Name of Assessee PREM NARAYAN BAJPAI

Father's Name
Address
Status Individual Assessment Year 2021-2022
Ward Year Ended 31.3.2021
PAN AHBPB7248K Date of Birth
Residential Status Resident Sex Male
Mobile:

Computation of Total Income [As per Normal Provisions]

Income from Salary (Chapter IV A) 4746736

YMCA UNIVERSITY OF SCIENCE AND TECHNOLOGY

FARIDABA
Employer Status: PSU.
FARIDABAD HARYANA-121005
Salary 2385877
Dearness Allowance 617810
OTHER ALLOWANCE 12000
NPS 300372
House Rent Allowance 283508
Arrear Salary 1197169
4796736
Less: Standard Deduction u/s 16(ia) 50000
4746736

Gross Total Income 4746736

Less: Deductions (Chapter VI-A)

u/s 80C
L.I.P. 33194
P.P.F. 5000
PLI 54120
Total 92314
u/s 80CCD(1) (employee Cont. Rs. 126704/-) 126704
Total 219018
150000
u/s 80CCD(2) (employer Cont. Rs. 126704/-) 126704
u/s 80D (payment Rs. 25000/-) 25000
301704
Total Income 4445032
Round off u/s 288 A 4445030
Deduction u/s 10AA,35AD, 80H to 80RRB (except sec.80P) not claimed hence AMT not applicable.

Tax 1146009
Due
NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

Healt 45840
h&
Educa
tion
Cess
(HEC)
@
4.00%
1191849
Relief u/s 89(1) 29507
1162342
T.D.S. 731000
431342
Tax Payable 431340

T.D.S./ T.C.S. From

Salary(as per Annexure) 731000
FORM NO. 10E
[See rule 21AA]
Form for furnishing particulars of income under section 192(2A) for the year ending 31st March, 2021
for claiming relief under section 89(1) by a Government servant or an employee in a [company, co-
operative society, local authority, university, institution, association or body]

1. Name and address of the employee PREM NARAYAN BAJPAI

2. Perm AHBPB7248K
anent
Accou
nt
Numb
er
3. Resid Resident
ential
status

Particulars of income referred to in rule 21A of the Income-tax Rules,1962

during the previous year relevant to assessment year 2021-2022

1. (a) Salary received in arrears or in advance in accordance with the provisions Rs. 1197169
of sub-rule (2) of rule 21A

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NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

(b) Paym Rs. NIL

ent in
the
nature
of
gratuit
y in
respe
ct of
past
servic
es,
exten
ding
over a
period
of not
less
than 5
years
in
accor
dance
with
the
provis
ions
of
sub-
rule
(3) of
rule
21A

Page 3
NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

(c) Paym Rs. NIL

ent in
the
nature
of
comp
ensati
on
from
the
emplo
yer or
forme
r
emplo
yer at
or in
conne
ction
with
termin
ation
of
emplo
yment
after
contin
uous
servic
e of
not
less
than 3
years
or
where
the
unexp
ired
portio
n of
term
of
emplo
yment
is also
not
less
than 3
years
in
accor
dance Page 4
NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

(d) Paym Rs. NIL

ent in
comm
utatio
n of
pensi
on in
accor
dance
with
the
provis
ions
of
sub-
rule
(5) of
rule
21A
2. Detailed particulars of payments referred to above may be given in Annexure I, II, As enclosed
IIA, III or IV, as the case may be

Signature of the employee

VERIFICATION
I, PREM NARAYAN BAJPAI ,do hereby declare that what is stated above is true to the best of my knowledge
and belief.
Verified today, the 17 day of June ,2021
Place : FARIDABAD
Date : 17/06/2021 Signature of the employee
ANNEXURE I
ARREARS OR ADVANCE SALARY
[See item 2 of Form No.10E]

1. Total income (excluding salary received in arrears or advance) Rs. 3247863

2. Salary Rs. 1197169
receiv
ed in
arrear
s or
advan
ce

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NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

3. Total Rs. 4445032

incom
e (as
increa
sed
by
salary
receiv
ed in
arrear
s or
advan
ce)
4. Tax Rs. 1191849
on
total
incom
e (as
per
item
3)
5. Tax Rs. 818332
on
total
incom
e (as
per
item
1)
6. Tax Rs. 373517
on
salary
receiv
ed in
arrear
s or
advan
ce
(Differ
ence
of
item 4
and 5)

