STUP Consultants Pvt. Ltd.

Staff to BA: Proof of Medical Expenses for Income-tax Exemption (To be submitted in early January !rom : Tus"ar " pandya(#ame T"ro$ : Branc"%Site Accountant P'!' #o': )*)) Branc"%Site : A"medabad

Annex. A To : &'(' (I'T' Section

Pvt. Ltd. Staff to BA: Proof of Medical Expenses for Income-tax Exemption (To be submitted in early January

Annex. A

!rom : (#ame T"ro$ : Branc"%Site Accountant To : &'(' (I'T' Section P'!' #o': Branc"%Site : +ate : ,--.,-/.,0 Sub' : Proof for medical expenses for exemption from ' income-tax a1ainst Medical Allo2ance recei3ed I am 1i3in1 belo2 t"e statement of medical expenses incurred by me durin1 t"e current !inancial 4ear startin1 ,st April5 /.,)5 for t"e medical treatment of myself and family members 2"o are 2"olly or mainly dependent on me5 for 1rantin1 appropriate income-tax relief a1ainst t"e medical allo2ance recei3ed' T"e rele3ant proof5 mentionin1 t"e name of t"e patient5 are attac"ed "ere2it"5 in t"e same order as 1i3en belo2 : A' S. No. Date (#ame 5 Self Amount (Rs.) Given to Nature of Ex ense

Total B' (#ame 5 Spouse S. No. Date , /6-.7-,)

Amount (Rs.) ,88/'6)

Given to #E&A

Nature of Ex ense

Total !"#$.%# 9' (#ame 5 Son%+au1"ter S. No. Date Amount (Rs.) , /0-,/-,) ,... / /--,/-,) /.. ) //-,,-,) /).. 0 ,7-,/-,) ,/* ,8-,/-,) ,0) ,,-,/-,) /.. 8 ,,-,/-,) ,7/'* 7 *-,/-,) /.. 6 *-,/-,) )-8'* ,. /6-,.-,) 0.. ,, /6-,.-,) ,**'.0 ,/ ,8-,/-,) ).. ,) ,8-,/-,) /.. ,0 ,8-,/-,) ,,0 Total

Given to

Nature of Ex ense

+ate : ,--.,-/.,0 '

Sub' : Proof for medical expenses for exemption from income-tax a1ainst Medical Allo2ance recei3ed

I am 1i3in1 belo2 t"e statement of medical expenses incurred by me durin1 t"e current !inancial 4ear startin1 ,st April5 /.,)5 for t"e medical treatment of myself and family members 2"o are 2"olly or mainly dependent on me5 for 1rantin1 appropriate income-tax relief a1ainst t"e medical allo2ance recei3ed' T"e rele3ant proof5 mentionin1 t"e name of t"e patient5 are attac"ed "ere2it"5 in t"e same order as 1i3en belo2 : A' S. No. Date (#ame 5 Self Amount (Rs.) Given to Nature of Ex ense

Total B' #E&A T PA#+4A (#ame 5 Spouse S. No. Date Amount (Rs.) Given to , /6-.7-,) ,88/'6) #E&A Total !"#$.%# 9' MA#:S&;EE % A;+&ES& (#ame S. No. Date Amount (Rs.) , /0-,/-,) ,... / /--,/-,) /.. ) //-,,-,) /).. 0 ,7-,/-,) ,/* ,8-,/-,) ,0) ,,-,/-,) /.. 8 ,,-,/-,) ,7/'* 7 *-,/-,) /.. 6 *-,/-,) )-8'* ,. /6-,.-,) 0.. ,, /6-,.-,) ,**'.0 ,/ ,8-,/-,) ).. ,) ,8-,/-,) /.. ,0 ,8-,/-,) ,,0 Total 5 Son%+au1"ter Given to A;+&ES& A;+&ES& A;+&ES& MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE MA#:S&;EE

Nature of Ex ense

Nature of Ex ense

+' <<<<<<<<<<'''' (#ame 5 !at"er%Mot"er%Brot"er%Sister S. No. Date Amount (Rs.) Given to

