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Flexi Benefit Declaration Form 
(Note that the declaration made hereby can’t be changed until the end of current Financial Year. Do go through 
the Flexi-benefit guidelines and contact HR in case you need any clarifications.) 
 
 
 
 
Employee Name (in Full): ____Manik Singla__Email ID: _manik.singla@matchmove.com 
 
 
Department: _____Product Designation: __Associate Director Product 
 
 
 
 
Please select the Flexible Benefit component, as appropriate: 
 
1. Telephone & Internet Reimbursement Yes  
 
2. Car Running and Maintenance 
 
a. Fuel No 
 
b. Driver’s Salary No 
 
3. Meal Coupon Yes  
 
4. Books & Periodicals Yes 
 
 
 
 
 
Employee’s Signature:  

 
 
Date:13th Aug 2019 
 
 

 
 

 
 
 
 
 
 
 

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