[Part I]
National Board of Revenue | IT-11GA2016
www.nbr.gov.bd | RETURN OF INCOME
For an Individual Assessee
The following schedules shall be the integral part of this return and | Photo
must be annexed to return in the following cases:
Schedule 24A if you have income from Salaries
Schedule 24B if you have income from house property
Schedule 24C if you have income from business or profession
Schedule 24D if you claim tax rebate
PART I
Basic information (Under Section- 91)
1 | Assessment Year | 2 | Return submitted under section 82BB? (tick one)
2 | 0 | 2 | 2 | ─ | 2 | 3 | Yes | No | √
3 | 4 | Gender (tick one)
Name of the Assessee: | Mohamad Rizwan Bin Shahabuddin | M | √ | F
5 | Twelve-digit TIN: | 453495806350 | 6 | Old TIN | N/A
7 | Circle: | 222 (Company) | 8 | Zone: 11 Dhaka.
9 | Resident Status (tick one)
Resident | √ | Non-resident
10 | Tick on the box(es) below if you are:
10A | 10B | A person with disability
A gazetted war-wounded freedom fighter | A person with disability
10C | 10D
Aged 65 years or more | A parent/legal guardian of a person with disability
11 | Date of birth (DD-MM-YYYY) | 12 | Income Year
1 | 0 | 0 | 2 | 1 | 9 | 8 | 9 | 2022 | to | 2023
13 | If employed, employer’s name: MIURA SINGAPORE CO PTE. LTD
14 | Spouse Name | 15 | Spouse TIN (if any)
16 | Father’s Name: Shahabuddin Bin Abdul Quddus | 17 | Mother’s Name: Suraiya Khatoon
18 | Present Address: Level 11, Sanmar Tower-2, Plot # 38A, Road-35, Gulshan-2, Gulshan Model Town, Dhaka-1212. | 19 | Permanent Address: 10, Jolan Orkid 13, Taman Orkid, 86000 Kluang, Johor, Malaysia
20 | Contact Telephone: | 21 | E-mail:
22 | National Identification Number: | 23 | Business Identification Number(s)
[Part 2]
PART II
Particulars of Income and Tax
TIN: | 4 | 5 | 3 | 4 | 9 | 5 | 8 | 0 | 6 | 3 | 5 | 0
Particulars of Total Income | Amount ৳
24 | Salaries (annex Schedule 24A) | S.21 | 780,000
25 | Interest on securities | S.22 | -
26 | Income from house property (annex Schedule 24B) | S.24 | -
27 | Agricultural income | S.26 | -
28 | Income from business or profession (annex Schedule 24C) | S.28 | -
29 | Capital gains | S.31 | -
30 | Income from other sources | S.33 | -
31 | Share of income from firm or AOP | -
32 | Income of minor or spouse under section 43(4) | S.43 | -
33 | Foreign income | -
34 | Total income (aggregate of 24 to 33) | 780,000
Tax Computation and Payment | Amount ৳
35 | Gross tax before tax rebate | 47,000
36 | Tax rebate (annex Schedule 24D) | -
37 | Net tax after tax rebate | 47,000
38 | Minimum tax | -
39 | Net wealth surcharge | -
40 | Interest or any other amount under the Ordinance (if any) | -
41 | Total amount payable | 47,000
42 | Tax deducted or collected at source (attach proof) | 93,498
43 | Advance tax paid (attach proof) | -
44 | Adjustment of tax refund [mention assessment year(s) of refund] | -
45 | Amount paid with return (attach proof) | -
46 | Total amount paid and adjusted (42+43+44+45) | 93,498
47 | Deficit or excess (refundable) (41-46) | (46,498)
48 | Tax exempted income | 180,000
[Part 3]
PART III
Instruction, Enclosures and Verification
TIN: | 4 | 5 | 3 | 4 | 9 | 5 | 8 | 0 | 6 | 3 | 5 | 0
Particulars of Total Income
49 | Instructions 1. Statement of assets, liabilities and expenses (IT-10B2016) and statement of life style expense (IT-10BB2016) must be furnished with the return unless you are exempted from furnishing such statement(s) under section 80. 2. Proof of payments of tax, including advance tax and withholding tax and the proof of investment for tax rebate must be provided along with return. 3. Attach account statements and other documents where applicable
50 | If you are a parent of a person with disability, has your spouse availed the extended tax exemption threshold? (tick one) | Yes | No
51 | Are you required to submit a statement of assets, liabilities and expenses (IT-10B2016) under section 80(1)? (tick one) | Yes | No
52 | Schedules annexed (tick all that are applicable)
53 | Statements annexed (tick all that are applicable)
IT-10B2016 | IT-10BB2016
54 | Other Statements, documents ect. Attached ;
(A) Tax Calculation Sheet;
(B) Copy of TIN certificate;;
(C) Copy of Treasury challans;
(D) Copy of Passport;
(E) Copy of work permits;
(F) Power of Attorney;
(G) Copy of last year tax clearance certificate;
(H) Copy of resignation letter;
(I) Copy of release order (NOC); and
(J) Copy of departure seal.
