Tamil Nadu National Law University, Trichy

Income Tax Survey

Statement of Informed Consent

(Translate to Local Language, if necessary)

I, __________________(participant’s name), understand that I am being asked to

participate in a survey/questionnaire activity that forms part of _________________
(student’s name) required coursework in the above-noted Direct Taxation course in
Tamil Nadu National Law University, Trichy. I understand that my participation in this
project is completely voluntary and that I am free to decline to participate, without
consequence, at any time prior to or at any point during the activity. I understand that
any information I provide will be kept confidential, used only for the purposes of
completing this assignment, and will not be used in any way that can identify me.

Phone Number (for verification purpose only):

1. Gender:

2. City:

3. Occupation:

4. Do you have a PAN card? Yes/No

5. How much Income do you earn (Approx):

6. Do you pay income tax? Yes/No

7. If 6 is Yes, How much income tax did you pay?

8. If 6 is Yes, Do you use a CA/Agent to file your tax returns? Yes/No

9. If 6 is No, Why did you not pay income tax?

10. Are you happy in the way that government uses your tax revenues? Yes/No