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NAME OF THE INFORMANT: Mohmad Idris Afzal Hakim

NASCENT INFO TECHNOLOGIES PVT LTD



A-805, SAPATH - 4, OPP. KARNAVATI CLUB,
S G HIGHWAY, AHMEDABAD-380051, GUJARAT

Dear sir/Madam,

Kindly arrange to furnish the following information at the earliest to determine and deduct the
correct amount of income tax from your salary during the financial year 2013-2014.

Please submit the photocopies of all payment documents connected to items below before
31/01/2014.

Yours faithfully



[AUTHORISED PERSION]

[1] Exemption u / s. 80D (Mediclaim)Any Premium paid for
Medical insurance of own health and / or that of spouse /
dependent children, Dependent parents upon the
assesses.





[2] Medical Treatment of specified diseases U\S 80DDB
Rs. 21000
[3] Donations U\S 80G

[4] Donations U\S 80GG

[5] Investment Under Pension Plan

[6] The amount of premium payable during the current
financial year to effect or to keep in force an insurance on
own life and / or on the life of spouse / children wholly
dependent upon the assessee excluding the premium
deducted from monthly salary






[7] Employees State Insurance Premium(Self contribution)

[8] The amount of deposit in a Fixed Deposit Account
(Minimum 5Yrs) with a scheduled financial institutions with
the scheme framed and notified by the Central Govt.




[9] The amount of contribution towards Unit Linked Insurance
Plan 1971



[10] Contribution towards an approved Superannuation fund.

[11] Public Provident Fund.
Rs. 25000
[12] The amount of payment of interest on borrowed Housing
loan.



[13] The amount of Repayment of principal component of
Housing loan during the year



[14] The amount of deposit in Mutual Fund Schemes.

[15] The amount of investment in Approved Debentures of and
equity shares in Public Company engaged in
infrastructure development.




[16] Tuition Fees paid during the year (Maximum for 2
children)


[17] The amount of investment on National Saving Certificate
(VIII Issue)

Rs. 25000

[18] Amount Deposited in Five Year Time Deposit Scheme in
Post Office.



[19] Investment U\S 80CCF ( Long Term Infrastructure Bonds
Applicable from FY 10-11,Max 20000)




[20] Any other Investment (Please Specify)


House Rent Rs. 114000




[21] Specify the following details of NSC VIII issue (if any)

Certificate Number Amount Date of Issue
Interest accrued in 2006-2007



RESIDENT ADDRESS
2894/B, Hakim Manzil, Kumbharwali Pole,
Shahpur, Ahmedabad, 380001



PAN NUMBER (MANDATORY)
AJUPH0862N
DESIGNATION
Sr. Web Designer
DIVISION
Design
SIGNATURE & DATE


VERIFICATION

I ________________________ S/O, W/O ____________________________________ Solemnly
declare that to the best of my knowledge and belief the information given above are correct and
complete.

Date :

Place : AHMEDABAD Signature.