DECLARATION

This is certify That, I’m________________________.working as _______________________________

At _____________________School______________________Complex.___________________________
Mandal. Below Showing Bills Are Submitted By My D.D.0 To Treasury. But Bills pending in E-KUBER
And Not Credited In My Bank Account. So I’m Not lncert Below Showing Bills In my Income Tax Returns
2D22-23 FY.
And I must show Below Showing Bills in my I.T Returns in Next Financial year (2023-24)

D.A ARREARS INSTALLMENTS

S.NO Installment No TOKEN NUMBER DATE NET AMOUNT

1
2
3

PRC ARREARS INSTALLMCNTS

S.NO Installment No TOKEN NUMBER DATE NET AMOUNT

1
2
3

5
6
7
8
ANY OTHER BILLS(SURRENDER)

SIGNATURE OF EMPLOYEE
EMOLPOYEE ID:-
CELL: