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POS INDIA STEEL PROCESSING CENTRE PVT.LTD.

Employee Proof Submission Form for F.Y.2008-2009


Please read the Form carefully before filling.

THE LAST DAY OF SUBMITTING PROPOSED INVESTMENT FOR 2008-2009 IS 15TH Oct 2008
Employee ID POSCO- Gender Male Date of Joining 1/7/2008
Employee Name Umesh T No. of children going to school with the age NA
PAN No. of children staying in Hostel with the age None

Current Residential Rental address for HRA


Address

A.Rent paid details for claiming HRA exemption - Original Rent Receipt to be attached
Period
Approved Amount (To be
From 01.04.2008 To 31.03.2009 City Rent paid per month
filled by Accounts Dept.)
1-Apr-08 31-Mar-09 Pune

Approved Amount (To be


As per Last Declaration
B. VI A Deductions from Total (photo copy) Value of proff Attached
filled by Office)
Nil 1. Medical Insurance Premium (U/S 80 D)
Nil 2. Medical Insurance Premium (U/S 80 D)For senior Citizen
Nil 3. Medical Treatment/Handicapped Dependent (U/S 80DD) <80%
Nil 4. Medical Treatment/Handicapped Dependent (U/S 80DD) >80%
Nil 5. Interest On Education Loan (U/S 80E)
Nil 6.Permenent Physical Disability (80 U)
Nil 7.Permanent Physical Disability Servere Disability (80 U)
C. Chapter VI A- Section 80 C
Photo Copy of :-
8.Contribution to pension Fund (80 CCC)
15120 9.EPF
48000 10.Public Provident Fund (PPF)
25000 11.LIC policy for Self
12000 12.LIC policy for Mother
13.Tution fees for Children Education.
14. Mutual Funds / Equity Linked Saving Scheme (ELSS)
15.Unitl Linked Insurance Plan (ULIP)
16.Cumulative Term Deposits /Post Office Saving Scheme -5 Years
17.Housing Loan Principle amount
18.NSC Interest
D. House Property- (Photo Copy)
Address of the Property against which Loan taken

Residential Status- Self Occupied / Letout (please mention) → Rental

Total Amount of interest paid (Before construction /After Construction)


during the financial year(April 08 To Mar 09)
E.Previous Employer Details -Form 16 or Signed Tax
Computation sheet from the previous employer along
with Form 12B is mandatory (Photo Copy)

N/A F. Other Income (If any)

100120 0

Declaration
1.For claiming LTA exemption, please provide bills to the Accounts Department.
2.I hereby declare I have read and understood the guidelines provided in "Proof Option Document" and that all information given above is correct
and true in all respects.
3. I also undertake to indemnify the company for any loss /liability that may arise in the event of the above information being incorrect.

Date :- 09 Dect 2008.


Place :- Pune Signature of Employee -------------------------------------------

Please fill the column marked in colour.