Rental Receipt
1. Employee details
WWID
Full Name
2. Address of the rented house
City
State Pin code
3. Rent details
Received with thanks from (employee name) Mr./Ms.
sum of Rs.
(Rupees only)
towards the rent of the above mentioned residential premises for the month of
Mode of Payment (Cash/Cheque/Online): Payment Dated:
4. Landlord Details
Permanent account number (PAN)
Full Name
Landlord Signature and Date
Future Month Rent Payment Declaration
1. Employee details
WWID
Full Name
2. Address of the rented house
City
State Pin code
3. Future Rent details
Rent for the month Amount Payable
February 2021 Rs.
March 2021 Rs.
I hereby declare that,
1. I will be paying the rent amount declared for above mentioned house for the above mentioned period.
2. The original rent receipts would be produced on request to Intel Technology India Pvt. Ltd..
3. I hereby undertake to prove the authenticity of the above declaration before the Income Tax Authorities and
/or Intel if and when called for.
4. I shall be responsible for compensating Intel (even after employment ends) for any tax, interest and penalty
payable to or charged by the Income Tax Authorities on account of any fraudulent claim submitted by me.
Employee Signature
Date of submission