Affidavit - Leave Encashment
Affidavit - Leave Encashment
2. (a) That I have resigned from the aforementioned post effective from ………………….……
(b) That I have superannuated from the aforementioned post effective from …………..………..
(Strike off whichever is not applicable)
3. (a) That during my tenure of service with my past employers, I have received the Leave Encashment as follows.
Financial year Name of the employer Address Amount Received(Rs) Amount Claimed
Exempt(Rs)
(b) That during my tenure of service, I have not received any amount on account of Leave Encashment from any of my
past employment.
4. That the particulars given above are true and correct to the best of my knowledge. The onus of producing necessary
documents/details/information before the income tax department lies with me and I hereby give consent to be held
personally liable for any tax demand that may arise out of any consequent action initiated by the Income Tax
department arising out of this affidavit.
5. That I hereby undertake to indemnify and keep indemnified the Company , its Directors and executives against all
claims , demands , costs , loss or damage including but not limited to any demand for payment of tax , penalty and/or
interest to that may arise against the Company either from Tax authorities or otherwise, pursuant to payments made
to me under this Affidavit and I shall be liable to make good all such costs, demands, loss or damage immediately
upon demand made by the Company without any demur
Signed Date:
Name: Place:
Employee Code:
Internal