Date:

TO: EXL, Human Resource Department

CERTIFICATION

This is to certify that I, Mr./Ms. _________________________, of legal age, ________(civil status), with postal
address at _________________________________ and presently employed with EXL Service Philippines, Inc.,
as ______________ (position), with TIN ________________ certify that I was not able to submit my Certificate of
Income Tax on Compensation (BIR Form No. 2316) from my previous employer due to the following reason/s:

Please check reason/s:

______ No previous employer for 2022 (prior to employment in EXL Service Philippines, Inc)

______Certificate of Income Tax Withheld on Compensation (BIR Form No. 2316) was not available from my
previous employer.

I further certify that whatever taxes due from me as a result of my failure to submit the above documents to EXL
Service Philippines, Inc. will be borne by me and I will pay directly to the Bureau of Internal Revenue (BIR) upon
filing of my Income Tax Return (ITR) for the year 2022.

Upon signing of this certification, I also acknowledge that my tax exemption code, for payroll purposes, shall remain
as Zero (Z) Exemption, unless the following have been complied with as required by the Company pursuant to
BIR Rulings, to change my tax code exemption:

 Sec 2.80 of RR2-98 – Failure to file Application for Registration (BIR Form 1902) or Certificate of
Update of Exemption and of Employer’s and Employee’s Information (BIR Form 2305)
a. Where an employee, in violation of these regulations, either fails or refuses to file the BIR Form 1902
together with the required attachments, the employer shall withhold the taxes prescribed under the
Schedule of Zero Exemption of the Revised Withholding Tax Table.
b. In case of failure to file the BIR Form 2305 together with the attachments, the employer shall withhold
the taxes based on the reported personal exemptions existing prior to change of status and without
reflecting any change.
 Submission of approved BIR Forms as proof of approved BIR Forms as proof of tax exemption.
Sept.

Signed this _____ day of ____, 2022.

Conforme:

Printed Name and Signature