Printed from www.taxmann.com FORM NO. 39 [See rule 54] Form of application for registration as authorised income-tax practitioner To The Chief Commissioner or Commissioner of Income-tax, ________________________________ ________________________________ I hereby apply for registration as an authorised income-tax practitioner under clause (v)/(vi)/(vii) of section 288(2) of the Income-tax Act, 1961. The following particulars are furnished herewith :- 1. Name in full [block letters] 2. Father's name 3. Permanent residential address 4. Present residential address 5. Professional address(es) in India 6. Principal place of profession in India 7. If partner in a firm, name of the firm and other partners * I certify that I have passed the accountancy examination of (a true copy of the certificate enclosed) * I certify that I have acquired the educational qualifications of (a true copy of the certificate enclosed) * I certify that I was an income-tax practitioner within the meaning of clause (iv) of sub-section (2) of section 61 of the Indian Income-tax Act, 1922, and was actually practising immediately before 1st April, 1962, as such and some of the cases in which I appeared in that capacity are as below : Name and address of assessee Assessment year Designation of the income-tax authority before whom appeared I certify that I have been practising as an authorised income-tax practitioner since ____________________ and that I have not so far made any application for registration as an authorised income-tax practitioner to any other Chief Commissioner or Commissioner of Income-tax. _____________________ Signature Verification I, ________________________________________________________________________ ,do declare that what is stated in the above application is true to the best of my information and belief Date ______________ __________________________ Signature *Delete inappropriate words.
