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    Name | ABDUL SHAKUR

    Address | Asstt.Year | 2012-2013

    PAN/GIR | CLUPS6907F Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 223065Basic Salary Drawn 152355

    Add: Taxable Allowances 70710

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 43110

    e

    (Gross:43110, Exempt:0)

    4.Any Other Allowance Received - 1 9600

    (Gross:9600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:45929, Exempt:45929)1. Actual HRA Received 45929

    2. 40% of Salary 60942

    3. Rent paid in excess 62765

    of 10 % of Salary

    Rent Paid 78000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 223065

    --------

    --------

    Gross Total Income 223065

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 223070

    --------

    Income Tax on Total Income 4307

    Add: Education Cess 3 % 129

    --------

    Tax After Education Cess 4436

    (Note: Monthly TDS to be deducted : 370)

    Less TDS -4450

    --------

    Tax Payable -14

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 1 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | AFZAL AHMAD

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AUHPA8013G Date of Birth | / /

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    Computation of Income

    =====================

    Income From Salary as per Form 16 138690

    Basic Salary Drawn 88000

    Add: Taxable Allowances 50690

    1.Medical Allowance 12000

    (Gross:12000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:6400, Exempt:6400)

    3.Lunch Dinner Refreshment Allowanc 35490

    e

    (Gross:35490, Exempt:0)

    4.Any Other Allowance Received - 1 3200

    (Gross:3200, Exempt:0)

    5.House Rent Allowance 0

    (Gross:26400, Exempt:26400)

    1. Actual HRA Received 26400

    2. 40% of Salary 35200

    3. Rent paid in excess 55200

    of 10 % of Salary

    Rent Paid 64000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 138690

    --------

    --------

    Gross Total Income 138690

    --------

    Less Deduction u/s 80C -15150

    1 Life Insurance Premium 15150

    (Gross:15150/- Qualifying :15150/- Deductible: 15150/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 123540

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -1500

    --------

    Tax Payable -1500

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 2 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | ANIL KUMAR SINGH

    Address | Asstt.Year | 2012-2013

    PAN/GIR | BLFPK6467A Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 172837

    Basic Salary Drawn 120470

    Add: Taxable Allowances 52367

    1.Medical Allowance 9000

    (Gross:9000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:4800, Exempt:4800)

    3.Lunch Dinner Refreshment Allowanc 24120

    e

    (Gross:24120, Exempt:0)

    4.Any Other Allowance Received - 1 10200

    (Gross:10200, Exempt:0)

    5.House Rent Allowance 9047

    (Gross:36000, Exempt:26953)

    1. Actual HRA Received 36000

    2. 40% of Salary 48188

    3. Rent paid in excess 26953

    of 10 % of Salary

    Rent Paid 39000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 172837

    --------

    --------

    Gross Total Income 172837

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 172840

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -8550

    --------

    Tax Payable -8550

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimedabove. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 3 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | BABY PANDEY

    Address | Asstt.Year | 2012-2013

    PAN/GIR | BMZPP2517F Date of Birth | / /

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    Computation of Income

    =====================

    Income From Salary as per Form 16 350500

    Basic Salary Drawn 184000

    Add: Taxable Allowances 158850

    1.Medical Allowance 12000

    (Gross:12000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:6400, Exempt:6400)

    3.Lunch Dinner Refreshment Allowanc 69250

    e

    (Gross:69250, Exempt:0)

    4.Any Other Allowance Received - 1 22400

    (Gross:22400, Exempt:0)

    5.House Rent Allowance 55200

    (Gross:55200, Exempt:0)

    -------- --------

    Gross Salary Including all allowances 342850

    Add: Taxable Perquisite(s) 7650

    1.Any other perquisite - I 7650

    --------

    --------

    Taxable Salary 350500

    --------

    --------

    Gross Total Income 350500

    --------

    Less Deduction u/s 80C -63493

    1 Life Insurance Premium 14493

    2 Others 49000

    (Gross:63493/- Qualifying :63493/- Deductible: 63493/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 287010

    --------

    Income Tax on Total Income 9701

    Add: Education Cess 3 % 291

    --------

    Tax After Education Cess 9992

    (Note: Monthly TDS to be deducted : 833)

    Less TDS -15400

    --------Tax Payable -5408

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 4 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | DARSHAN SINGH

    Address | Asstt.Year | 2012-2013

    PAN/GIR | CNEPS3203A Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 223382

    Basic Salary Drawn 151862

    Add: Taxable Allowances 71520

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 43920

    e

    (Gross:43920, Exempt:0)

    4.Any Other Allowance Received - 1 9600

    (Gross:9600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:46800, Exempt:46800)

    1. Actual HRA Received 46800

    2. 40% of Salary 60745

    3. Rent paid in excess 71214

    of 10 % of Salary

    Rent Paid 86400

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 223382

    --------

    --------

    Gross Total Income 223382

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 223380

    --------

    Income Tax on Total Income 4338

    Add: Education Cess 3 % 130

    --------

    Tax After Education Cess 4468

    (Note: Monthly TDS to be deducted : 372)

    Less TDS -4550

    --------

    Tax Payable -82

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 5 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | DINESH SINGH

    Address | Asstt.Year | 2012-2013

    PAN/GIR | CPYPS0632D Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 594542

    Basic Salary Drawn 343742

    Add: Taxable Allowances 220800

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 41400

    e

    (Gross:41400, Exempt:0)

    4.Any Other Allowance Received - 1 65400

    (Gross:65400, Exempt:0)

    5.House Rent Allowance 96000

    (Gross:96000, Exempt:0)

    -------- --------

    Gross Salary Including all allowances 564542

    Add: Taxable Perquisite(s) 30000

    1.Any other perquisite - I 30000

    --------

    --------

    Taxable Salary 594542

    --------

    --------

    Gross Total Income 594542

    --------

    Less Deduction u/s 80C -100000

    1 Life Insurance Premium 81884

    2 Tution Fees (Child 2) 10300

    3 Others 25000

    (Gross:117184/- Qualifying :100000/- Deductible: 100000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 494540

    --------

    Income Tax on Total Income 31454

    Add: Education Cess 3 % 944

    --------

    Tax After Education Cess 32398

    (Note: Monthly TDS to be deducted : 2700)

    Less TDS -32400--------

    Tax Payable -2

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 6 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | GURJIT KAUR RANDGHAWA

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AVTPK9401D Date of Birth | / /

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    Computation of Income

    =====================

    Income From Salary as per Form 16 153600

    Basic Salary Drawn 104000

    Add: Taxable Allowances 49600

    1.Medical Allowance 12000

    (Gross:12000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:6400, Exempt:6400)

    3.Any Other Allowance Received - 1 6400

    (Gross:6400, Exempt:0)

    4.House Rent Allowance 31200

    (Gross:31200, Exempt:0)

    --------

    --------

    Taxable Salary 153600

    --------

    --------

    Gross Total Income 153600

    --------

    Less Deduction u/s 80C -6671

    1 Life Insurance Premium 1571

    2 Tution Fees (Child 2) 5100

    (Gross:6671/- Qualifying :6671/- Deductible: 6671/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 146930

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -1800

    --------

    Tax Payable -1800

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 7 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | GURNINDER SINGH

    Address | Asstt.Year | 2012-2013

    PAN/GIR | CTWPS2872M Date of Birth | / /

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    Computation of Income

    =====================

    Income From Salary as per Form 16 226022

    Basic Salary Drawn 149534

    Add: Taxable Allowances 76488

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Lunch Dinner Refreshment Allowanc 40188

    e

    (Gross:40188, Exempt:0)

    3.Any Other Allowance Received - 1 18300

    (Gross:18300, Exempt:0)

    4.House Rent Allowance 0

    (Gross:48600, Exempt:48600)

    1. Actual HRA Received 48600

    2. 40% of Salary 59814

    3. Rent paid in excess 57047

    of 10 % of Salary

    Rent Paid 72000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 226022

    --------

    --------

    Gross Total Income 226022

    --------

    Less Deduction u/s 80C -10882

    1 Life Insurance Premium 10882

    (Gross:10882/- Qualifying :10882/- Deductible: 10882/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 215140