Verification and signature
55 | Verification I solemnly declare that to the best of my knowledge and belief the information given in this return and statements and documents annexed or attached herewith are correct and complete.
Name: Mohamad Rizwan Bin Shahabuddin | Signature:
Date of Signature (DD-MM-YYYY) | Place of Signature : Dhaka
2 | 0 | 2 | 3
For official use only
Return Submission Information
Date of Submission (DD-MM-YYYY) | Tax Office Entry Number
[ACK]
National Board of Revenue | IT-11GA2016
www.nbr.gov.bd
ACKNOWLEDGEMENT RECEIPT OF
RETURN OF INCOME
(Under Section- 91)
Assessment Year | Return under section 82BB? (tick one)
2 | 0 | 2 | 2 | ─ | 2 | 3 | Yes | No | √
Gender (tick one)
Name of the Assessee: | Mohamad Rizwan Bin Shahabuddin | M | √ | F
Twelve-digit TIN: | 453495806350 | Old TIN
Circle : 222 (Company) | Taxes Zone-11, Dhaka.
Total income shown (serial 34) ৳ | 780,000
Amount payable (serial 41) ৳ | 47,000 | Amount paid and adjusted (serial 46)৳ | 93,498
Date of Submission (DD-MM-YYYY) | Tax Office Entry Number
Signature and seal of the official receiving the return
Date of Signature | Contact Number of Tax Office
[Sch 24A]
SCHEDULE 24A
Particulars of income from Salaries
Annex this Schedule to the return of income if you have income from Salaries
1 | Assessment Year | 2 | TIN: 453495806350
2 | 0 | 2 | 2 | ─ | 2 | 3
Particulars | Amount | Tax exempted | Taxable
(A) | (B) | (C=A-B)
1 | Basic pay | 780,000 | - | 780,000
2 | Special pay | - | - | -
3 | Arrear pay (if not included in taxable income earlier) | - | - | -
4 | Dearness allowance | - | - | -
5 | House rent allowance | 135,000 | 135,000 | -
6 | Medical allowance | 15,000 | 15,000 | -
7 | Conveyance allowance | 30,000 | 30,000 | -
8 | Festival Allowance | - | - | -
9 | Allowance for support staff | - | - | -
10 | Leave allowance | - | - | -
11 | Honorarium/ Reward/Fee | - | - | -
12 | Overtime allowance | - | - | -
13 | Bonus / Ex-gratia | - | - | -
14 | Other allowances (Overseas) | - | - | -
15 | Employer’s contribution to a recognized provident fund | - | - | -
16 | Interest accrued on a recognized provident fund | - | - | -
17 | Deemed income for transport facility | - | - | -
18 | Deemed income for free furnished/ unfurnished accommodation | - | - | -
19 | Other, if any (give detail) | - | - | -
20 | Total | 960,000 | 180,000 | 780,000
All figures of amount are in taka (৳)
Name : Mohamad Rizwan Bin Shahabuddin | Signature & Date:
[Tax Calculation Sheet]
Computation of Total Income and Income Tax Liability:
Name of the employer | : Mohamad Rizwan Bin Shahabuddin
E-TIN | : 453495806350
Designation | : Country Manager
Name of the employer | : MIURA SINGAPORE CO PTE. LTD.
Address | : Level 11, Sanmar Tower-2, Plot # 38A, Road-35, Gulshan-2, Gulshan Model Town, Dhaka-1212.
Residential Status | : Resident
Employment period | : 20th October, 2018 to 31st December 2022
Income Year | : 2022-2023
Assessment Year | : 2022-2023
Salary & Allowance | BDT per Month | Month | Amount of Income TK. | Amount of Exempted Income (TK.) | Net Taxable Income ( Tk.)
A | B | C=A*B | D | E=C-D
Basic Salary | 130,000 | 6.00 | 780,000 | - | 780,000
House Rent Allowance | 22,500 | 6.00 | 135,000 | 135,000 | - | 93,498
Conveyance Allowance | 2,500 | 6.00 | 15,000 | 15,000 | -
Medical Allowance | 5,000 | 6.00 | 30,000 | 30,000 | -
Total Taxable Income | 960,000 | 180,000 | 780,000
Calculation of Tax Liability | 780,000
Tax calculation: | 300,000
First | 300,000 | 0% | - | 480,000
On Next | 100,000 | 5% | 5,000 | 100,000 | 5% | 5,000
On Next | 300,000 | 10% | 30,000 | 380,000
On Next | 80,000 | 15% | 12,000 | 300,000 | 10% | 30,000
On Next | - | 20% | - | 80,000 | 15% | 12,000
On Balance | - | 25% | 47,000
Total | 780,000 | 47,000
Total Tax Liability | 47,000
Tax Already Paid | 93,498
Net Tax Payable | (46,498)
Previous Year Adjustment | -
Balance/ (Excess Paid) | (46,498)