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Govt/PSU/Other Staff


Developed By G. Gururaja of CSSD, NAL, Bangalore 17
Please Refer FORM 16 issued by your Lab for entering the data.
Place the Mouse Cursor inside the red box and click the left mouse button once.
Type your FIRST name in CAPITAL letters and press the enter key once.
Now type your MIDDLE name and press the enter key once to go to the next box.
Enter the data for all the boxes & then click on the sheet 1, 2 & 3 for the filled ITR-1 forms.

1. YOUR NAME IN CAPITALS : First Name: Manohar

Middle Name: Lal
Last Name: Vishwakarma
2. Your Father's Name : L.P. Vishwakarma
3. Address : Flat/Door/Block No: MIG- 44
Name of Building: Sumitra Parisar
Road/Street/Post Office: Nayapura
Area/Locality: Kolar Road
Town/City/District: Bhopal
PIN CODE: 462042
State: Madhya Pradesh
Email Address: vinogenx@yahoo.co.in
(STD code)-Phone No: 0755-2416955
4. Name of your Laboratory: LikeSangathan
Kandriya Vidyalaya NAL, CFTRI, NIO, NCL, ISRO
Location Bhopal Like Bangalore, Mysore, Pune et
Govt/PSU/Others ? Govt Please Enter : Govt or PSU or Others
5. Permanent A/c No (PAN): AAMPV2025L
6. Date of Birth (DD-MM-YYYY) : 25/07/1956
7. Gender (MALE/FEMALE) : MALE
8. Income from Salary Rs : 187566 'Gross Total Income' of FORM 16
9. Deduction under chapter VI-A : 80c/80ccc/80ccd 129777 'Please refer FORM 16'
80g 0 'Please refer FORM 16'
Medical Claim 0 'Please refer FORM 16'
80u 0 'Please refer FORM 16'
80dd 0 'Please refer FORM 16'
Excess Bonus 0 'Please refer FORM 16'
10. Tax on total Income Rs : 87566 'Please refer FORM 16'
11. Add: Education Cess Rs : 0 'Please refer FORM 16'
12. Less Tax Deducted at Source(TDS) : 0 'Please refer FORM 16'
13. Advance Tax Paid : 0
14. Self Assessment Tax Paid : 0
15. Please Enter 0 (zero) : 0
Please Enter 0 (zero): 0
Please Enter 0 (zero): 0
16. Designation of Assessing officer ( Ward/Circle) 0 SAL 13(3)
17. TAN Number of the Employer: BPL K00 194 KBLRN00113B

Thanks for entering all the required DATA, Shri ManoharLal

Please go to Sheet 1,Sheet 2 & Sheet 3 for the PRINTABLE VERSION OF Filled

Software Developed By :
G. Gururaja of Coputer Support & Services Division,
National Aerospace Laboratories, Bangalore 560017.
email: guru@css.nal.res.in
se button once.

to the next box.

filled ITR-1 forms.


Like Bangalore, Mysore, Pune etc.
Please Enter : Govt or PSU or Others

'Gross Total Income' of FORM 16

'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
'Please refer FORM 16'
SAL 13(3)

Kandriya Vidyalaya Sangathan


Support & Services Division,

tories, Bangalore 560017.
FORM: (For Individuals having Income from Salary/Pension/
family pension and Interest) Assessment Year
ITR-1 (Please see Rule 12 of the Income-tax Rules, 1962)
(Also see the attached instructions) 2008 09
First name Manohar Middle name Last name PAN

Manohar Lal Vishwakarma AAMPV2025L

Flat/Door/Block No Name of Premises/Building/Village Date of Birth (DD/MM/YYYY)
MIG- 44 Sumitra Parisar 25/07/1956
Road/Street/Post Office Area/Locality Lal Vishwakarma Employer Category
Nayapura Kolar Road Govt
Town/City/District State Pin code Sex:
Bhopal Madhya Pradesh 462042 MALE
Email: vinogenx@yahoo.co.in (STD code)-Phone No: 0755-2416955
Designation of Assessing officer(ward/circle) Return fillled under Section
0 (Please see instruction number 9(I) 1 1
Whether original or revised return ? Original
If revised, enter Receipt No and Date of Receipt No: Date:
filling original return (DD/MM/YYYY) NA NA
Residential Status: Resident
1 Income chargeable under the Head 'Salaries' (Salary/Pension) 1 187566
2 Income chargeable under the Head 'Other Sources'
a Family pension 2a 0
b Interest 2b 0

c Total (2a+2b) 2c 0
3 Gross Taotal Income (1+2c) 3 187566
4 Deduction under chapter VI A (Section)
a 80c 129777 e 80ggc 0 i 80e 0
b 80d 0 f 80ddb 0 j 80u 0
c 80dd 0 g 80gg 0 k Med.claim 0
d 80g 0 h 80gga 0 l exes bonus 0
m Deductions (Total of a to l) 100000 4m 100000
5 Total Income (3-4m) 5 87566
6 Net Agricultural Income (Enter only if greater than Rs 5000) 6 0
7 'Agrigate Income' (5+6) 7 87566
8 a Tax payable on 'Agrigate Income' 8a 87566
b Rebate in respect of Net Agricultural Income 8b 0

