For IPSF A – Claiming HRA Benefit

DECLARATION FOR ALLOWING HOUSE RENT ALLOWANCE UNDER SECTION 10 FOR

THE PURPOSE OF DEDUCTION OF TAX AT SOURCE FROM SALARIES UNDER SECTION
192 OF THE INCOME TAX ACT, 1961.

NAME OF EMPLOYEE : Nishant Duggal

EMPLOYEE NUMBER : 900113

DESIGNATION : Senior Executive

In connection with the deduction of tax at source from my salaries for the Assessment Year 2023-2024
(Financial Year 2022-2023), I hereby declare that: -

1. I am residing in rented premises and paying a rent amount of Rs. 23,000 Per month for the

premises located at Flat No, 603. Shriram Summit, Electronic City Phase-1 Bengaluru,

Karnataka -560100 to

Mrs. MG ANA SELVI residing at :

5, Kailash Sector, 1st Street, Thiruvottiyur, Chennai, 600019

for the period…April-2023 to March-2024 .

PAN NUMBER OF LANDLORD - NJNPS5577P

Note = PAN of Landlord is mandatory, if rent paid exceeds Rs. 100,000 p.a. Or Rs. 8333/-
p.m.

2. I have furnished rent receipt/s for the month/s of : April-2023 to March-2024

3. I hereby declare and confirm that the above particulars are true and correct and that I have wholly
understood the implications of any misstatement in the declaration.

Place: Bangalore

Date: 01-Oct-2023 Signature of the Employee