HARYANA VIDYUT PRASARAN NIGAM LIMITED

Regd. Office Shakti Bhawan Sector-6, Panchkula.

From

Chief Accounts Officer,

HVPNL, Panchkula.
To

Head Office/Field offices of HVPNL

_____________________________

Memo No. 929/CAO/P&Acs Dated: 14/12/2018

Subject: - Submission of saving detail proofs for Income tax purpose

for Financial Year 2018-2019 (Assessment Year 2019-2020)

In this connection, it is intimated that the financial year 2018-

2019 is going to be closed very soon hence the income tax of each employee is
to be finalized in time.

You are, therefore, requested to direct all the officers/officials under your
control to provide the saving detail proofs so that the same may incorporated in
IFS ERP application to calculate the correct income tax. It may be noted that the
saving proofs are required to be submitted before 25th December 2018 to the
concerned office/division.

It is further intimated that all the officers/officials are also requested to submit
the allowances proforma for the financial year 2019-2020 along with the saving
proofs of financial year 2018-2019 to the respective DDOs so that the same
could be checked & released along with the pay of 01/2019 falling which the
allowances will not be released.

Further, it is intimated that input data of pay as well as saving of the employees
in respect of Field Accounting units in the IFS Pay roll module are being inserted
by the Accounting units at their own level. As such, saving detail proofs in
respect of field staff are to be submitted to the concerned Accounting units for
its incorporation in the ERP pay roll module.

Accounts Officer/P&ACS
For CAO, HVPNL, Panchkula
 HOUSE RENT CERTIFICATE (1.1.2019 TO 31.12.2019)

1. Certified that I have not been provided with any Govt. accommodation. Further neither has
any such residential accommodation been allotted to me nor does any residence earmarked
for me is lying vacant or on account of non-occupation by me stand allotted to any other
officer. I have also not refused any such accommodation during the period in respect of
which house rent allowance is claimed. Also I have not during any portion of the month
under view occupied any possession of rented house belonging either to State Govt. or to
HVPN nor to any other Govt. or autonomous organization except for the days that I have
been on tour.

2. I further certify that I have paid Rs. ______________P.M. for the period____________ Rs.
___________for House No.___________ situated in Sector____________ and no portion
of accommodation for which house rent Allowance is claimed was sublet and that rent paid
was exclusive of water and Electricity charges and of any furniture gadgets, electrical or
other appliances and crockery.

3. I certify that I am not sharing any accommodation for which house rent allowance has been
claimed.

4. I certify that my husband/wife is residing with me. He/she is an employee

of________________and he/she has not been provided with free house but he/she is
drawing house rent allowance/and/or rent free concession altogether
Rs.__________________(Rupees___________________) P.M.

(SIGNATURE OF THE APPLICANT)

Name: _____________________

Designation: ______________________

Office of the: ______________________

The Central Board of Direct Taxes has now made it mandatory for
employees to submit PAN of the landlord to the employer if the annual
rent exceeds Rs. 1,00,000 per annum and such an employees is
claiming House Rent exemption under section 10(13A) of the income tax
Act. It may be noted that if assesses paying a rent of Rs 8333 a month or
Rs One Lakh yearly will have to submit the PAN number of their
Landlords along with the rent receipts and original receipt of the House
Rent paid for the month of January, 2018 may be attached otherwise
House Rent allowance would be stopped.
 CONSOLDATED HOUSE RENT CERTIFICATE FOR THE PERIOD (TO BE
FURNISHED BY THOSE EMPLOYEES LIVING IN THEIR OWN HOUSE OR IN THE
HOUSE OF THE RELATIVES)-

(1.1.2019 TO 31.12.2019)

Certified that I have not been provided with any Govt./Haryana Vidyut Prasaran Nigam Limited.
Accommodation. Further neither has any such residential accommodation been allotted to
me nor does any residence earmarked for me is lying vacant or on account of non-
occupation by me stand allotted to any other officer. I have also not refused any such
accommodation during the period in respect of which house rent allowance is claimed. Also
I have not during any portion of the month under review occupied any portion of rented
house belonging either to State govt. or to Haryana Vidyut Prasaran Nigam Limited nor to
any other Govt. or autonomous organization except for the days that I have been on tour.

1. I further certify that I am residing in House No._________________ Sector_________

Station_______________ which is owned by me/by parents/wife/some of undivided family.

2. I certify that my spouse/son/daughter/parents are not drawing any house rent allowance
from Central/State Govt./Autonomous bodies or body corporate Boards etc.

OR

3-A. I certify that my spouse/son/daughter/parents are employed in _________________ and are

drawing house rent allowance of Rs. ____________________although they are residing
with me.

Note: -Give details of the family members and house rent drawn by them alongwith pay

Escalated pay with names of their organization.

