National Board of Revenue

IT-11GA (2023)
www.nbr.gov.bd

For Office Use

Serial No. of Return Register 6511993728

FORM OF RETURN OF INCOME FOR
Volume No. of Return
INDIVIDUAL PERSON
Register

Date of Return Submission 1/21/2025

1. Name of the Taxpayer: MD. JAHIDUL KABIR

2. National ID No. / Passport No. (If No 19940695111000008

NID):

3. TIN: 5 8 4 2 7 0 6 1 3 6 9 7

4. (a) Circle Circle-075 (b) Taxes Zone: 04, Dhaka

5. Assessment Year: 2024-2025 6. Residential Status: Resident Non-resident

7. Taxpayer’s Status: Individual Firm Hindu Undivided Family Others

8. Tick (✓) on the box for getting special benefit:

A gazette war-wounded Female Third Gender Disable Person

freedom fighter

Aged 65 years or more A parent of a person with disability

9. Date of Birth (DD MM YYYY):

0 2 1 1 1 9 9 4

10. Wife/Husband's Name: Fatematozzohura

TIN (if spouse is a Taxpayer):

11. Address: Vill. Ramnogar, Post. Assim, P.S. Fulbaria, Mymensingh

Telephone: 01761282610 Mobile: 01761282610 e-mail:

12. If employed, employer’s name (latest employer’s name in case of multiple employment): DGHS,Mohakhali,Dhaka.

13. (a) Name of Organization:

(b) Business Identification number (BIN):

14. Name and TIN of Partners / Members in case of Firm / Association of Persons:
 Statement of Income and Tax during the Income Year ended on 30/6/2024

Name of the Taxpayer: MD. JAHIDUL KABIR TIN: 5 8 4 2 7 0 6 1 3 6 9 7

Particulars of Income Amount in Taka

1. Income from Employment (annex Schedule 1) 4,33,860

2. Income from Rent (annex Schedule 2) 0

3. Income from Agriculture (annex Schedule 3) 0

4. Income from Business (annex Schedule 4) 0

5. Income from Capital Gain 0

6. Income from Financial Assets (Bank Interest, Dividend, Securities Profit 0

etc)

7. Income from Other Sources (Royalty, License Fees, Honorarium, Govt. 0

Incentive etc.)

8. Share of Income from Firm or AoP 0

9. Income of Minor or Spouse (if not Taxpayer) 0

10. Taxable Income from Abroad 0

11. Total Income (Aggregate of Serial 1 to 10) 4,33,860

Tax Computation Amount in Taka

12. Gross Tax on Taxable Income 4,193

13. Tax Rebate (annex Schedule 5) 3,229

14. Net Tax after Rebate (12 – 13) 5,000

15. Minimum Tax 5,000

16. Tax Payable (Higher of 14 and 15) 5,000

17. (a) Net Wealth Surcharge (if applicable) 0

(b) Environmental Surcharge (if applicable)

18. Delay Interest, Penalty or any other amount Under Income Tax Act (if any) 0

19. Total Amount Payable (16 + 17 + 18) 5,000

 Particulars of Tax Payment Amount in Taka

20. Tax Deducted or Collected at Source (attach proof) 3,000

21. Advance Tax paid (attach proof) 0

22. Adjustment of Tax Refund (mention assessment year(s) of refund) 0

23. Tax Paid with this Return (attach proof) 2,000

24. Total Tax Paid and Adjusted (20 + 21 + 22 + 23) 5,000

25. Excess Payment (24 - 19) 0

26. Tax Exempted / Tax Free Income (attach proof) 1,91,544

List of Documents Furnished with this Return

(Online submission requires no attachment)

Verification

I MD. JAHIDUL KABIR father / husband: Md. Abdul Khaleqe TIN 5 8 4 2 7 0 6 1 3 6 9 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.

Place: MD. JAHIDUL KABIR

Date:1/21/2025 .....................................................
Signature
(Name in Block Letters)
System generated document, it requires no signature
 Schedule 1

Particulars of Income from Employment

a. This part is applicable for employees receiving salary under government pay scale.

Name of the Taxpayer: MD. JAHIDUL KABIR TIN: 5 8 4 2 7 0 6 1 3 6 9 7

Particulars Total Amount Exempted Amount (Taka) Taxable Amount

(Taka) (Taka)
1. Basic pay 3,71,880 0 3,71,880

2. Arrear Pay (if not included in taxable income earlier) 0 0 0

3. Special allowance 0 0 0

4. House Rent allowance 1,67,346 1,67,346 0

5. Medical allowance 18,000 18,000 0

6. Conveyance allowance 0 0 0

7. Festival allowance 61,980 0 61,980

8. Support Staff allowance

9. Leave allowance 0 0 0

10. Honorarium / Reward 0 0 0

11. Overtime allowances 0 0 0

12. Bangla Noboborsho allowances 6,198 6,198 0

13. Interest accrued on Provident Fund 0 0 0

14. Lump Grant 0 0 0

15. Gratuity 0 0 0

16. Others, if any (provide detail) 0 0 0

17. Total 6,25,404 1,91,544 4,33,860

 b. This part is applicable for employees other than employees receiving salary under government pay scale.

