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House Rent Allowance (HRA) DECLARATION (FY 2022-

2023)
Self Declaration by Employee
(All the fields below are mandatory)
Employee Number: 001OUN744
Employee Name: Karthik P V
Are you the owner of the rented property: (YES / NO): NO
Annual Rent Paid: 252000.00
Mode of Rent Payment Cash
Cheque
Online Transfer

Address of Rented Property1 51, 3rd Cross Street, Moorthy Nagar, Chettiyar Agaram,
Chennai- 600077
Name of Landlord C Saravanan
Contact No of Landlord 9840446439

Landlord address for communication (present address) :

21, Anna Salai, Gandhi Nagar, Porur, Chennai-600116


PAN (Permanent Account Number) of Landlord: CCJPS1816H

(Signature of Employee)

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