LARSEN & TOUBRO LIMITED Form 16 Form16 Details : Employee Name Employee PAN Employee Serial Number Employee Designation Form 16 Contr! Number Assessment Year SUNNY JAIN ALLPugo4eH 20034845 CHARTERED ACCOUNTANT | 20034845/ALLPJ9048H/2011-2012 2012-2013 Signature Details : This form has been signed and carified using a Digital Signature Certificate as Specified under Section 119 of the Income-Tax Act, 1961. (Please refor Circular No.2/2007, dated 21-5-2007) The Digital Signature of the Signatory has been affixed in the box provided below. To see the details and validate the signatory, you should click on the box. Digitally Signed By NTA PAWAR Digital Signature Certificated Issued By SafeScrypt sub-CA for RAI Class 22012 Serial Number of DSC Number of Pages 16620068 5 (including tis page ) Validity unknown aa epFORM NO.16 [See Rule31(1)(a)] PART A LaTiconsTRit1-121410 [Name and Adarone ofthe Employer Name and Designation of the Employee ICs T HOUSE BALLARD ESTATEN M MARG.MUMBALA00001 earteReD accountant PAN otihe bedacior Ta othe Beauctor PAN of Re Empioyee ars ASSESSMENT PERIOD iy : moment Code : 400002 zoa1s [REPRO TOMAR AIT Summary of tax deducted at source Goarer [Recap Numbers of ariginal statements of | Amount of tax deducted respect ot [Amount of ax dapoaied roniied [Foe Under Sub-Sacton (3) of section employ respect of the employee ‘Guanert {JPOXBGFG B09 a9 ‘Quaner2 eDxKZOD 0.09 209 ‘Quarers SPOXRUYG 780.09 Fek0.00 ‘Guan aPDBCzFE 2.09 29 PARTS (Refer Note) ‘DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUGTED ca ey =] Salary os por ovisonscoviainea h sacion 17) es [vate of Pera. ws 17(2¥as pa FORM 126A) wherever appcable 70359 Pets tu of salary us 173) (on por FORM 128A wharves appncabo a [BALANCE (1-2) (2) Enlenanment aowanae (@) Taxon Enplopment Re (@) EntanmentAlowsnas Re [ecroaate of 418) 8) (6) INCONE GHARGEABLE UNDER THE HEAD SALARIES 3) @ [Ross TOTAL NCOWE 7)In) Seaton 606, 80000, €0CCO (a) Secon soc [REPAY OF HSGLOANPRIN IDUNDER SECTION #0CCG a a a [QUNDER SECTION @0GcD a a 5 |b) OTHER SECTIONS UNDER CHAPTER Via a 5 5 [US EODD MAINT. OF HANDIGAP DEPENDENT (SEVERE DISABILITY, 0 a a INow severe) [Us BoDDe MEDICAL INSURANCE ON SPECIFIED DISEASE GR GTTIZEN a a a lore [US Boe HIGHER EDUCATION (NTEREST ONLOAN ONLY) 0) 5 o [US B0U SELF HANDICAP (SEVERE DISABILITY. NON SEVERE) 0 5 5 [L11_[rora mcome 10) | | 1 19828] [D2 [rex on rorat nooue | | I a [Gs Jenucarion cess ge (Gn Tax Computed at S.No 12) | I | of [44 [Fax Payatio(12+13) I | | of [15 |Loss: Rebate Unde Sten 60 | I I | [Loe [roxPayate- (16-5) ! L | | Vancom IITA PRWAR, sonuaugharo DATTATREYA SHAMKER KABADE wating the cpacly HEAD SHARED SERVICES, PAYROLL Goharby com hava sonal [zs.200 rupees two thousand sh rand shy rupees on fas Baan dad ste and pal terest Gaal Goverarturar cet tate [natn gen above ston conpas snd cone asad oe bts of sess acumen, 40S Sutantnt TOS doped and chr aval ou es enpoyedunde eran cg th yr a of he pyr sal ene Par ot ‘petgne war empoyad on Se oj Selena sch ne andj cre at emper Girma cra ance nA pesto con aos Ae Hs eps cng mechan, { tnaFormenat be apa ny nreape tte Savon rae tay a prTETICONSTRIT-TaI470 (The Epler to prove paynant wise dell oft deducted and deposed wih respactto he employee)FORM NO. 1288 LaTICONSTRI1-12/610 [See rule 26A(2)0)) ‘Statement showing particulars of perquisites, other fringe benefits or ‘amenities and profits in lieu of salary with value thereof [i Name and address of Employer TARSEN & TOUBRO LIMITED L&THOUSE BALLARD ESTATE.N M MARGMUMBAI-400001 TAN ‘MUMLO0Os1C ‘TDS Assessment Range of the employer ‘TDS RANGE-2(1) J4 Name, Designation and PAN of the employer SUNNY JAIN CHARTERED ACCOUNTANT | ‘ALLPu9OgBH IS Is the employee a director ora person with substantial No interest in the company(where the employer is a company) |S income under the head “Salaries” of the employee(other _263117.76 than from perquisites) ly Financial year 2011-2012 la Valuation of Perquisites [So [Nature of perquisites (eco rae 3) [vate of perquiate ae per Amoura, Wany received [Amount of perquahe eos (Rs) tom the employee (Rs) [chargeable to tx (Rs) a @ a @ @ [STOCK OPTIONS NON-QUALIFED OPTIONS) o 2.9 4] frat vatve operates Tass 209 ) [ata vate of pots teu of sala as pe secon TT) 00 209 3.0 [oy Deas ot tax a) Tax deducted om slay othe employee underina seeton 7B2(7) 880 by Tax pad by payer on Baal ane employe under seaion192(7A) le) Total tax pane 80 a) Dae of payment nia Goverment Peasy Feter Form 16 Ina PAWAR,sancnugia of DATTATREYA SWANKER KABADE wring WEAD SHARED SERVICES, PAYROLL do ray dear on halo LARSEN & TOUBRO LTD 5 ee