| a. Salary as per section 17(1) — 1a |
| 1 | | | |
| 2 | | | |
| 3 | | | |
| Sub-total 1a | 0 |
| b. Value of perquisites as per section 17(2) — 1b |
| 1 | | | |
| 2 | | | |
| 3 | | | |
| Sub-total 1b | 0 |
| c. Profit in lieu of salary as per section 17(3) — 1c |
| 1 | | | |
| 2 | | | |
| Sub-total 1c | 0 |
| d. Income from retirement benefit account u/s 89A (notified country) — 1d |
| e. Income from retirement benefit account (other than notified country) u/s 89A — 1e | |
| f. Income taxable on which relief u/s 89A was claimed in earlier year — 1f | |
| 1. Gross Salary (1a + 1b + 1c + 1d + 1e + 1f) | 0 |