Sr.No. Name Relationship Pay Amount of Name of the (Escalated pay)

HouseRent Orgn. /Deptt.
Drawn.

*Also indicate scale of pay and date of increment.

Note: - In case falling under Sr.No.3-A above assessment of rental value of own
house from the Committee Constituted by the Nigam should also be attached.

(SIGNATURE OF THE APPLICANT)

Name: ___________________________

Designation: _______________________

Place of posting: ___________________

CERTIFICATE FOR THE DRAWAL OF LOCAL OUT-DOOR DUTY ALLOWANCE FOR THE
MONTH OF January 2019 to December 2019

Certified that:-

1) I have not been provided with Company’s vehicle.

2) I will not use any vehicle of the Company for the performance of journeys within a radius of
8 KMs.

3) In the event of my availing any leave other than Casual Leave I shall inform the Drawing
and Disbursing Officer.

4) I am maintaining a Motor-Car, Motor-Cycle, Scooter, Moped No._____________ which is

duly registered in my name and the same is being used for Company’s Work.

5) I further authorize the Drawing & Disbursing Officer to effect recovery of any amount found
to have been paid to me in excess of this amount from my monthly Salary.

(Signature of the Claimant)

Name: _____________________

Designation: _______________

Place of Posting______________
Calculation of perquisites on account of use of Nigam’s Vehicle for official and Non-
official
Purpose other than car used between office and residence during the year 2018-2019

1. Name & Designation of the officer:_____________________________

2. Period of _____________(in Months) from___________to ________

3. Value of perquisites as per the rate given below:-________________

(A) Capacity of Vehicle upto 1600 CC @2700/- (1800+900) PM

(B) Capacity of Vehicle above 1600CC @3300/- ( 2400+900) PM

Nothing is deductible in respect of any amount recovered from an employee. Net

Value of Perquisites: ______________________

(SIGNATURE OF EMPLOYEE)
Dated:
Name __________________________

Designation _____________________

Office _________________________

It may be noted that the use of motor car by an employee for the purpose of going from his residence
to the place where the duties of the employment are to be performed or from such place back to his
residence, is not chargeable to tax as per the Income tax Act. If an employee wants that nothing is to be
added in his/her gross salary in respect of car facility used by him/her, then he/she shall certify that car
has been exclusively used for official purpose.

(SIGNATURE OF EMPLOYEE)
Dated:
Name __________________________

Designation _____________________

Office __________________________
 CERTIFICATE FOR REIMBURSEMENT OF ELECTRICITY CHARGES FOR THE PERIOD
January 2019 to December 2019.

I _________________________________ s/o _____________________W/o ___________________

working as ____________________ employed in the office of ________________ certify as under:-

That I am residing in my own/family member/ Govt. House No. ________________ Sector/

Mohalla ____________________ City ____________________________. The Electricity
Connection installed in the said house is in my name/ in the name of my family member
___________________________ (Name) & the electricity Units consumed for the said connection
are exclusively utilized by me/my family members. OR

That I am residing as ‘Tenant in House No. ______________________ Sector/ Mohalla

_________________ City ______________________ and the Electricity Connection installed in
the said premises is in the name of _______________________________(Name and the
electricity units consumed for the said connection are exclusively utilized by me for my own use or
proportionately divided amongst the residing in the said hose.

OR
That my family is residing in House No. __________________ Sector/ Mohalla __________ City
____________________ ( in case the family is residing other than the place of posting) The
Electricity connection installed is in the name of _______________________ (Name) & the
electricity units consumed for the said connection are exclusively utilized by my family or
proportionately divided amongst the families residing in the said house.

2. Certified that I am class _________ employee and entitled for free electricity unit i.e. ______
units per month, which have been fully consumed by me/my family and paid to the authority
concerned/ landlord etc.

OR
I could not utilize the entitled Electricity Units during the months _______________ and the actual
Electricity Units consumed during this period were as under:-

Period Units Consumed Units/ Amount Recoverable

I undertake that the above Declaration given by me is true and correct and nothing has been
concealed therein. I further undertake that I am liable to face disciplinary or other appreciated
legal/penal action, which could involve recovery and penalty, if any of the aforesaid information is
fond false or incorrect.

(SIGNATURE OF EMPLOYEE)

Name __________________________
Designation ____________________
Office __________________________
CERTIFICATE FOR REIMBURSEMENT OF CHILDREN EDUCTION ALLOWANCE FOR THE
PERIOD___________ TO ____________

1. My Wife/husband is not working in the employment of the Government of Haryana or

under the Central Government or any other State Government or under any other
organization/institution/body etc wholly or substantially owned or controlled by the

Central Government or any State Government promising any scheme of Children

Education Allowance in nature.

2. My husband/Wife is/will not claim/reimburse this amount from his/her employer under
the children Education Allowance scheme.

