FORM NO.

16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted
at source from income chargeable under the head "SALARIES"
Name and Address of the Employer Name and Designation of the Employee 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Brajesh Kumar Gutgutia, AMOUNT AMOUNT RELIEF
A/153-B, Metropolitan Co-Op. Housing Society, Director, (a) PROVIDENT FUND Rs. -
E.M. By Pass, Calcutta - 700 039. CHENNAI. (b) L.I.P. Rs. 20,498 20,498
(c) N.S.C. VIII Rs. -
(d) PPF Rs. 5,000 5,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 65,000 65,000
AAACD 9376 P D 2086 A (C ) CALCUTTA (f) Total of [ (a) to (e) ] Rs. 90,498 80,000 16,000
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CALCUTTA 01.04.2000 31.03.2001 2001-2002 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 16,000
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 9,456
(b) SURCHAGE THEREON @ 17% 1,608 11,064
1. Gross Salary * Rs. 198,000 16. LESS TAX DEDUCTED AT SOURCE 11,064
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 198,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
11,064 April 7, 2001 R.B.I CALCUTTA
4. DEDUCTIONS:

(a) Standard deduction Rs. 20,000

(b) Entertainment allowance Rs. -
(c) Tax on Employment Rs. -

5. Aggregate of 4 (a to c) 20,000

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 178,000 -
-
7. Add: any other income reported 11,064 :TOTAL
by the employee Certified that a Sum of Rupees. (in words)….………. ELEVEN THOUSAND AND SIXTY FOUR ONLY……
8. GROSS TOTAL INCOME (6+7) 178,000 ...........…...........……………………………………….. has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 6,479 6,479 6,479
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 6,479 PLACE : CALCUTTA Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 171,521 DATE : April 30, 2001 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 25,456 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted
at source from income chargeable under the head "SALARIES"
Name and Address of the Employer Name and Designation of the Employee 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Brajesh Kumar Gutgutia, AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower, Director, (a) PROVIDENT FUND Rs. -
117, Nelson Manickam Road, CHENNAI. (b) L.I.P. Rs. 30,651 30,651
Chennai - 600 029 (c) N.S.C. VIII Rs. 7,935 7,935
(d) PPF Rs. 5,000 5,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 25,000 25,000
AAACD 9376 P CHE D 2360 B (CHENNAI) (f) Total of [ (a) to (e) ] Rs. 68,586 68,586 13,717
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2001 31.03.2002 2002-2003 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 13,717
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 10,683
(b) SURCHAGE THEREON @ 17% 214 10,897
1. Gross Salary * Rs. 198,000 16. LESS TAX DEDUCTED AT SOURCE 10,897
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) (0)
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 198,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
3,000 September 7, 2001 S.B.I., Chennai - 40
4. DEDUCTIONS: 750 October 6, 2001 S.B.I., Chennai - 40
750 November 7, 2001 S.B.I., Chennai - 40
(a) Standard deduction Rs. 25,000 750 December 7, 2001 S.B.I., Chennai - 40
(b) Entertainment allowance Rs. - 750 January 7, 2002 S.B.I., Chennai - 40
(c) Tax on Employment Rs. 1,500 750 February 8, 2002 S.B.I., Chennai - 40
750 March 7, 2002 S.B.I., Chennai - 40
5. Aggregate of 4 (a to c) 26,500 1,500 April 7, 2002 S.B.I., Chennai - 40
1,897 May 31, 2002 S.B.I., Chennai - 40
6. INCOME CHARGEABLE UNDER
THE HEAD SALARIES (3-5) 171,500

7. Add: any other income reported 10,897 :TOTAL

by the employee Certified that a Sum of Rupees. (in words)….………. TEN THOUSAND EIGHT HUNDRED AND NINETY
8. GROSS TOTAL INCOME (6+7) 171,500 SEVEN ONLY ...…………………………………………….... has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 3,502 3,502 3,502
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 3,502 PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 167,998 DATE : May 31, 2002 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 24,400 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages