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This document was exported from Numbers. Each table was converted to an Excel worksheet.

All other
objects on each Numbers sheet were placed on separate worksheets. Please be aware that formula
calculations may differ in Excel.

Numbers Sheet Name Numbers Table Name


Instructions
Table 1
FBP
Table 1
as converted to an Excel worksheet. All other
worksheets. Please be aware that formula

Excel Worksheet Name

Instructions

FBP
Bravoventure India Private Limited

Instructions:

All fields are mandatory and it has to be filled in this excel file only.
i.
Handwritten form shall not be accepted on any circumstances.
ii.
After the form is filed, kindly take the Print and sign the same.
iii.
Share the signed scanned copy via email to your Payroll Team.
iv.
Printed documents is to be handed over to HR of Bravoventure
v.
iv.
The information shared by the employee shall be binding on him for the whole financial
year.
vii. No originals no benefits. - Originals are to be submitted in the month of Jan '20
Viii. Documents employee should start collecting, if opted for any of the FBP, are listed
below :

I Books & periodicals:

Original invoices for purchase of newspaper, books, periodicals, DVD's etc. (which helps in
enhancement of professional knowledge of the employee)

II Leave travel allowances

LTA can be claimed for self, spouse, children, dependent parents and dependent siblings.
Exemptions shall be provided on the following documents:
Medium of travel Acceptable Documents
Air Boarding Pass & Air ticket on his/her name
Rail Tickets on his/her name
Other mode of transport Tickets on his/her name
Eligibility Yearly One Journey (Round trip)
Exemption limit:
For Air Travel:

Economy class air fare of a national carrier by the shortest route shall be acceptable
For travel performed by any mode other than Air:
Rail: AC first class rail fare
Other than rail : First class or deluxe class fare by shortest route of the recognised public
transport

* For above all medium the exemption shall be provided on least of the actual expenses
incurred or permissible amount

3
4
Bravoventure India Private Limited

Flexible Benefit Plan

Name of the Employee : Sanjay Kumar

Employee ID :

Child Education Allowance Food Coupon

Marital Status M Married Do you want to opt for Food


Unmarried Coupon ? NO

If Married, No of Children's ZERO Value of Meal Voucher opted for

Do you want to Opt for Child Yes


Education Allowance? No

Note : ₹ 100 P.M. Per Child (upto 2 Children's)


Leave Travel Assistance (LTA)

Do you want to opt for Leave Travel YES Yes If Yes, LTA amount shall be one month's basic salary
Allowance(LTA) ? No Basic Salary
LTA per month
LTA for the year
Have you claimed LTA earlier ? Yes
NO No BLOCK
Jan '18 - Dec '18 ₹
Jan '19 - Dec '19 ₹
TICK the year and mention the amount Jan '20 - Dec '20 ₹
Jan '21 - Dec '21 ₹

Note : Amount of LTA is one month's basic salary.Max eligibility 2 times in 4 years.
Books & Periodicals

Do you want to opt for Books & Yes Option 1 - ₹ 2000 P.M
Periodicals ? No Option 2 - ₹ 4000 P.M.

Note : Original Invoices for Professional Books, CD's, DVD's, Newspaper & Magazine required.

National Pension Scheme

Yes
Do you want to opt for National Employee Contribution
Pension Scheme ? No amount INR
Maximum 10% allowed
Note: Employer will have a matching contribution
Both employee contribution and employer contribution shall be reduced from your salary

5
Declaration

I, Sanjay Kumar do hereby declare that the above details are true and correct
to the best of my knowledge and belief.

Place : Bangalore
Date : 1/30/2020 Signature of the employee

6
Coupon

Yes
No

1,100.00
2,200.00

one month's basic salary

-
-

50,000.00
50,000.00
100,000.00

your salary

7
s are true and correct

of the employee

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