    --------

    Income Tax on Total Income 3514

    Add: Education Cess 3 % 105

    --------

    Tax After Education Cess 3619

    (Note: Monthly TDS to be deducted : 302)

    Less TDS -3826

    --------

    Tax Payable -207--------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 8 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | JAVED ALAM

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ANSPJ6657P Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 223688

    Basic Salary Drawn 156000

    Add: Taxable Allowances 67688

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 40088

    e

    (Gross:40088, Exempt:0)

    4.Any Other Allowance Received - 1 9600

    (Gross:9600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:46800, Exempt:46800)

    1. Actual HRA Received 46800

    2. 40% of Salary 62400

    3. Rent paid in excess 80400

    of 10 % of Salary

    Rent Paid 96000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 223688

    --------

    --------

    Gross Total Income 223688

    --------

    Less Deduction u/s 80C -12812

    1 Life Insurance Premium 12812

    (Gross:12812/- Qualifying :12812/- Deductible: 12812/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 210880

    --------

    Income Tax on Total Income 3088

    Add: Education Cess 3 % 93

    --------

    Tax After Education Cess 3181

    (Note: Monthly TDS to be deducted : 265)

    Less TDS -3550--------

    Tax Payable -369

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 9 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | KHUSHRAJ SINGH

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AXGPA8106Q Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 192000

    Basic Salary Drawn 130000

    Add: Taxable Allowances 62000

    1.Medical Allowance 15000

    (Gross:15000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:8000, Exempt:8000)

    3.Any Other Allowance Received - 1 8000

    (Gross:8000, Exempt:0)

    4.House Rent Allowance 39000

    (Gross:39000, Exempt:0)

    --------

    --------

    Taxable Salary 192000

    --------

    Income From other Sources 38000

    --------

    Gross Total Income 230000

    --------

    Less Deduction u/s 80C -50000

    1 15 year Public Provident Fund 50000

    (Gross:50000/- Qualifying :50000/- Deductible: 50000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 180000

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 10 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | MOHD. ASHIF

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AHPPA8689P Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 223711

    Basic Salary Drawn 149971

    Add: Taxable Allowances 73740

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 46140

    e

    (Gross:46140, Exempt:0)

    4.Any Other Allowance Received - 1 9600

    (Gross:9600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:46800, Exempt:46800)

    1. Actual HRA Received 46800

    2. 40% of Salary 59988

    3. Rent paid in excess 63003

    of 10 % of Salary

    Rent Paid 78000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 223711

    --------

    --------

    Gross Total Income 223711

    --------

    Less Deduction u/s 80C -12010

    1 Life Insurance Premium 12010

    (Gross:12010/- Qualifying :12010/- Deductible: 12010/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 211700

    --------

    Income Tax on Total Income 3170

    Add: Education Cess 3 % 95

    --------

    Tax After Education Cess 3265

    (Note: Monthly TDS to be deducted : 272)

    Less TDS -4400--------

    Tax Payable -1135

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 11 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | MOHD. JAHID 1ST

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ALIPJ1830C Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 229035

    Basic Salary Drawn 155355

    Add: Taxable Allowances 73680

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 46080

    e

    (Gross:46080, Exempt:0)

    4.Any Other Allowance Received - 1 9600

    (Gross:9600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:46800, Exempt:46800)

    1. Actual HRA Received 46800

    2. 40% of Salary 62142

    3. Rent paid in excess 80465

    of 10 % of Salary

    Rent Paid 96000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 229035

    --------

    --------

    Gross Total Income 229035

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 229040

    --------

    Income Tax on Total Income 4904

    Add: Education Cess 3 % 147

    --------

    Tax After Education Cess 5051

    (Note: Monthly TDS to be deducted : 421)

    Less TDS -5100

    --------

    Tax Payable -49

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 12 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | MOHD. JAVED 2ND

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AMQPJ0438D Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 223356

    Basic Salary Drawn 152226

    Add: Taxable Allowances 71130

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 43530

    e

    (Gross:43530, Exempt:0)

