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Allsec SmartPay Services

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Tax Declaration Proof FY 13-14

RefNo : 5860
No. of Documents Enclosed For Allsec internal use

Employee Code Department

30012202
IT & Systems

Name PAN NO

GYAN PRAKASH AQLPP4784H

Location

AHMEDABAD-AIIL

Life Insurance Premium Declaration 24824 Proof 24824 Cleared 0 Number of Installment Payable on or before 31st Mar 14 (Count) 0 Amount Payable on or before 31st Mar 14 (Amt) 0 Remarks

Name of the Insurance Company

Policy No.

Date of Commencement (dd/mm/yyyy)

Sum Assured

Premium Amt

Frequency

Number of Installment Paid on or after 1st Apr 13 (Count)

Amount Paid on or after 1st Apr 13(Amt)

Total Amount FY 13-14 (Paid Amt+Payable Amt)

Relationship

LIC

554708923 01/04/2013

24824

24824

Quarterly

24824

24824

Self

Public Provident Fund Declaration 76000 Bank / Post Office Name SBI Proof 76000 Name of the investor Gyan Prakash Cleared 0 Date of Payment (dd/mm/yyyy) 17/12/2013 Account No 32150313650 Amount 76000 Relationship Self Remarks

80E - Education Loan Declaration 173674 Name of the Bank SBI Name of the borrower Gyan Prakash Loan Account No. 31833032752 Proof 173674 Loan Date (dd/mm/yyyy) 14/07/2011 Cleared 0 Interest Amount Paid on or after 1st Apr 13 173674 Interest Amount Payable on or before 31st Mar 14 0 Total Amount FY 13-14 (Paid Amt+Payable Amt) 173674 Remarks

Relationship

Self

Rent Paid (For HRA Exempt) April Declaration 9250 May 9250 June 9250 July 9250 August 9500 September 9500 October 9500 November 9500 December 9500 January 9500 February 9500 March 9500

https://www.allsectech.com/adanipayroll/SmartTax/TaxInvestmentPrint.aspx?usrtrackid=0 27-12-2013

Allsec SmartPay Services

Page 2 of 2

Proof

9250

9250

9250

9250

9500

9500

9500

9500

9500

9500

9500

9500

Cleared

PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

No PAN

I certify that the payments listed above has been made by me out of my income chargeable to Income-tax during the financial year 2013-2014. I undertake that I will be depositing those premium / investment / rent payments that are due for payment after the cut-off dates laid out for proof submission and obtain the receipts as per the due dates or by 31st March 2014. I therefore request you to consider the same for the tax computation purpose for the financial year 2013 2014. I will be held responsible for any consequences of not remitting these payments and any liabilities arise out of this. Signature : Date : 27 Dec 2013

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https://www.allsectech.com/adanipayroll/SmartTax/TaxInvestmentPrint.aspx?usrtrackid=0 27-12-2013