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FATCA Declaration Individual PDF

This document contains a self-certification for an individual who is neither a US person nor a resident for tax purposes in any country other than India, though parameters suggest a relationship to a country outside India. The individual provides proof of their citizenship and residency in India by submitting documentation such as a passport, election ID card, PAN card, driving license, UIDAI letter, NREGA job card, or government-issued ID card.

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Nimesh C Varma
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75 views1 page

FATCA Declaration Individual PDF

This document contains a self-certification for an individual who is neither a US person nor a resident for tax purposes in any country other than India, though parameters suggest a relationship to a country outside India. The individual provides proof of their citizenship and residency in India by submitting documentation such as a passport, election ID card, PAN card, driving license, UIDAI letter, NREGA job card, or government-issued ID card.

Uploaded by

Nimesh C Varma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Part IV-Self-Certification: To be filled only if-


a) Name of the country in Part I is other than India and TIN or functional equivalent is not available, or
b) US person is mentioned as Yes in Part I, and TIN is not available

I confirm that I am neither a US Person nor resident for Tax purpose in any country other than India, though
one or more parameters suggest my relation with the country outside India. Therefore, I am providing the Signature
following document as proof of my citizenship and residency in India.

Document Proof submitted (Please tick document being submitted)


Passport Election ID Card PAN Card Driving License

UIDAI Letter NREGA Job Card Govt. Issued ID Card

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