Vedanta Aluminium Limited

Jharsuguda, Orissa
CLAIM FOR LEAVE TRAVEL CONCESSION FOR THE YEAR 2011

NAME

HUZEFA HUSSAIN 210474 02/11/1998

DESIGNATION: AGM BASIC DOC : 57,450/: 01/05/2000

EMP NO : DOJ :

PLACE VISITED

JAMNAGAR, AHEMADABAD & MUMBAI

I HEREBY CERTIRY THAT I WAS ON LEAVE FROM TO VISIT JAMNAGAR, AHEMADABAD & MUMBAI MAY BE REIMBURSED RS. 57,450 (RUPEES

29/08/2011

TO

08/09/2011

WITH MY FAMILY.HENCE I Fifty Seven Thousand and four fifty )

AS PER THE LEAVE TRAVEL CONCESSION RULES OF THE COMPANY.

DATE: CERTIFICATION OF THE HRD DEPARTMENT YES HE HAS AVAILED PL FROM

SIGNATURE OF THE EMPLOYEE

TO

HRD DEPARTMENT FOR ACCOUNTS DEPARTMENT USE APPROVING AUTHORITY

CHECKED BY

GENERAL MANAGER(F&A)

DECLARATION UNDER RULE 2-B OF THE INCOME TAX RULES ,1962 1. Name of the Employee Huzefa Hussain

2.

Name of the family members whose travelling Expenses are claimed indicating the relationship With the employee (if parent, brother or sisters, it Should be declared whether they are solely or mainly Dependent on the employee) Whether this is first or second journey during the Block period and whether it is carried over from the Last back. i) ii) Place to which journey undertaken (Destination) Period of leave from 29/08/11

Fatima Hussain Zahra Hussain

3.

4.

Jamnagar to 08/09/11 29.08.2011 30.08.2011 07.09.2011 08.09.2011

5.

Date of departure from Head Quarter Date of arrival at destination Date of commencement of return journey Date of return to Head Quarter

6. 7. 8.

Route taken (if it is not shortest route) Distance of actual route of the shortest route Whichever is lesser. Actual mode of travel by Air/Rail/Bus/Car/ Ship if more than one mode is used state Separately the mode and distance. Amount of reimbursement eligible and other Companies rule. Actual expenses incurred by the employee On travel alone during the above journey to And fro. Amount eligible for exemption with reference To the permitted mode of travel by the shortest Route indicating such distance and the rate Adapted limited to actual expenses. 4200 km Car

9. 10.

57,450/58,800/-

11.

57,450/-

It is certified that the information furnished above are true and correct that the amount claimed by way of exemption under Section 10(V) has been actually spent as expenses on travel fares Signature of the employee