A. SALARY & ALLOWANCES Basic Dearness Allowance / Cola House Rent Allowance Education Allowance Newspaper / Periodical / Magazine Allowance Professional Allowance House Maintenance Allowance Servant Allowance Conveyance Allowance Any Other Allowances (Not Listed Above) TOTAL SALARY & ALLOWANCES B. INCENTIVES (AT RISK) Performance Bonus Attendance Bonus C. BENEFITS Provident Fund (%) Superannuation (%) Gratuity (%) Annual Bonus (%) Ex-Gratia Payment (%) Company Provided Conveyance Yes/No Hard Furnishing Yes/No Company Provided Phone / Allowance Leave Travel Assistance Medical Coverage/Mediclaim Company Housing Provided Yes/No Company Provided Canteen (% Subsidy) Company Provided Uniform Any Other D. TOTAL COMPENSATION Expected Salary: (Rs. per Annum)__________________________ SIGNATURE:
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