Declaration Form

Name of the Employee EMARSON ANAND JAYASEELAN

Emp. ID. / Ref. No. 87
PAN AIDPA7007L
Financial Year 2018-2019

Investment Details(Other than Salary Details)

Sl.No. Descriptions Amount Note: Avoid Cut and Paste

1 80C Details (Not deducted in salary) 0.00
2 80G Details (Not deducted in salary) 0.00
3 80D (Not deducted in salary) 0.00 0.00 0.00
4 How you want your HRA to be Calculated ? Yearly
5 Have you availed Interest Free Loan from 0.00
Company? If yes, then how much amount to
be considered for Perquisites Calculation?
6 House Property Details No
House Letout /Self occupied Self occupied
Loan borrowed after 31/3/1999 ? Yes
Address
Interest amount 0.00 0.00
Gross annual value 0.00
Muncipal tax paid 0.00
Enter Housing loan repayment in 80C Details
NSC Details

Description Apr May June July

1 Staying in Metro No No No No
2 Number of school Going Children 0 0 0 0
3 Number of Children Staying in Hostel 0 0 0 0
4 Details of Monthly House Rent Paid 0 0 0 0
 Taxable Income 391520.00
Tax on Income 7076.00
Surcharge & Cess 283.00
Total Tax 7359.00
TDS deducted 0.00
Balance/Refund 7359.00

Note: Avoid Cut and Paste options in any of the work Sheets
80CCC 80CCD(1) 80DD 80E
0.00 0.00 0.00 0.00
80CCG 80CCD(1B) 80CCD(2)
0.00 0.00 0.00

Aug Sep Oct Nov Dec Jan Feb Mar

No No No No No No No No
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
80 C Details
Sl.No. Sub section Amount Remarks
1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
11 0.00
12 0.00
13 0.00
14 0.00
15 0.00
16 0.00
17 0.00
18 0.00
19 0.00
20 0.00
80 G Details
Sl.No. Sub section Amount
1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
11 0.00
12 0.00
13 0.00
14 0.00
15 0.00
16 0.00
17 0.00
18 0.00
19 0.00
20 0.00
NSC Details
Interest Adjustment Amount
1 to 5 year 0.00
6 th year 0.00
Expenditure 0.00

Sl.No. Certificate No Date Face Value

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
ue
 Details of deductions under section 80C,80D,80G in salary.

80C Details
Sl.No. Sub Section Amount Remark
1 13-statutory provident fund 23040.00
Optional Fields
Non Editable

Note 1: Avoid Cut options in any of the work Sheets

Note 2: To Enter Date Enter in DD/MMM/YYYY

format (2/Jan/2008) Do no Cut or copy and Paste

Note 3: While Pasting data from other excel File,

use only Paste Special / Values Option

Note 4: Before any operation on excel file make

sure
you are not in Excel Edit mode

Note 5: Avoid using enter character ( Alt + Enter)

in any cell