FBT

Name of Company:FBT Percentage expenditure/ Payment being fringe benefits

Enter Amount H

Clause of Section 115WB(2)

PARTICULARS

AMOUNT

Deductions if any

Total

Value of fringe benefits

(A). (B). (C).

Entertainment Hospitality of every kind to any person Conference (other than fee for participation) Sales promotion, including publicity excluding advertisement Employees Welfare Boarding & Lodging Local Conveyance Travel expense Repair, running(including Fuel), maintenance of motorcars and depreciation thereon Repair, Running(including fuel), maintenance of aircraft and depreciation thereon Use of Telephone including mobile phone(other than leased lines) Maintenance of accommodation in the nature of guest houses (Other than for training purposes) Festival celebration Use of health club and similar facilities Use of any other club facilities Gifts Scholarship Any Free or Concessional ticket for private journeys (ACTUALS) Contribution Superannuation (ACTUALS) to fund

20% 20%

20%

(D).

(E). (F). (G). (H).

20% 20% 20% 20% 20%

20%

(I)

0%

(J).

20%

(K).

(L). (M). (N). (O). (P). 115WB(1)(b)

20% 50% 50% 50% 50% 50%

100%

115WB(1)(c)

Total

100%

FBT

Clause of Section 115WB(2)

PARTICULARS

Amount

Deductions if any

First Quarter (A). (B). (C). Entertainment Hospitality of every kind to any person Conference (other than fee for participation) Sales promotion, including publicity excluding advertisement Employees Welfare Boarding & Lodging Local Conveyance Travel expense Repair, running(including Fuel), maintenance of motorcars and depreciation thereon Repair, Running(including fuel), maintenance of aircraft and depreciation thereon Use of Telephone including mobile phone(other than leased lines) Maintenance of accommodation in the nature of guest houses (Other than for training purposes) Festival celebration Use of health club and similar facilities Use of any other club facilities Gifts Scholarship Any Free or Concessional ticket for private journeys (ACTUALS) to fund -

Second Quarter -

Thrid Quarter -

Fourth Quarter -

TOTAL -

First Quarter -

Second Quarter -

Thrid Quarter -

Fourth Quarter -

TOTAL -

(D).

(E). (F). (G). (H).

(I)

(J).

(K).

(L). (M). (N). (O). (P). 115WB(1)(b)

115WB(1)(c)

Contribution Superannuation (ACTUALS) Total per Quarter Total of Quarter

Total

Percentage expenditure/ Payment being fringe benefits

Value of fringe benefits

20% 20%

IF THE COMPANY IS ENGAGED IN HOTEL BUSINESS ( HOSPITALITY RATE WILL BE 5% FROM 20% )

20%

IF COMPANY IS ENGAGED IN PRODUCTION OF COMPUTERS OR PHARMACEUTICALS ( THEN RATE WILL BECOME 5% FROM 20%)

20% 20% 20% 20% 20%

IF THE COMPANY IS ENGAGED IN CONSTRUCTION BUSINESS ( CONV & TOURS TRAVELS RATE WILL BE 5% FROM 20%)

20%

IF THE COMPANY IS ENGAGED IN CARRYING PEOPLE ( REPAIRS ON MOTOR CARS RATE WILL BE 5% FROM 20%)

20%

IF THE COMPANY USES AIRCRAFT TO CARRY

20% 50% 50% 50% 50% 50%

100%

100%