We request you to read and accept the declaration below:

Declaration

Reliance SMSL Limited,

Lokmanya Tilak Marg, Dhobi Talao, Mumbai 400002.

Dear Sirs,
Ref: Declaration relating to reimbursement, allowance claims and investments

1. I, declare and confirm that:

(i) The Permanent Account Number (PAN) allotted to me as per Income Tax records is
[CDVPR3812D];

(ii) The reimbursements and allowances claimed by me from the Company for the Financial Year
2018-2019 are and shall be the expenses actually incurred by me during the said Financial Year
and such claims are and shall be in accordance with and to the extent permissible under the
Income Tax Act, 1961, as amended from time to time (IT Act);

(iii) The investments made and expenses incurred by me during the Financial Year 2018-2019 in
respect of which I am seeking deductions (including under Chapter VI-A of the IT Act), and the
proofs submitted by me to the Company for computing the tax deductible at source on my salary,
are and shall be in accordance with and within the extent permissible under the IT Act;

(iv) I shall retain all the original documents and records in support of the reimbursements mentioned
above, and of allowances and deductions for a minimum period of 5 years or such longer period
as may be required under applicable laws.

2. I shall immediately inform the Company upon becoming aware of any changes, errors or omissions in,
any information or documents previously provided by me to the Company.

3. I agree that I shall be solely responsible and liable for any and all liabilities (including under the IT Act)
that arise due to or in connection with :

(i) My failure to provide documents or information or

(ii) Provision of false or incorrect declarations or documents.

4. I shall indemnify, defend and hold the Company, its affiliates and respective officers, directors, employees
and representatives harmless from and against any and all losses, damages, liabilities, claims, suits,
proceedings, costs and expenses incurred or suffered by Company in relation to or arising from or in
connection with :

(i) Any declaration or information provided by me or

(ii) Any breach of applicable law by me

I hereby authorize the Company to adjust and set off such amounts from any amounts payable to me.
5. I understand that the Company has a ‘zero tolerance approach’ to submission of incorrect or false
declarations, documents and claims and submission by me. Any incorrect or false declaration, document
or claim may result in termination of my employment with the Company and forfeiture of any retirement or
separation benefits.

Place : Reliance Smart - AcmeMall Employee Name : Rehan Rizvi

Date : 15.10.2018 Employee ID : 60405141