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Schedule of providing tax proofs for the FY 2012-2013 and contacts of concerned persons

a. Schedule for providing tax proofs for the FY 2012-2013 (AY 2013-2014)

Sno Dated Documents/Proofs Required to be submitted


1. May 18, 2012 Investment declaration for the FY 2012-13

2. September 10, 2012 House rent receipts for the period 01.04.12 to 30.09.12 (if any)

3. January 14, 2013 House rent receipts for the period 01.10.12 to 31.12.12 (if any) and all proofs of
investments already made during the said fiscal as on date

4. March 11, 2013 House rent receipts for the period 01.01.13 to 31.03.13 and other proofs of
investments made on or after January 01, 2013 (if any)

Note:
i. All proofs to be submitted shall be self attested
ii. If the aforesaid proofs are not submitted within the prescribed time limits, the same shall not be
entertained and tax will be deducted as per Income Tax Rules.

iii. Please do not change the format of the declaration form

The said investment declaration form will be reviewed and revised in September 2012 in case of
iv.
any material change based upon the passing of the Finance Act, 2012

b. Location for submission of proofs:

1. Gautam Sachdeva - Gurgaon/ Others


2. Vinod Basutkar - Mumbai
3. Rakesh Kumar - Philippines
4. Mukesh Mohanty - Orissa

c. Contact Person for queries:

1. Gautam Sachdeva Mail id: gautam.sachdeva@ilfstechnologies.com

Direct No.: 0124-4716549; Board Line No.: 0124-4716400

2. Amit Khurana Mail id: amit.khurana@ilfstechnologies.com

Direct No.: 0124-4716552; Board Line No.: 0124-4716400

3. Sanjay Kumar Sharma Mail id: sanjay.sharma@ilfstechnologies.com

Direct No.: 0124-4716550; Board Line No.: 0124-4716400


INVESTMENT DECLARATION FOR FY 2012-2013 (AY 2013-2014)

Name : DHEERAJ KUMAR MITTAL Employee ID : ITL 90409

Location GURGAON PAN: ASHPM7530L

Given below is the format of Investment declaration form. You are requested to please complete and send the same to the Accounts Department (in hard copy) to enable us to deduct
the correct income tax from the salary for the financial year 2012-13

Investment Type : Life Insurance premium, Public Provident Fund, Post Office Savings (10/15 Years C T D ), Unit Linked Insurance Plan (UTI/LIC), National Savings Certificate (VIII
Issue), Accrued Interest on National Savings Certificate, Notified Deposit Scheme of National Housing Bank, Housing Loan, Equity Linked Savings Scheme of Mutual Funds and Fixed
Deposits.

Total amount invested/to be invested is :

Under Section 80C


(1) LIC/Insurance Policy No.
Policy No. Amount Assured (Rs.) Premium (Per Annum) Beneficiary

(2) Tuition Fees paid to School/university ( Only monthly Tuition Fees is allowed)
Name of the School Amount Paid(Rs.) Name of the child Std. In which he/she is studying

(3) Public Provident Fund Account No.


PPF Account No. Bank & Branch Amount Beneficiary

(4) Post Office Savings (10/15 years C T D )Account No.


PO Saving Account No. Post Office Amount Beneficiary

(5) Unit Linked Insurance Plan (UTI/LIC)


Policy No. Target Premium Amount Beneficiary

(6) National Savings Certificate (VIII Issue)Certificate No.


Certificate No. Date of Purchase Amount Beneficiary

(7) Accrued Interest on National Savings Certificate Certificate No.


Certificate No. Date of Purchase Amount Beneficiary

(8) Notified Deposit Scheme of National Housing Bank Account No.


Scheme Branch Amount Amount paid to

(9) Fixed Deposit ( with schedule bank for a period of not less than 5 years)
FD No. Bank & Branch Amount Period

I hereby declare and undertake that in the event if premature withdrawal of the fixed deposit, the entire amount withdrawn will then be offered to tax and the tax as applicable would be
paid. I indemnify IL&FS Technologies Ltd. for the liability that may arise thereon.

Signature

(10) Equity Linked Savings Scheme of Mutual Funds


Certificate No. Date of Purchase Amount Beneficiary
INVESTMENT DECLARATION FOR FY 2012-2013 (AY 2013-2014)

(11) Stamp Duty paid on purchase of home


Property No. Date of Purchase/Stamp duty paid date Amount of Stamp Duty Paid

(12) Others (Please specify the details)

Note: Investments falling under Section 80C as per the relevant Finance Act but not mentioned/classified above are to be mentioned.

Under Section 80CCC

1. Insurance ( U/S 80 CCC) Policy No.


Policy No. Amount Assured (Rs.) Premium (Per Annum) Beneficiary

Under Section 80D

1. Mediclaim (U/s 80D) Policy No. (self/spouse/ parents)


Policy No. Amount Assured (Rs.) Premium (Per Annum) Beneficiary

Housing loan : ( Please attach provisional certificate from the Financial Institution)*

a) Date of completion of construction:


b) Date of purchase:
c) Particulars of payment:
d) Amount paid to:
EMI to pay for FY 2012-13 Principal Interest Employee Contribution of EMI

* If any House is sold within 5 years of purchase , then Employee has to Furnished details as required by the employer
Exemption under section 10 (13A)
[Rent paid in the financial year under rule 13(2A)]

(Please note you have to produce copy of the agreement with the landlord along with the original rent receipts. Please also note that you need to provide a stamped agreement if your
agreement exceeds 11 months. If annual rent paid by the employee during the relevant FY exceeds Rs.180,000, it is mandatory for the employee to furnish the PAN of the landlord
to the employer in the table below/rent receipts and in case the land lord does not have a PAN, a declaration to this effect from the landlord along with the name and address
of the landlord should be filed by the employee)
Rent for the period Amount & Date Amount paid to and PAN of the Landlord
From Date : To-Date of Rent Payment Address of the House occupied

01/04/2012 to 30/06/2012 16500/- & 05/04/2012 Mr. Indermohan Puri , 7-A ,Sec-12,Gurgaon

01/07/2012 to 30/09/2012 16500/- & 01/07/2012 Mr. Indermohan Puri , 7-A ,Sec-12,Gurgaon

01/10/2012 to 31/12/2012 16500/- & 04/10/2012 Mr. Indermohan Puri , 7-A ,Sec-12,Gurgaon

01/01/2013 to 31/03/2013 16500/- & 05/01/2013 Mr. Indermohan Puri , 7-A ,Sec-12,Gurgaon
LTA

(The LTA exemption is available only in respect of two journeys performed in a block of four years commencing from calendar year 2010 to 2013)

Following proofs have to be produced


1. In case of Travel by train or Bus Original ticket
2. In case of travel by Air Original Ticket plus Boarding pass.

In addition to this, all individuals have to certify that their family ( as per Income Tax Act Family means- i) the spouse and the children of the individual and ii) the parents, brothers and
sisters of the individual who are wholly or mainly dependent on the individual) members had travelled with them .

I declare and undertake that in the event of me not making investments as shown above by March 08, 2013, I would keep IL&FS Technologies Ltd. indemnified against all
liabilities that may accrue to IL&FS Technologies Ltd. for the short deduction of TDS as provided under the Income Tax Act, 1961.

I further declare that IL&FS Technologies Limited. shall be unilaterally empowered to adjust the above amounts that may be payable to me from IL&FS Technologies
Limited. and I shall not dispute any such deduction.

Name : DHEERAJ KUMAR MITTAL

Signature :

Date :

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