Canara Bank | DECLARATION OF INVESTMENT FOR AVAILING INCOME TAX REBATE

Name of Ex-employee Pensioner

Staff No.*

PAN*

Financial Year*

Mobile No.*

Email Id*

Sno.	Deduction Under Chapter –VI A	AMOUNT OF DEDUCTION CLAIMED (Rs.)
1.	u/s 80D Medical/health Insurance for the age below 60 years (Maximum limit Rs.25000/-)
2.	u/s 80D Medical/health Insurance for Senior Citizen (Maximum limit Rs.50000/-)
3.	u/s 80D For preventive health check up included in the above limit of Rs.50000 (Maximum Limit Rs.5000/-)
4.	NPS under Section 80CCD 1B ( Maximum limit Rs.50000/-)
5.	u/s 80DD maintenance of Handicap Dependent : Disability (More than 40% but less than 80%) Maximum limit Rs.75,000/-
6.	u/s 80DD maintenance of Handicap Dependent : Severe Disability (80% or more) – Maximum limit Rs.125000/-
7.	u/s 80DDB Medical treatment for self or dependent for specified disease (Maximum Limit for Senior Citizen Rs.1,00,000/-
8.	u/s 80DDB Medical treatment for self or dependent for specified disease (Maximum Limit = Others Rs.40,000/-
9.	u/s 80E higher education (Amount paid towards interest on education loan taken)
10.	u/s 80U Self Handicap Disability (More than 40% but less than 80%) Maximum limit - Rs.75,000
11.	u/s 80U Self Handicap - Severe Disability (80% or more) Maximum limit - Rs.1,25,000
12.	Interest on Housing Loan (u/s 24) (Maximum Limit Rs.2,00,000/-)
13.	Infrastructure Bonds (u/s 80CCF) (Maximum limit Rs. 20,000)
14.	Donation u/s 80G – 100% Scheme
15.	Donation u/s 80G – 50% Scheme

SNo.	INVESTMENT UNDER SEC-80C - (Maximum limit Rs.150000/-)	AMOUNT OF DEDUCTION CLAIMED (Rs.)
16.	Children Education Tuition Fee
17.	Public Provident Fund (PPF)
18.	Mutual Fund approved under the Act
19.	National Savings Scheme (NSS)
20.	National Savings Certificate (NSC)
21.	FD under Tax Savings Scheme with Scheduled Bank(=>5 years)
22.	NSC interest reinvested
23.	Housing Loan Principal repaid
24.	SCSS-Senior Citizen Savings Scheme
25.	Investment in any approved pension scheme
26.	Life Insurance premium paid (premium <20% of policy amount)
27.	ULIP investment approved for tax rebate
28.	Agriculture Bonds
29.	Other Deduction u/s 80-C (to be specified)

I hereby declare that I shall submit the proof of Investment as declared above by 31^st December of this FY. In case I don’t ensure submission of proof of investment by 31^st December of this FY, I am aware that applicable tax will be deducted on the pension paid.