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TOP SHEET OF ARREAR FORM

NAME: - TAPAS KUMAR DAS DESIGNATION : - HEADMASTER

CATEGORY :- NON-SSA SCHOOL (SSA SCHOOL/NON SSA SCHOOL/SSA MADRASAH/NON-


SSA MADRASAH/ NEW SETUP/ GUST TEACHER/ DEPUTATION VACANCY)

NAME OF THE SCHOOL:- BAHIRKHAND GIRISH INSTITUTION

PERIOD:- 20-07-2019 to 31-12-2019 GROSS AMOUNT:-Rs. 21708/-

BANK A/C:- 20097536618 IFSC CODE:- SBIN0008725

PAN NO.;- AEFPD1969N MOBILE NO.:- 8116109817

REASON OF ARRERAR :- DUE TO LATE FIXATION

Detail of Claim

Basic D. A H.R.A M.A I.R Gross P. I. G.P.F Total Net


Pay Tax Tax Deduction
9047 11306 1354 00 00 Rs.21708/- 00 00 00 00 Rs.21708/-

Signature of the Applicant

Signature of Secretary/ Administrator Signature of HM/TIC

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