    4.Any Other Allowance Received - 1 9600

    (Gross:9600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:44768, Exempt:44768)

    1. Actual HRA Received 44768

    2. 40% of Salary 60890

    3. Rent paid in excess 66377

    of 10 % of Salary

    Rent Paid 81600

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 223356

    --------

    --------

    Gross Total Income 223356

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 223360

    --------

    Income Tax on Total Income 4336

    Add: Education Cess 3 % 130

    --------

    Tax After Education Cess 4466

    (Note: Monthly TDS to be deducted : 372)

    Less TDS -4500

    --------

    Tax Payable -34

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 13 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | MOHD. RAHIL

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AXYPR7418J Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 211050

    Basic Salary Drawn 135310

    Add: Taxable Allowances 75740

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 56540

    e

    (Gross:56540, Exempt:0)

    4.Any Other Allowance Received - 1 1200

    (Gross:1200, Exempt:0)

    5.House Rent Allowance 0

    (Gross:43200, Exempt:43200)

    1. Actual HRA Received 43200

    2. 40% of Salary 54124

    3. Rent paid in excess 83669

    of 10 % of Salary

    Rent Paid 97200

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 211050

    --------

    --------

    Gross Total Income 211050

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 211050

    --------

    Income Tax on Total Income 3105

    Add: Education Cess 3 % 93

    --------

    Tax After Education Cess 3198

    (Note: Monthly TDS to be deducted : 267)

    Less TDS -3600

    --------

    Tax Payable -402

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 14 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | MUJEEB UR REHMAN

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ATEPR4542F Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 200857

    Basic Salary Drawn 141097

    Add: Taxable Allowances 59760

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 40560

    e

    (Gross:40560, Exempt:0)

    4.Any Other Allowance Received - 1 1200

    (Gross:1200, Exempt:0)

    5.House Rent Allowance 0

    (Gross:42600, Exempt:42600)

    1. Actual HRA Received 42600

    2. 40% of Salary 56439

    3. Rent paid in excess 84290

    of 10 % of Salary

    Rent Paid 98400

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 200857

    --------

    --------

    Gross Total Income 200857

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 200860

    --------

    Income Tax on Total Income 2086

    Add: Education Cess 3 % 63

    --------

    Tax After Education Cess 2149

    (Note: Monthly TDS to be deducted : 179)

    Less TDS -2800

    --------

    Tax Payable -651

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 15 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | NARESH CHAND

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ATMPG5240R Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 107900

    Basic Salary Drawn 59187

    Add: Taxable Allowances 48713

    1.Medical Allowance 7500

    (Gross:7500, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:4000, Exempt:4000)

    3.Lunch Dinner Refreshment Allowanc 14880

    e

    (Gross:14880, Exempt:0)

    4.Any Other Allowance Received - 1 6300

    (Gross:6300, Exempt:0)

    5.House Rent Allowance 20033

    (Gross:20033, Exempt:0)

    --------

    --------

    Taxable Salary 107900

    --------

    --------

    Gross Total Income 107900

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 107900

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -1200

    --------

    Tax Payable -1200

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 16 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | NASEEB AHMAD

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ANSPN8959Q Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 22200

    Basic Salary Drawn 15000

    Add: Taxable Allowances 7200

    1.Lunch Dinner Refreshment Allowanc 7200

    e

    (Gross:7200, Exempt:0)

    --------

    --------

    Taxable Salary 22200

    --------

    --------

    Gross Total Income 22200

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 22200

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 17 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | NAVPREET SANDHU

    Address | Asstt.Year | 2012-2013

    PAN/GIR | BCQPS8724L Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 235800

    Basic Salary Drawn 157950

    Add: Taxable Allowances 77850

    1.Medical Allowance 13500

    (Gross:13500, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:7200, Exempt:7200)

    3.Any Other Allowance Received - 1 9720

    (Gross:9720, Exempt:0)

    4.House Rent Allowance 54630

    (Gross:54630, Exempt:0)

    --------

    --------

    Taxable Salary 235800

    --------

    --------

    Gross Total Income 235800

    --------

    Less Deduction u/s 80C -84744

    1 15 year Public Provident Fund 35000

    2 Life Insurance Premium 39744

    3 Tution Fees (Child 2) 10000

    (Gross:84744/- Qualifying :84744/- Deductible: 84744/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 151060

