule
SCHEDULE 5A - INFORMATION REGARDING APPORTIONMENT OF INCOME BETWEEN SPOUSES GOVERNED BY PORTUGUESE CIVIL CODE
Name of the spouse
PAN / Aadhaar of the spouse
Sl. Receipts received under Amount apportioned in Amount of TDS deducted TDS apportioned in the
Heads of Income
No. the head the hands of the spouse on income at (ii) hands of spouse
1 House Property 0 0 0 0
2 Capital gains 0 0 0 0
3 Other sources 0 0 0 0
4 Total 0 0 0 0
SCHEDULE AL ASSETS AND LIABILITIES AT THE END OF THE YEAR (APPLICABLE IN A CASE WHERE TOTAL INCOME EXCEEDS RS.50
LAKH)
A Details of immovable assets
AddressAL
Amount
Descriptio Name of
Sl No. Road/ Town/ (cost) in
n Flat/ Door/ Premises / Area/
Street/Pos City/ State Country Pin Code Zip Code Rs.
Block No Building / Locality
t Office District
Village
B Details of Movable Asset
SI Description Amount
i Jewellery, bullion etc. 0
ii Archaeological collections, drawings, painting, sculpture or any work of art 0
iii Vehicles, yachts, boats and aircrafts 0
(iv) Financial assets Amount(cost) in Rs.
(a) Bank (including all deposits) 0
(b) Shares and securities 0
(c) Insurance policies 0
(d) Loans and advances given 0
(e) Cash in hand 0
C Liability in relation to Assets at (A+B) 0
INFORMATION RELATED TO TAX DEFERRED - RELATABLE TO INCOME ON PERQUISITES REFERRED IN SECTION

SCHEDULE ESOP
17(2) (VI) RECEIVED FROM EMPLOYER, BEING AN ELIGIBLE START - UP REFERRED TO IN SECTION 80-IAC
Has any of the following events occurred during the previous year
relevant to current assessment year
Forty-eight
Such specified security or months have
sweat equity shares were expired from
Ceased to be the employee the end of Balance
sold amount of tax
of the employer who the relevant
Amount of allotted or transferred assessment Amount of deferred to
Tax deferred such specified security or year in which tax payable be carried
Assesement
Sl.No. brought sweat equity share? specified in the current forward to
Year
forward from security or Assessment the next
(ii) Total
earlier AY sweat equity Year Assessment
Amount of years Col (3-
(i) Option Tax shares
referred to 7)
Selected Attributed
out of the in the said
sale (i) Option (ii) Date of *clause were
Selected Ceasing allotted. If
yes, specify
date
1. 2021-22 0 0 0 0
2. 2022-23 0 0 0 0
3. 2023-24 0
4 Total Amount of Tax Attributed 0
PART B – TI COMPUTATION OF TOTAL INCOME
1 Salaries (6 of Schedule S) 1 13,58,065
2 Income from house property (4of Schedule-HP) (Enter nil if loss) 2 0
3 Capital Gains 3
a ShortTerm
i Short term chargeable @15% (9ii of item E of Sch CG) ai 0
ii Short term chargeable @30% (9iii of item E of Sch CG) aii 0
iii Short term chargeable at applicable rate (9iv of item E of Sch CG) aiii 0
Short-term chargeable at special rates in India as per DTAA (9v of item E

iv aiv 0
of Schedule CG)
v Total Short term (ai+aii+aiii+aiv) (enter nil if loss) av 0
b LongTerm
i Long term chargeable @10% (9vi of item E of Sch CG) bi 9,875
ii Long term chargeable @20% (9vii of item E of Sch CG bii 0
Long-term chargeable at special rates in India as per DTAA (9viii of item E

