Form No. 33
[See rule 43]
Clearance certificate under section 230(1) of the Income-tax Act, 1961
Folio No.
GOVERNMENT OF INDIA
1. Full name (in block letters)
2. Name of father (or husband)
3. Passport No./Emergency Certificate No.
This is to certify that the abovementioned applicant has:
*(a) no liabilities outstanding;
*(b) made satisfactory arrangements for the payment of taxes which are or may become payable under the Income-tax Act, 1961 (43 of 1961), the Indian Income-tax Act, 1922 (11 of 1922), the Excess Profits Tax Act, 1940 (15 of 1940), the Business Profits Tax Act, 1947 (21 of 1947), the Wealth-tax Act, 1957 (27 of 1957), the Expenditure Tax Act, 1957 (29 of 1957), or the Gift-tax Act, 1958 (18 of 1958).
This certificate is valid for a journey or journeys to be commenced on or after……and before……… Place…………………….
Date………………….. Assessing Officer
Foreign Section
(SEAL)
*Strike out the paragraph which is not applicable.