9 a Tax payable on Total Income (8a-8b) 9a 87566

b Surcharge on 9a 9b 0
c Education Cess on (9a+9b) 9c 0
d Total Tax, Surcharge and Education Cess Payable (9a+9b+9c) 9d 87566
10 Relief under Section 89 10 0
11 Relief under Section 90/91 11 0
12 Balance Tax Payable (9d-10-11) 12 87566
Do not write or stamp in this area (space for bar code) 13 a interest payable U/s 234a 13a 0
b interest payable U/s 234b 13b 0
c interest payable U/s 234c 13c 0
d Total interest(13a+13b+13c)13d 0
14 Total Tax & Interest 14 87566
For office use only Seal & Signature of receiving official
Receipt Number:
15 Taxes Paid
a Advance Tax (from item 23) 15a 0
b TDS (column 7 of item 21+column 7 of item 22) 15b 0
c Self Assessment Tax (from item 23) 15c 0
d Total Taxes Paid (15a+15b+15c) 15d 0
16 Tax Payable (14-15d) (enter if 14 is > 15d, else leave blank) 16 87566
17 Refund (15d-14)(enter if 15d is > 14, & give bank account details below) 17 0
18 Enter your bank account number(mandatory in case of refund) 0
19 Do you want your refund by cheque or deposited directly into your bank account ? Direct Deposit into my account
20 In case of direct deposit to your bank account, give additional details:
MICR Code 0 Type of Account : 0
21 Details of Tax Deducted at Source from Salary (as per Form 16 issued by Employer)
Sl. Tax Deduction Name and Income Deduction under Tax payable Total Tax Tax payable
No. Account Number Address of the chargeable Chapter VI-A (incl.surchrg. Deposited
(TAN) of the Deductor under the & edn.cess)
Deductor head Salaries
(1) (2) (3) (4) (5) (6) (7) (8)
i 187566
BPL K00 194 K Director, Kandriya Vidyalaya Sangathan 100000 87566 0 87566
22 Details of Tax Deducted at Source on Interest (As per Form 16A issued by Deductor)
Sl. Tax Deduction Name and Amount Date of Total Tax Amount out of
No Account Number Address of the paid/credited Payment/Credit Deposited (6) claimed for
(TAN) of the Deductor this year
(1) (2) (3) (4) (5) (6) (7)
NOTE: Enter the total of column (7)of 21 and column (7) of 22 in Sl.No. 15b of TAXES PAID
23 Details of Advance Tax and Self Assessment Tax Payments
Sl. Name of Bank & Branch BSR Code Date of Deposit Serial Number Amount (Rs)
No. (DD/MM/YYYY) of Challan
i ---------- ----------- ---------- --------- ----------- --------------
NOTE: Enter the totals of Advance tax and Self Assessment tax in Sl. No. 15a & 15c of TAXES PAID
24 Other information (transactions reported through Annual Information Return) refer instruction no.9(ii)for code)
Sl. Code Amount (Rs) Sl. Code Amount (Rs) Sl. Code Amount (Rs) Sl. Code Amount (Rs)
a 001 c 003 e 005 g 007
b 002 d 004 f 006 h 008
25 Tax exempt interest income (for reporting purpose only) 25
26 E-filing Acknowledgement Number NA Date (DD/MM/YYYY) NA
Manohar Lal VERIFICATION Vishwakarma
I, Manohar Lal Vishwakarma son of L.P. Vishwakarma solemnly declare
that to the best of my knowledge and belief the information given in the return thereto is correct & complete & that the amount
of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the income tax
act 1961, in respect of income chargeable to income tax for the previous year relevant to the assessment year 2008-09.

Place: Bhopal Date: Sign here

27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification of TRP Name of TRP Counter Signature of TRP
------ ------- -------
If TRP is entitled for any reimbursement from the Govt., amount thereof (to be filled by TRP) 28 0
olemnly declare
Government of India



Received with thanks form: ManoharLal Vishwakarma a return of income and/or return
of fringe benefits in Form No ITR - 1 for assessment year 2008-2009, having the following particulars:

Name Manohar Lal Vishwakarma PAN


Manohar Lal Vishwakarma AAMPV2025L

Flat/Door/Block No: Name of Premises/Building/Village:
MIG- 44 Sumitra Parisar
Road/Street/Post Office: Area/Locality:
Nayapura Kolar Road
Town/City/District: State:
Bhopal 462042 Madhya Pradesh
1 Gross total income 1 187566

2 Deduction under Chapter-VI-A 2 100000

3 Total Income 3 87566
4 Net tax payable 4 87566
5 Interest payable 5 0
6 Total tax and interest payable 6 87566
7 Taxes paid
a Advance Tax 7a 0 -87566
b TDS 7b 0
c TCS 7c 0 87566
d Self Assessment Tax 7d 0
e Total Taxes paid (7a+7b+7c+7d) 7e 0
8 Tax payable (6-7e) 8 87566
9 Refund (7e-6) 9 0
10 Value of Fringe Benefits 10 NA
Computation of Income & Fringe

11 Total fringe benefit tax liability 11 NA

Benefits & Tax Thereon

12 Total interest payable 12 NA

13 Total tax and interest payable 13 NA
14 Taxes paid NA
a Advance Tax 14a
b Self Assessment Tax 14b
c Total Taxes paid (14a+14b) 14c NA
15 Tax payable (13-14c) 15 NA
16 Refund (14c-13) 16 NA
Receipt No. Seal and Signature of receiving official: