1 )
2)
3) TIN: 8 6 6 2 6 3 4 0 7 0 1 7
4)
5) 2 0 2 3 - 2 4 6) Residentail status: Resident √ Non Resident -
7) Assessee status (Tick one) : Normal Individual Firm - - Other -
8) Tick on the box(es) below if you are:
A gezetted war-wounded freedom fighter Female Third gender A person with disability
Aged 65 years or more A parent/legal guardian of a person with disability
9) Date of Birth (DD-MM-YY) 10) Spouse name:
2 9 - 0 8 - 1 9 7 9 Spouse TIN: 0 0 0 0 0 0 0 0 0 0 0 0
11) Contract Address:
Telephone:
E-mail:
12) If employed, employer's name:
13) (a) Name of Business:
(b) Business Identification Number (BIN):
14) Name of partners / members in case of firm and private partnership:
Irvin Martinez Rosero
P8121703A
N/A
N/A N/A
House-17, Road-14, Sector-3, Uttara West, Dhaka, PO : 1230
Safura Tower (10th Floor), 20 Kemal Ataturk Avenue, banani C/A, Dhaka-1213. Bangladesh.
N/A
For official use
Serial number of Return register
Volume number of Return register
Date of Return submission
National Board of Revenue IT-11GA (2023)
www.nbr.gov.bd
RETURN OF INCOME TAX
For an Individual and
Other assessee (Other than company)
U/S-193
Tokyo Consulting Firm LTD
N/A
N/A
N/A
Hindu undivided
family
Assessment Year:
Mobile:
Name of Assessee :
National Identification Number / Passport Number (if NID not available):
(A) Circle: (B) Tax Zone:
√
11, Dhaka 222 (Company)
N/A
IT 11GA (2023) Page 1
Name of assessee: 8 6 6 2 6 3 4 0 7 0 1 7
Particulars of Total Income
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
(b) Environmental surcharge (if any)
Deffered interest, penalty or any other amount under the income tax act (in any)
Total amount payable (16 + 17 + 18) 49,518
Amount (Tk)
Income from Salary (as in schedule 1) 846,790
Irvin Martinez Rosero TIN
Statement of Income and Income Tax for the year ended 07.12.2023
Income from Business or Profession (as in schedule 4) -
Capital gains -
Income from House property (as in schedule 2) -
Income from Agricultural (as in schedule 3) -
Total income (aggregate of 1 to 10) 846,790
Income from financial resources (Bank interest / profit, dividend, securities etc) -
Income from Other sources (royality, license fee, honorarium, fee, cash incentive etc.) -
Income from Firm or private partnership -
Income of minor or spouse under section (if not a taxpayer) -
Foreign income -
17
Amount (Tk) Tax Computation
Income tax leviable on gross taxable income 49,518
Tax rebate (annex Schedule 5) -
Net tax after tax rebate (12-13) 49,518
Minimum tax -
Tax payable (between serial 14 and 15, whichever is greater) 49,518
(a) Surcharge payable for net wealth (if any)
IT 11GA (2023) Page 2
Statement of Tax Payment
20
21
22
23
24
25
26
List of documents filed with the return:
1
2
3
4
5
6
7
8
9
10
I Father / husband
TIN 8 6 6 2 6 3 4 0 7 0 1 7 solemnly declare that to the best of my knowledge and belief the
information given in this return and statements and documents annexed herewith is correct and complete.
Date: 1 1 2 0 2 3 Name: Irvin Martinez Rosero
Advance tax paid (attach proof) -
Adjustment of tax refund [mention assessment year(s) of
refund] -
Tax deducted or collected at source (attach proof) 55,937
Total amount paid (20 + 21 + 22 + 23) 55,937 55,937
Excess paid (19-24) (6,419)
Amount paid with return (attach proof) -
….....................................................
