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Life Insurance Premium

Declaration Proof Cleared Remarks

24824 24824 0

Name of theInsuranceCompany

Policy No.Date ofCommencement(dd/mm/yyyy)

Sum Assu red

Premium Amt Frequency

Number ofInstallment Paidon or after 1st

Apr 13 (Count )

Number ofInstallmentPayable on orbefore 31st Mar 14(Count)

Amo untPaid on orafter 1st Apr13(Amt)

Amou ntPayable onor before31st Mar 14(Amt)

Total Amount FY13-14 (Paid

Amt+ Payable Amt)

Relationship

LIC 554708923 01/04/2013 24824 24824 Quarterly 1 0 24824 0 24824 Self

Public Provident Fund

Declaration Proof Cleared Remarks

76000 76000 0

Bank / Post Office Name Name of the investor Date of Payment (dd/mm/yyyy) Account No Amount Relationship

SBI Gyan Prakash 17/12/2013 32150313650 76000 Self

80E - Education Loan

Declaration Proof Cleared Remarks

173674 173674 0

Name of theBank

Name of theborrower

Loan AccountNo.

Loan Date(dd/mm/yyyy)

Interest Amount Paid on orafter 1st Apr 13

Interest Amount Payable on orbefore 31st Mar 14

Total Amou nt FY 13-14 (Paid Amt+Pay able Am t) Relationship

SBI Gyan Prakash 31833032752 14/07/2011 173674 0 173674 Self

Rent Paid (For HRA Exempt)

Apr il May June July Augu st Septemb er Octob er November December January Februar y March

Declaration 9250 9250 9250 9250 9500 9500 9500 9500 9500 9500 9500 9500

Employee Code 30012202 Name GYAN PRAKASH

Department IT & Systems PAN NO AQLPP4784H Location AHMEDABAD-AIIL

Tax Declaration Pro of FY 13-14

RefNo : 5860

No. of Documents Enclosed

For Allsec internal use

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Proof 9250 9250 9250 9250 9500 9500 9500 9500 9500 9500 9500 9500

Cleared 0 0 0 0 0 0 0 0 0 0 0 0

PAN No PAN No PAN No PAN No PAN No PAN No PAN No PAN No PAN No PAN No PAN No PAN No PAN

I certify that the payments listed above has been made by me out of my income chargeable to Income-tax during the financial year 2013-2014.

I undertake that I will be d epositing those premium / investment / rent payments that are due for payment after the cut-off dates laid out for proof submission and obtain the receipts as per the due dates orby 31st March 2014.

I therefore request you to consider the same for the tax computation purpose for the financial year 2013 2014. I will be held responsible for any consequences of not remitting these payments and anyliabilities arise out of this.

Signature :

Date : 27 Dec 2013

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