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Employee womber 14 LEGO RENT RECEIPT (ll details are mandatory) [RADEsH Buanos Hatz nee) per month | Yee . Received from (Employee Name) | Rent (excluding main i KY ic Ta Bi Maintenance amount pe mon Month & Year for which Rent is paid) PR-2099 y where Employee Is Residing (complete Address) | Address of the Prope AICS | Suehwon) Se, ie, TndiraPchme College read , Hedthwedle Pure aioay / (Month & Year) AER 200. Residing from PETAILS OF LANDLORD/LADY (OWNER) Name of the andlord/tady ‘Address (Complete: Address) Beto Cine ay 035 PAN of the Owner # AHEPD 20254 Contact Details: | fl azezpeea cs tae: Opjeqfeeza. | Lt491F 26 3CEb 1g Place: Pome # Owner's Permanent Account Number ‘annum (8,333 per month) Deciavation by the employee isapeshi i. Bianyebialh 0 hereby declare that what is Stated above is true tothe best of my knowledge and belie Helo agree to inform Infosys if there is any change in the ent Paid, location, period of residence or “any ether information which are relevant in computing my House Rent Exemption Eye retir. Gee ; pate ee 1) dor. race: fume.

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