FORM OF RETURN OF INCOME UNDER THE INCOME TAX IT-11GA

ORDINANCE, 1984 (XXXVI OF 1984)

FOR INDIVIDUAL AND OTHER TAXPAYERS

( OTHER THAN COMPANY )

Be a Respectable Taxpayer Photograph of the

Assessee
Submit return in due time U/s.82BB [to be attested on
Avoid Penalty the photograph]
Put the tick ( √ ) mark wherever applicable

Self Universal Self Normal

1. Name of the Assessee : MANABENDRA BALA

2. National ID No (if any) : 7785592523

3. UTIN (if any) :

4. TIN : 6 1 0 4 1 0 4 4 3 9 5 8
5. (a) Circle : '' 252 '' (b) Taxes Zone : 12, Dhaka.

6. Assessment Year : 2022 - 2023 7. Residential Status : Resident Non-resident

8. Status : Individual Firm Association of Persons Hindu Undivided Family

9. Name of the employer/business (where applicable) : UNITED ENTERPRISES & CO. LTD.

10. Wife/Husband's Name (if assessee, please mention TIN) :

11. Father's Name : SATISH CHANDRA BALA

12. Mother's Name : HIRANMOYEE BALA

13. Date of Birth (in case of individual ) : 0 1 0 6 1 9 9 1

Day Month Year

14. Address (a) Present : UNITED HOUSE, MADANI AVENUE, UNITED CITY,
DHAKA-1212, BADDA, DHAKA, BANGLADESH.

(b) Permanent : VILLAGE & POST-RAJIHAR, AGAILJHARA,

BARISAL-8240, BANGLADESH.

15. Telephone : Office/Business Residential :

16. VAT Registration Number (if any) :