Appeal against refusal to recognize or withdrawal of recognition from a provident fund/refusal to approve or withdrawal of approval from a superannuation fund or from a gratuity fund

PART-A

1.

Details of the Appellant (Employer)

(i)

Name

(refer Note 1)

(ii)

Address

(refer Note 2)

(iii)

Permanent Account Number

(iv)

Business/profession

PART-B

2.

Nature of Fund (refer to Schedule XI to the Income-tax Act 2025)

(select one)

(i) Provident fund

(ii) Superannuation fund

(iii) Gratuity fund

3.

Details of the order refusing/withdrawing - recognition / approval

(i)

Details of the Competent Authority

(i) CIT

(ii) Pr.CIT

(iii) CCIT

(iv) Pr.CCIT

(ii)

Decision of the competent authority

(select one)

(i) Refused recognition/approval

(ii) Withdrawn recognition/approval

(iii)

Date of the order

dd/mm/yyyy

(iv)

Copy of the order

UPLOAD

(v)

Order number

(refer Note 3)

4.

Details of the application for recognition/approval

(i)

Date of the application

dd/mm/yyyy

(ii)

Copy of the application

UPLOAD

5.

Grounds of appeal

(i)

(ii)

(iii)

6.

Appeal to

(select one)

(i) accord recognition/approval

(ii) continue the recognition/approval

For the reasons set out above, it is submitted that the fund should be/continued to be recognized /approved and that the Central Board of Direct Taxes may direct the competent authority to accord recognition/ con- tinue the recognition / accord approval/ continue the approval.

Date

Signature

Address of the appellant

FORM OF VERIFICATION

We/I, the petitioner(s) named in the above petition do declare that what is stated in the above application is true to the best of our/my information and belief, and that the documents enclosed herewith are the true copies of the original.

Date

Signature

Address of the appellant