Emp Code
Emp Name
JAN, FEB and MAR RENT DECLARATION FORMAT
I HEREBY DECLARE THAT I WOULD BE PAYING A SUM OF RS.________________ PER MONTH (IN WORDS)_________________________________________________________
_______________________________________________________________________________________________________________________________________________
TOWARDS THE RENT FOR THE MONTH / PERIOD OF ____________________________________________________________________________________________________
FROM MR/MS. _________________________________________________________________________________________________________________________________
WHO IS RESIDING AT _____________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
Landlord Name
Landlord PAN
Landlord Address
Date:
Place:
SIGNATURE OF THE EMPLOYEE