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BIRTH A5 SEX D D MM Y Y Y Y ; Male ; Female A8 FLAT/DOOR/BUILDING A9 ROAD/STREET A10 AREA/LOCALITY A11 TOWN/CITY/DISTRICT A12 STATE A13 PINCODE A14 EMAIL ADDRESS A15 RESIDENTIAL/OFFICE PHONE NO. WITH STD CODE A16 MOBILE NO. A17 Fill only one if you belong to 9 ; Government 9 ; PSU A18 Fill only one 9 ; Tax Refundable 9 ; Tax Payable 9 ; Nil Tax Balance A19 Fill only one 9 ; Resident A20 Fill only one: filed 9 ; Before due date-139(1) 9 ; After due date-139(4) 9 A21 If revised.

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