FORM 12BB
ANNEXURE III
Application for LTA Exemption U/S 10(6) of the Income Tax Act, 1961
Employee Number 2548373
Employee Name Yugandhar M
Department Name MSS-Z series
Work Location Bangalore
Date of Commencement of Travel 10/12/2024
Date of Completion of Travel 15/12/2024
Place Visited Vijayawada
No. of persons travelled 3
Class & Mode of Travel AC & Bus
Details: From to
Leave Details Bengaluru Tirupati
Tirupati Vijayawada
Vijayawada Tirupati
Relationship with Ticket Price
Traveler's Name Ticket No. Remarks
the Employee (Rs.)
Yugandhar M Self A9UR2TKG 3675 Bengaluru to Tirupati
Lakshmaiah M Father A9UR2TKG 3675 Bengaluru to Tirupati
Padma M Mother A9UR2TKG 3675 Bengaluru to Tirupati
Yugandhar M Self 79XT34NT 3675 Tirupati to Vijayawada
Lakshmaiah Father 8844BX5J 5250 Tirupati to Vijayawada
Padma M Mother 8844BX5J 5250 Tirupati to Vijayawada
Vijayawada to
Yugandhar M Self TT3X19148300 5249
Bengaluru
Vijayawada to
Lakshmaiah M Father TT3X19148300 5249
Bengaluru
Vijayawada to
Padma M Mother TT3X19148300 5249
Bengaluru
Total 40947
Declaration:
Certified that the above expenses have been incurred by me for self /and dependents.
I declare the details/bills submitted towards LTA are correct, genuine and it is within the allowed limit of two trip in a block of
4 years (Jan 2022 to Dec 2025). I am personally responsible for any consequences arising out of the same which would attract
provisions relating to statutory non-compliance under the Income Tax Act.
Confidential
Verification of Investment Proofs (F Y 2024-25)
M Yugandhar
06/01/2025
Confidential
Verification of Investment Proofs (F Y 2024-25)
