ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Salary Statement for the Year 2023-24CHANGE-->
2
Name of Employee : Tax Payee : Individuals
3
Designation : PAN :

4
Office : Govt. Payee Code:
5
Sr.Paid MonthPay in Pay BandDearness Allowance (DA)HRAMedicalChild Edu. Allow. Total (5 to 7)GPF/PRAN Subs.NPS Ded.GPF AdvanceGISLoan etc.Income tax paidTotal (9 to 14)Net (8-16)DA%
6
12345678910111213141516
7
1 Mar. paid in Apr. 61,500 23,370 4,920 1,000 - 90,790 8,487 60 5,000 13,547 77,243 38
8
2 Apr. paid in May. 61,500 25,830 4,920 1,000 - 93,250 8,733 60 5,000 13,793 79,457 42
9
3 May paid in June 61,500 25,830 4,920 1,000 - 93,250 8,733 60 5,000 13,793 79,457 42
10
4 June paid in July 61,500 25,830 4,920 1,000 - 93,250 8,733 60 5,000 13,793 79,457 42
11
5 July paid in Aug. 63,300 26,586 5,064 1,000 - 95,950 8,989 60 5,000 14,049 81,901 42
12
6 Aug. paid in Sept. 63,300 26,586 5,064 1,000 - 95,950 8,989 60 5,000 14,049 81,901 42
13
7 Sept. paid in Oct. 63,300 26,586 5,064 1,000 - 95,950 8,989 60 5,000 14,049 81,901 42
14
8 Oct. paid in Nov. 63,300 26,586 5,064 1,000 - 95,950 8,989 60 5,000 14,049 81,901 46
15
9 Nov. paid in Dec. 63,300 29,118 5,064 1,000 - 98,482 9,242 60 5,000 14,302 84,180 46
16
10 Dec. paid in Jan. 63,300 29,118 5,064 1,000 - 98,482 9,242 60 12,500 21,802 76,680 46
17
11 Jan. paid in Feb. 63,300 29,118 5,064 1,000 - 98,482 9,242 60 2,900 12,202 86,280 46
18
12 Feb. paid in Mar. 63,300 29,118 5,064 1,000 - 98,482 9,242 60 40 9,342 89,140 46
19
13
20
14 1st DA Arrear 7,380 - - - 7,380 738 - - - - 738 6,642
21
15 2nd DA Arrear 10,128 - - - 10,128 1,013 - - - - 1,013 9,115
22
16 Child. Edu. Allow. - - 13,500 13,500 - - - - - - - 13,500
23
17
Salary/Medical Arrear
- - - - - - - - - - -
24
GRAND TOTAL 752,400 341,184 60,192 12,000 13,500 1,179,276 109,358 - - 720 - 60,440 170,518 1,008,758
25
26
Signature of Employee
Signature of DDO with Stamp
27
Salary Per Month
98,273
CHANGE IN YELLOW CELLS ONLY
28
Salary Per Month Hand
84,063
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100