R SYSTEMS INTERNATIONAL LIMITED Please Tick (P) as applicable

A CMM LEVEL 5 & ISO 9001 CERTIFIED COMPANY Original

C-40, SECTOR-59, NOIDA-201 307, DISTT. Ghaziabad, U.P. (INDIA) Revised
PHONES 0120-2587424-29, 2588234-35 FAX: 0120-2587123 Additional
if not ticked, it will be treated
EMAIL: [email protected], URL:www.rsystems.com
as a fresh FORM
REGD.OFF: B-104A, GREATER KAILASH 1, NEW DELHI- 110 048

INCOME TAX DECLARATION WITH INVESTMENT PROOF FOR THE FINANCIAL YEAR 2007-2008

>>Click here for INSTRUCTIONS<<

Name of the employee Dinesh Chander Joshi Employee code 2200

Date of Joining 24-01-2007 Name of Dept. BPO (Infra QA)
Permanent Account No. (PAN) AHHPJ1196J Emp Extn No./Cell No 2463

Srl No. Particulars Details Amount (Rs.)

1 PAYMENT OF HOUSE RENT << Employees who have opted for company leased accomodation need not fill this information >>
Metro- Y/N Address of the rented property Name of the Landlord Address of the Landlord Rent Per month Rent per annum
Rz-285E Block-F, Street no-9, Raj Rz-285E Block-F, Street no-9, Raj
Nagar part-II, (Near DDA Park), Palam Nagar part-II, (Near DDA Park),
Y Colony, New Delhi-11045 Heera Devi Palam Colony, New Delhi-11045 4,700 56,400
0
0
0
(in case of any revision in the rent please indicate the effective month) 56,400
2 DEDUCTION U/S 80C OF INCOME TAX ACT

(i) Life insurance premium paid during the year 1-04-07 to 31-03-08
Amount of Insurance premium
premium paid qualifiying amount
Policy no. Sum Insured For - self / wife / children
as per individual (20% of the sum
receipt attached insured)
330588525 40,000 Self 2608 2,608
331676079 100,000 Self 6126 6,126
331377788 200,000 Self 12742 12,742
- 0 0
- 0 0
- 0 0
- 0 0
- 0 0
- 0 0
Total insurance premium 21476 21,476
(ii) Unit linked insurance premium paid to UTI
Policy No. For - self / wife / children Premium paid
60,000
0
0
Total 60,000

(iii) Contribution to Public Provident fund (Maximum Rs 70,000/-) 0

(iv) Purchase of National Savings Certificates (NSC) VIII issue, during the year 1-04-07 to 31-03-08
Date of purchase Certificate no. Amount
30,000
0
0
0
0
0
Total 30,000

(v) Purchase of infrastructure bond/Fixed Deposit (Maximum Rs 1,00,000/-) 0

(vi) Tuition Fee (Maximum upto 2 children)

Name of Children Name of School/College Quarterly Period Fee Amount
Child 1
0
0
0
0
Total Child 1 0
Child 2
0
0
0
0
Total Child 2 0
Total 0
 (vii) Equity linked saving scheme of mutual fund (Subject to maximum of Rs. 1,00,000) 9,500

(viii) Contribution in Pension Plan - U/s 80CCC 0

(iX)
Mediclaim insurance premium paid - U/s 80D 0

Medical treatment of Handicapped Dependents-U/s 80DD Upto maxmum Rs. 50,000/- 0

(X)

3 Interest on Housing Loan

Upto maxmum Rs. 1,50,000/-
Date of Commencement of Loan
Date of Possession
Interest Loss during the FY 07-08
Principal Amount during the FY 07-08
Pre-EMI Interest(If any)
Joint Holder's Name (If any)
Declaration in case of Joint name in the loan
Loss on house property and rent can't be given together.

I confirm that the above statements are true to the best of my knowledge and I am responsible for any tax calculation / tax deducted on the basis of the above statement.
I also confirm that I shall furnish adequate supporting to the company failing which company is authorised to disregard the above as a basis for any tax calculation done.

Signature of the employee Name of the Employee Dinesh Chander Joshi Date : 22-Oct-08

SUMMARY <FOR OFFICE USE ONLY>

EMP NAME Dinesh Chander Joshi
EMP CODE 2,200

House Rent 56,400 Checked by

Metro or Non Metro Y
LIC - premium 21,476
Public provident fund -
30,000 Input by
Infrastructure bonds -
Equity + UTI 69,500 Audited by
Tuition Fee -
Contribution in Pension Plan - U/s 80CCC -
Mediclaim insurance premium -U/s 80D -
Interest Loss during the FY 05-06 -
Principal Amount during the FY 05-06 -
Medical treatment of Handicapped Dependents-U/s 80DD -

Remarks
< Please read instructions on the next sheet>
< Any information you wish to communicate which has not been covered in the form above may be given separately >
ease Tick (P) as applicable
 Instructions for submitting Proof of Investments

