Employee Code (given by dept): 000004040306

DDO : D.A.D.S. E.C.PATNA

PROFORMA FOR FURNISHING OF INFORMATION REGARDING PROPOSED SAVING /

INVESTMENTS TO BE MADE FOR CALCULATION OF INCOME TAX FOR THE FINANCIAL YEAR
2022-2023 (ASSESSMENT YEAR 2023-2024)

1 Name (in capital letters) SATISH KUMAR SUMAN

2 Designation (in capital letters) ASSISTANT AUDIT OFFICER
3 Employee Code No. SKS039M83004
4 PAN No BYAPS8123B
5 Mobile No 7208182220
6 E-mail ID SUMANSK.MUM.PDAC@CAG.GOV.IN
Section 10

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Children Education Allowance ( Upto A

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8 1200
Max. of 2 Children )(10 (14)(i))
Section 16
Professional Tax(16 (iii) ) 600

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For Claiming Re-payment of Interest Amount of Housing Loan (Loss/ Income from House property), it is

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mandatory to furnish given below information:- (If Housing Loans are for more than one House property,
please attach separate sheet)
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If loan is taken on or after 01.04.1999, attach completion certificate of the house property against which deduction is claimed either from
the builder or through self-declaration mentioning date of completion. The Rebate of re-payment of interest on Housing Loan taken
for House/Flat under construction is not allowed as per CBDT Circular No. 1/2017 dated 02/01/2017. In case a new loan is taken
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to repay the earlier loan, then the certificate should also show the details of Principal and Interest on the loan so repaid
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Other Income
Income From other Sources 0
PARTICULARS PROPOSED SAVING/INVESTMENT FOR REBATE
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1 CGEGIS(80 C (ii)) 720

2 Life Insurance(80 C (iv)) 67429
Rebate on Tuition Fee Paid For Children (Max For 2 Children
3 42000
only)(80 C (xi))
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Deduction in Regard to Employee Tier - 1 Contribution ( New

nd

4 32311
Pension Scheme )(80 CCD (i))
5 Fixed deposit Savings for 5 years(80 C (xxi)) 10000
Other 80C
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1 CGHS(80 D ) 5850
80 CCD 1 (B) 80CCD 1(B) Tier-I (Additional Investment) with 80C
2 50000
benefit (National Pension System)
80 CCD (ii) Deduction in Regard to Goverment Tier - 1
3 115241
Contribution ( New Pension Scheme )

I SATISH KUMAR SUMAN , do declare that what is stated above is true to the best of my knowledge and belief
and do under take to made saving/investment as stated above during the financial year 2022-2023. I also
undertake that necessary photocopy of saving / investment will be provided immediately after making
payment of the same.

Date: 15-02-2023 Signature of the Official ________________________

Name of the Section ________________________
 Employee Code (given by dept): 000004040306

Place: ________________________ Telephone No. with extension ________________________

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Generated On : 15/02/23 15:21 PM 2