Single format · FV04-C1-2

Employee declaration, Form 12BB and Form 122 combined

A single format from the Salaries pack. for the employer's record.

Length
2 pages
Blanks to fill
34
Files
Word and PDF
Law stated to
13 September 2026

What it covers

  1. 1Employee declaration, Form 12BB and Form 122 combinedfor the employer's record34 blanks

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

Declaration of particulars for deduction of tax at source from salary

Tax year: [2026-27] Employee code: [Employee code]
To, The Head — Payroll, [Name of the employer]

Part A — identity and regime

8 more paragraphs and tables follow in the full format.

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