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No. D-21 01 3/8 312020 -DC
Government of lndia
Ministry of Health and family Welfare
Directorate General of Health Services
Central Drugs Standard Control Organization
FDA Bhawan, Kotla Road, New Delhi-02
Dated: 11.09.2023
OFFICE MEMORAN DUM
Subject: - Galculation of lncome Tax for the Financial Year 2O23'24- Regarding.
All the officers/staff are requested to furnish the details of probable income
and savings qualifying for calculation of their lncome Tax for the Financial Year
2023-24 in the prescribed proforma available in the lncome Tax option of PFMS
and forward the same to DDO for further processing. The self- attested proof for
investmenVdeposits qualifying for rebate/deduction under Section 80C or any other
section of lncome Tax etc. may also be furnished to Cash Section, CDSCO(HO)
positively by 31 .10.2023
2. Those who are availing Housing Rent Allowance Rebate are required to
submit the Photocopy of PAN Card of Land Lord along with Rent Receipts during
the period otherwise Rent Rebate will not be considered.
3.
Those who are availing rebate of HBA principal paid & lnterest on HBA paid
are also required to submit the Provisional HBA certificate from bank along with
declaration of possession for the FY 2023-24 & self-occupied house certrficate.
Enclosure: As above
(Pawan Kumar)
Deputy Director Admn.(Drugs)CENTRAL DRUGS STANDARD CONTROL ORGANIZATION (HQ)
FDA BHAWAN, KOTLA ROAD, NEW DELHI
Form no. l2BB (see rule 26C)
Declaration Form fbr the F.y . 2023-24 (A.Y . 202+2025)
Emp.lD: NAME: DESIG\,T-I IO\:
DIVISION: PAN NO.:
Tax Calculation (plcase tick one option) old Tax Regime ! New 'l ax Regime
Sccti0ns l'i rt ir'ultl rs ol lnv€stmcnts/l)rduction 'l otal Amount
I l0(l lA) Rent Pard (ForHRA excmplion- emplolecs should provrde sell:atlesled copy ofrenl
agreement and rent ftrerlts/llrnk slalemcnr,br allmonths i e liorn Aprill02l io N{arch 201,1)
Enclosr ptotocopt of P.1\ l.endlord $here Rrnl per monlh i\ ,bore Rs. 83.33/-
"f
24(lxb) Interest on Housing Loan up to Rs 2.00.0001(Rs 3,00.000 for senror crtizcn)
Particulsr Investmrnl ,\mouna io Rs.
PPF/GPI.'
LIC (Ceni& that thc poliev/policies is/are
paid by selfonly)
Sukan)a deposil
GISNSC
80c Trition Fee (oth€r than reimburs€d b-v
oIIice)
NPS (other than dcductod h) office)
Post office time dcposils
Repayment ol prinoipal anlount o1
housing loar/HBA
I
I Any other allowed Inveslm€nt if
any, speci&
Additional Deduclron u/s. 80CCD( lB) (uplo
Rs 50,000/-)
M€dical lnsurance Premium. rncllding premium lbr parents (Max Limit Rs.25.0001).ll self
I 80t) )r parmts are senior cilizen lhcn max limit ofRs 50.000/-
_l'reaEnent
Maintenance / 01'llandicapped dependent or deposrt for marnlenance of Hand icapped
8ODD dependent who is person urlh disability (max. Rs.75.0001 for disability and Rs 1.25,000/- for
s€vere disability 80% and above)
6 80E Intereston a loan taken lbr hiShereducation ma\ 8)'ears(nolrmil)
1 80EE u Deduction fo. lnterest on Loan laken to Buy Electrical vehrcle duflng 01.04.20191o.1I 01.2021
(MaxRs. 150,000/-)
8 80(i Donation should be made only to specified Fund (Primc Minrster's Reliefljund. Chief Minister's
Relief Fund or Ll. Governor's Rclief Fund) Rebate lbr any other donatron should b€ claimed
directly.
9 80u Physical Disabriiry(max Rs 75.0O0^ lbrdis3biii4 and Rs 1.25.000/- for severe disability 80%
or more) please attach cenriicate
IDECLARA'tION
I hereby declare that the particulars giv€n {rn pre-page/.bove are correct and complete in all respect. I may be
allowed appropriate tax rebate while caleulsting my tax tiability of Financisl Year 2O23'24 (Assessment Yerr 2024-
25).
The self-attested docunentary proof for claiming the betrefits of various sdvings / investments aiready made or likely to be
made, will be submilted by 3l'r October 2023. lailing rvhich the tar ma)' be recovered from mc by nltllifying the savings /
investments stated in dcclatation form.
t hereby state that the claim of deduction shown abovc is in my name aid if it is in joint account then it is declared
herewith thal the other claimant will not claim it in hiVher lTR.
In case of payment/ contribution/ investmenrs. I $ill producc the orjginal document for verification. whenever it will he
asked for
Last date of submission of Declaration torm: Jl" Octoher. 2023
Note: Tax (tentati|e) rlill be deducted on the basis of above declaration up lo March.2024. From November 2023
onward, ta)i will be dcducted as pe. applicable ratcs. if details of savings supponed with self- artested documentary proof are
nol submitted b), 3 l"' October 2023.
Signature of the EmPloyee
Date