Consent form – Opting for Tax Regime & Meal Card

I, ____________________________________, _______________, confirm that I have opted for the

(Full Name) (GID)

New Personal Tax Regime (NPTR) OR OLD Personal Tax Regime (OPTR) as
maintained in my previous employment in the FY 2021-2022 and hereby authorize Siemens to calculate my
tax liability as per the provisions and guidelines of the opted Tax regime for the Financial Year FY21-22.

Do you want to obtain Sodexo Meal card? Please highlight that box

Yes No

 As per the New Personal Tax Regime, this amount shall not be eligible for Tax exemptions.

 On opting out from the Meal Card, the amount (net of tax) will be paid as a part of my monthly payroll

Please provide your

digital signature here

Unrestricted