FORM NO.1288 (seer 250) o__yOGO4O [Nave and address ofthe omployee: Ba = The baw, Shoe ceo tat suthules shucks pou gaurgetbul ‘Permanent Account Number ofthe amployea: BITRE fa.Financia year is 2050) Datale of alms and evidence thereof isTRo. ‘Nature of claim Parculars Evidence ow a a ow 7 ause Rent Aowanes 6) Rent pai othe andor (pr month) @ Nene ofthe tance (wi Adaress ote andor (iw) Permanent Account Number of he landers {Compulsory fr payment of rent over and above fas..300 pm) B20 KI 48,400 + [2 Lone vavelcorcosora or aaaatance (WT be lconsidered only on production of rain hickevaieticket wth boarding pass and as per [provisions ofthe Income tax Act) [5 [Deduction of iereaton Housing Loan () Interest payabletpald toto lender (Ra) (@) Nam of te lender (Acresso he lender (iv) Permanent Account Numb ofthe ander (a) Financial institutions (Mandatory) () Empioyeriavaitatie) {€) Other (Mandatory) [Dacucton under Cmapier Vi (A) Secton 80¢,60CC¢ and 80cco () Seeton aoc (@) LC Promie (©) Puoke Prowgant Fund (©) Tuition Foes (On receipts wil be scceptad- Gortcates wil not be considered) (9) Tatton Foss2 (ay roooipts wi be accosted- Contieates wal nt be consdored) (@) Housing Loan Princip! 0 ® (@ Section socee (@) Section 80¢cD - NPS. (B) Other sectone under Chapter VLA (0 Medictaim premium Promium for sl, spouse & chiaren are wae Prom pac for parents (i) Itorest on Education Loan ro) o “ 32a00 Cse\}) VANGO Colvtfure) 20,000 20, 000 312,000 Variation [Raton sondenghtr of Satta. omplee and coment do by ay tal the information given above) Face Thennea ose Jofoulzsq Team bead, Designation Ful ane RAGC ELIRAR RACTA rene. YodOWGO