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FORM NO.65

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 FORM NO.65 

[See rule 11P] 

 

 Application for exercising/renewing option for the tonnage tax scheme under sub- section 

(1) of section 115VP or sub - section (1) of section 115VR of the Income-tax Act, 1961. 

 

To, 

The Joint Commissioner, 

………………………… 

 

Sir,  

 

I, on behalf of                      , hereby apply for *exercising /renewing the option for the tonnage tax 

   [Nam e  of  t he  c om pany ]  

scheme in accordance with the provisions of *sub-section (1) of section 115VP or sub-section (1) 

of section 115VR of the Income-tax Act, 1961 with effect from the assessment year………..    

 

2.  A statement of particulars for the purpose of *exercising /renewing the option is 

enclosed as per Annexure to this Form. 

 

 Verification ** 

 

I, ………………………………(full name in block letters), do hereby declare that what is 

stated in this application and the Annexure hereto is true to the best of my information 

and belief. I further confirm that: 

 

 (1)            is an Indian company within the meaning of clause  

                   [Name of the company] 

(26) of section 2 of the Income-tax Act, 1961. 

 

(2)The place of effective management of the company within the meaning of section 

115VC of the Income-tax Act, 1961 is in India. 

 

(3) The company owns …… qualifying ship(s). 

 

(4) The main object of the company is operation of ships.  Copy of Memorandum of 

Association of the company is enclosed.  

 

2.  I further declare that I am making this application in my capacity as ……………… 

and I am also competent to make this application and verify it.  

 

 

 ……………………………… 

Name and Signature 

Place: ……….. 

 

Date : ……… 

 

Note: 

 



1.  This application should be filed with the Joint Commissioner of Income-tax 

having jurisdiction over the applicant company.  

2.  All the columns in the application must be filled in. Part A and Part B (if 

applicable) of  the Annexure must be filled in, failing which the application 

shall be treated as incomplete.  

3.  * Strike out whichever is not applicable. 

4.  ** Before signing the verification every person should satisfy himself that the 

application, the accompanying statements and documents are, to the best of 

his knowledge and belief, correct and complete in all respects. Any person 

making any false statement shall be liable to be prosecuted under section 

277 of the Income-tax Act, 1961. 

5.  The application shall be signed and verified on behalf of the company by the 

managing director of the company, or where for any unavoidable reason such 

managing director is not able to sign and verify this Form, or where there is 

no managing director, by any director: 

Provided that: 

(a)  where the  company is being wound up, whether under the orders of a 

court or otherwise, or where any person has been appointed as the 

receiver of any assets of the company, the statement shall be signed and 

verified by the liquidator referred to in sub-section (1) of section 178 of the 

Income-tax Act; 

(b)  where the management of the company has been taken over by the 

Central Government or any State Government under any law, the 

statement of the company shall be signed and verified by the principal 

officer thereof. 

 

 ANNEXURE 

Statement of particulars to be furnished for *exercising/renewing option for tonnage tax scheme  

 

 PART - A 

1.  Name of the company in full (in block letters)   

  

2.  Permanent Account Number 

  

3.  Address of the Registered Office 

  

4.  Address (es) of branch office (es) 

  

5.  Date of incorporation (enclose a copy of the certificate 

of incorporation) 

 

  

6.  Date on which the company became a qualifying 

company [to be given only in case of a company 

which becomes a qualifying company after the initial 

period] (enclose evidence in s upport of the claim) 

7.  Details of ships owned or chartered by the company 

(i)  Owned ships 

 



Sl.No.  Name of the 

 Net 

tonnage 

 Flag  Type of ship  Whether qualifying 

ship 

or not  

(1)  (2)  (3)  (4)  (5)  (6) 

           

 

(ii)  Ships chartered in on bareboat charter-cum -demise terms 

 

Sl.

No. 

 Name of the 

ship 

 Net 

tonnage 

 Flag   Type of 

 Date of 

commencement of 

charter 

 Period of 

charter  

 Reference     

No. of 

DG(Shipping) 

approval 

 Whether 

qualifying 

or not 

ship 

(1)  (2)  (3)  (4)   (5)  (6)  (7)   (8)  (9) 

                 

(iii)   Ships charte red in on bareboat charter terms for more than three years 

 

Sl.

No. 