iii biii 0
of schedule CG)
iv Total Long-term (bi + bii + biii) (enter nil if loss) biv 9,875
c Sum of Short-term / Long-term Capital Gains (3av + 3biv) (enter nil if loss) 3c 9,875
d Capital gains chargeable @ 30 % u/s 115BBH (C2 of Schedule CG) 3d 0
e Total Capital Gains (3c+3d) 3e 9,875
4 Income from other sources 4
Net Income from Other sources chargeable to tax at Normal Applicable rates (6 of
a 4a 2,57,943
Schedule OS) (enter nil if loss)
b Income chargeable to tax at special rates(2 of Schedule OS) 4b 0
Income from the activity of owning & maintaining race horses (8e of Schedule OS)
c 4c 0
(enter nil if loss)
d Total (4a + 4b + 4c)(enter nil if loss) 4d 2,57,943
5 Total of head wise income (1 + 2 + 3e + 4d) 5 16,25,883
6 Losses of current year set off against 5 6 0
7 Balance after set off current year losses (5-6) 7 16,25,883
8 Brought forward losses set off against 7 8 0
9 Gross Total income (7-8) 9 16,25,883
Income chargeable to tax at special rate under section 111A, 112,, 112A etc. included
10 10 9,875
in 9
11 Deductions under Chapter VI-A 11 2,46,238
12 Total income (9 - 11) 12 13,79,650
Income which is included in 12 and chargeable to tax at special rates (total of (i) of
13 13 9,875
schedule SI)
14 Net agricultural income/ any other income for rate purpose (2 of Schedule EI) 14 0
Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not

15 15 13,69,775
chargeable to tax]
16 Losses of current year to be carried forward (total of row xi of Schedule CFL) 16 0
17 Deemed income under section 115JC (3 of schedule AMT) 17 13,79,650
PARTB-TTI - COMPUTATION OF TAX LIABILITY ON TOTAL INCOME
Tax payable on deemed total income under section 115JC (4 of Schedule

1 a 1a 0
AMT)
b Surcharge on (a) (if applicable) 1b 0
c Health and Education Cess @ 4% on (1a+1b) above 1c 0
d Total Tax Payable on deemed total income (1a+1b+1c) 1d 0
2 Tax payable on total income
a Tax at normal rates on 15 of Part B-TI 2a 2,23,433
b Tax at special rates (total of (ii) of Schedule-SI) 2b 0
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds

c 2c 0
maximum amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b -2c) 2d 2,23,433
3 Rebate under section 87A 2d 0
4 Tax Payable after rebate (2d-3) 3 2,23,433
5 Surcharge
Surcharge Computed before marginal relief
i (25% of 27(iv)) of Schedule SI 5ii 0
10% or 15% as applicable / On [(4) – ( 15(ii) of schedule SI- tax on income

ii 5ii 0
referred to in 5(ii) above)]
Surcharge after marginal relief
ia (25% of 27(iv)) of Schedule SI 5ia 0
iia 10% or 15% as applicable 5iia 0
iii Total (ia + iia) 5iii 0
6 Health and Education cess @ 4% on (4 + 5iv ) 6 8,937
7 Gross tax liability (4 + 5iv + 6) 7 2,32,370
8 Gross tax payable (higher of 1d and 7)(8a + 8b) 8 2,32,370
Tax on income without including income on perquisites referred in section

