FORM NO. 10A
[See rule 17A]
Application for registration of charitable or religious trust or institution under section 12A(a) of the Income-tax Act, 1961

To

The Chief Commissioner or Commissioner of Income-tax,

Sir,
I,..................on behalf of [name of the trust or institution] hereby apply for the registration of the said trust/institution under section 12A of the Income-tax Act, 1961. The following particulars are furnished herewith:

1.

Name of the * trust/institution in full [in block letters]

2.

Address

3.

Name(s) and address(es) of author(s)/founder(s)

4.

Date of creation of the trust or establishment of the institution

5.

Name(s) and address(es) of trustee(s)/manager(s)

I also enclose the following documents:

1. (a) * Original/Certified copy of the instrument under which the trust/institution was created/established, together with a copy thereof.
(b) * Original/Certified copy of document evidencing the creation of the trust or the establishment of the institution, together with a copy thereof. [The originals, if enclosed, will be returned].
2. Two copies of the accounts of the * trust/institution for the latest * one/two/three years.
I undertake to communicate forthwith any alteration in the terms of the trust, or in the rules governing the institution, made at any time hereafter.

Date
	Signature
	Designation
	Address

*Strike out whichever is not applicable.