Form 10-Ia, Certificate Of The Medical Authority For Certifying 'Person With Disability', 'Severe Disability', 'Autism', 'Cerebral Palsy' And 'Multiple Disability' For Purposes Of Section 80dd And Section 80u printable pdf download

Form 10-Ia, Certificate Of The Medical Authority For Certifying 'Person With Disability', 'Severe Disability', 'Autism', 'Cerebral Palsy' And 'Multiple Disability' For Purposes Of Section 80dd And Section 80u

FORM NO. 10-IA

[See sub-rule (2) of rule 11A]

Certificate of the medical authority for certifying ‘person with disability’, ‘severe

disability’, ‘autism’, ‘cerebral palsy’ and ‘multiple disability’ for purposes of section

80DD and section 80U

Certificate No.

Date :

This is to certify that Shri/Smt./Ms._______________________________ son/daughter of

Shri_________________________________, age______ years___________male/female*

residing at____________________________________, Registration No.__________is a

person with disability/severe disability* suffering from autism/cerebral palsy/multiple

disability*.

2. This condition is progressive/non-progressive/likely to improve/not likely to improve*.

Reassessment

recommended/not

recommended

after

period

of__________months/years*.

Sd/-

(Neurologist/Pediatric Neurologist/Civil Surgeon/

Chief Medical Officer*)

Name :___________________

Address of Institution/Government hospital :

____________________________________

Qualification/designation of specialist :____________________

SEAL

Signature/Thumb impression* of the patient

Note : *Strike out whichever is not applicable.

Printed From Taxmann’s Income Tax Rules on CD

Form 10-Ia, Certificate Of The Medical Authority For Certifying 'Person With Disability', 'Severe Disability', 'Autism', 'Cerebral Palsy' And 'Multiple Disability' For Purposes Of Section 80dd And Section 80u

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