a 17(2)(vi) received from employer, being an eligible start-up referred to in 8a 2,32,370
section 80-IAC ( Schedule Salary)
Tax deferred - relatable to income on perquisites referred in section 17(2)
b (vi) received from employer, being an eligible start-up referred to in 8b 0
section 80-IAC
Tax deferred from earlier years but payable during current AY ( total of
c 8c 0
col 7 of schedule Tax deferred on ESOP
Credit under Section 115JD of tax paid in earlier years (applicable if 7 is more than 1d)(5 of Schedule
9 9 0
AMTC)
10 Tax payable after credit under section 115JD (8a+8c-9) 10 2,32,370
11 TaxRelief
a Section 89 (Please ensure to submit Form 10E to claim this relief) 11a 0
b Section 90/90A (2 of Schedule TR) 11b 0
c Section 91 (3 of Schedule TR) 11c 0
d Total (11a + 11b+ 11c) 11d 0
12 Net tax liability (10-11de) (enter zero if negative) 12 2,32,370
13 Interest and fee payable 13
a Interest for default in furnishing the return (section 234A) 13a 0
b Interest for default in payment of advance tax (section 234B) 13b 0
c Interest for deferment of advance tax (section 234C) 13c 0
d Fee for default in furnishing return of income (section 234F) 13d 0
e Total Interest and Fee Payable (13a+13b+13c+13d) 13e 0
14 Aggregate liability (12+13e) 14 2,32,370
15 TaxPaid
a Advance Tax (from column 5 of 20A) 15a 0
b TDS (total of column 5 of 20B and column 9 of 20C) 15b 3,20,000
c TCS (total of column 7(i) of 20D) 15cc 0
d Self Assessment Tax (from column 5 of 20A) 15d 0
e Total Taxes Paid (15a+15b+15c+15d) 15e 3,20,000
16 Amount payable (Enter if 14 is greater than 15e, else enter 0) 16 0
17 Refund (If 15e is greater than 14) (Refund, if any, will be directly credited into the bank account) 17 87,630
Do you have a bank account in India (Non-residents claiming refund with no bank account in India
18 Y
may select NO)
a Details of all bank accounts held in india at any time during the previous year(excluding dormant accounts)
IFSC Code of the bank in Indicate the account in

