Employee Declaration

Date:

To,
Accounts Department
NDTV
New Delhi

Dear Sir,

Subject: Driver Salary , Fuel Reimbursement for the month _________

This is to state that I have paid my driver a salary of Rs.___15000___ (Rupees Fifteen Thousand
Only__), & have incurred Fuel expenses of Rs …………… for the month of ___________
Attached herewith is the receipt of payment to the Driver and for fuel. I request you to reimburse
this amount to me as per terms of employment.

Declaration:

I hereby declare that the Salary paid to the Driver and fuel expenses incurred are towards
discharging my official duties only. I am enclosing herewith the complete detail of journey
undertaken by me specifying the date, destination and mileage.

Further, I also hereby undertake to indemnify and keep indemnifying the Company for any loss
that may arise to the Company due to the disallowance of my driver’s salary & fuel
reimbursement amount in Company’s tax assessment.

Yours truly,

Name : _____Surendra Kumar Patel_________

Signature : ________________________________

Employee code: _______OG3375__________________

 Receipt from Driver

Date

Received Rs.___15000_________/- (Rupees__Fifteen Thounsand Only____ ) in cash/cheque

from Mr./Ms._____Surendra Kumar Patel______ towards Driver’s salary for the month of
______________, towards driving vehicle No. _UP-16 BJ 3989____________.

Name ( Driver Name ) : Mahendra

Driving Licences No :20070024349

Signature : (On Rs. 1 Revenue stamp)