ASHOK LEYLAND LTD, NON.CONFIDENTIAL PAYROLL Ashok Leyland Ltd.

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DECLARATION FOR INCOME-TAX FOR THE YEAR 2010-2011
DATE :27-12-2010 Page: 1/1
PRASANNA KUMAR N
60988
03 - 1011
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Tentative Declaration Firm Declaration
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324000.00!House Rent Paid per Month( x12 ) ! !
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0.00!Educational Expenses ! !
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0.00!80 D - Mediclaim Premium - Self & Family ! !
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0.00!80 DD - Medical expenses on handicapped dependents ! !
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0.00!80 U - Permanent disability - Self ! !
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0.00!Equity Linked Savings / Mutual Fund ! !
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0.00!Private LIC Premium ! !
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0.00!National Savings Certificate ! !
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0.00!National Savings Certificate - Interest ! !
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0.00!Public Provident Fund ! !
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0.00!ULIP ! !
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0.00!National Savings Scheme (NSS) ! !
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0.00!LTA Rebate (Taxi bills will not be entertained) ! !
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0.00!Jeevan Suraksha ! !
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0.00!Housing Loan ! !
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0.00!Housing Loan Interest ! !
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20000.00!Infra Structure Bond ! !
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0.00!Other Income ! !
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Note : PROOF TO BE ATTACHED WITH THIS DECLARATION
AND SENT TO PAYROLL ON OR BEFORE 10/01/2011.

DECLARATION : I declare that the information furnished in this declaration

form is true to the best of my knowledge and
I undertake to furnish any other information that may be
required by the Company/Income-Tax authorities.
Date : Signature of the Employee.