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FORM NO. 16
[ See rule 31(1) (a) ]
"ORIGINAL"
PART A
Certificate under section 203 of the Income-tax Act, 1961,for tax deducted at source on Salary
Name and address of the Employer
TATA CONSULTANCY SERVICES LTD.
8th Flr, Nirmal Bldg, Nariman Point
Mumbai 400021
Maharashtra
CIT(TDS)
Assessment Year
Address Cir-TDS II(2), 29 flr.Centre-1, WTC
Cuf.Parade
City MUMBAI
Pin Code 400005
2011-2012
Summary of tax deducted at Source
Quarter
Receipt Numbers of original statements
Amount of tax deducted in
of TDS under sub-section (3) of section 200 respect of the employee
Period
From
To
01.04.2010
31.03.2011
Quarter 1
JPDOLZZE
4791.00
4791.00
Quarter 2
HMEXXCSF
4873.00
4873.00
Quarter 3
HMEXCPWB
5491.00
5491.00
Quarter 4
HMEXFFHA
6046.00
6046.00
21201.00
21201.00
Total
Rs.
424426.55
0.00
0.00
424426.55
38506.00
9600.00
28906.00
385920.55
0.00
0.00
0.00
385920.55
0.00
Rs.
385920.55
Gross amount
16560.00
0.00
0.00
16560.00
0.00
0.00
Deductible amount
16560.00
NITIN SHETTY
Gross amount
3530.00
Qualifying amount
3530.00
Deductible amount
3530.00
20090.00
365830.00
20583.00
618.00
21201.00
0.00
21201.00
VERIFICATION
I, BHIKHOO J. KATRAK son/daughter of
JEHANGIRJI
working in the capacity of GENERAL MANAGER
(designation) do hereby certify that a sum of Rs 21201.00
[Rs. TWENTY ONE THOUSAND TWO HUNDRED ONE
(in words)] has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is
true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.
Place:
MUMBAI
Date:
15.05.2011
NITIN SHETTY
ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH
CHALLAN
(The Employer is to provide payment-wise details of tax deducted and deposited with respect to the employee)
S. No
Tax deposited
in Respect of the
Employee (Rs.)
Challan Serial
Number
001
1865.00
0510308
07.05.2010
98001
002
1612.00
0510308
07.06.2010
98001
003
1314.00
0510308
07.07.2010
95300
004
2101.00
0510308
06.08.2010
98010
005
1377.00
0510308
06.09.2010
98020
006
1395.00
0510308
07.10.2010
98008
007
1416.00
0510308
04.11.2010
98001
008
2601.00
0510308
07.12.2010
98029
009
1474.00
0510308
07.01.2011
98008
010
1517.00
0510308
07.02.2011
98001
011
2290.00
0510308
07.03.2011
98001
012
2239.00
0510308
30.03.2011
95046
_____________________________________________________________________________________________________________________
Total
21201.00
_____________________________________________________________________________________________________________________
Particulars
Amount(Rs.)
Emoluments paid
--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --
Basic Salary
Conveyance Allowance
House Rent Allowance
Leave Travel Allowance
Medical Allowance
Leave Encashment
Other Allowances
Food Coupons
BoB Kitty Allowance
Variable Allowance
138000.00
9600.00
72000.00
7404.00
6600.00
4704.55
2292.00
13750.00
3576.00
166500.00
Perks
--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- ---------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- -------
Gross emoluments
424426.55
0.00
Exemptions u/s 10
--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --
Conveyance Exemption
HRA Exemption
9600.00
28906.00
Total Exemption
Date: 15.05.2011
Place: MUMBAI
38506.00
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 :
TATA CONSULTANCY SERVICES LTD. , 8th Flr, Nirmal Bldg, Nariman Point Mumbai - 400021 , Maharashtra
2) TAN: MUMT11446B
3) TDS Assesment Range of the employer :
Circle TDS II(2), 29th Floor, Centre-I,World Trade Centre, Cuffe Parade,Mumbai, 400005,
4) Name, designation and PAN of employee :
Mr/Ms: NITIN SHETTY , Desig.: Asst.Systems Engineer , Emp #: 00228658 , PAN: BLBPS2297G
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 :
385920.55
(other than from perquisites)
7) Financial year :
2010-2011
8) Valuation of Perquisites
S.No
(1)
Nature of perquisite
(see rule 3)
(2)
Value of perquisite
as per rules (Rs.)
(3)
Amount of perquisite
chargeable to tax(Rs.)
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
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
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
9. Details of tax, (a) Tax deducted from salary of the employee under section 192(1)
21201.00
(b) Tax paid by employer on behalf of the employee under section192(1A)
0.00
(c) Total tax paid
21201.00
(d) Date of payment into Government treasury
*
* Refer to page 3 of form 16 under Details of tax deducted and deposited into Central Government Account.
DECLARATION BY EMPLOYER
I, BHIKHOO J. KATRAK son/daughter of JEHANGIRJI working as GENERAL MANAGER (designation ) do hereby declare on behalf of
TATA CONSULTANCY SERVICES 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.
Place: MUMBAI
Date : 15.05.2011