APOLLO HEALTH STREET LIMITED

FULL & FINAL SETTLEMENT STATEMENT

Name Uma Mahesh Bendi Date 11.01.2011
Designation Senior Process Associate Code No. 00002672
Department Contract Loading Date of Resignation 02.08.2010
DOJ 13.09.2007 Bank A/c No 5108682557
Date of relieving 30.09.2010 Remarks CITI BANK
Notice Period required
Short Fall in notice period
Leave Excess Availed

Salary Paid upto Actual September

Emoluments Amount Amount for 30.00 Days
Basic 5,039.00 5,039.00
HRA 2,016.00 2,016.00
Conveyance 0.00 0.00
Spl.Allowance-1 6,738.00 6,738.00
CEA 0.00 0.00
Spl.Allowance-2 0.00 0.00
Gross 13,793.00 13,793.00
Less Deductions
PF 604.68 605.00
PT 100.00 100.00
ESI 241.38 249.00
TDS 0.00 0.00
Advance 0.00 1,487.00
Net Amount 12,846.94 11,352.00

Earned Salary for September 11,352.00

EL Opening Balance 52.25
EL Balance as on Date 26.25
Encashable Annual Leaves 26.25
Amount to be paid towards AL's 5,087.45
Employee Cont PF-EL 0.00
Notice Pay Recoverable/Payable 0.00
Previous Month Adj. 0.00
Gratuity 0.00
Other Payments & Incentive 15,300.00
Loyalty Bonus 0.00
Reimbersements 0.00
LTA 0.00
Recovery of Relocation Exp 0.00
Recovery of Tour Advance 0.00
Amount Payable 31,739.00
THIRTY ONE THOUSAND SEVEN HUNDRED AND THIRTY NINE ONLY

Prepared/Checked By Verified By Authorised Signatory