Name of the Taxpayer: MD. JAHIDUL KABIR TIN: 5 8 4 2 7 0 6 1 3 6 9 7

Particulars Income (Taka) Income (Taka)

1. Basic pay

2. Allowances

3. Advance / Arrear Salary

4. Gratuity, Annuity, Pension or similar benefit

5. Perquisites

6. Receipt in lieu of or in addition to Salary or Wages

7. Income from Employee’s Share Scheme

8. Accommodation Facility

9. Transport Facility

10. Any other Facility provided by Employer

11. Employer’s Contribution to Recognized Provident Fund

12. Others, if any (provide detail)

13. Total Salary Received (aggregate of 1 to 12)

14. Exempted Amount (as per Part 1 of 6th Schedule)

15. Total Income from Salary (13 – 14)

 Schedule-5
(Particulars of Investment Tax Credit)

Name of the Taxpayer: MD. JAHIDUL KABIR TIN: 5 8 4 2 7 0 6 1 3 6 9 7

Particulars of Rebatable Investment:

Serial Summary of Income Amount in Taka

No.

1. Life Insurance Premium or Contractual Deferred Annuity Paid in

Bangladesh

2. Contribution to Deposit Pension Scheme

3. Investment in Government Securities, Unit Certificate, Mutual Fund, ETF or 0

Joint Investment Scheme Unit Certificate

4. Investment in Securities listed with Approved Stock Exchange

5. Contribution to Provident Fund to which Provident Fund Act, 1925 applies 18,526

6. Self & Employer’s Contribution to Recognized Provident Fund

7. Contribution to Super Annuation Fund

8. Contribution to Benevolent Fund / Group Insurance Premium 3,000

9. Contribution to Zakat Fund

10. Others, if any (provide detail) 0

11. Total Investment (aggregate of 1 to 10) 21,526

12. Amount of Tax Rebate 3,229

 IT- 10 BB (2023)

Statement of Expenses Relating to Lifestyle

(For Individual Person)

Name of the Taxpayer: MD. JAHIDUL KABIR TIN 5 8 4 2 7 0 6 1 3 6 9 7

Serial Particulars of Expenditure Amount of Taka Comments

No.

1. Personal and family fooding, clothing and other essentials 1,23,000

2. Housing Expense 1,20,000

3. Personal Transport Expense 0

4. Utility Expense (Electricity, Gas, Water, Telephone, Mobile, Internet etc. Bills) 15,000

5. Education Expense 0

6. Personal Expense for Local and Foreign Travel, Vacation etc. 24,000

7. Festival and Other Special Expense 1,20,400

8. Tax Deducted / Collected at Source (with TS on Profit of Sanchaypatra) and Tax 6,000
& Surcharge Paid based on Tax Return of Last Year

9. Interest Paid on Personal Loan Received from Institution & Other Source 0

Total: 4,08,400

Verification

I solemnly declare that to the best of my knowledge and belief the information given in this IT-10BB (2023) is correct and complete.

MD. JAHIDUL KABIR

Name & signature of the Taxpayer
Date: 1/21/2025
System generated document, it requires no signature
 IT-10B (2023)

Statement of Assets, Liabilities and Expenses (as on 30/6/2024)

To Whom It May Concern

All Public Servants.
If the amount of Total Asset at home and abroad exceeds Taka 50,00,000
The amount of Total Asset does not exceed Tk. 50,00,000 but owns a Motor Car in any time or Invested in any House Popery or
Apartment within the City Corporation area or Owns Assets outside Bangladesh or being a Shareholder Director of a Company.
Every Non-Bangladeshi and Non-Resident Bangladesh Natural Person shall submit the statement only in respect of Assets Located
in Bangladesh.

Name of the Taxpayer: MD. JAHIDUL KABIR TIN 5 8 4 2 7 0 6 1 3 6 9 7

1. Sources of Fund: Amount (Tk.) Amount (Tk)

(a) Total Income Shown in Return (Sl. No. 11 of Statement of Total Income) 4,33,860

(b) Tax Exempted Income (Please see Instruction Page) 1,91,544

(c) Receipt of Gift and Others 0

Total Source of Fund: 6,25,404

2. Net Wealth as on Last Date of Previous Income Year 10,70,000

3. Sum of Source of Fund and Previous Year’s Net Wealth (1 + 2) 16,95,404

4.

