Allowance / Reimbursement Declaration Form

Employee Name: Kunal Singh Emp ID: 72049

Business Title: Analyst Department: Oil Operations
E-mail ID: Kunal.singh@trafigura.com PAN No.: DRGPS1787C
To be filled in by
Flexi Allowance
Employee Payroll Instructions
Components
(Amounts in INR)
Maximum limit of -
- where car Engine <1.6 cc is INR 32,400/- per annum
32,400
- where car Engine >1.6 cc is INR 39,600/- per annum
Car Reimbursement Note –

1. Employees can also claim Driver Allowance INR 900

included in the amounts mentioned above

Maximum limit of INR 40,000/- per annum

1. Employees can submit mobile bills (both prepaid /
postpaid) which clearly outlines the name of the
Telephone employee and the mobile number.
40,000
Reimbursement 2. Internet Bills can also be claimed for the internet
services provided over landline or through dongle
for official purposes.
Leave Travel Allowance
50,000 Maximum limit of INR 150,000/- per annum
(LTA)
Total Amount Allocated 122,400 Compute (Car + Telephone + LTA)

Declaration by the Employee:

I hereby confirm and request the organization to use the above Allowance / Reimbursement Declaration Form for the
purpose of processing my salary. I understand and confirm that any tax liability arising out of the above declaration
will be borne by me.

Name: Kunal Singh Date: 05-April-2022

Note: To enroll for Car Reimbursement, submit a scan copy of your car registration certificate along with this form