INVESTMENT AND TAX-CLAIM DECLARATION TO THE EMPLOYER (KNOWN AS FORM 12BB)
I, __________, holding PAN __________, give you these particulars for the financial year __________ so that you may work out the tax to deduct from my salary. I have chosen __________.
I will give you the supporting proofs when you ask for them, by the date you set. I understand that you will deduct tax on the basis of these particulars, and that I am responsible for them being correct. If a claim proves wrong or does not go ahead, I will tell you.
This is my own declaration written in my own words. It is not a copy of any prescribed form, and your payroll system or portal may require the prescribed form in its own layout, which I will then fill in and sign. The particulars above are true and correct to the best of my knowledge and belief.
PERSONAL DATA NOTICE
This notice is given under the Digital Personal Data Protection Act, 2023.
Personal data in this document is collected only to let the employer work out the tax to deduct from salary, communicate about that purpose, verify the information expressly supplied, and retain an evidentiary record.
The record will be held by __________ and may be shown only to the employee, the employer named in it and its payroll, accounts and tax staff, and a payroll or tax service provider the employer appoints, and to a statutory or tax authority where disclosure is required for the matter recorded here.
If the matter does not go ahead, or this document is withdrawn before it is used, the personal data will be retained for 90 days from that decision and then erased. If it is used, the record will be retained for 12 months after the matter ends and then erased, except for a record that a statute requires to be kept for a longer named period.
Data minimisation: this document deliberately does not require a full Aadhaar number, Aadhaar-card copy, passwords or unrelated identity material. Detailed KYC should remain in the separate KYC workflow; tax or payment identifiers are collected here only where the whole purpose of this document requires them.
SIGNATURE
______________________________
Signature
Employee: __________
Place: ____________________
Date: ____________________