(a) Expense relating to Lifestyle (as per IT-10BB) 4,08,400

(b) Gift / Expenses / Loss Not Mentioned in IT-10BB 0

Total Expense and Loss: 4,08,400

5. Net Wealth at the Last Date of this Financial Year (3 – 4) 12,87,004

6. Personal Liabilities Outside Business

(a) Institutional Liabilities 0

(b) Non-Institutional Liabilities 0

(c) Other Liabilities 0

Total Liabilities Outside Business: 0

7. Gross Wealth (5 + 6) 12,87,004

8. Particulars of Assets (if needed attach separate sheet)

(a) Total Asset of Business 0

Less: Business Liabilities (Institutional & Non-Institutional) 0

(b) Director’s Shareholdings in the Companies 0

(c) Business Capital of Partnership Firm 0

(d) Non-Agricultural Property / land / House Property (Acquisition / Cost Value 1,85,000
with Legal Expense / Acquired Price / Building Cost / Investment)
Location and Description of Non-Agricultural Property (use separate sheet if
needed)

(e) Agricultural Property (Acquisition / Cost Value with Legal Expense) 0

Location and Description of Agricultural Property (use separate sheet if needed)

(f) Financial Assets:

(i) Share / Debenture / Bond / Securities / Unit Certificate etc. 0

(ii) Sanchaypatra / Deposit Pension Scheme 0

(iii) Loan Given (Mention Name & NID of Loan Receiver) 0

 (iv) Savings Deposit / Term Deposit 0

(v) Provident Fund or Other Fund (if any) 28,436

(vi) Other Investment 0

Total Financial Assets: 28,436

(g) Motor Vehicle(s) (Cost Value including Registration Expense) 0

(Mention Type and Registration Number of Motor Vehicle)

(h) Ornaments (Mention Quantity) (Gold 30 Bhori) 0

(i) Furniture and Electronic Items 2,20,000

(j) Other Assets (Except Assets Mentioned in Sl. k) 0

(k) Cash in Hand and Fund Outside Business

(i) Bank Balance 28,524

(ii) Cash in Hand 8,25,044

(iii) Others 0

Total Cash in Hand and Fund Outside Business: 8,53,568

Total Assests inside Bangladesh 12,87,004

9. Assets Outside Bangladesh 0

10. Total Assets in Bangladesh and Outside Bangladesh (8 + 9) 12,87,004

Verification

I solemnly declare that to the best of my knowledge and belief the information given in this IT-10B (2023) is correct and complete.

MD. JAHIDUL KABIR

Name & Signature of the Taxpayer
Date: 1/21/2025
System generated document, it requires no signature
 Instructions to fill up the Return Form

Instructions:
(1) This Return of Income shall be Signed and Verified by the Taxpayer or his Authorized Representative as prescribed in the
Income Tax Act, 2023
(2) Enclose where applicable:
(a) Salary statement for salary; Bank statement for interest; Certificate for interest on savings instruments; Rent agreement,
receipts of municipal tax & land revenue, statement of house property loan interest, insurance premium for house property
income; Statement of Professional income as per IT Rule-8; Copy of assessment/income statement & balance sheet for
partnership income; Documents of capital gain; Dividend warrant for dividend income; Statement of other income;
Documents in support of investments in savings certificates, LIP, DPS, Zakat, stock/share etc.
(b) Depreciation Chart claiming depreciation as per the Income Tax Act, 2023;
(c) Computation of Income according to the Income Tax Act, 2023.
(3) Enclose Separate Statement for::
(a) any income of the spouse of the Taxpayer (if she/he is not an Taxpayer), minor children and dependent;
(b) Tax exempted / Tax free Income.
(c) Income Exempted from Tax declared under Part 1 of the Sixth Schedule of the Income Tax Act, 2023.
(4) Documents furnished to support the declaration should be signed by the Taxpayer or his/her authorized representative.
(5) Furnish the following information:
(a) Name, address & TIN of the partners if the Taxpayer is a firm;
(b) Name of firm, address & TIN if the Taxpayer is a partner;
(c) Name of the company, address & TIN if the Taxpayer is a director.
(6) Assets and liabilities of self, spouse (if she/he is not a Taxpayer), minor children and dependant(s) to be shown in the IT-10B
(2023).
(7) Signature is mandatory for all Taxpayer or his / her authorized representative.
(8) For Individual Person, signature is also mandatory in IT-10B (2023) & IT-10BB (2023).
(9) If needed, please use separate sheet.

PARTICULARS OF NON-AGRICULTURAL & AGRICULTURAL PROPERTIES

[Attachment for serial no 8(d) & 8(e) of IT-10B (2023)]

Taxpayer Name: MD. JAHIDUL KABIR Assessment Year: 2024-2025

TIN 5 8 4 2 7 0 6 1 3 6 9 7

Non-agricultural Properties

Non-agricultural property at cost value or any advance Value at the start Increased/ Value at the last
made for such property (description, location and size) of income year decreased during date of income
the income year year

1 BRS-3038,SA-2429. Mouza:Ramnagar Upazilla:Fulbaria 1,85,000 0 1,85,000

Dist:Mymensingh (14 Decimal)
 Source Tax, AIT and Regular Tax Claim
[Attachment for serial no 20, 21, 22, 23 of IT-11GA(2023)]

Taxpayer Name: MD. JAHIDUL KABIR Assessment Year: 2024-2025

TIN 5 8 4 2 7 0 6 1 3 6 9 7 Total Claimed Amount: 5,000

iBAS TDS (Verified)

Office Designation TDS

Head Office, General of Health Services OSD 3,000

Regular Tax (Payment with eReturn)

Payment Transaction Id Challan No Challan Date Challan Challan

Gateway Amount Copy

Sonali Challan 2501210721405058 2425-0023625044 21-01-2025 11:32:15 2,000 Click Here

AM