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LTA Declaration Form Period ended 31.Dec.2013

LTA Declaration Form Period ended 31.Dec.2013

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Published by Paymaster Services
LTA Declaration Form Period ended 31.Dec.2013
LTA Declaration Form Period ended 31.Dec.2013

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Published by: Paymaster Services on Dec 21, 2009
Copyright:Attribution Non-commercial

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02/19/2013

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LEAVE TRAVEL ASSISTANCE DECLARATION FORM

:
To The Payroll Department

Employee's Payroll Code (As shown on the Payslip)

Dear Sir,

I,

hereby declare the following with respect to

Leave Travel Assistance claimed by me during the block January 1, 2010 to December 31, 2013.

Period

LTA claimed on Taxable Basis (If Yes then mention amount and the date of travel)

LTA claimed on Non-Taxable Basis (If Yes then mention amount and the date of travel) Yes / No Date Rs. Yes / No Date Rs. Yes / No Date Rs. Yes / No Date Rs.

January 1, 2010 to December 31, 2010

Yes / No Date Rs.

January 1, 2011 to December 31, 2011

Yes / No Date Rs.

January 1, 2012 to December 31, 2012

Yes / No Date Rs.

January 1, 2013 to December 31, 2013

Yes / No Date Rs.

I certify that the above information is true and correct. Yours faithfully,

Signature of Employee

Cyrus Paymaster

Digitally signed by Cyrus Paymaster DN: cn=Cyrus Paymaster, o=Paymaster services, ou, email=callcyrus@gmail.com, c=IN Date: 2009.12.21 15:11:48 +05'30'

LTA Declaration LTA Declaration 21/12/2009

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