Sl
case bank account held in Name of the Bank Account Number which you prefer to get
No.
India your refund credited
1 BKID0000024 BANK OF INDIA 002410310000085
2 CBIN0280606 CENTRAL OF INDIA 1318678311
3 MAHB0000454 BANK OF MAHARASHTRA 60079963087
Note:
1. Minimum one account should be selected for refund credit.
2. In case of Refund, multiple acccounts are selected for refund credit, then refund will be credited to
one of the account decided by CPC after processing the return.
Rows can be added as required
b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the
ii
details of one foreign bank account:
Sl
SWIFT Code Name of the Bank Country / Region of Location IBAN
No.
Do you at any time during the previous year,-
(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any
entity) located outside India; or
19 NO
(ii) have signing authority in any account located outside India; or
(iii) have income from any source outside India?
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]
TAX PAYMENTS
A DETAILS OF PAYMENTS OF ADVANCE TAX AND SELF ASSESSMENT TAX
Sl No. BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (RS)
Total 0
SCHEDULE TDS1 - DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY AS PER FORM 16 ISSUED BY EMPLOYER(S)]
Tax Deduction Account Income chargeable under
Sl No. Name of the Employer Total tax deducted
Number (TAN) of the Employer Salary
R.A. PODAR COLLEGE OF COM. &
1 MUMR15239A 16,75,921 3,20,000
ECO. MATUNGA MUMBAI
Total 3,20,000
DETAILS OF TAX DEDUCTED AT SOURCE (TDS) ON INCOME [AS PER FORM 16A ISSUED OR FORM 16B/ 16C/16E FURNISHED BY
DEDUCTOR(S)]
TDS
TDS of the current
credit TDS credit being claimed this Year
Unclaimed Financial Year (TDS
relatin (only if corresponding income is
TDS brought deducted during FY Correspondin
g to being offered for tax this year. Not
Aadha forward (b/f) 2022-23) g Receipt
self PAN of TAN of applicable if TDS is deducted u/s
ar of /withdrawals
/other Other the 194N)
Other Deducted in offered TDS
person Person Deduc
Person the hands of credit
[spous (if TDS tor/PA
(if TDS spouse as per being
e as credit N/Aad
Sl No. credit section 5A or Claimed in the hands of carrie
per relate haar Fin. Deduc
relate any other spouse as per section 5A or d
sectio d to of Year ted in
d to person as per Claime any other person as per rule forwar
n 5A other Tenan in TDS own
other rule 37BA(2) d in 37BA(2) (if applicable) Head d
/other person t/Buye which b/f Gross
person hands Of
person ) r deduct (if applicable) own Amou
) hands Incom
as per ed nt
Incom Aadha e
rule Incom TDS PAN
37BA( TDS e ar
e
2)]
MUMA0
1 Self 0 0 0 0 0 0 0 0 0
9455F
SRTA01
2 Self 0 0 0 0 0 0 0 0 0
985E
CHEC1
3 Self 0 0 0 0 0 0 0 0 0
1625F
RTKE03
4 Self 0 0 0 0 0 0 0 0 0
121G
CHET0
5 Self 0 0 0 0 0 0 0 0 0
0069G
MUMU0
6 Self 0 0 0 0 0 0 0 0 0
8605C
Total 0
DETAILS OF TAX DEDUCTED AT SOURCE (TDS) ON INCOME [AS PER FORM 16B/16C FURNISHED BY DEDUCTOR(S)]
TDS
credit TDS of the current
relatin Unclaimed Financial Year (TDS TDS credit being claimed this
g to TDS brought deducted during FY Year (only if corresponding Correspondin
self PAN Aadha forward (b/f) 2022-23) income is being offered for tax g Receipt
/other of ar of this year) offered
perso Other Other Deducted in
Aadha TDS
n Perso Perso TAN the hands of
ar No. credit
[spou n (if n (if of the spouse as
of the being
se as TDS TDS Buyer per section Claimed in the hands of
Sl No. Buyer carrie
per credit credit /Tena
/Tena Fin. Deduc 5A or any spouse as per section 5A d
sectio relate relate nt/De
nt/De Year ted in other person Claim or any other person as per forwa
n 5A d to d to ductor in TDS Head
/other other other
ductor own as per rule ed in rule 37BA(2) (if applicable) Gross rd
which b/f hands 37BA(2) (if Of
perso perso perso own Amou
deduc applicable) hands Incom
n as n) n) nt
ted e
per
Incom Aadha
rule Incom TDS PAN
TDS e ar
37BA( e
2)]
Total 0
SCHEDULE TCS - DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
TCS of the current
financial Year (TCS TCS credit being claimed this
collected during the year
TCS credit Unclaimed TCS FY 2022-23)
relating to brought forward (b/f) Collected
Tax
Self/Other PAN Of in the Claimed in the hand
Deduction
Person Other hands of of spouse as per
and Tax TDS credit
[Spouse as Person (If the section 5A or any
Collection being
Sl No. per TCS Credit spouse as other person as per
Account carried
section related to Collected per Claimed in rule 37-I(1)(if
Number of forward
5A/Other other in own section 5A own hands
the Fin. Year applicable)
person as person) Amount hands or any
Collector in which
per Rule b/f other
37-I(1) deducted person as
per rule
TCS PAN
37-I(1)) (if
applicable)
Total 0
SCHEDULE 80D
If you are individual, whether you or any of your family member(excluding parents) is a senior
1 N
citizen?If you are HUF, whether any member of HUF is a senior citizen?
(a) Self & Family 11,238
(i) Health Insurance 6,238
(ii) Preventive Health Checkup 5,000
(b) Self & Family including Senior Citizen 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
Medical Expenditure (This deduction to be claimed on which health insurance is

(iii) 0
not claimed at (i) above)
2 Whether any one of your parents is a senior citizen P
(a) Parents 0
(b) Parents including Senior Citizen 0
Medical Expenditure (This deduction can be claimed on which health insurance is

