FORM NO. 10A
[See rule 17A]

Application for registration of charitable or religious trust or institution
under clause (aa) of sub-section (1) of section 12A of the Income-tax Act, 1961

To
The Commissioner of Income-tax,
Sir,
I, on behalf of [name
of the trust or institution] hereby apply for the registration of the said trust/institution under section 12A of the
Income-tax Act, 1961. The following particulars 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/established, 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.