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Fill all data for whole the year / YEARLY
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সারা বছরের তথ্য
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| Fields 2, 3 & 9 are mandatory.
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1. Financial Year / Assessment Year
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1a. Age Group
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2. Gross Salary (/year): [u/s 17(1)]
If you do not know gross salary CLICK HERE to know it.
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Rs.
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3.Income Tax Paid (if any /year)
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Rs.
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| -- | -- |
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Other source of income fill up if applicable
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4.Bank Interest from savings (SB) accounts:
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Rs.
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5.Deposite Bank Interest
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Rs.
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7. Income from other source if any:
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Rs.
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8. [u/s 17(2)]PERQUISITES casual benefit get from office in addition to salary:
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Rs.
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9. [u/s 17(3)] profits in lieu of Salaries:
such as amount of any compensation received by an assesses
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Rs.
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| -- | -- |
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us 10(14)Exemption on allowance/ Keep blank if not applicable
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10.
Conveyance allowance,
Research allowance
etc [which are applicable in New Regime]
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Rs.
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| -- | -- |
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Tax relief under sec 89 / Keep blank if not applicable
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11. Tax relief under section 89:
special case/ keep blank
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Rs.
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| -- | -- |
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EMPLOYEE INFORMATION
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12. Name of the employee
You may keep blank
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13. Designation of the employee
You may keep blank
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14. PAN no. of the employee
You may keep blank
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15. Name of the employer
HM/DI/etc. You may keep blank
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16. Designation of the employer
HM/DI/etc. You may keep blank
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17. TAN of the employer
DI/etc. You may keep blank
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18. PAN of the employer
DI/etc. You may keep blank
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19. Name & Address of Employer/Institution/
School.
You may keep blank |
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20. Date of signature by employer
You may keep blank
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21. Place of signature by employer
You may keep blank
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22. Name of father of employer
You may keep blank
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