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  • Flexi Declaration

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    Harish Vijayakumar
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    This document is a flexi benefits declaration form for an employee for the period of April 2019 to March 2020. It allows the employee to select various benefits to avail from including a food card up to Rs. 6600 per year, a gift card up to Rs. 4000 per year, and an academic or research allowance. The employee must declare the above information as correct and submit the completed form to elumalai.arumugam@adp.com.

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    Flexi_Declaration

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    This document is a flexi benefits declaration form for an employee for the period of April 2019 to March 2020. It allows the employee to select various benefits to avail from including a food card up to Rs. 6600 per year, a gift card up to Rs. 4000 per year, and an academic or research allowance. The employee must declare the above information as correct and submit the completed form to elumalai.arumugam@adp.com.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    20 views1 page

    Flexi Declaration

    Uploaded by

    Harish Vijayakumar
    This document is a flexi benefits declaration form for an employee for the period of April 2019 to March 2020. It allows the employee to select various benefits to avail from including a food card up to Rs. 6600 per year, a gift card up to Rs. 4000 per year, and an academic or research allowance. The employee must declare the above information as correct and submit the completed form to elumalai.arumugam@adp.com.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FLEXI BENEFITS - DECLARATION FORM

    April 2019 to March 2020

    Employee ID :

    Employee Name :

    I wish to avail following flexi benefits forming part of my fixed base salary for the period Apr'19 to Mar'20

    Amount
    (Update only
    Maximum Per month
    Sl.No Benefit amount amount) Remarks
    1 Food Card Rs.6600 (PA) Restricted to Rs.550/- per month
    2 Gift Card Rs.4000 (PA) Restricted to Rs.333 per month
    Academic or Research Allowance granted for encouraging the academic,
    3 Allowance research and other professional pursuits.

    I declare the above information is correct.

    Date:

    Please send this file to elumalai.arumugam@adp.com

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