Umesh
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POS INDIA STEEL PROCESSING CENTRE PVT.LTD. Employee Proof Submission Form for F.Y.2008-2009 Please read the Form carefully before filling. THE LAST DAY OF SUBMITTING PROPOSED INVESTMENT FOR 2008-2009 IS 15TH Oct 2008 Employee ID POSCOGender Male Employee Name
Umesh T
PAN
No. of children going to school with the age
Date of Joining
1/7/2008
NA
No. of children staying in Hostel with the age None Rental address for HRA
Current Residential Address A.Rent paid details for claiming HRA exemption - Original Rent Receipt to be attached Period From 01.04.2008 1-Apr-08
To 31.03.2009 31-Mar-09
City
15120 48000 25000 12000
Approved Amount (To be filled by Accounts Dept.)
Value of proff Attached
Approved Amount (To be filled by Office)
Pune
As per Last Declaration B. VI A Deductions from Total (photo copy) Nil Nil Nil Nil Nil Nil Nil
Rent paid per month
1. Medical Insurance Premium (U/S 80 D) 2. Medical Insurance Premium (U/S 80 D)For senior Citizen 3. Medical Treatment/Handicapped Dependent (U/S 80DD) <80% 4. Medical Treatment/Handicapped Dependent (U/S 80DD) >80% 5. Interest On Education Loan (U/S 80E) 6.Permenent Physical Disability (80 U) 7.Permanent Physical Disability Servere Disability (80 U) C. Chapter VI A- Section 80 C Photo Copy of :8.Contribution to pension Fund (80 CCC) 9.EPF 10.Public Provident Fund (PPF) 11.LIC policy for Self 12.LIC policy for Mother 13.Tution fees for Children Education. 14. Mutual Funds / Equity Linked Saving Scheme (ELSS) 15.Unitl Linked Insurance Plan (ULIP) 16.Cumulative Term Deposits /Post Office Saving Scheme -5 Years 17.Housing Loan Principle amount 18.NSC Interest D. House Property- (Photo Copy) Address of the Property against which Loan taken
Residential Status- Self Occupied / Letout (please mention) →
Rental
Total Amount of interest paid (Before construction /After Construction) during the financial year(April 08 To Mar 09) E.Previous Employer Details -Form 16 or Signed Tax Computation sheet from the previous employer along with Form 12B is mandatory (Photo Copy) N/A
F. Other Income (If any)
100120
0
Declaration 1.For claiming LTA exemption, please provide bills to the Accounts Department. 2.I hereby declare I have read and understood the guidelines provided in "Proof Option Document" and that all information given above is correct and true in all respects. 3. I also undertake to indemnify the company for any loss /liability that may arise in the event of the above information being incorrect.
Date :- 09 Dect 2008. Place :- Pune
Signature of Employee -------------------------------------------
Please fill the column marked in colour.
Umesh T
PAN
No. of children going to school with the age
Date of Joining
1/7/2008
NA
No. of children staying in Hostel with the age None Rental address for HRA
Current Residential Address A.Rent paid details for claiming HRA exemption - Original Rent Receipt to be attached Period From 01.04.2008 1-Apr-08
To 31.03.2009 31-Mar-09
City
15120 48000 25000 12000
Approved Amount (To be filled by Accounts Dept.)
Value of proff Attached
Approved Amount (To be filled by Office)
Pune
As per Last Declaration B. VI A Deductions from Total (photo copy) Nil Nil Nil Nil Nil Nil Nil
Rent paid per month
1. Medical Insurance Premium (U/S 80 D) 2. Medical Insurance Premium (U/S 80 D)For senior Citizen 3. Medical Treatment/Handicapped Dependent (U/S 80DD) <80% 4. Medical Treatment/Handicapped Dependent (U/S 80DD) >80% 5. Interest On Education Loan (U/S 80E) 6.Permenent Physical Disability (80 U) 7.Permanent Physical Disability Servere Disability (80 U) C. Chapter VI A- Section 80 C Photo Copy of :8.Contribution to pension Fund (80 CCC) 9.EPF 10.Public Provident Fund (PPF) 11.LIC policy for Self 12.LIC policy for Mother 13.Tution fees for Children Education. 14. Mutual Funds / Equity Linked Saving Scheme (ELSS) 15.Unitl Linked Insurance Plan (ULIP) 16.Cumulative Term Deposits /Post Office Saving Scheme -5 Years 17.Housing Loan Principle amount 18.NSC Interest D. House Property- (Photo Copy) Address of the Property against which Loan taken
Residential Status- Self Occupied / Letout (please mention) →
Rental
Total Amount of interest paid (Before construction /After Construction) during the financial year(April 08 To Mar 09) E.Previous Employer Details -Form 16 or Signed Tax Computation sheet from the previous employer along with Form 12B is mandatory (Photo Copy) N/A
F. Other Income (If any)
100120
0
Declaration 1.For claiming LTA exemption, please provide bills to the Accounts Department. 2.I hereby declare I have read and understood the guidelines provided in "Proof Option Document" and that all information given above is correct and true in all respects. 3. I also undertake to indemnify the company for any loss /liability that may arise in the event of the above information being incorrect.
Date :- 09 Dect 2008. Place :- Pune
Signature of Employee -------------------------------------------
Please fill the column marked in colour.
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