Tax Return Form

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Government of the People's Republic of Bangladesh

National Board of Revenue

Taxpayer's Identification Number (TIN) Certificate

TIN : 614890507678

This is to Certify that Sifat Islam is a Registered Taxpayer of National Board of Revenue under the jurisdic-
tion of Taxes Circle-003 , Taxes Zone Khulna.

Taxpayer's Particulars :

1) Name : Sifat Islam

2) Father's Name : Md. Siraj Islam

3) Mother's Name : Mst. Asma Begum

4.a) Current Address : Palpara, Solemanpur, Kotchandpur, Jhenaidah

4.b) Permanent Address : Palpara, Solemanpur, Kotchandpur, Jhenaidah

5) Previous TIN : Not Applicable

6) Status : Individual

Date : March 20, 2021

Please Note:
1. A Taxpayer is liable to file the Return of Income under Deputy Commissioner of Taxes
section 75 of the Income Tax Ordinance, 1984. Taxes Circle-003
2. Failure to file Return of Income under section 75 is liable Taxes Zone: Khulna
to-
Address : Ukilpara, West of Uttara Primary School, Khulna
(a) Penalty under section 124; and
(b) Prosecution under section 164 of the Income Tax Phone : 01993-537616
Ordinance, 1984.

N. B: This is a system generated certificate and requires no manual signature.

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