Signature Place of Signature:
Demonstrate
Irvin Martinez Rosero Froilan Moreno Rosero
Tax exempted / Tax holiday income ( attach proof)
Return
POA
Work Permit
TIN
VISA
Passport
Last Year Income Certificate
Challan
Tranfer Letter with Board Minors
IT 11GA (2023) Page 3
Name of Assessee 8 6 6 2 6 3 4 0 7 0 1 7
1 Salary
2
3
4
5
6
7
8
9
10
11
12
13
14
15
- -
Dearness allowance
Leave allowance (Rest and Recreation)
Conveyance allowance
Festival Allowance
Overtime allowance
Allowance for support staff
Honorarium/ Reward/Fee
Gratuity
-
Baishakhi allowance
Others allowance
-
-
-
-
-
Gratuity, annuity, pension or supplement thereof
Allowances
Irvin Martinez Rosero TIN
Special allowance
B) This part applies to salary-based taxpayers other than government employees
House rent allowance
Lampgrant
Total -
1,270,185
Tax exempted
income
Amount of
income
Particulars Net taxable
income
Arrear pay (if not included in taxable income earlier)
Basic pay
Medical allowance
Other, if any (give detail)
Interest accrued on a recognized provident fund
Schedule 1
A) This schedule is applicable to employee taxpayers under Government pay order
If you have income from salary, you have to fill the following schedule
Contribution paid by employer to recognized provident fund
Other, if any (give detail)
Total salary receipts (aggregate of 1 to 12)
Car facilities
Other benefit provided by employer
Income earned from employee share schemes
Residential facilities
Perquisite
Receipts or additional receipts in lieu of salary or wages
Advance salary
1,270,185
423,395
846,790
Exempted part (as part 1 of 6th schedule)
Total income from salary (13-14)
-
Schedule 1 Page 4
2 0 2 3 - 2 4
8 6 6 2 6 3 4 0 7 0 1 7
Taxes Zone:
Seal of Office
Date of Return submission
Total Paid Tax:
TIN:
11, Dhaka Circle: 222 (Company)
Total Income
National Identification Number /Passport Number: P8121703A
Serial number of Return register
Volume number of Return register
U/S-193
The Peoples Republic of Bangladesh
National Board of Revenue
(Income Tax Office)
Signature and seal of the officer receiving the return
…..............................................................................
ASSESSMENT YEAR
BDT 55,937
BDT 846,790
ACKNOWLEDGEMENT RECEIPTS OF RETURN OF INCOME / CERTIFICATE
Name of assessee: Irvin Martinez Rosero
Name of the assessee :
E-TIN :
Name of the employer :
Residential Status :
Employment period :
Income Year :
Assessment Year :
A) Income From Salary:
Taxable Income
243,060
243,060
243,060
243,060
243,060
54,885
1,270,185
Less: Exempted Income from Salary (As per schedule VI) (B) 423,395
846,790
Taxable
Income Tax rate Income Tax
First 350,000 0% Nill
On Second 100,000 5% 5,000
On Third 300,000 10% 30,000
On Fourth 96,790 15% 14,518
846,790 49,518
Total tax liability for the year AY 2023-2024 49,518
Less: Tax already paid by challan 55,937
(6,419)
Computation of Total Income and Income Tax Liability:
Tokyo Consulting Firm LTD
Month Particulars
Irvin Martinez Rosero
866263477017
Resident
01 July, 2023 to Till 7th December 2023
2023-2024
2023-2024
Excess Balance
July- 2023
Gross
August-2023
September-2023
October-2023
November-2023
December-2023
Total Income (A)
Total Taxable Income (A-B)
Income Tax Calculation
Particulars
Total Taxable Income
Months Challan No. Challan Date Amounts
12,504
Jul-23 T-1563 8/8/2023 34,307
Aug-23 T-1546 9/12/2023 3,042
Sep-23 2324-00108055621 10/11/2023 3,042
Oct-23 2324-00158745621 11/12/2023 3,042
55,937
Challan Summery
Total
AIT Balance Comes from Last AY 2022-23