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  Address :   
  Financial Year :   
  Bank Name :    A/c Number :   
  Bank Address :   
  Income Details:
  Income from Salaries :   
  (Gross Salary should be net of Standard Deduction, Exemptions U/s 10, professional tax if any but   inclusive of value of perquisites as given in Form-10A attached with your Form-16)
  Income from House Property :   
  (In case of housing loan the interest amount paid during the year shall be taken as negative income.)
  Income from Other Sources :   
  Any Other income :   
  Income from Business/Profession :   
  Other Details:
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  Donations :   
  Premium Paid Under Pension Plans :   
  Amount Incurred In The treatment Of a Handicap   Dependent :   
  Investment Details:
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  U.L.I.P. :   
  P.P.F. :   
  G.P.F./E.P.F :   
  Tax Saving Bonds :   
  Infrastructure Bonds :   
  Housing Loans Principal Repay :   
  N.S.C. and Interest on Old N.S.Cs :   
  Other Investments :   
  Instructions/Comments from You
  
 
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Address: D-226, Sector- 10, Noida
Phone: +91-120-2547701 (O)
                +91-120-2546434 (R)
Mobile: +91-9810748564
E-mail: kkg@kkgupta.com
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