Sr. No.

Pay & Allowances

Rate

Period
From

1
2

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17A
17B
18

Pay
Arrear
Grade Pay Incl.Arrear

Personal Pay/Special pay/BOE

Hardship Allowance
Cash Medical Allowance
Project Allowance
Rent Free Concession
Honarium
Production Bonus
Shift Duty Allowance
D.A
Children Education Allowance
LTC
Electricity Allowance
Other Component
Total (A)
Accomodation on Govt
Add Interest concession on Loans
Any Other Income inc
i Employers contribution towards CPF
ii Other Income (To be specified)

22
23
24
25

Add:Actual House Rent Allowance received from the

Coporation during the above period
Less: Deduction being least of the following
i Actual HRA received during the period
ii 40% of the Salary(Pay+GP+DA)
iii HRA paid in excess of 10% of Salary
Total (Income chargable under the head Salary
Any Other Income
i Income from Bank Interest/Accrued interest on NSC
ii income from house property
iii loss from house property
Gross Total Income
Deduction Under section 80C:
Amount Deposited in GPF/NPS
Amonut Deposited in Mutual Fund

26
27
28
29

Life Insurance Premium

GIS
NSC
Tution Fee of Children

19

20
21

To

Rs.
To be filled by the
Employee
198640
0
64800

0
2636
500
2636
0
0
13507
9600
231932
0
0
5498
525
530274
0
0

49095

579369
0

579369
0

25249

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

45
46
47
48
49
50
51
52

Amount Deposited in PPF

Repayment of Principle of House loan
CTD Deposit In 10 Years
Term deposited for period of 5 years
Any other deduction
Deduction Under section 80CCC:
Total Deduction
Deduction under 80CCD(2)
Deductuon under section 80CCG
Deduction under section 80-D
Deduction u/s 80-DD
Deduction u/s 80-G
Total Deduction
Total Income
Tax on Total income
Upto 2,00,000
2,00,001 to 5,00,000
5,00,001 to 10,00,000
Net Tax Payable
less: Rebate upto Rs. 2000/- if taxable income is upto
5lacs
Balance Tax
Add: Education Cess @2%
Add:Higher Education @1%
Total Tax Payable
Less: Tax Deducted at Source
Balance Tax to be Recovered

100000
0

0
100000
479369
0
30000
6555
36555

36555
731
366
37652
33857
3795

Rs.
To be filled by the
Employee
198640
0
64800

0
2636
500
2636
0
0
13507
9600
231932
0
0
5498
525
530274
0
0

49095

232100
17948
70800
266792
587640
235056
58764

248842
17950
266792
5016
1234
6250
7500 PM
48883
4940
4940
58763

25090
2600
2600

30290
-1609
28681

579369
0

579369
0

25249

18569
4948
4948
28465

2075
18675

100000
0

0
100000
479369
0
30000
6555
36555

36555
731
366
37652
33857
3795

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Version
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