INVESTMENT MADE / DEDUCTION CLAIMED BY BOB PENSIONER FOR AVAILING INCOME TAX REBATE

Name of BOB Pensioner : ___________________________________________ PAN : __________________

EC No. : ______________ PPO No. : ___________________ FY : 2018-19 (AY : 2019-20)

Address :_______________________________________________________________________

Mobile No. :___________________ Pension SB A/C No.: ______________________________

Amount of
deduction
claimed
(A) DEDUCTION UNDER CHAPTER -VIA
Us 80D Medical Insurance (Max Limit Rs. 25000/-)
Us 80D Med. Insurance for Sr. citizen (Max Limit Rs.30000/-)
NPS Under Section 80CCD
Rajiv Gandhi Equity Saving Scheme
U/S 80DD maintenance of Handicap Dependent (Severe Disability Rs.75,000/- , Other Rs.
50,000/- ,Proof per sec 10-A recd )
U/S 80DDB Medical Treatment on Specified Disease (Max Limit =>SUP Sr. citizen Rs.80000/-)
U/S 80DDB Medical Treatment on Specified Disease (Max Limit =>Other Rs.40000/-)
U/S 80DDB Medical Treatment on Specified Disease (Max Limit =>Sr. Citizen Rs.60000/-)
U/S 80E higher education( Interest on Education Loan served Only)
U/S 80U Self Handicap (Severe Disability 1,25,000/-, Other 75,000/-),Proof per sec 10-A recd b)
Donation Under 100 % Scheme
Donation Under 50 % Scheme

(B) INVESTMENT UNDER SEC-80C Amount of

Investment
made
Children Education Tuition Fee
Sukanya Samridhi
Public Provident Fund (P.P.F.)
Mutual Fund approved under the Act
National Savings Scheme (N.S.S.)
National Saving Certificate (N.S.C.)
FD under Tax Savings scheme with scheduled bank ( =>5 years)
NSC Interest Reinvested
Housing Loan Principal repaid
Investment in any approved Pension scheme
Life Insurance premium paid (prem. < than 20% of policy.amt.)
ULIP Investment approved for Tax rebate
Other Deduction under 80-C (pl specify)
Total (investment u/s 80C) 0
Encl : Proof of Investment & Certificate as applicable

Date : Signature of Pensioner

_____________________________ For use of Branch / Office_____________________________

Entered by : Name :_________________________ Sign _______________________ Date______

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