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 ….…..…………………… hereby apply, for the
[name of the trust or institution]
registration of the said trust/institution under section 12A of the Income-tax Act, 1961.The following par-
ticulars 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/estab-
lished, 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.