Personnel No. Personnel Area Pers. SubArea Org.

Unit

00364464 NW-I, ZO-Guwahati, R-IV Narsingpur ADB Narsingpur ADB

Name PAN No. Position Financial Year

Pronay Chakraborty ALXPC1927A Clerical - on prob. 01.04.2011 -31.03.2012

1.80C, 80CC Details:-01. Public Provident Fund 02. National Saving Certificate VIIIth issue 03.Subscription to notified mutual fund 04. Annuity Plan of LIC (New Jeevan Dhara,NJD- I, New Jeevan Akshay,NJA-I,NJA-II) 05. Postal Insurance Premium, Life Insurance, SBI Life/ICICI Prudential Premium 06. Sum paid as tuition fees (whether at the time of admission or thereafter) 07. Accrued interest on NSC VIII issue only 08. Repayment of loan installment on account of construction (paid not through Salary) 09. Stamp duty and Registration fee paid on house property 10. Term/Fixed Deposit for five years and above in Bank 11. Unit Linked Insurance Plan 1971 of UTI 12. Ded. in contribution to certain pension fund-max Rs.10,000/- (LIC,SBI Life,ICICI Prud) 13. Amt. Deposited with the National Housing Bank 14. Subscription to approved mutual fund (Infrastructure) 15. Post Office C. T. D. 16. Contribution to Superannuation Fund 17. Subscription to notified Central Government security (NSS) 18. Subscription to approved equity shares or debentures (Infrastructure) 19. Contribution to Recognized Provident Fund 20. Contribution to notified unit linked insurance plan of LIC Mutual Fund 21. Contribution to provident fund as per PF Act, 1925 22. Subscription to notified pension fund 23. Subsr to dpst schm of a pblc sectr com or any constituted athry in house constrc 24.Contract for a deferred annuity on life of specified persons 25. Section 80C - Senior Citizens Savings Scheme Rules 2004

Amount
16,000.00 0.00 0.00 0.00 10,687.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

2.Other Permissible Deductions:-01. Deduction in respect of medical insurance Premium (80D) Max.15,000/02. Ded in respect of maintenance incl. Med. treatment of handicapped dependent(80DD) a) Disabilty (Max. 50,000) b) Severe Disability (Max. 100,000) 03. Ded. in respect of treatment of specified decease on ailment prescribed(80DDB) a) Non Senior Citizen (Max. 40,000) b) Senior Citizen (Max. 60,000) 04. Repayment of interest on education loan (For self,spouse and dependent children) 05. Section 80G - Donation to PM's Rel.Fund or Don. to other insti./fund(100% Exem) 06. Deduction in case of an assessee with disability/Physical Blindness(80U) (a) With disability (Maximum Rs. 50,000) (b) With severe disability over 80%(Maximum of Rs. 100,000) 07. Medical Insurance Premium (Senior Citizen) 08. Medical Insurance Premium (Payment on behalf of parents) 09. Donation to CRY or other institution/fund (50% exemption) 10. Ded. in respect of rent paid(for those who are not getting HRA and Paying Rent) 11. Infrastructure Bond

Amount
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

3.Computation of Loss from House Property:-1.Rent Received 2.Less : Municipal Taxes 3.Interest on Housing Loan

Amount
0.00 0.00 0.00

4.Income from other sources:-01. Profit & Gains of business or profession 02. Long term Capital gains (Normal Rate) 03. Short term Capital gains 04. Income from Interest 05. Other Income(Income from lotteries,Speculations etc- IT-Deduction @30% slab) 06. TDS on Other Income 07. Other Income ( Normal Slab )

Amount
0.00 0.00 0.00 0.00 0.00 0.00 0.00

Date:18.04.2012 Time: 20:40:37 1

SIGNATURE ( Pronay Chakraborty )

Personnel No. Personnel Area Pers. SubArea Org. Unit

00364464 NW-I, ZO-Guwahati, R-IV Narsingpur ADB Narsingpur ADB

Name PAN No. Position Financial Year

Pronay Chakraborty ALXPC1927A Clerical - on prob. 01.04.2011 -31.03.2012

PERK VALUES FOR LOANS

Type of Loan 01. Housing Loan Perk 02. Add. Housing Loan Perk 03. Personal Loan Perk 04. Two wheeler Loan Perk 05. Car Loan Perk 06. Car Repair Loan Perk 07. Additional Car Loan Perk 08. Bicycle Loan Perk 09. Consumer Loan Perk 10. Dmnd Loan Agnst Sec Loan Perk 11. Others (Computer Loan , Etc.)

Perquisite value 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Date:18.04.2012 Time: 20:40:37 2

SIGNATURE ( Pronay Chakraborty )

From: Mr./Ms : Pronay Chakraborty Designation : Clerical - on prob. STATE BANK OF INDIA, Dept. : Narsingpur ADB PAN : ALXPC1927A PFINDEX NO : 3644642 To, STATE BANK OF INDIA, , , . Dear Sir, FINANCIAL YEAR 01.04.2011- 31.03.2012 VALUATION OF PERQUISITES 1. 2. I understand that Income Tax Rules for valuation of perquisites (Rule 3 duly amended till date) is applicable for the Current FinancialYear 01.04.2011 - 31.03.2012. In the event of any such perquisites as concessional/interest free loans etc are held by the Courts/IncomeTax Department,as taxable, I undertake to pay the demands made by the tax authorities, including interest, penalty, on the Bank as well as on me in my individual capacity as an assessee for current as well as previous financial years. This authority for recovery from me extends, inter-alia to my salary, terminal benefits, including pension in the event of my retirement/cessation of service. By declaring the information on-line I undertake to abide by all the rules relating to my Income, Investment and Tax liability. I am submitting the satisfactory proof of Investments made by me. I understand the investments/Interest on educational loans of children/ Lettable value of house/houses and the interest/investment under Sec-80G declared in the investment declaration form will be accounted for by the system and will be reflected in my form 16 and cannot be changed at a later date. I am wholly and solely responsible for it.

3. 4. 5. 6.

7.

Date:18.04.2012 Time: 20:40:37 3

SIGNATURE ( Pronay Chakraborty )