(iii) 0
not claimed at (i) above)
3 Eligible Amount of Deduction 11,238
VERIFICATION
I, KARISHMA MUKESH KHADIWALA son/ daughter of MUKESH KHADIWALA solemnly declare that to the best of my knowledge and belief, the
information given in the return and the schedules thereto is correct and complete and is in accordance with the provisions of the Income-tax Act,
1961.
I further declare that I am making this return in my capacity as Self and I am also competent to make this return and verify it. I am holding
permanent account number ABYPH1297B. I further declare that the critical assumptions specified in the agreement have been satisfied and all the
terms and conditions of the agreement have been complied with. (Applicable in a case where return is furnished under section 92CD)
Date: 27-Jul-2023 Place: MUMBAI Sign Here:
If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
TRP PIN (10 digit) Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof 0
Note:
1. Submission date is the system date of e-Filing portal of Income Tax Department. The same is available in the Acknowledgement/ITR-V generated
after submission of return.
2. Verification Date is the date of e-Verification at e-Filing portal of Income Tax Department or the date of receipt of ITR-V at CPC, Bengaluru. The
same will be available in View Returns/Forms option of e-Filing portal. In case of e-Verification, it is available in Acknowledgement”.

KK 2 Years Itr and Coi

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KK 2 Years Itr and Coi

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Acknowledgement Number: 989625380250722 Date of filing: 25-Jul-2022

INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

Name KARISHMA MUKESH KHADIWALA

Status Individiual Form Number ITR-2

Current Year business loss, if any 1 0

Total Income 11,89,660

Book Profit under MAT, where applicable 2 0

Adjusted Total Income under AMT, where applicable 3 11,89,660

Net tax payable 4 1,69,731

Interest and Fee Payable 5 0

Total tax, interest and Fee payable 6 1,69,731

Taxes Paid 7 2,40,000

(+) Tax Payable / (-) Refundable (6-7) 8 (-) 70,270

Accreted Income as per section 115TD 9 0

Additional Tax payable u/s 115TD 10 0

Interest payable u/s 115TE 11 0

Additional Tax and interest payable 12 0

Tax and interest paid 13 0

(+) Tax Payable / (-) Refundable (12-13) 14 0

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment

Name KARISHMA MUKESH KHADIWALA

Status Individual Form Number ITR-2

Current Year business loss, if any 1 0

Total Income 2 13,79,650

Book Profit under MAT, where applicable 3 0

Adjusted Total Income under AMT, where applicable 4 13,79,650

Net tax payable 5 2,32,370

Interest and Fee Payable 6 0

Total tax, interest and Fee payable 7 2,32,370

Taxes Paid 8 3,20,000

(+) Tax Payable /(-) Refundable (7-8) 9 (-) 87,630

Accreted Income as per section 115TD 10 0

Additional Tax payable u/s 115TD 11 0

Additional Tax and interest payable 13 0

Tax and interest paid 14 0

(+) Tax Payable /(-) Refundable (13-14) 15 (+) 0

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

INDIAN INCOME TAX RETURN Assessment

(a1ii) Or Filed in response to notice u/s 139(9), 142(1), 148

Whether this return is being filed by a Representative Assesse? Yes No

SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)

Schedule Salary Details of Income from Salary

1 Gross Salary (1a + 1b + 1c + 1d + 1e) 1 15,33,606

a Salary as per section 17(1) (drop down to be provided) 1a 15,33,606

SI.No. Nature of salary Amount

I Basic Salary 9,39,900

II Dearness Allowance 2,14,914

III Others 1,12,434

IV House Rent Allowance (HRA) 2,39,958

V Conveyance Allowance 26,400

b Value of perquisites as per section 17(2) (drop down to be provided) 1b 0

SI. No. Nature of perquisites Amount

c Profit in lieu of salary as per section 17(3) (drop down to be provided) 1c 0

SI. No. Nature of Profit in lieu of Salary Amount

SI. No. Country/Region Amount

2 Total Gross Salary (from all employers) 2 15,33,606

SI. No. Nature of Exempt Allowance Amount

Sec 10(13A)-Allowance to meet expenditure

3a Less : Income claimed for relief from taxation u/s 89A 3a 0

4 Net Salary (2 - 3 - 3a) 4 12,93,648

5 Deduction u/s 16 (5a + 5b + 5c) 5 52,500

A Standard deduction u/s 16(ia) 5a 50,000