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Sourav Maji
PART B (Annexure)
Details of Salary paid and any other income and tax deducted
INR
INR
INR
1. Gross Salary
(a) Salary as per provisions contained in sec.17(1)
415170.00
0.00
0.00
(d) Total
415170.00
19200.00
Conveyance Exemption
19200.00
3. Balance(1-2)
395970.00
4. Deductions :
(a) Entertainment allowance
0.00
2500.00
2500.00
393470.00
0.00
393470.00
Gross amount
Deductible amount
16920.00
ii)
11844.00
10000.00
38764.00
0.00
0.00
0.00
0.00
Gross amount
Qualifying amount
Deductible amount
38764.00
354710.00
8471.00
254.13
8726.00
0.00
8726.00
Verification
I, SRIPARASH MOHANTY, son/daughter of
RUDRAPRASAD MOHANTY
(designation) do hereby certify that the information given above is true, complete and correct and is based on the books of account,
documents, TDS statements, and other available records.
Place
JAMSHEDPUR
Date
31.05.2016
00159102/BPXPM0026B
Sourav Maji
FORM No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisites, other fringe
benefits or amenities and profits in lieu of salary with value thereof
1) Name and address of employer :
Jamshedpur Utilities & Services Co. Ltd. , - , Jharkhand
2) TAN: RCHJ00242E
3) TDS Assesment Range of the employer :
Salary Ward,Jamshedpur, , , ,
4) Name, designation and PAN of employee :
Mr/Ms: Sourav Maji , Desig.: Officer (Survey) , Emp #: 00159102 , PAN: BPXPM0026B
5) Is the employee a director or a person with substantial interest in
the company (where the employer is a company):
6) Income under the head "Salaries" of the employee :
393470.00
2015-2016
8) Valuation of Perquisites
S.No
Nature of perquisites
Value of perquisite
(see rule 3)
(1)
(2)
(3)
(4)
Amount of perquisite
chargeable to tax( INR)
Col(3)-Col(4) (5)
Accommodation
0.00
0.00
0.00
Cars/Other automotive
0.00
0.00
0.00
0.00
0.00
0.00
personal attendant
4
0.00
0.00
0.00
0.00
0.00
0.00
Holiday expenses
0.00
0.00
0.00
0.00
0.00
0.00
Free meals
0.00
0.00
0.00
Free Education
0.00
0.00
0.00
10
0.00
0.00
0.00
11
0.00
0.00
0.00
12
Club expenses
0.00
0.00
0.00
13
0.00
0.00
0.00
14
0.00
0.00
0.00
15
0.00
0.00
0.00
/amenity/service/privilege
16
0.00
0.00
0.00
17
0.00
0.00
0.00
18
0.00
0.00
0.00
19
0.00
0.00
0.00
8726.00
0.00
8726.00
DECLARATION BY EMPLOYER
I, SRIPARASH MOHANTY son/daughter of RUDRAPRASAD MOHANTY working as SR.MANAGER (ACCOUNTS) (designation ) do hereby
declare on behalf of Jamshedpur Utilities & Services Co. Ltd. ( name of the employer ) that the information given above is based on the
books of account, documents and other relevant records or information available with us and the details of value of each such perquisite are in
accordance with section 17 and rules framed thereunder and that such information is true and correct.
This document is digitally signed by JUSCO Ltd.