FORM NO. 43
[See rule 97]
Appeal against refusal to approve or withdrawal of approval
from a superannuation fund
To
The Secretary,
Central Board of Direct Taxes,
New Delhi
The petition of ..........................…………. employer(s) carrying on business or profession
.............................. at ..............................
Your petitioner(s) applied to (obtained sanction from) the Chief Commissioner or Commissioner of
Income-tax under rule 4(1)/[2(1)] of Part B of the Fourth Schedule to the Income-tax Act, 1961, for
approval of the superannuation fund maintained by him (them). The Chief Commissioner or Commis-
sioner  of Income-tax has refused approval (withdrawn approval) for the reasons stated in his order dated
........................................ of which a copy is attached.
For the reasons set out below your petitioner(s) submit(s) that the fund should he (continued to be)
approved and pray(s) that the Central Board of Direct Taxes may be pleased to direct   the Chief Commis-
 .
sioner or Commissioner of Income-tax to  accord recognition
continue the recognition
GROUNDS OF APPEAL
1.
2.
3.
etc.
We/I, ……………….................................... the petitioner(s) named in the above petition, do declare
that what is stated therein is true to the best of our/my information and belief.
Date ..........................
 ………………………………
Signature
Address of the appellant
Notes:
1. Delete the inappropriate words or letters.
2. The appeal should be accompanied by a fee of rupees one hundred. It is suggested that the fee should
be credited in a branch of the authorised bank or a branch of the State Bank of India or a branch of
the Reserve Bank of India after obtaining a challan from the Assessing Officer  and  the  triplicate
challan  sent to the  Board with the appeal.  The Board will not  accept cheques,  drafts,  hundies  or
other negotiable instruments.