INVESTMENT & INCOME DECLARATION FORM

FOR THE FINANCIAL YEAR 2018 - 2019 (A.Y. 2018 - 2019)

SECTION-I
PERSONAL INFORMATION
NAME OF THE EMPLOYEE : Ganeshmurthy
ADDRESS: Flat No.8, Bldg No7/C, Dr Baliga Nagar, Jasmine Mill Road, Mahim East, Mumbai - 400017

EMPLOYEE CODE
LOCATION: Mumbai
PAN NO. (MANDATORY)
DATE OF JOINING (REQUIRED ONLY IF JOINED ON OR AFTER 1ST APRIL 201_ )
CONTACT NO. 9869743881
E-MAIL ID: ganeshmurthyps @gmail.com

SECTION-II
INVESTMENT PROFILE

Amount
Sr No. Description (in Rs.)
1 SECTION 80C (Overall limit Rs. 1,50,000/- collectively U/s 80C, 80CCC & 80CCD(1))
LIC Premium 3000/-
Child Education Fees - Tuition Fees for full time education to Indian School, University 23,040/-
Exemption U/s 10
1) No. of School going children 3

DECLARATION

I Ganeshmurthy,do hereby declare that the aforesaid information is true and correct to the best of my information and
belief.

(Signature of Employee)
Place
Date