FULL AND FINAL SETTLEMENT

Name: Ms.GOURI KULKARNI

Employee No 480786 Branch Pune
Settlement No 164689 Date of Resignation --
Date of joining 06-Apr-2011 Date of Release 25-Sep-2014
Separation Type Resignation
Grade C2 Designation I.T. Analyst
PF Number MH/BAN/48475/480786 SA Number 480786
Bank Name State Bank of India- Bank Account # 20085275183
Notice Period Shortfall Days 0.00 Notice Period Recovery Amt 0.00

Earnings Amount (INR) Recoveries Amount (INR)

Qly Va Reversal -9,067.00 Dues from previous months 8,090.00
Leave Encashment - FFS (5 days) 3,591.00

Total Earnings -5,476.00 Total Recoveries 8,090.00

Note: Please refer Additional Details I for 'Breakup of dues from previous month' and Additional Details -II for 'Arrears Breakup', if any

Net Amount Recoverable is Rs. 13,566.00 .

10-Nov-2015

Negative entries displayed under heading "Earning" are Recoveries,and Negative entries displayed under heading "Recoveries" are Payments. Page 1
 FULL AND FINAL SETTLEMENT

Name: Ms.GOURI KULKARNI Emp No. 480786

Net Amount Recoverable - Breakup :

/561 Claim (Total Earnings - Total Recoveries)* 13,566.00

NET RECOVERABLE: 13,566.00

* Note: Claim is Total Earnings-Total Recoveries, carried forward from Page 1.

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 FULL AND FINAL SETTLEMENT

Name: Ms.GOURI KULKARNI Emp No. 480786

STATEMENT OF ANNUAL INCOME AND TDS FOR THE PERIOD :

01-Apr-2015 TO 30-Nov-2015
Gross Salary 30,920.00
Exemption U/S 10 3,591.00
Balance 27,329.00
Empmnt tax (Prof Tax) 200.00
Incm under Hd Salary 27,129.00
Gross Tot Income 27,129.00
Agg of Chapter VI 19,776.00
Total Income 7,353.00

EXEMPTION U/S-10
Leave Salary Exemption 3,591.00
Exemption U/S 10 3,591.00

Chapter VI details on next page...

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 FULL AND FINAL SETTLEMENT

Name: Ms.GOURI KULKARNI Emp No. 480786

DEDUCTIONS UNDER CHAPTER VIA Gross Amount Deductible Amount

(A) sections 80C, 80CCC and 80CCD
(a) section 80C
0.00 0.00
(b) section 80CCC
0.00 0.00
(c) section 80CCD

0.00 0.00
Note :
1. aggregate amount deductible under section 80C shall not exceed 1.5 lakh rupees
2. aggregate amount deductible under the three sections, i.e, 80C,80CCC and 80CCD, shall not exceed
1.5 lakh rupees
(B) other sections (for e.g., 80E, 80G etc.) under Chapter VIA
Medical Insr Premium (Non-Senior Ctz) 3,596.00
Medical Insr Premium(Payment on behalf of parents senior cit 16,180.00
19,776.00 19,776.00
Aggregate of deductible amount under Chapter VI-A 19,776.00

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