Details of Investment Declaration for the Month of April 2017

Employee Details
Employee Code BLR2117 Name VADIVEL M
PAN No AJAPV5405F Date of Joining 28/11/2013

Information for HRA Exemption

Month Landlord Name Landlord PAN Address City Amount Declared
Apr-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
May-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Jun-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Jul-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Aug-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Sep-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Oct-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Nov-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Dec-17 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Jan-18 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Feb-18 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya
Mar-18 GEETHA H N0:42,10th Main,14th Others 8000.00
Cross,Maruthi
Nagar,Malleshpalaya

Housing Loan/House Property/Other Income Amount Declared

House Property Income/(Loss) - Let Out Property (Sec 24(b)) 0.00
Interest on Housing Loan-Self Occupied Property (Sec 24(b)) 0.00
Other Income (Bank Interest, etc.) 0.00

Previous Employment Income Amount Declared

Income received from previous employer salary 0.00
Professional Tax recovered by previous employer 0.00
Provident Fund contributed with Previous employer 0.00
Tax paid outside salary / Tax recovered by previous employer 0.00

Other Permitted Exemptions (Section 80D to 80U) Amount Declared

Medical Insurance Premium (Sec 80D) 0.00
Medical Insurance Premium for parents (sec 80D) 0.00
Medical Insurance Premium paid for senior Citizen (Parents) 0.00
Medical for Handicapped Dependents (Sec 80DD) 0.00
Medical for Handicapped Dependents (severe disability) (Sec 80 DD) 0.00
Medical for Specified Diseases (Sec 80DDB) 0.00
Medical for Specified Diseases for Senior Citizen (Sec 80DDB) 0.00
Interest Paid on Higher Education Loan (Sec 80E) 0.00
Deduction for Permanent Disability (Sec 80U) 0.00
Interest on House Property - Additional Exemption 0.00
Total Deductibles 0.00

Tax Saving Investments Under Section 80C Amount Declared

Employees Provident Fund (Auto populated through payroll) 0.00
Voluntary Provident Fund (Auto populated through payroll) 0.00
Deduction under Life Insurance Pension Scheme (Sec 80CCC) 0.00
Public Provident Fund 0.00
Children Education Expenses 0.00
National Savings Certificate (NSC) 50000.00
Insurance Premium 50000.00
Housing Loan Principal Repayment 0.00
Others - Post Office Savings Schemes , Tax Saver Term Deposit - 5 years 50000.00
Sukanya Samriddhi Scheme 0.00
Accrued NSC Interest 0.00
Mutual Funds / ULIP 0.00
Central Govt equity savings scheme(80CCG) 0.00
Employee's contribution towards NPS 0.00
Total Investments U/s 80C & 80CCC limited up to Rs.1.5 Lakhs + Rs.50000 for additional NPS + Rs.25000
150000.00
for 80CCG

Verification
I do hereby declare that the information provided above is true and correct to the best of my knowledge and belief and also undertake
to indemnify the company for any loss / liability that may arise in the event of the above information being incorrect..
Date :
Place : Employee Signature(Mandatory)