FORM NO.12BB
[See rule 26C]
Name and address of the employee: | BHAGAT RAM GOVERNMENT PRIMARY SCHOOL, GAUGHAT PO-UTTAM NAGAR, TEH-KICHHA U.S.NAGAR PIN-263148 bhagatgnsso@gmail.com |
Permanent Account Number of the employee: | BFAPR6704N |
Financial Year: | 2021-22 |
Details of claims and evidence thereof
S.No. | Nature of claim | Amount(Rs.) | Evidence/Particulars |
1 | House Rent Allowance: | ||
(i) Rent paid to the landlord | 99600 | ||
(ii) Name of the landlord | PANULI DEVI | ||
(iii) Address of the landlord | VILL-GANDHI NAGAR, BINDUKHATTA NEAR TUTI PULIYA PO-LALKUAN, DIST-NAINITAL UK-262402 | ||
(iv) [Permanent Account Number or AadhaarNumber] of the landlord | |||
Note: [Permanent Account Number or Aadhaar Number] shall be furnished if the aggregate rent paid during the previous year exceeds one lakh rupees | |||
2 | Leave Travel Allowance / Concession (LTA / LTC) |