3. I am eligible to raise the claim.

4. The Claim is permissible under the Children education allowance Scheme. The amount
of Rs.__________per month actually paid by me in respect of following my children
maybe re-imbursed to me.

Sr.No. Name of Father Name Date of Birth Class Name

Children

1
2

(SIGNATURE OF OFFICER) Dated:

Name __________________________
Designation _____________________
Office __________________________
 UNDERTAKING

I hereby submit my undertaking in reference of Notification No. 227/REG-45/L dated 24.04.2012

& subsequent amendment issued vide Memo No. Ch-51/REG-45/L dated 05.10.2012 by MD,
HVPNL, Panchkula which as follows: -

1. The information / particulars given by me are true and correct to the best of my knowledge
and I understand that if the same are found incorrect at any stage, Nigam can initiated
disciplinary action against me as per P & A Regulation.

2. I am presently posted in the office of _______________________________.

3. It is certified that I have constructed a house with the help of Nigam’s Loan or other wise (
Bank / Financial Institution’s loan) at the place of posting. The particulars of the same is
as under: -

Address of house Loan taken from Nigam / Bank House completed or not

4. It is further certified that I am also residing in the Nigam’s accommodation provided by

HVPNL. The particulars of the same is as under: -

Name of Category No. House No. Residing since Remarks

Power
Colony

5. I am liable to pay double of Standard rent applicable w.e.f. 31.08.2012.

Dated: ____________

Signature of Employee

Name____________________

Designation________________
Office ____________________

Countersignature:
Name____________________
Designation________________
(Head of Deptt. / Office In-charge
with seal)
 DETAIL OF SAVINGS FOR THE PURPOSE OF CALCULATION OF INCOM E TAX IN
PAYROLL MODULE FOR THE FY 2018-19 (AY-2019-20)

Sh. ………………………..…….… (Emp. IDNo……..……) O/O ………………………………………

PAN ………………………………………………

Saving under different sections of income tax

Description U/S Amount
Sukanya Samriddhi Scheme (up to 150000/-) u/s 80(c)
Amount Deposited in GPF (up to 150000/-) u/s 80(c)
Mutual Fund/NSC/PPF (up to 150000/-) u/s 80(c)
Life Insurance Premium (up to 150000/-) u/s 80(c)
Tuition Fee of Children (up to 150000/-) u/s 80(c)
Repayment of housing loan (up to 150000/-) u/s 80(c)
Deduction of NPS (employee’s contribution) U/S-80 CCD (i)
Gross total of 80C/80CCC(restricted upto Rs.150000/-)
Additional deduction of NPS (Maximum Rs.50000/-) u/s 80CCD(1B)
Deduction of NPS (employer’s contribution) U/S-80 CCD (ii)
Investment in Sweat equity share (restricted up to 50% of invested U/s 80CCG
amount maximum Rs. 25000/-)
Deduction for mediclaim policy (restricted to Rs. 30000/-) u/s 80D
Deduction of medical exp. of handicapped dependent u/s 80DD
(Normal disability-75000/-, Severe disability-125000/-)
Deduction of medical exp for Chronic diseases (Rs.40000/-for u/s 80DDB
individual, Rs. 60000/- for Sr. citizen, Rs.80000/-for super sr citizen)
Prescription of specialized doctor is required.
Deduction interest on loan taken for higher education (Actual) u/s 80E
Deduction of Donation to National funds/charitable trust etc. u/s 80G
Deduction of Interest on FD up to 50000/- (for sr. citizen) u/s 80TTB
Deduction allowed to individual with disability u/s 80U
(Normal disability-75000/-, Severe disability-125000/-)
Total deduction
For house rent calculation: -
If official is residing in own house, please intimate.
If official is residing in govt. house, intimate complete address of
govt. accommodation

If official is residing in rented house, intimate complete address of

house with amount / copy of rent receipt with PAN of owner
Other required information if any: -
If the official has taken HBA from outside agencies like Banks etc., u/s 24
supply the copies of complete documents of loan and also intimate
tentative figure of interest
If Nigam vehicle has been provided, intimation be provided on
prescribed format.
NOTE: The complete proof of deductions (3 copies) may be attached with the Performa.

(Signature of official)
C:\Users\xenitmspc2\Desktop\TAX SAVING\Tax Saving detail proforma.docx
 Undertaking
It is Certified that I _______________ using the Mobile Phone No.

____________ of ______________________ (Name of service provider) in

the interest of Nigam’s work and I have actually utilized the full entitled

amount towards mobile usage charges for the period 01.01.2019 to

31.12.2019.

Dated:
Signature of Officer /Official ________________

Name of Officer /Official ___________________

Designation _____________________________

Name of Office __________________________

Endst. No. ______________ Dated ___________

Forwarded in original to AO/P&A/cs, HVPNL, Panchkula for information and

necessary action please.

Signature of HOD / Head of Office