Annual Information Statement (AIS)

Financial Year 2022-23

Assessment Year 2023-24

Part A - General Information

Permanent Account Number (PAN) Aadhaar Number Name of Assessee

FIZPP9804F XXXX XXXX 6469 ASHIK ETHITHARAYIL PILAKKAL

Date of Birth Mobile Number E-mail Address

11/07/1997 - -

Address
ITHITHARAYIL PILAKKAL, VELIANCODE, GRAMAM, PONNANI, MALAPPURAM,679579,KERALA

-------------------------------------------------------------------- Annual Information Statement (Part B) --------------------------------------------------------------------

(All amount values are in INR)

Part B1-Information relating to tax deducted or collected at source

Dividend

SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 TDS-194 Dividend received (Section 194) NATIONAL ALUMINIUM COMPANY LTD. (BBNN00046E) 1 3,750
SR. NO. QUARTER DATE OF PAYMENT/CREDIT AMOUNT PAID/CREDITED TDS DEDUCTED TDS DEPOSITED STATUS
1 Q4(Jan-Mar) 24/03/2023 3,750 750 750 Active

Interest from deposit

SR. NO. INFORMATION INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUN

CODE T
1 TDS-194A Interest other than "Interest on Securities" received ESAF SMALL FINANCE BANK LIMITED 1 22,407
(Section 194A) (CHNE02409B)
SR. NO. QUARTER DATE OF PAYMENT/CREDIT AMOUNT PAID/CREDITED TDS DEDUCTED TDS DEPOSITED STATUS
1 Q4(Jan-Mar) 31/03/2023 22,407 0 0 Active

Outward foreign remittance/purchase of foreign currency

SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 TCS-206CQ Remittance under LRS (u/s 206C(1G(a))) ICICI BANK LIMITED (MUMI15731C) 6 38,210
SR. NO. QUARTER DATE OF RECEIPT/ DEBIT AMOUNT RECEIVED/DEBITED TAX COLLECTED TCS DEPOSITED STATUS
1 Q4(Jan-Mar) 25/03/2023 1,638 0 0 Active
2 Q4(Jan-Mar) 13/03/2023 1,631 0 0 Active
3 Q1(Apr-Jun) 29/06/2022 11,183 0 0 Active
4 Q1(Apr-Jun) 25/06/2022 11,112 0 0 Active
5 Q1(Apr-Jun) 24/06/2022 778 0 0 Active
6 Q1(Apr-Jun) 13/04/2022 11,868 0 0 Active

Note - If there is variation between the TDS/TCS information as displayed in Form26AS on TRACES portal, and the TDS/TCS information as displayed in AIS on
Compliance Portal, the taxpayer may rely on the information displayed on TRACES portal for the purpose of filing of tax return and for other tax compliance purposes.

Part B2-Information relating to specified financial transaction (SFT)

Dividend

SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT

Download ID : FIZPP9804F202307301050 IP Address : 64.252.99.129

Generation Date : 30/07/2023, 10:50:24 Page 1 of 5

 PAN Name Assessment Year
FIZPP9804F ASHIK ETHITHARAYIL PILAKKAL 2023-24

SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 SFT-015 Dividend income (SFT-015) INDIAN OIL CORPORATION LTD. (AAACI1681G.AZ904) 1 1,284
SR. NO. REPORTED ON DIVIDEND AMOUNT STATUS
1 26/05/2023 1,284 Active
SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 SFT-015 Dividend income (SFT-015) WIPRO LIMITED (AAACW0387R.AZ639) 1 80
SR. NO. REPORTED ON DIVIDEND AMOUNT STATUS
1 11/05/2023 80 Active

Interest from savings bank

SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 SFT-016(SB) Interest income (SFT-016) – Savings ICICI BANK LIMITED (AAACI1195H.AB286) 1 12,756
SR. NO. REPORTED ON ACCOUNT NUMBER ACCOUNT TYPE INTEREST AMOUNT STATUS
1 15/06/2023 116701502713 Saving 12,756 Active
SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 SFT-016(SB) Interest income (SFT-016) – Savings AXIS BANK LIMITED (AAACU2414K.AB903) 1 1,888
SR. NO. REPORTED ON ACCOUNT NUMBER ACCOUNT TYPE INTEREST AMOUNT STATUS
1 28/05/2023 919010080958176 Saving 1,888 Active
SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 SFT-016(SB) Interest income (SFT-016) – Savings ESAF SMALL FINANCE BANK LIMITED (AAECE2619Q.AB407) 1 698
SR. NO. REPORTED ON ACCOUNT NUMBER ACCOUNT TYPE INTEREST AMOUNT STATUS
1 23/05/2023 53220002135079 Saving 698 Active

Interest from deposit

SR. NO. INFORMATION INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT

CODE
1 SFT-016(TD) Interest income (SFT-016) – Term ESAF SMALL FINANCE BANK LIMITED 1 22,407
Deposit (AAECE2619Q.AB407)
SR. NO. REPORTED ON ACCOUNT NUMBER ACCOUNT TYPE INTEREST AMOUNT STATUS
1 23/05/2023 10220001155973 Time Deposit 22,407 Active
SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
1 SFT-016(TD) Interest income (SFT-016) – Term Deposit ICICI BANK LIMITED (AAACI1195H.AB286) 1 3,112
SR. NO. REPORTED ON ACCOUNT NUMBER ACCOUNT TYPE INTEREST AMOUNT STATUS
1 15/06/2023 116725000446 Time Deposit 3,112 Active

Sale of securities and units of mutual fund

SR. NO. INFORMATION INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT

CODE
1 SFT-17-LES(M) Sale of listed equity share CENTRAL DEPOSITORY SERVICES(I) LIMITED 8 4,15,660.00
(Depository) (AAACC6233AMUMC09975A)
SR. DATE OF SECURITY SECURITY DEBIT CREDIT ASSET QUANTITY SALE SALES COST OF UNIT FMV
NO. SALE/ NAME CLASS TYPE TYPE TYPE PRICE PER CONSIDER ACQUISITIO
TRANSFER (SECURITY UNIT ATION N
CODE)
1 14/03/202 WIPRO Listed Equity Market Market Short term 150.00 379.40 56,910.00 60,360.00 304.65
3 EQUITY Share
SHARES -
NEW EQUITY

Download ID : FIZPP9804F202307301050 IP Address : 64.252.99.129

Generation Date : 30/07/2023, 10:50:24 Page 2 of 5

 PAN Name Assessment Year
FIZPP9804F ASHIK ETHITHARAYIL PILAKKAL 2023-24

SR. DATE OF SECURITY SECURITY DEBIT CREDIT ASSET QUANTITY SALE SALES COST OF UNIT FMV
NO. SALE/ NAME CLASS TYPE TYPE TYPE PRICE PER CONSIDER ACQUISITIO
TRANSFER (SECURITY UNIT ATION N
CODE)
SHARES OF
RS. 2/- AFTER
SPLIT(INE07
5A01022)
2 14/03/202 WIPRO Listed Equity Market Market Short term 80.00 379.40 30,352.00 35,216.00 304.65
3 EQUITY Share
SHARES -
NEW EQUITY
SHARES OF
RS. 2/- AFTER
SPLIT(INE07
5A01022)
3 02/08/202 YES BANK Listed Equity Market Market Short term 3,216.00 17.14 55,122.24 40,039.20 0
2 LIMITED#NEW Share
EQUITY
SHARES OF
FV RS. 2/-
(INE528G010
35)
4 02/08/202 BHARAT Listed Equity Market Market Short term 2,000.00 54.50 1,09,000.00 1,06,700.00 100.25
2 HEAVY Share
ELECTRICALS
LIMITED -
NEW EQUITY
SHARES OF
RS.2/- AFTER
SUB-
DIVISION(IN
E257A01026)
5 22/07/202 HINDUSTAN Listed Equity Market Market Short term 1,078.00 95.75 1,03,218.50 1,00,307.90 85.05
2 COPPER Share
LIMITED
EQUITY
SHARES OF
RS. 5/- AFTER
CAPITAL
REDUCTION(I
NE531E01026
)
6 22/07/202 MUTHOOT Listed Equity Market Market Short term 83.00 187.10 15,529.30 14,226.20 749.95
2 CAPITAL Share
SERVICES
LIMITED-
EQUITY
SHARES(INE2
96G01013)
7 22/07/202 BHARAT Listed Equity Market Market Short term 129.00 266.80 34,417.20 29,973.15 169.40
2 ELECTRONICS Share
LIMITED#EQ
SH WITH
FACE VALUE
RE. 1/- AFTER
SUB
DIVISION(IN
E263A01024)
8 22/07/202 ITC LIMITED - Listed Equity Market Market Short term 37.00 300.30 11,111.10 9,749.50 271.25
2 EQUITY Share
SHARES OF
RE.1/- AFTER
SPLIT(INE15

Download ID : FIZPP9804F202307301050 IP Address : 64.252.99.129

Generation Date : 30/07/2023, 10:50:24 Page 3 of 5

 PAN Name Assessment Year
FIZPP9804F ASHIK ETHITHARAYIL PILAKKAL 2023-24

SR. DATE OF SECURITY SECURITY DEBIT CREDIT ASSET QUANTITY SALE SALES COST OF UNIT FMV
NO. SALE/ NAME CLASS TYPE TYPE TYPE PRICE PER CONSIDER ACQUISITIO
TRANSFER (SECURITY UNIT ATION N
CODE)
4A01025)

Purchase of securities and units of mutual funds

SR. NO. INFORMATION INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT

CODE
1 SFT-17(Pur) Purchase of securities (SFT - CENTRAL DEPOSITORY SERVICES(I) LIMITED 2 1,67,420
017) (AAACC6233AMUMC09975A)
SR. NO. CLIENT ID HOLDER FLAG MARKET PURCHASE MARKET SALES STATUS
1 96399280 First 59,820 87,262 Active
2 96399280 First 1,07,600 3,28,398 Active
SR. NO. INFORMATION INFORMATION INFORMATION SOURCE COUNT AMOUNT
CODE DESCRIPTION
1 SFT-18(Pur) Purchase of mutual funds Computer Age Management Services Limited - ICICI Prudential Mutual 10 77,996
(SFT - 018) Fund(P) (AAACC3035G.AZ670)
SR. NO. CLIENT ID AMC NAME (CODE) HOLDER FLAG TOTAL PURCHASE AMOUNT TOTAL SALES VALUE STATUS
1 23779538 ICICI Prudential Mutual Fund(P) First 14,999 0 Active
2 19197018 ICICI Prudential Mutual Fund(P) First 9,000 0 Active
3 14808348 ICICI Prudential Mutual Fund(P) First 3,000 0 Active
4 23779538 ICICI Prudential Mutual Fund(P) First 14,999 0 Active
5 19197018 ICICI Prudential Mutual Fund(P) First 9,000 0 Active
6 14808348 ICICI Prudential Mutual Fund(P) First 3,000 0 Active
7 19197018 ICICI Prudential Mutual Fund(P) First 9,000 0 Active
8 14808348 ICICI Prudential Mutual Fund(P) First 3,000 0 Active
9 19197018 ICICI Prudential Mutual Fund(P) First 9,000 0 Active
10 14808348 ICICI Prudential Mutual Fund(P) First 3,000 0 Active
SR. NO. INFORMATION INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
CODE
1 SFT-18(Pur) Purchase of mutual funds (SFT - KFin Technologies Pvt. Ltd - AXIS MUTUAL FUND(128) 6 53,997
018) (AAGCK6303B)
SR. NO. CLIENT ID AMC NAME (CODE) HOLDER FLAG TOTAL PURCHASE AMOUNT TOTAL SALES VALUE STATUS
1 910161025821 AXIS MUTUAL FUND(128) First 14,999 0 Active
2 91092677366 AXIS MUTUAL FUND(128) First 6,000 0 Active
3 910161025821 AXIS MUTUAL FUND(128) First 14,999 0 Active
4 91092677366 AXIS MUTUAL FUND(128) First 6,000 0 Active
5 91092677366 AXIS MUTUAL FUND(128) First 6,000 0 Active
6 91092677366 AXIS MUTUAL FUND(128) First 6,000 0 Active
SR. NO. INFORMATION INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
CODE
1 SFT-18(Pur) Purchase of mutual funds (SFT Computer Age Management Services Limited - SBI Mutual Fund(L) 4 11,999
- 018) (AAACC3035G.AZ670)
SR. NO. CLIENT ID AMC NAME (CODE) HOLDER FLAG TOTAL PURCHASE AMOUNT TOTAL SALES VALUE STATUS
1 23696448 SBI Mutual Fund(L) First 3,000 0 Active
2 23696448 SBI Mutual Fund(L) First 3,000 0 Active
3 23696448 SBI Mutual Fund(L) First 3,000 0 Active

Download ID : FIZPP9804F202307301050 IP Address : 64.252.99.129

Generation Date : 30/07/2023, 10:50:24 Page 4 of 5

 PAN Name Assessment Year
FIZPP9804F ASHIK ETHITHARAYIL PILAKKAL 2023-24

SR. NO. CLIENT ID AMC NAME (CODE) HOLDER FLAG TOTAL PURCHASE AMOUNT TOTAL SALES VALUE STATUS
4 23696448 SBI Mutual Fund(L) First 3,000 0 Active

Part B7-Any other information in relation to sub-rule (2) of rule 114-I

SR. NO. INFORMATION CODE INFORMATION DESCRIPTION INFORMATION SOURCE COUNT AMOUNT
No Transactions Present

Part B3-Information relating to payment of taxes

SR. NO. ASSESS MAJOR MINOR TAX (A) SURCHAR EDUCATI OTHERS TOTAL (A BSR DATE OF CHALLA CHALLAN
MENT HEAD HEAD GE (B) ON (D) +B+C+D) CODE DEPOSIT N IDENTIFICA
YEAR CESS (C) SERIAL TION
NUMBE NUMBER
R
No Transactions Present

Note - If there is variation between the details of tax paid as displayed in Form26AS on TRACES portal and the information relating to tax payment as displayed in AIS
on Compliance Portal, the taxpayer may rely on the information displayed on TRACES portal for the purpose of filing of tax return and for other tax compliance
purposes.

Part B4-Information relating to demand and refund

Refund

SR. NO. ASSESSMENT YEAR MODE NATURE OF REFUND REFUND AMOUNT DATE OF PAYMENT
No Transactions Present

Download ID : FIZPP9804F202307301050 IP Address : 64.252.99.129

Generation Date : 30/07/2023, 10:50:24 Page 5 of 5