HRA DECLARATION FORM WEST BENGAL GOVT

House Rent Allowance Declaration Form.

Download Blank HRA Declaration Form.
Read HRA Declaration Form.

Two type of form available

Name of Employee:
Designation:
Name of Office:
Department:
Gender:
If you live in a rented house, then House Rent Paid to landlord per month [keep blank if not appicable]
Marital Status:
If Marital Status is "Married" then fill the below which is/are applicable otherwise goto SUBMIT
Whethere wife/husband [spouse] IS IN SERVICE OR NOT under the Govt. of India, or any state Govt. or Undertaking or any Statutory or Local Body, Educational Institution. Etc.
If "Married" and spouse is "In Service" then fill the below otherwise goto SUBMIT
Name of spouse:
Designation of spouse:
Name of the OFIICE of spouse:
ADDRESS of the Office of spouse:
Department of spouse:
Present Basic of spouse for the month:
HRA of spouse for above month:
Date: [day/month/year]

* Declaration for [ January/July ]
* Name of Employee:
* Designation:
* Name of Office:
* Address of Office:
Basic of the Employee (himself/herself) for above month:
HRA of the employee for above month:
Whethere Quarter [for residence] provided to employee from the office:
* Gender:
* Marital Status:
If Marital Status is "Married" then fill the below which is/are applicable otherwise goto SUBMIT
Whethere wife/husband [spouse] IS IN SERVICE OR NOT under the Govt. of India, or any state Govt. or Undertaking or any Statutory or Local Body, Educational Institution. Etc.
If "Married" and spouse is "In Service" then fill the below otherwise goto SUBMIT
Name of spouse:
Designation of spouse:
Name of the OFIICE of spouse:
ADDRESS of the Office of spouse:
Basic of spouse for the month:
HRA of spouse for above month:
Whethere Quarter [for residence] provided to spouse from the office:
* Date: [day/month/year]

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