Tata AIG Insurance Company Ltd.

5th 6th Floor, Peninsula Towers,

Peninsula Corporate Park,
Ganpatrao Kadam Marg, Lower Parel
PAYSLIP FOR THE MONTH OF NOV 2009
Emp Code 3941355 Emp Name SHARMA AMIT
Department AGENCY SALES Cost Center IMPACT TEAM PF No.
Location JAIPUR Designation SALES MANAGER ESI No.
Date of Birth 27-02-1980 Bank A/c No 0247000101394710 Pan No. PANNOTAVBL
Date of Joining 01-11-2008 Gender M EPS No.

Earnings Amount YTD Deductions Amount YTD

BASIC SALARY 8536.00 8536.00 PROVIDENT FUND 1024.00 1024.00
HOUSE RENT ALLOWANCE 4268.00 4268.00 INCOME TAX 460.00 460.00
MEDICAL RE IMBURSEMENT 1532.00 1532.00
CONVEYANCE 1200.00 1200.00
COMMUNICATION ALLOWANCE 1235.00 1235.00
Statutory Bonus 1758.00 1758.00
SUPPLEMENTARY ALLOWANCE 11445.00 11445.00

Total Earnings 29,974.00 24,713.00 Total Deductions 1,484.00 1,484.00

Net Pay Rs. 28,490.00

In Words Rupees Twenty Eight Thousand Four Hundred And Ninety Only.

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15/07/2009