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -2125

    --------

    Tax Payable -2125

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 18 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | NEHA BLAGGAN

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ARAPB8609D Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 335500

    Basic Salary Drawn 253000

    Add: Taxable Allowances 82500

    1.Medical Allowance 16500

    (Gross:16500, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:8800, Exempt:8800)

    3.Any Other Allowance Received - 1 30800

    (Gross:30800, Exempt:0)

    4.House Rent Allowance 35200

    (Gross:75900, Exempt:40700)

    1. Actual HRA Received 75900

    2. 40% of Salary 101200

    3. Rent paid in excess 40700

    of 10 % of Salary

    Rent Paid 66000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 335500

    --------

    --------

    Gross Total Income 335500

    --------

    Less Deduction u/s 80C -50000

    1 Others 50000

    (Gross:50000/- Qualifying :50000/- Deductible: 50000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 285500

    --------

    Income Tax on Total Income 9550

    Add: Education Cess 3 % 287

    --------

    Tax After Education Cess 9837

    (Note: Monthly TDS to be deducted : 820)

    Less TDS -11375

    --------

    Tax Payable -1538

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 19 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | PARDUMAN KUMAR SINGH

    Address | Asstt.Year | 2012-2013

    PAN/GIR | DOCPS3296K Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 130936

    Basic Salary Drawn 57276

    Add: Taxable Allowances 73660

    1.Medical Allowance 12000

    (Gross:12000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:6400, Exempt:6400)

    3.Lunch Dinner Refreshment Allowanc 40060

    e

    (Gross:40060, Exempt:0)

    4.Any Other Allowance Received - 1 2400

    (Gross:2400, Exempt:0)

    5.House Rent Allowance 19200

    (Gross:19200, Exempt:0)

    --------

    --------

    Taxable Salary 130936

    --------

    Income From other Sources 57800

    --------

    Gross Total Income 188736

    --------

    Less Deduction u/s 80C -9000

    1 Others 9000

    (Gross:9000/- Qualifying :9000/- Deductible: 9000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 179740

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 20 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | PARUL SHARMA

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AHCPA1173F Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 470400

    Basic Salary Drawn 300000

    Add: Taxable Allowances 170400

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Any Other Allowance Received - 1 62400

    (Gross:62400, Exempt:0)

    4.House Rent Allowance 90000

    (Gross:90000, Exempt:0)

    --------

    --------

    Taxable Salary 470400

    --------

    --------

    Gross Total Income 470400

    --------

    Less Deduction u/s 80C -100000

    1 Life Insurance Premium 100000

    (Gross:100000/- Qualifying :100000/- Deductible: 100000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 370400

    --------

    Income Tax on Total Income 18040

    Add: Education Cess 3 % 541

    --------

    Tax After Education Cess 18581

    (Note: Monthly TDS to be deducted : 1548)

    Less TDS -18600

    --------

    Tax Payable -19

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 21 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | PRAVIN KANJI BHAI RATHOD

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AOWPR0656M Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 128962

    Basic Salary Drawn 87762

    Add: Taxable Allowances 41200

    1.Medical Allowance 12000

    (Gross:12000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:6400, Exempt:6400)

    3.Any Other Allowance Received - 1 4800

    (Gross:4800, Exempt:0)

    4.House Rent Allowance 24400

    (Gross:24400, Exempt:0)

    --------

    --------

    Taxable Salary 128962

    --------

    Income From other Sources 58300

    --------

    Gross Total Income 187262

    --------

    Less Deduction u/s 80C -4100

    1 Others 4100

    (Gross:4100/- Qualifying :4100/- Deductible: 4100/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 183160

    --------

    Income Tax on Total Income 316

    Add: Education Cess 3 % 9

    --------

    Tax After Education Cess 325

    (Note: Monthly TDS to be deducted : 27)

    Less TDS -375

    --------

    Tax Payable -50

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequencesfor the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 22 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | RUPINDER KAUR

