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Declaration - Gratuity & Leave Encashment

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rupesh soni
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255 views1 page

Declaration - Gratuity & Leave Encashment

Uploaded by

rupesh soni
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Self-Declaration for Gratuity/Leave Encashment Exemption

To,
Shree Cement Limited
Bangur Nagar
Beawar – 305 901

Subject: Self-Declaration for Gratuity & Leave Encashment Exemption

Dear Sir,

I,___________________________________ [Employee’s Name], son/daughter of


_____________________________________ [Parent’s Name], having Employee
code______________ [Employee’s code], hereby declare that,

Prior to SCL, I have not received Gratuity/ Leave encashment OR

I have received Gratuity/ Leave encashment from my previous


employer(s) prior to working in SCL and details is mentioned below:

Previous Employer(s) Period of Amount (Rs.)


Employment Gratuity Leave
Received Encashment

I hereby affirm that the information provided above is true and correct to the
best of my knowledge and belief. In this regard any tax liability arising on
account of above payment, I will be solely responsible for it and Shree Cement
Limited may recover the same from me.

Signature: ____________________
Date: ____________________ Employee’s Name: ____________________
Place: ____________________ Employee code: ____________________

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