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LTA MEDICAL REIMBURSEMENT FORMS
LTA MEDICAL REIMBURSEMENT FORMS
LTA MEDICAL REIMBURSEMENT FORMS
The original medical bills are attached herewith. Medical reimbursement will be taxable if the
prescribed proof of purchase is not attached
Approved By:
For HR:
Date:
For Finance:
Date:
EMAMI LIMITED
18 9 2017
Department
Finance & Accounts
Name: HARDIK SHAH Empl. Code: 90003932
Designation EXECUTIVE Location HO
This is to confirm that I have spent a sum of Rs.25,100 (Rupees Twenty one thousand five hundred only) which is
eligible for LTA.
From
Date of travel 14th August 2017 To 17th August 2017
Approved By:
For HR:
Date:
For Finance:
Date:
Notes:
1. LTA can be claimed exempt from income-tax only in respect of two journeys performed in a block of four calendar years. The
current block of four years is 2014 - 2017
2. The travel cost eligible for exemption should be for the shortest route to any place in India.