    Address | Asstt.Year | 2012-2013

    PAN/GIR | BATPK1721J Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 241505

    Basic Salary Drawn 193050

    Add: Taxable Allowances 48455

    1.Medical Allowance 16500

    (Gross:16500, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:8800, Exempt:8800)

    3.Any Other Allowance Received - 1 11880

    (Gross:11880, Exempt:0)

    4.House Rent Allowance 20075

    (Gross:66770, Exempt:46695)

    1. Actual HRA Received 66770

    2. 40% of Salary 77220

    3. Rent paid in excess 46695

    of 10 % of Salary

    Rent Paid 66000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 241505

    --------

    --------

    Gross Total Income 241505

    --------

    Less Deduction u/s 80C -35000

    1 Others 35000

    (Gross:35000/- Qualifying :35000/- Deductible: 35000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 206510

    --------

    Income Tax on Total Income 1651

    Add: Education Cess 3 % 50

    --------

    Tax After Education Cess 1701

    (Note: Monthly TDS to be deducted : 142)

    Less TDS -5000

    --------

    Tax Payable -3299

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 23 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | SHIV KUMAR

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AWJPK1802H Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 283600

    Basic Salary Drawn 204400

    Add: Taxable Allowances 79200

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 42600

    e

    (Gross:42600, Exempt:0)

    4.Any Other Allowance Received - 1 18600

    (Gross:18600, Exempt:0)

    5.House Rent Allowance 0

    (Gross:50400, Exempt:50400)

    1. Actual HRA Received 50400

    2. 40% of Salary 81760

    3. Rent paid in excess 75560

    of 10 % of Salary

    Rent Paid 96000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 283600

    --------

    --------

    Gross Total Income 283600

    --------

    Less Deduction u/s 80C -37030

    1 Life Insurance Premium 29446

    2 Tution Fees (Child 2) 7584

    (Gross:37030/- Qualifying :37030/- Deductible: 37030/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 246570

    --------

    Income Tax on Total Income 6657

    Add: Education Cess 3 % 200

    --------

    Tax After Education Cess 6857

    (Note: Monthly TDS to be deducted : 571)Less TDS -6900

    --------

    Tax Payable -43

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 24 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | SUNIL SHARMA

    Address | Asstt.Year | 2012-2013

    PAN/GIR | AQYPS1006L Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 252732

    Basic Salary Drawn 215750

    Add: Taxable Allowances 36982

    1.Medical Allowance 15000

    (Gross:15000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:8000, Exempt:8000)

    3.Any Other Allowance Received - 1 6250

    (Gross:6250, Exempt:0)

    4.House Rent Allowance 15732

    (Gross:88000, Exempt:72268)

    1. Actual HRA Received 88000

    2. 40% of Salary 94930

    3. Rent paid in excess 72268

    of 10 % of Salary

    Rent Paid 96000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 252732

    --------

    Income From other Sources 41700

    --------

    Gross Total Income 294432

    --------

    Less Deduction u/s 80C -100000

    1 NSC (Purchased) 40000

    2 Tution Fees (Child 2) 10000

    3 Others 50000

    (Gross:100000/- Qualifying :100000/- Deductible: 100000/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 194430

    --------

    Income Tax on Total Income 1443

    Add: Education Cess 3 % 43

    --------

    Tax After Education Cess 1486

    (Note: Monthly TDS to be deducted : 124)

    Less TDS -1980--------

    Tax Payable -494

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 25 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | SURINDER SINGH NEGI

    Address | Asstt.Year | 2012-2013

    PAN/GIR | DGTPS1093D Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 181081

    Basic Salary Drawn 125521

    Add: Taxable Allowances 55560

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 36360

    e

    (Gross:36360, Exempt:0)

    4.Any Other Allowance Received - 1 1200

    (Gross:1200, Exempt:0)

    5.House Rent Allowance 0

    (Gross:41438, Exempt:41438)

    1. Actual HRA Received 41438

    2. 40% of Salary 50208

    3. Rent paid in excess 59448

    of 10 % of Salary

    Rent Paid 72000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 181081

    --------

    --------

    Gross Total Income 181081

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 181080

    --------

    Income Tax on Total Income 108

    Add: Education Cess 3 % 3

    --------

    Tax After Education Cess 111

    (Note: Monthly TDS to be deducted : 9)

