FORM NO. 34
[See rule 43]
Exemption certificate under proviso to section 230(1) of the Income-tax Act, 1961
                                              Certificate 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 who intends to travel abords is exempted from producing a Clearance Certificate under section 230(1) of the Income-tax Act, 1961 (43 of 1961), in respect of the  journey or journeys to be undertaken on or  after 		 and before
Pace .							
Date .								Assessing Officer
(SEAL)								.	Foreign Section