Salary Reimbursement Summary

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Month In View: SEP-2022
Empl ID 5092465 Name SUNITHA GOLLAPALLI
DOJ 30/08/2022 Designation AGENCY MANAGER
Level 2 Department AGENCY SOUTH
Location Kothagudem PF A/c No  
PAN# ASIPG4551G ICICI Bank A/c No. 068501509279
Paid Days 32 Payable Days 30
UAN  
ESIC Number  
Earnings Deductions

Amount(Rs) Amount YTD(Rs) Amount(Rs) Amount YTD(Rs)

Basic 9581 9581
Provident Fund 1916 1916
HRA    
Personal Pay 12970 12970  

Bonus 621 621

Professional tax 200 200

Others 798 798

Supplementary 6387 6387 Total Deductions 2116 2116

  Net Pay: 28241 28241

Total Earnings 30357 30357

*HRA: House Rent Allowance *CCA: City Compensation Allowance *SA: Supplementary Allowance *VPF: Voluntary
Provident Fund *SCA: Special City Allowance

Remarks (1) Rs.621/- Paid as Statutory Bonus u/s 31A of PBA Act reflects under Bonus & is taxable (2) Rs.798/-
Paid as Conveyance Cash Out Payout reflects under Other3 & is taxable

(For any disconnect with respect to the amount received, please contact askhr@iciciprulife.com
within 30days of receipt of your salary after which it would be presumed that the amounts calculated
as above are acknowledged and confirmed to be correct by you.)

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