DB POWER Limited

Covering Sheet of Investment Proofs for the F.Y. 2011-2012

NAME : EMP. Code No :

DEEPAK KRISHNA LATKE DBP000203

Email Address Contact Nos.

deepak.latke@dbpower.in

Sex

Male

PAN No : ABUPL1767E (If not allotted attach the photocopy of applied for the same)

I am enclosing herewith the following investment proofs for the purpose of rebate/deduction to be considered in calculating my income tax for the F.Y. 2011-12. I undertake that wherever eligible investments are made in the name of spouse/children/dependent parents, the same have been made out of my income and claim thereof has not been or will not be made by anybody else. Sl. 1 2 Nature of Investment Life Insurance Pension Scheme - [u/s 80CCC] Mediclaim Policy Premium [u/s 80D]-upto Rs. 30,000/Investment done for Only for Self Self Spouse Dependent Children Parents Self Spouse Children Only for Self Only for Self Self Spouse Children Self Spouse Children Self Self Spouse Children Child 1 Child 2 5 1 23,795.00 64,174.00 2 No. of AMOUNT (RS.) Proofs

5,301.00 already g

3 4

Deduction u/s 80DD - Rs. 50,000/Payment of interest on loan taken for higher education ( U/s 80 E ) Interest on Housing Loan [u/s 24(2)] ( Also see Annexure ) Repayment of Housing Loan ( Only Principle ) [u/s 80C] Payment of Life Insurance Premium

5 6 7

25,917.24 19004 gi 19,600.00 14700 gi

Deposit in Public Provident Fund

Purchase of National Saving Certificates

10 Payment of ULIP / Equity linked Mutual Fund

11 Payment of tuition fees for any of two children 12 Approved Debentures/ Shares/ Mutual Funds (Infrastructure) 13 Interest on N.S.C. purchased in the Previous 5 Years 14 Fixed Deposit ( for 5 years or more ) 15 Others ( Please Specify ) 16 Long Term Infrastructure Bonds (Sec 80CCF) Max 20000/17 Rent Receipts (H.R.A.)

I further undertake to submit the following LIC Proofs by 3rd March 2012 falling which the tax may be deducted accordingly from my salary. (if due date is in February & March) 1 2 3 Nature of Policy Premium Life Insurance Pension Scheme - [u/s 80CCC] Payment of Life Insurance Premium Payment of Tax Saving Mutual Funds (SIP) Due Date of Premium Amount (Rs.)

I hereby declare that all the information given by me is true and correct. Place : Dated :
Page 1 of 1

Signature
Prepared by SGC Services P Ltd