JOINT DECLARATION FORM

TO WHOMSOEVER IT MAY CONCERN

I ………………………………………………………do hereby state that I am not claiming any of the below

mentioned savings for income tax exemption as per the Income Tax Act,1961 and my
spouse/Son/Brother/Sister …………………………………………………… (Name of the Employee)
Employee Id ……………………. is working in ValueLabs and he/she is entitled to claim the
same.

SL No Name of the savings Amount (Rs.)

Date: (Signature of the Joint Property Holder)

EMPLOYEE DECLARATION

The above information is true and correct and if any thing is found wrong I am entitled to

pay the tax along with Interest and penalty if any so raised by the Income Tax department.

(Signature of the Employee)

Name:
Employee Id:
Date: