SELF-DECLARATION OF RESIDENTIAL STATUS
Declaration of residential status for the financial year [Financial Year] under the provisions of section 6 of the Income-tax Act, 1961.
I, [Full Name], son/daughter of [Father's Name], holding PAN [PAN Number] and passport number [Passport No., if applicable], residing at [Full Address], do hereby declare as under:
I hereby declare that during the financial year [Financial Year], my total period of stay in India was [Number of Days] days. Based on the tests laid down under section 6 of the Income-tax Act, 1961, my residential status for the said year is [Resident / Resident but Not Ordinarily Resident / Non-Resident].
I confirm that this declaration is furnished to [Bank / Institution / Employer Name] for determining the appropriate tax treatment of my income. The particulars stated above are true and correct.
[Signature of Declarant]
[Name]
Place: [Place] Date: [DD/MM/YYYY]