Page 6
NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

7. Tax Rs. 344010

comp
uted
in
accor
dance
with
Table
"A"
[Brou
ght
from
colum
n 7 of
table
"A"]
8. Relief Rs. 29507
under
sectio
n
89(1)
[Indic
ate
the
differe
nce
betwe
en the
amou
nts
menti
oned
again
st
items
6 and
7]

TABLE "A"
[See item 7 of Annexure I]
Previous Total Salary Total Income (as Tax on total Tax on total Difference in
year(s) income of received in increased by salary income [as per income [as per tax [Amount
the arrears or received in arrears column (2)] column(4)] under
relevant advance or advance) of the column (6)
previous relating to the relevant previous minus
year relevant year mentioned in amount
previous year column (1) [Add under
as mentioned column (2) and (3)] column (5)]
in column (1)
(Rs.) (Rs.) (Rs.) (Rs.) (Rs.) (Rs.)
1 2 3 4 5 6 7
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NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

2019-2020 999540 774843 1774383 116904 358608 241704

2018- 87044 16598 10364 90052 12836 38312
2019 0 2 22 4
2017- 95890 14970 11086 10740 14943 42026
2018 0 6 06 8 4
2016-2017 800070 106638 906708 87564 109532 21968

A.Y. 2020-2021 (F.Y. 2019-2020)

A.Tax on total Income as per Column No. 2
Total Income : 999540
Tax 112408
on
Total
Incom
e:
Surcharge/Edu.Cess 4496
Tax 116904
Payab
le :
B.Tax on Total Income as per Column No. 4
Total Income : 999540
Add 774843
Arrear
:
1774383
Tax on above 344815
344815
Surcharge/Edu. Cess 13793
Tax 358608
A.Y. 2019-2020 (F.Y. 2018-2019)
A.Tax on total Income as per Column No. 2
Total Income : 870440
Tax 86588
on
Total
Incom
e:
Surcharge/Edu.Cess 3464
Tax 90052
Payab
le :
B.Tax on Total Income as per Column No. 4
Total Income : 870440
Add 165982
Arrear
:
1036422
Tax on above 123427
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NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

123427
Surcharge/Edu. Cess 4937
Tax 128364
A.Y. 2018-2019 (F.Y. 2017-2018)
A.Tax on total Income as per Column No. 2
Total Income : 958900
Tax 104280
on
Total
Incom
e:
Surcharge/Edu.Cess 3128
Tax 107408
Payab
le :
B.Tax on Total Income as per Column No. 4
Total Income : 958900
Add 149706
Arrear
:
1108606
Tax on above 145082
145082
Surcharge/Edu. Cess 4352
Tax 149434
A.Y. 2017-2018 (F.Y. 2016-2017)
A.Tax on total Income as per Column No. 2
Total Income : 800070
Tax 85014
on
Total
Incom
e:
Surcharge/Edu.Cess 2550
Tax 87564
Payab
le :
B.Tax on Total Income as per Column No. 4
Total Income : 800070
Add 106638
Arrear
:
906708
Tax on above 106342
106342
Surcharge/Edu. Cess 3190
Tax 109532

Page 9
NAME OF ASSESSEE : PREM NARAYAN BAJPAI A.Y. 2021-2022 PAN : AHBPB7248K

YMCA UNIVERSITY OF SCIENCE AND TECHNOLOGY FARIDABA

Taxable Value of House Rent Allowance
Particulars Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Total
Rent Paid 23000 23000 23000 23000 23000 23000 23000 23000 23000 23000 23000 23000 276000
Less: 10% of Salary 25031 25031 25031 25031 25031 25031 25031 25031 25031 25031 25031 25031 300369
EXCESS 0 0 0 0 0 0 0 0 0 0 0 0 0
40%/50%of Salary 100123 100123 100123 100123 100123 100123 100123 100123 100123 100123 100123 100123 1201476
HRA 23626 23626 23626 23626 23626 23626 23626 23626 23626 23626 23626 23626 283508
HRA Exempted 0 0 0 0 0 0 0 0 0 0 0 0 0
HRA Taxable 23626 23626 23626 23626 23626 23626 23626 23626 23626 23626 23626 23626 283508

Note: Salary
Salary 198823 198823 198823 198823 198823 198823 198823 198823 198823 198823 198823 198823 2385877
DA 51484 51484 51484 51484 51484 51484 51484 51484 51484 51484 51484 51484 617810
Total 250307 250307 250307 250307 250307 250307 250307 250307 250307 250307 250307 250307 3003687

Signature
(PREM NARAYAN BAJPAI)
CompuTax : 102996 [PREM NARAYAN BAJPAI]

Page 10