Name of recovery........................................................................................................ Amount Rs................................................................................................................... Number of installments in which to be recovered........................................................
Deductions made from leave-salary
From….................………….to………...................……………on account of……………...................………….Rs. .................................. From….…................……….to………………...................……on account of……………...................………….Rs. ………............................ From….…................……….to………...................……………on account of……………...................………….Rs. ……..................……………..
Details of Income-tax recovered
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