Leave Encashment Exemption Form

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Leave Encashment Exemption Form

Form for claiming Leave Encashment tax relief under section 89(1) by the year ending
31st March 2024

* Employee Name : Parthiban S


* Employee ID : 03207
* Permanent Account Number : DNOPP1382J
* Date of Birth : 24-06-1994
* Date of Joining : 25-04-2022

A. Furnish the detail, if Leave Encashment Exemption has been availed from previous
employer.

1. Name of Previous Employer 1: NA

Leave Encashment Received other than Omnicom :


Rs. Tax Exemption on Leave Encashment :
Rs. Tenure :

2. Name of Previous Employer 2: NA

Leave Encashment Received other than Omnicom :


Rs. Tax Exemption on Leave Encashment :
Rs. Tenure :

B. I have not taken Leave Encashment exemption from my previous employer as if now
during my Service tenure.

I do declare that, is stated above is true to the best of my knowledge and belief.

Place : Chennai
Date : 10/10/2023 Signature of the employee

Note : It is an offence to make a false declaration for the purpose of obtaining a


Tax exemption.

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