HR WorkWays.pdf

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All the proofs have to be uploaded using the scan image option using the link "Upload IPSF Proof Images". Any proofs that aredropped in the IPSF drop-box will not be accounted. Please ensure to consolidate all the images of your investment proofs; scanthe duly signed IPSF form & annexures (if any); create a ZIP file & upload.

Oracle Solution Services (India) Pvt. Ltd. IPSF ID : 0017500002

Investment Proofs Submission Form for the Year 2 014-20 15

Employee ID * 1008 Gender * M Date of Joining 24/07/2006

Name * Abhinav Yatendra Jain No. of Children going to School * 1

PAN * AGPPJ2245M No. of Children going to Hostel * 0

Section A - Rent Paid for cl aiming HRA exemption (Only Original Rent Receipts will be considered)

From Date To Date Address Rent Paid Per MonthRent Paid Per

YearPAN of

Landlord

01/04/2014 31/03/2015

F- 304 CEDAR BLOCK,CANOPY APARTMENTS,7 CROSS ,NANJAPPA GARDENS ,KR ISHAN KALYAN NAGAR,BABU SUB PALYA ,BANGALORE -560043,BANGALORE,KARN

ATAKA

20000.00 240000.00 PANNOTAVBL

As Per LastDeclaration Section B - Chapter VI A - Deductions from Total Income Value of Proof Attached.

0 Medical Insurance Premium (U/s 80D) 0.00

0 Medical Insurance Premium (U/s 80D) - Parents not being Senior Citizens 0.00

0 Medical Insurance Premium (U/s 80D) - Parents being Senior Citizens 0.00

0 Medical Treatment/Handicapped Dependent (U/s 80DD) < 80% 0.00

0 Medical Treatment/Handicapped Dependent (U/s 80DD) > 80% 0.00

0 Interes t on Educational Loan (U/s 80E) 0.00

0 Permanent Physical Disability (80U) < 80% 0.00

0 Permanent Physical Disability Severe Disabilitty (80U) > 80% 0.00

0 Medical Treatment for Specific Disease (U/s 80DDB) 0.00

0 Additional Housing Loan Interes t Benefit (U/s 80EE) 0.00

Section C - Chapter VIA - Section 80C0 Contribution to Pension Fund ( 80CCC ) 0.00

30000 Life Insurance Premium (Jeevan Dhara, Jeevan Akshay) etc 108852.00

70000 Public Provident Fund (PPF) 1000.00

0 National Savings Certificate (NSC) 0.00

0 Infrastructure Bonds 0.00

20000 Children Education Tuition fees 6600.00

0 Equity Linked Savings Scheme (ELSS) 0.00

0 Mutual Funds 0.00

0 Unit Linked Insurance Plan 0.00

0 5 Year Deposit under Senior Citizen Saving Scheme 0.00

0 Cumulative Term Deposits 0.000 5 Year Time Deposit in Post Office 0.00

0 Fixed Deposit Scheme (Block Period of 5 yrs) 0.00

0 NSC Interest (Will also be considered as Other Income) 0.00

Section G - Other Income

0 Interest on Deposits in Savings Account (Considered as deduction u/s 80TT A upto Rs.10000) 0.00

Declaration:1. I hereby declare that I have read and understood the guidelines provided in 'Proofs Option Document' and that, all information,documents providedabove is true and correct in all respects.2. I also undertake to indemnify the company for any loss/ liability that may arise, in the event of any incorrect information ,documentsprovided by me.

Date:

Place: Signature of Employee * ________________________________

* Indicates mandatory fields as per our database. Please verify the same and if blank, please fill and submit the form.

WorkWays https://www.hrworkwaysindia.com/EPSF/EPSF_Report_FY_09_10.js...

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Declaration by Landlord in case of PAN not available(Mandatory if the annual rent amount is more than Rs.1,00,000)

I, ___________________________________________________________ (Landlord Name) hereby declare that,

I receive a monthly rent amount of Rs. ______________________ from Mr./ Ms./ Mrs. __________________

_________________________________________________________________ (T enant Name) who is res iding at

the following address: ________________________________________________________________________

_______________________________________________________ (Address of rented house ) from

____________ (mmm-yyyy) to ____________ (mmm-yyyy).

Further, I would like to state that I do not have a Permanent Account Number (PAN) .

(Signature of Landlord)

Date:

Place

Address of Landlord

_____________________________________

_____________________________________

_____________________________________

_____________________________________

Reference: As per the section 10(13A), if annual rent paid by the employee exceeds Rs. 1,00,000 per annum(Rs.8333 p.m), it is mandatory for the employee to report PAN of the landlord to the employer. In case thelandlord does not have a PAN, a declaration to this effect from the landlord along with the name and address of the landlord should be filed by the employee.

Payroll Deduction Particulars Amount

Voluntary Provident Fund 49122.00

Provident Fund 49122.00

Medical Insurance Parents 17871.96

Payroll Deduction - Total 116115.96


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