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National Board of Revenue
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www.nbr.gov.bdIT-11GA 2023
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For office use
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Serial no. in return registerReturn of Income
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Volumn no. in return registerFor Individual & Other Assessee (without Company)
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Date of return submission
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8
1
Name of the Assessee:
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10
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National Identification Number/Passport Number (If no NID):
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12
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TIN:
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14
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(a) Circle:
(b) Tax Zone:
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16
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Asssessment Year:
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Resident Status:
Resident
✔️
Non-resident
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18
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Tick on the box below for getting special benefit:
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A gazetted war-wounded freedom fighter
Female
Third Gender
Disabled person
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Aged 65 years or more
A parent or legal guardian of a person with disability
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8
Date of birth (DDMMYYYY)
9
Name of Spouse:
Briti Bhowmic
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TIN if spouse is an Assessee:
27
28
10
Address:
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30
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Telephone:
Mobile:
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e-mail:
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11
If employed, employer’s name (Latest employer's name in case of multiple employment):
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39
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(a) Name of Organizaion:
Trade International Industries Ltd.
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(b) Business Identification Number (BIN):
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Name & TIN of Partners/Members in case of Frim/Association of person (If needed, please use separate sheet):
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45
46
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48
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Particulars of Income and Tax during the income year ended on ---------------- June 20-----------
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Name of the Assessee:
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TIN:
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Particulars of Total Income Amount ৳
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56
1
Income from Salaries (annex Schedule 1)
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2
Income from Rent (annex Schedule 2)
58
3
Agricultural income (annex Schedule 3)
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4
Income from business (annex Schedule 4)
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5
Capital gains
61
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Income from Financial Assets (Bank interest/profit, Dividend, Securities etc.)
62
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Income from other sources (Royalty, License fee, Honorarium, Fees, Govt. Incentive etc.)
63
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Share of income from firm or AOP
64
9
Income of minor or spouse under section (if not assessee)
65
10
Foreign income
66
11
Total income (aggregate of 1 to 10)
-
67
68
Tax ComputationAmount ৳
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70
12
Gross tax on taxable Income
71
13
Tax rebate (annex Schedule 5)
72
14
Net tax after tax rebate (12-13)
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15
Minimum tax
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16
Tax Payable (Higher of 14 and 15)
75
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(a) Net wealth surcharge (if applicable)
 -
76
(b) Environmental surcharge (if applicable)
77
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Delay Interest, Penalty or any other amount under the Income Tax Act (if any)
78
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Total amount payable (16+17+18)
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80
81
82
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Particulars of Tax PaymentAmount ৳
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86
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Tax deducted or collected at source (attach proof)
87
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Advance tax paid (attach proof)
88
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Adjustment of tax refund [mention assessment year of refund]
89
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Amount paid with return (attach proof)
90
91
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Total amount paid and adjusted
-
92
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Deficit or excess
Forward to next assessment year
 -
93
94
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Tax exempted/Tax free income (attach particulars)
95
96
List of documents furnished with this Return
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