 Name of the 

ship 

 Net 

tonnage 

 Flag   Type of 

 Date of 

commencement of 

charter 

 Period of 

charter  

 Reference     

No. of 

DG(Shipping) 

approval 

 Whether 

qualifying 

or not 

ship 

(1)  (2)  (3)  (4)   (5)  (6)  (7)   (8)  (9) 

                 

 

 

(iv) Ships chartered in on bareboat charter terms for less than three years  

 

Sl.

No. 

 Name of the 

ship 

 Net 

tonnage 

 Flag   Type of 

 Date of 

commencement of 

charter 

 Period of 

charter  

 Reference     

No. of 

DG(Shipping) 

approval 

 Whether 

qualifying 

or not 

ship 

(1)  (2)  (3)  (4)   (5)  (6)  (7)   (8)  (9) 

                 

 

 

(v)  Ships chartered out on bareboat charter-cum-demise terms 

 

Sl.No.   Name of ship  Net tonnage  Date of commencement 

 Period of 

charter   

 Whether 

of charter 

qualifying 

or not 

(1)  (2)  (3)  (4)  (5)  (6) 

       

    

 

 

(vi)  Ships chartered out on bareboat charter terms for more than three years 

 

Sl.No.  Name of 

 Net tonnage  Date of 

 Whether 

qualifying 

or not 

 Period of 

charter   

ship 

commencement of 

charter 

(1)  (2)  (3)  (4)  (5)  (6) 

       

    

 

 












































































































(vii)  Ships c hartered out on bareboat charter terms for less than three years 

 

Sl.No.  Name of 

 Net tonnage  Date of 

 Whether 

qualifying 

or not 

 Period of 

charter   

ship 

commencement of 

charter 

(1)  (2)  (3)  (4)  (5)  (6) 

       

    

 

 

 

 

 

(viii)  Other ships chartered in [other tha n those referred to at (ii), (iii) and (iv) above] 

 

Sl.

No. 

 Name of the 

ship 

 Net 

tonnage 

 Flag   Type of 

 Date of 

commencement of 

charter 

 Period of 

charter  

 Reference     

No. of 

DG(Shipping) 

approval 

 Whether 

qualifying 

or not 

ship 

(1)  (2)  (3)  (4)   (5)  (6)  (7)   (8)  (9) 

                 

  

8. Name(s) and address(es) of directors of the 

applicant company 

 

PART-B 

(Statement of particulars to be furnished only in case of renewing of option for tonnage tax scheme)   

  

1.  Date(s) of exercising earlier option(s) alongwith date(s ) of 

order approving the option [enclose a copy of the order(s)].  

  

2.  Details regarding earlier options: 

(i)  Whether the company ceased to be a  qualifying 

company at any time during earlier option(s) 

(ii )  Whether any default was made in complying with 

the provisions of section 115VT or section 115VU 

or section 115VV (if yes, give details) 

(iii)   Whether the company was excluded from the 

scheme under section 115VZC (if yes, give 

details) 

(iv )  Whether the company voluntarily opted out of the 

tonnage tax scheme (if yes, give de tails) 

(v)  Whether there was an amalgamation of the 

company with a company, which was a qualifying 

company on 1st  October, 2004 and had not 

exercised the option within the initial period. 

Place :     

  

Date :     

  

                                                                                                                    **Signed 



Note:  

1.  * Strike out whichever is not applicable. 

2.  ** This Annexure has to be signed by the person competent to sign the application. 

3.  “Initial period” means the period after the 30th  day of September, 2004 but before the 1s t day 

of January, 2005. 

4.  Part-A is to be filled up both in case of exercising the option and while renewing the option. 

However, Part-B is to be filled up only in cases where an application is being filed for 

renewing the option. 

5.  In respect of each of the ships, details of which are being given in item 7, a copy of the 

following certificates, as may be relevant, in case of each qualifying ship should be 

enclosed: 

 

 (i)  Certificate of registration under the Merchant Shipping Act, 1958 and certificate 

under Merchant Shipping (Tonnage Measurement of Ship) Rules, 1987 made under 

the Merchant Shipping Act, 1958; 

(ii )  Certificate of registration under the Merchant Shipping Act, 1958 and international 

tonnage certificate issued under the provisions of the Convention on Tonnage 

Measurement of Ships, 1969 as specified in the Merchant Shipping (Tonnage 

Measurement of Ship) Rules, 1987 made under the Merchant Shipping Act, 1958; 

(iii)    Permission obtained from the Director-General of Shipping to charter in a ship in    

case of ships registered outside India. 

 

  


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