[A] Monthly Components                                       Actual PF :     Actual with Company PF :
	:      BasicStipend	Rs.
	HRA :	Rs.  4050%
	Transport Allowance :	Rs.
	Car Allowance :	Rs.
	Special Allowance :	Rs.
	Gross Monthly Salary :	Rs.
	Gross Monthly Salary (Post Annual Components):	Rs.
	Provident Fund :	Rs.
	ESIC :	Rs.
	Net Monthaly Salary :	Rs.
[B] Annual Components (Tax saving components which shall be reimbursed on production of documents)
	Medical Reimbursement :	Rs.
	Leave Travel Allowance :	Rs.
	Children Education Allow. :   Child1 :  Child2 :	Rs.
	Annual Gross Salary :	Rs.
[C] Other Annual Components (Statutory components)
	Bonus/Exgretia :	Rs.
	Estimated Gratuity :	Rs.
	Employer's PF Contribution :	Rs.
	Employer's ESIC Contribution :	Rs.
	Mediclaim Policy Premium :	Rs.
	Total Cost to Company :	Rs.
	Additional Benifit
	Mediclaim insurance coverage for Employee, Spouse 2 children :	Rs.
	Car entitlement as per car policy :	Rs.