Form 56

Declaration by a Startup for exemption under Section 56(2) (viib) of the Income Tax Act, 1961

1. Name of the Startup

2. Date of incorporation of Startup as company

3. Incorporation No./ registration No

4. Address and business location

5. Nature of business

6. Contact details of Startup

Phone No.

Email Address

field must match pattern ^([a-zA-Z0-9]+)(([-\._]([a-zA-Z0-9])+)*)@([A-Za-z0-9]+)((\.([A-Za-z0-9]){2,10})+)$

7. Permanent Account Number

8. Startup Recognition number allotted by DPIIT

9. Please upload the declaration form on your company letter head^*

Please upload pdf file upto 5 mb

*

10. Declaration Signed Date^*

Please keep in mind the following:

Ensure the declaration form is in a PDF format when uploaded
The declaration needs to be digitally signed by a person who is authorized to verify the return of income under section 140 of the Income tax act
The declaration needs to be provided on the company letter head

Declaration by a Startup for exemption under Section 56(2) (viib) of the Income Tax Act, 1961