FORM NO.
12BB
(See rule 26C)
Statement showing particulars of claims by an employee for deduction of tax under section 192
1. Name and address of the employee: Aakash Upadhyay
296, Market Block, TIrthanksr Nagar, Jain Nagar, Karala ,Delhi - 110081
2. Permanent Account Number of the employee: ADSPU2434R
3. Financial year: 2023-24
Details of claims and evidence thereof
Sl. Nature of claim Amount Evidence /
No (Rs.) particulars
(1) (2) (3) (4)
1 Salary (Per Annum) 0
2. House Rent Allowance:
(i) Rent paid to the landlord 96000
(ii) Name of the landlord H.P Upadhyay
(iii) Address of the landlord
(iv) Permanent Account Number of the landlord
Note: Permanent Account Number shall be furnished if the
aggregate rent paid during the previous year exceeds one lakh
rupees
3. Leave travel concessions or assistance 0
4. Deduction of interest on borrowing:
(i) Interest payable/paid to the lender 0
(ii) Name of the lender
(iii) Address of the lender
(iv) Permanent Account Number of the lender
Employer (if available)
5. Deduction under Chapter VI-A
(1) Section 80C,80CCC and 80CCD
(2)
(3) Section 80C
(4) PPF 1,50,000
(5) NSC
(6) School Tuition fees per child (Maximum Two
Children)
(7) Housing Loan Principal Repayment
(8) LIC Premium Paid during the year. 80,000
(9) ULIP
(10) Tax Saving Mutual Fund Investments
(11) Tax Saving Fixed Deposit Receipts
ii. Section 80CCC
Contribution to certain pension funds
iii. Section 80CCD (1B)
Notional Pension Scheme (NPS)
iv. Any other Investment
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter
VI-A.
Education Loan, Donation, Mediclaim Premium etc
Verification
I son/daughter of do hereby certify that the information given above is complete and correct.
Place New Delhi
Date 29 May 2024 (Signature of the employee)
Designation Motion Graphics Artist Full Name: Aakash Upadhyay