    Less TDS -2800

    --------

    Tax Payable -2689

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 26 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | SURINDER SWAMI

    Address | Asstt.Year | 2012-2013

    PAN/GIR | CQSPS1578M Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 171752

    Basic Salary Drawn 104322

    Add: Taxable Allowances 67430

    1.Medical Allowance 16500

    (Gross:16500, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:8800, Exempt:8800)

    3.Lunch Dinner Refreshment Allowanc 43230

    e

    (Gross:43230, Exempt:0)

    4.Any Other Allowance Received - 1 7700

    (Gross:7700, Exempt:0)

    5.House Rent Allowance 0

    (Gross:33000, Exempt:33000)

    1. Actual HRA Received 33000

    2. 40% of Salary 41729

    3. Rent paid in excess 55568

    of 10 % of Salary

    Rent Paid 66000

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 171752

    --------

    --------

    Gross Total Income 171752

    --------

    Less Deduction u/s 80C -3561

    1 Life Insurance Premium 3561

    (Gross:3561/- Qualifying :3561/- Deductible: 3561/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 168190

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -800

    --------

    Tax Payable -800

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 27 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | VIKAS GAUTAM

    Address | Asstt.Year | 2012-2013

    PAN/GIR | ARPPG0779C Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 68400

    Basic Salary Drawn 46000

    Add: Taxable Allowances 22400

    1.Medical Allowance 3000

    (Gross:3000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:1600, Exempt:1600)

    3.Any Other Allowance Received - 1 5600

    (Gross:5600, Exempt:0)

    4.House Rent Allowance 13800

    (Gross:13800, Exempt:0)

    --------

    --------

    Taxable Salary 68400

    --------

    --------

    Gross Total Income 68400

    --------

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 68400

    --------

    Income Tax on Total Income 0

    (Note: Monthly TDS to be deducted : 0)

    Less TDS -800

    --------

    Tax Payable -800

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee

    Page 28 of 29 (K.S.RICE RESOURCES - Asst. Yr.: 2012-2013)

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    Name | VINOD KUMAR SAINI

    Address | Asstt.Year | 2012-2013

    PAN/GIR | CRNPS2360D Date of Birth | / /

    -------------------------------------------------------------------------

    Computation of Income

    =====================

    Income From Salary as per Form 16 304654

    Basic Salary Drawn 224317

    Add: Taxable Allowances 80337

    1.Medical Allowance 18000

    (Gross:18000, Exempt:0)

    2.Conveyance Allowance 0

    (Gross:9600, Exempt:9600)

    3.Lunch Dinner Refreshment Allowanc 38705

    e

    (Gross:38705, Exempt:0)

    4.Any Other Allowance Received - 1 20400

    (Gross:20400, Exempt:0)

    5.House Rent Allowance 3232

    (Gross:72000, Exempt:68768)

    1. Actual HRA Received 72000

    2. 40% of Salary 89727

    3. Rent paid in excess 68768

    of 10 % of Salary

    Rent Paid 91200

    (Lower of Above three exempt)

    --------

    --------

    Taxable Salary 304654

    --------

    --------

    Gross Total Income 304654

    --------

    Less Deduction u/s 80C -15892

    1 Life Insurance Premium 15892

    (Gross:15892/- Qualifying :15892/- Deductible: 15892/- )

    Less Deductions u/s 80CC-80U 0

    --------

    Total Income (After Rounding) 288760

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    Income Tax on Total Income 10876

    Add: Education Cess 3 % 326

    --------

    Tax After Education Cess 11202

    (Note: Monthly TDS to be deducted : 934)

    Less TDS -11200--------

    Tax Payable 2

    --------

    DECLARATION

    I undertake to supply the documentary proof in support of deductions claimed

    above. I Shall be personally responsible to file the return with Income tax

    department as required under the law and also be liable to face consequences

    for the wrong information supplied and income concealed if any

    Date : Signature of Employee