SELF-DECLARATION FOR EXISTING INVESTMENT & RENT PAYMENTS

Insurance Premium, Other Investments & Rent due after 1st January, 2020

To,
The Payroll Department
Accenture Solutions Private Limited

Employee Name Subham Paul

Employee SAP ID
1 1 2 4 6 2 1 1
(8 Digit – Numeric)

Employee PAN
B Y Z P P 3 5 3 9 B
10 Character – Alpha Numeric)

I hereby confirm that the following investment(s) / payment(s) are due after the cut- off dates laid out by
you for proof submission; therefore I request you to consider the same for the tax computation purpose
for the financial year 2019-2020. I undertake that I will be making the payment(s) and obtain the valid
receipts by 2nd March 2020 to submit to the company by 5th March 2020.

January 20 February 20 March 20

Rent payable Rs.8000 Rs.8000 Rs.8000

I hereby declare that the above mentioned information is true. I will be solely and wholly responsible to
handle any queries from any competent official and / or to submit all relevant documents to Income Tax /
Competent Authorities as and when I am asked for the same. Moreover, I am fully aware that if the
above investments / payments are made after 31st March, 2020, the same will be disqualified for tax
benefit; this means I have paid short taxes to the Government which may lead to query from Income Tax
Authorities and I will be responsible to handle such queries.

Signature of the employee

Place: Kolkata

Date: 30.12.2019

*Encl: For all investments, please attach the relevant receipt of previous (2018-19) financial year / premium notice to prove that the policy is in force.
Exemption will be provided only in case of the premium receipt provided for the previous year and not otherwise.