Nature of Ex ense

Total T&TAL

"%%'.(" 9"ec=ed Br'%Site Acct' ;ecei3ed +ate &'(' I'T'Sec' 9"ec=ed &'(' I'T'Sec'

Si1nature of ;ecei3ed +ate Employee Br'%Site Acct' ;emar=s by &'(' -

STUP Consultants Pvt. Ltd. BA to &( : Proof of Medical Expenses for Income-tax Exemption for Staff (To be submitted by /.t" January

Annex. )

!rom : <<<<<(Br'%Site Acct' To : &'(' (I'T' Section Branc"%Site : <<<<<'' +ate : <<<<<< Sub' : Staff$s Proof for medical expenses for I'T' relief a1ainst Medical Allo2ance I am for2ardin1 t"e Statements of proof of medical expenses incurred durin1 t"e current !inancial 4ear startin1 ,st April5 /.,)5 as submitted by Staff of our Branc"%Site for t"e medical treatment of t"em and t"eir family members for 1rantin1 appropriate income-tax relief a1ainst t"e allo2ance 1i3en to t"em' I "a3e c"ec=ed t"ese and find t"at t"e amounts mentioned in t"eir list are supported by t"ird party receipts as attac"ed t"ereto : S.No. Name of Staff P.*. No. )ran+, Site Total Amount (Rs.)

Br'%Site Acct' ;emar=s by &'('-

;ecei3ed +ate &'(' I'T'Sec'

9"ec=ed +ate &'(' I'T'Sec'

STUP Consultants Pvt. Ltd. Staff$s +eclaration for Telep"one Expenses incurred for Income-tax Exemption (To be submitted in January !rom : <<<<<(#ame P'!' #o': <<' +ate : <<<<<< '

Annex. C

T"ro$ : Branc"%Site Accountant To : &'(' (I'T' Section Branc"%Site : <<<<<'' Sub' : Telep"one expenses incurred for exemption from income-tax a1ainst Telep"one Allo2ance recei3ed

I5 <<<<<<'' <<<<<(#ame 5 P'!' #o': <<'5 belon1in1 to <<<<<<'' Branc"%Site of t"e 9ompany5 "ereby declare and confirm t"at : T"e >andline P"one "a3in1 #o<<<<<'' is installed by <<<''<<<<' (#ame of Ser3ice Pro3ider at my residence5 "a3in1 address of <''<<<<<<<<<<<<<<<<<<<'' <<<<<<<<<<<<<<<<<<'5 and is allotted in t"e name of myself %<<<<<' <<<<<<<<<5 2"o is a member of my family and related to me as <<'<<<<<<'' I am usin1 t"e said p"one fre?uently for t"e official use of t"e 9ompany and t"e amount t"at I "a3e incurred durin1 t"e current !inancial 4ear startin1 ,st April5 is not less t"an ;s' <<<<' to2ards calls5 rentals and internet%broadband facility%ser3ice t"rou1" t"is p"one' T"e said amount does not include expenses to2ards t"e instrument5 installation5 repair5 accessories and t"e li=e' I also certify t"at none of t"is amount is reimbursed by any ot"er person%party' I furt"er a1ree t"at if t"e abo3e said amount is less t"an t"e amount of telep"one allo2ance recei3ed % recei3eable by me durin1 t"is !inancial 4ear5 suc" amount of telep"one allo2ance recei3ed % recei3eable by me in excess of t"e said expense incurred by me may please be added to my taxable income and appropriate income-tax may be deducted t"ereon from my salaries%dues' I am enclosin1 a copy of t"e latest bill of t"e said telep"one for your information and record' I "ereby furt"er declare and confirm t"at I 2ill be retainin1 t"e ori1inal bills of t"is telep"one for a period of at least 8 years and 2ill submit t"e same to t"e 9ompany5 as and 2"en as=ed for5 on demand' Encl' : 9opy of latest telep"one bill Si1nature of Employee ;ecei3ed +ate Br'%Site Acct' 9"ec=ed +ate ;ecei3ed +ate Br'%Site Acct' &'(' I'T'Sec' 9"ec=ed +ate &'(' I'T'Sec'

;emar=s by &'('