IMPORTANT: ENTER THE VALUES ONLY IN THE SHADED CELLS

MONTH BASIC ABST LOP DA % DA HRA GTOTAL

Apr-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
May-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Jun-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Jul-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Aug-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Sep-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Oct-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Nov-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Dec-22 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Jan-23 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Feb-23 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
Mar-23 रु 10,102 रु 0 135% रु 13,638 रु 1,010 रु 24,750
TOTAL Rs. रु 121,224 रु 163,656 रु 12,122 रु 297,002
PF% PF PT IT DEDUCT NTOTAL
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 1,250 रु 4,099 रु 20,651
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 2,849 रु 21,901
12% रु 2,849 रु 1,250 रु 4,099 रु 20,651
12% रु 2,849 रु 0 रु 2,849 रु 21,901
रु 34,188 रु 2,500 रु 0 रु 36,688 रु 260,314
 PANIMALAR ENGINEERING COLLEGE
DECLARATION FOR CLAIMING DEDUCTIONS FROM SALARY FOR THE YEAR-2022-2023
1 FULL NAME P ARTHIS
2 EMPLOYEE ID NO
3 DESIGNATION ASSISTANT PROFESSOR
4 COLLEGE NAME PANIMALAR ENGINEERING COLLEGE
5 DATE OF JOINING 24-JUNE-2014
6 PAN NO BNBPA8474P
7 PHONE NO. 9941660883
DETAILS OF SALARY AND ANY OTHER INCOME AND TAX DEDUCTED AND TO BE DEDUCTED OLD REGIME

GROSS SALARY
Salary as per Provisions in Sec 17(1) ₹ 297,002
Value of Perquisites
Profits in Liew of Salary
TOTAL (A) ₹ 297,002
Add .Total Amount of Salary from other employer
TOTAL(B) ₹ 297,002
LESS
HRA to the extent exempt ₹ 12,122
Standard deduction u/s 16(ia) ₹ 50,000
Professional Taxes u/s 16(ii) ₹ 2,500
TOTAL (C) ₹ 64,622

Income Chargeable under head Salaries D= B-C ₹ 232,380

Income from House Property

Less Interest Paid (PAN required) (put minus sign before
amount for loan purpose)
INCOME OR LOSS FROM PROPERTY E ₹0

GROSS TOTAL INCOME F = D + E ₹ 232,380

DEDUCTION UNDER CHAPTER VI A

EPF ₹ 34,188
School Fees
House Loan Principal
FD >5 years
Insurance Premium
Deduction under 80CCD(IB) NPS ₹ 34,188
Additional 50000/- in addition to 150000/- ₹ 34,188
Medicalim 80 D
Interest On Educational Loan 80 E

TOTAL G ₹ 34,188
TOTAL TAXABLE INCOME F -G ₹0

TAX
2.5 LAKHS TO 5 LAKHS - 5% ₹0
5 LAKHS TO 10 Lakhs-20% ₹0
Above 10 Lakhs -30% ₹0
Total ₹0
Add.E.C at 4% ₹0
TOTAL TAX ₹0
No Tax is required to be paid if Total taxable income is less than 5 Lakhs
1 I, declare that the above statement is true to the best of my knowledge and belief. In the event of any
change that may occur during the year pertaining to the information given in the form, I undertake to
inform the same to the company. Income Tax liability arising due to failure, if any, for not making / not
intimating payment / investment given in the form,made or proposed to be made by me and / or any
wrong declaration would be my responsibility.

2 I further undertake to provide all documentary proofs of payment made by me before 15th February
2023 and if I fail to do so, the employer can make full deduction of income tax dues from March 2023
salary.

Date: Thursday, November 3, 2022 Signature of the Employee

 PANIMALAR MEDICAL COLLEGE HOSPITAL AND RESEARCH INSTITUTE
DECLARATION FOR CLAIMING DEDUCTIONS FROM SALARY FOR THE YEAR-2022-2023
1 FULL NAME
2 EMPLOYEE ID NO
3 DESIGNATION
4 COLLEGE NAME
5 DATE OF JOINING
6 PAN NO
7 PHONE NO.
DETAILS OF SALARY AND ANY OTHER INCOME AND TAX DEDUCTED AND TO BE DEDUCTED NEW REGIME

GROSS SALARY
Salary as per Provisions in Sec 17(1)
Value of Perquisites
Profits in Liew of Salary
TOTAL (A)
Add .Total Amount of Salary from other employer
TOTAL(B)
Less
professional Taxes u/s 16(iiI)

TOTAL C

income Chargeable under head Salaries D= B-C

Income from House Property if it is let out for Rent Only

Less Interest Paid (PAN required) for Rented property only
INCOME OR LOSS FROM PROPERTY E

GROSS TOTAL INCOME D+E = F

DEDUCTION UNDER CHAPTER VI A

No 80 C DEDUCTIONS will be available
TOTAL G

TOTAL TAXABLE INCOME F-G

SLAB RATE
2.5 LAKHS TO 5 LAKHS - 5%
5 Lakhs to 7.5 Lakhs -10%
7.5 Lakhs to 10 Lakhs - 15%
10 LAKHS TO 12.5 Lakhs- 20%
12.5 LAKHS TO 15 Lakhs- 25%
Above 15 Lakhs 30%
Total
 Add.E.C at 4%
TOTAL TAX
No Tax is required to be paid if Total taxable income is less than 5 Lakhs

I, declare that the above statement is true to the best of my knowledge and belief. In the event of any change
that may occur during the year pertaining to the information given in the form, I undertake to inform the same to
the company. Income Tax liability arising due to failure, if any, for not making / not intimating payment /
investment given in the form,made or proposed to be made by me and / or any wrong declaration would be my
responsibility.

I further undertake to provide all documentary proofs of payment made by me before 15th Feb 2023 and if I fail
to do so, the company can make full deduction of income tax dues from March 2023 salary.
AND RESEARCH INSTITUTE
ALARY FOR THE YEAR-2022-2023

DUCTED AND TO BE DEDUCTED NEW REGIME

₹ 297,002

₹ 297,002

₹ 297,002

₹ 2,500

₹ 2,500

₹ 294,502

₹ 294,502

₹0

₹ 294,502

₹ 2,225
₹0
₹0
₹0
₹0
₹0
₹ 2,225
 89.0048000000002
₹ 2,314

owledge and belief. In the event of any change

ven in the form, I undertake to inform the same to
or not making / not intimating payment /
me and / or any wrong declaration would be my

ent made by me before 15th Feb 2023 and if I fail

come tax dues from March 2023 salary.

Signature