InvestmentDeclarationFormFY2016-2017

SAILIFESCIENCELTD

EmployeeID

: 101332

EmployeeName

: VVENKATANAGESWAR

PAN

: AEKPV6542C

IherebydeclarethatmyInvestmentplanforthefinancialyear2016-2017areasfollows

HouseRentDetails

Particulars

ProofRequiredLater

Month

Amount

City

April

8000.00

OtherCities

May

8000.00

OtherCities

June

8000.00

OtherCities

July

8000.00

OtherCities

August

8000.00

OtherCities

September

8000.00

OtherCities

October

8000.00

OtherCities

November

8000.00

OtherCities

December

8000.00

OtherCities

January

8000.00

OtherCities

February

8000.00

OtherCities

March

8000.00

OtherCities

RentReceipts/CopyofRentalAgreement
IftheAnnualRentpaidbytheemployeeexceedsRs.1,00,000perannum,itismandatoryfor
theemployeetoreportthePANNumberoftheLandlord.
IncasethelandlorddoesnothaveaPAN,adeclarationtothiseffectfromtheLandlord,along
withtheCompleteNameandAddressoftheLandlordshouldbefiledbytheemployee.

Income/LossfromHouseProperty
NoofProperty:0

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InvestmentDeclarationFormFY2016-2017
InvestmentsunderSection80C/80CCC/80CCD

Sl. Section

TypeofInvestment

01.

LifeInsurancePremiumPaidforSelf/Spouse/Children

80C

(ExcludingthedeductionsthroughSalary,ifany)

02. 80C

PublicProvidentFundsubscriptionsforSelf/Spouse/Children

03.

NSC

80C

Amount
ProofRequiredLater
(inRs.)
108000.00 CopyofPremiumReceipt
DepositReceiptforPPFAccount(s)
CopyofNSCCertificate

(Onlyinthenameofself)

04. 80C

NSCAccruedInterest

CopyofNSCCertificate

05. 80C

UnitLinkedInsurancePlan(ULIP)

AcknowledgementCopy

06. 80C

PrincipalRepaymentonHousingLoan

CertificateofPrincipalRepaymentfromtheFinancialInstitution

07. 80C

TaxSavingBondsinInfrastructureCompanies

CopyofBond/AcknowledgementCopyofPayment

08.

80C

EquityLinkedSavingScheme(ELSS)
/TaxSavingMutualFunds

ProofofInvestmentmade

80C

ChildrenEducationExpenses
Numberofchildrenstudying:2

09.
10.

80C

TaxSavingFixedDeposits
(Minimumlock-in-periodof5years)

11. 80C

SeniorCitizenSavingsScheme

12.

PostOfficeTimeDepoisits

80C

(Minimumlock-in-periodof5years)

30000.00

Proofofexpensesincurredforamaximumof2children(onlyTuitionFees,
excludingDonations/BuildingFund)
ProofofInvestment
ProofofInvestment
ProofofInvestment

13. 80C

SukanyaSamriddhiAccountScheme

ProofofInvestment

14.

InvestmentmadeinAnnuityPlanofLICoranyotherinsurer
forreceivingpension.

ProofofInvestment

15. 80CCD

NPS(NewPensionScheme)

ProofofInvestment

16.

AdditonalRs.50000forcontributiontowardsNational
PensionScheme

ProofofInvestment

80CCC

80CCD(1B)

DECLARATION:
IherebydeclarethatthedetailsfurnishedabovearetrueandcorrecttothebestofmyknowledgeandbeliefandIundertaketoinformyouofanychangestherein,
immediately.Incaseanyoftheaboveinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,IamawarethatImaybeheldliableforitandwould
indemnifythecompanyforanyloss/liability.

Signature
Date

: 22-Apr-2016

EmployeeID

: 101332

EmployeeName : VVENKATANAGESWAR
PAN

: AEKPV6542C

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