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Signature of the employeeIndianHyderabadEmployee Signature

1 FORM NO. 12B[See rule 26A]Form for furnishing details of income under section 192(2) for the year ending 31st March, ..Name and address of the employeePermanent Account statusParticulars of salary as defined in section 17, paidor due to be paid to the employee during the yearSerialName andTAN of thePermanentPeriod ofTotal amountTotal amountValue ofTotal ofAmountTotal amountRemarksNumberaddress ofemployeer(s)Accountemploymentof salaryof houseperquisitescolumnsdeductedof tax deductedEmployer(s)as allottedNumber ofmentexcludingrent allow-and amount6, 7in respectduring theby thetheamountsance, convey-of accre-and 8of lifeyear (encloseITOemployer(s))

s salary fund in excess of the rate where the employee is (give details) [See rule 3(g)] chargeable to tax (give concessional rate not [See Schedule IV – Part fixsed by the Central allowed the use of one or details)[See rule 2B read included in the preceding A] Government [See more motor cars owned with section 10(5)(ii)] columns (give ...

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