VINDHYA TELELINKS LIMITED: REWA

DECLARATION FOR INCOME TAX CALCULATIONS FOR THE YEAR ENDING 31-03-2010

NAME OF THE EMPLOYEE:-

ANIL SHUKLA

DATE OF JOINING:- 18-11-94

DATE OF BIRTH:-16-02-1965
PAN NO :- AJNPS3135Q
( Penalty for failure to comply with the provisions u/s 272A (1) is
10,000/-)
RESIDENTIAL ADDRESSS:- C-3 FLAT,VTL CAMPUS,CHORHATA,UDYOG
VIHAR,CHORHATA, REWA (M.P.)
FATHERS/HUSBANDS NAME:- SHRI T.N.SHUKLA
PLEASE READ INSTRUCTIONS GIVEN BELOW CAREFULLY BEFORE FILLING THE FORM

I declare that I will be invest as under for the financial year 2009-2010, PROOF of such investments
would be given by February 15, 2010 failing which it is understood that tax would be calculated
and paid as per available information with the Company.
(A)
i)
ii)
iii)
iv)
v)
vi)
vii)
ix)
x)
xi)
xii)
xiv)
xv)

DEDUCTIONS U/S 80C

Life Insurance Policy Premium (Direct) for Self, Spouse & Children
Deposits in 10/15 year CTD Account with Post Office
Purchase of National Savings Certificates VIII Issue
Accrued Interest on National Savings Certificate VI/VIII Issue
Contribution to PPF Account of Self and Minor Children
Contribution to ULIP/LIC Mutual Funds
Payment for Purchase/construction of residential house (Housing Loan)
Contribution to Jeevan Dhara / Jeevan Akshay Policy
Any Tax Planning Schemes / Infrastructure Bonds
Tuition Fees
Jeevan Suraksha
Fixed deposit with Banks (Maturity over 5 years)
Others (Specify)
TOTAL U/S 80C

(B)

Premium paid Under Mediclaim Policy Sec 80D

(C)
i)
ii)
iii)

Deduction U/S 10 (13A) Amount of Rent Paid:

NAME OF THE LANDLORD
TOTAL EXPECTED YEARLY RENT (RENT P.M. X NO. OF MONTHS)
DETAILS OF INTEREST PAID ON HOUSING LOAN FOR DEDUCTION
U/S 24(b) OF INCOME TAX ACT 1961-ALONGWITH CERTIFICATE OF
PAYMENT FROM FINANCING BODY.

(D)
(E)

Deduction for interest paid on housing loan Sec.24 (1)(VI)

Any other investments or deductions

RS.
44034

12887

(F)

Previous employment salary

(Tick)
Yes
No

Date:-04-07-09

Attach form
16

if yes,

___________________
Signature of Employee

1. This declaration form must reach on or before 15 th July 2009 failing which tax will be
deducted on Gross Income as per Income tax Rule. Excess Tax deducted if any, shall not be
refunded by the company. You shall claim the same from the Income Tax Department
directly.
2. Fresh Declaration must be made in every financial year. Form received with incomplete
information will not be considered for rebate.
3. Please send duly filled form with details of investments made or proposed to be made by you
with document immediately. On receipt of the form, rebate in income tax, if any will be given to
you. However copies of all supporting documents must reach Head Office before February 15,
2010.
4. Rent Receipts should be for each month signed on Revenue stamps with the name, address and
PAN Number of Landlord. Agreement copy should also be given at the beginning of the
financial year along with the original for verification and return. For agreements which continue
into the current financial year a copy should be given as separate files are maintained for each
year. With out the above information it will not be possible to give any rebate.
5. PAN number or copy of acknowledged application is compulsory from the current year, Penalty
for not complying with the provisions u/s 272 A (1) is Rs.10,000/6. Even if you have no investment to declare, please return this form with Nil.
7. Provide details of income of previous employment & attach Form No. 16/ Salary Certificate
from previous employer.