1 Hard copy of Investment declaration should reach us on or before 25th April, 2007

2 Tax benefit U/s 80C, 80CCC, 80D, is available only if any amount to this effect has been paid during the financial year starting 1st April 2007
to 31st March 2008

3 Employees joined on or after 01/04/2007 should declare their earning with former employer(s) for the financial year 2007-08 in a specified
Form within seven days of joining. In the absence previous earning details, TDS will be made at the highest rate which is presently 30% +
Surcharge (if applicable) + Educational Cess.
Also please make a note that any benefit U/S 24, 80C, 80D, 88CCC can not be allowed if no salary certificate or Form 16 is attached with
the tax declaration. Any investment made on or after joining RSIL may be allowed subject to providing proofs of Investment.

4 Exemption for House Rent - Employee availing benefit U/s 10(13A) read with rule 2A, should declare the actual rent paid /full name and
the address of the landlord, full name of the tenant, address of the rented property, period for which rent is paid (i.e. month or quarter), mode
of payment - cash or cheque. Receipt should be signed on revenue stamp. Rent amount should be in figures and in words. For the purpose
of calculating exemption for House rent payment, any payment made to landlord by the employee towards electricity, water, maintenance
charges and hire charges for furniture & fittings will not be considered as part of rent. Copy of any one month’s rent receipt for each quarter
is required to be submitted. If Rent amount is =>Rs 8,000/- pls submit the PAN of your Land lord. Incase of cheque payment, Cheque no
and date should be mentioned on the receipts. Also for rent exceeding Rs. 12,000 PM, we would require a lease apreement apart from Rent
receipt. If there is any changes in your Rent during the Financial Year, you will have to provide the lease aggreeement to that
effect. We'll not accept any change in Rent request withouth that.

5 Life Insurance premium receipt should be attached in the same order of details provided in declaration form. Please mention sum assured
on the face of premium receipt. A late payment fee for payment of Insurance Premium is not allowable.

6 For investment made in PPF, employees are requested to submit a copy of passbook or deposit challan. No other proof is acceptable.

7 National saving Certificates VIII Issue purchased during the financial year should be mentioned and copies be attached. Accrued Interest on
NSC(s) purchased in the previous year(s) may be claimed showing interest calculation as mentioned in form. However such interest will be
taxable under the head Income from other sources. Copies of NSC Certificates should be attached serially, by month & year. .

8 Income tax deduction U/S 80C on tuition fees paid for childrens is available subject to following conditions:
>> tuition fee is paid for full time education and does not include development fees or donations
>> tuition fee is paid to a university, college, school and other educational institution situated in India
>> the qualifying amount is Rs.100,000/- per child for a maximum of 2 children
Please attach copies of receipt of Tuition Fee paid. Name of month or quarter as he case may be, should be appearing therein.

9 For Pension Plans with riders, premium paid for the rider may not always be eligible u/s 80CCC. Premium paid for certain types of riders
may be eligible u/s 80D.

10 Please indicate your PAN in the Form. Those who do not have PAN should apply and submit the acknowledgement copy for record. On
receipt of PAN no., the same should be furnished at the earliest. Submission of PAN is mandatory.

11 In case where tax has been deducted and deposited due to non-submission of tax declaration along with Investments proof, excess income
tax deduction to this effect (if any) may be adjusted against future income tax liability for the same financial year after receiving income tax
declaration with investment proof not later than 20th January 2008. If the excess tax deduction leads to refund situation, the amount will not
be refunded to employee and the employee will have to claim it from the Income Tax Department. This will also apply in cases where the
initial income tax declaration has been amended at a later date and such declaration may result in income tax refund.

12 Employees may avail Income tax benefit for payment of Interest & principal repayment U/s 24 & 80 C respectively. Employees who have
been availing tax benefit on housing loan should submit Banker’s Interest and Principal Repayment Certificate along with following:

>>Copy of Title Deed / Sale Deed/ Conveyance Deed

>>Copy of loan disbursement certificate with date of disbursement
>>Copy of the Banker Certificate for Interest & Principal repayment for the current financial year
>>Copy of Banker Certificate for Pre EMI / Pre Possession Interest payment
>>Possession Letter where house or flat has been bought / Completion Certificate where house property has been constructed
>>Incase the loan is in joint name, pls submit a declaration on Rs 10/- stamp paper duly notarised that the co- applicant is not taking any
benefit u/s 24 against this particular loan.
 Rent Recipts House Loan
Emp
Sl.No Code Name Per Month Location Total Rent Intrest Loss
2200 Dinesh Chander Joshi 4,700 Y 56,400 -
 Savings
Home Loan
Principal 80 CCC 80 D LIC/Others NSC
- - - 21,476 30,000
PPF Child Ed. Infra Bond
- - -