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PONDICHERRY UNIVERSITY
STATEMENT OF CALCULATION OF INCOME TAX
FOR THE FINANCIAL YEAR 2015-16
(Please carefully read the instruction/note attached
herewith before filling up this statement)

PART – A (Refer Note 1)
a) PAN Number (in Block Letters) :
:
b) E.C.No.
:
c) Name of the Employee
:
d) Designation
:
e) Name of the Dept/Section

Individual / Senior Citizen
(Should Enclose Xerox copy of Pan-card)

Male/Female
:
Mobile No.
:
Date of Birth
:
Age
:
(If above 60 indicate Senior Citizen)

PART – B
1. (I) Total Gross Salary Income
(Refer Note 2) :
a) Gross Salary received
b) Pay Arrears received
c) D.A. Arrears/ Bonus received
d) Honorarium received (DDE, Community College/P.G
Diploma Courses, etc.,
e) OTA received
f) Remuneration received
g) Children’s Tuition fee reimbursement received
h) Medical Reimbursement (Total during the year)
exceeding Rs.15000 received
i) University’s Contribution to NPS
j) 10 days EL Encashment
(II) ADD (a) Any other perquisites Remuneration,.
etc. received (