FORM NO.

16
[ See rule 31(1) (a) ]

"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
TATA CONSULTANCY SERVICES LTD.
8th Flr, Nirmal Bldg, Nariman Point
Mumbai 400021
Maharashtra

Name and designation of the Employee

Mr/Ms: KISHORE VENISHETTI
Desig.: Asst.Systems Engineer
Emp #:00236544

PAN No. of the Deductor

AAACR4849R

PAN No. of the Employee

ADRPV8983F

TAN No. of the Deductor

MUMT11446B

Acknowledgement Nos. of all quarterly statements of TDS under

sub-section (3) of section 200 as provided by TIN Facilitation Centre or
NSDL web-site
Quarter

Acknowledgement No.

1 (April - June)

030170200218830

2 (July - September)

030110500044111

3 (October - December)

029070200000015

Period

Assessment
year

From

To

01.04.2009

31.03.2010

2010-2011

4 (January - March)

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Particulars

Rs.

1. Gross salary
a) Salary as per provisions contained in section 17(1)
b) Value of perquisites under section 17(2)
( as per Form No.12BA wherever applicable )
c) Profits in lieu of salary under section 17(3)
( as per Form No.12BA wherever applicable )
d) Total

Rs.

463080.00
127.50
0.00
463207.50

2. Less: Allowance to the extent exempt under section 10

3. Balance(1-2)
4. DEDUCTIONS:
(a) Entertainment allowance
(b) Tax on Employment

Rs.

89400.00
373807.50
0.00
1950.00

5. Aggregate of 4 (a) to (b)

1950.00

6. INCOME CHARGEABLE UNDER THE HEAD "SALARIES"(3-5)

371857.50

7. Add: Any other Income reported by the employee

0.00

8. GROSS TOTAL INCOME (6+7)

9. DEDUCTIONS UNDER CHAPTER VIA
(A) sections 80C, 80CCC and 80CCD
(a) section 80C
i) Employeee Provident Fund
19440.00
ii) Payment towards Life Insurance Policy
32273.00
iii) Contribution to notified unit linked insurance pla
12000.00
(b) section 80CCC
(c) section 80CCD
Note : 1. aggregate amount deductible under section 80C shall not
exceed one lakh rupees
2. aggregate amount deductible under the three sections, i.e, 80C,
80CCC and 80CCD, shall not exceed one lakh rupees
(B) other sections (for e.g., 80E, 80G etc.) under Chapter VIA
(a) 80D(01)
3530.00

371857.50
Gross amount

Deductible amount

63713.00
0.00
0.00

63713.00
0.00
0.00

3530.00

3530.00

00236544

(b) 80D(03)

KISHORE VENISHETTI

11032.00

11032.00

11032.00

10. Aggregate of deductible amount under Chapter VI-A

78275.00

11. Total income (8-10)

293580.00

12. Tax on total income

13. Surcharge (on tax computed at S.No.12 )
14. Education cess (on tax at S.No.12 and surcharge at S.No.13)

13358.00
0.00
401.00

15. Tax payable (12+13+14)

16. Relief under section 89 (attach details)

13759.00
0.00

17. Tax payable (15-16)

13759.00

18. Less:

a) Tax deducted at source u/s 192(1)

b) Tax paid by the employer on behalf of the employee
u/s 192(1A) on perquisites u/s 17(2)
19. Tax payable / refundable (17-18)

13759.00
0.00

13759.00
0.00

00236544

KISHORE VENISHETTI

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

Sl.
No.

TDS
Rs.

001
002
003
004
005
006
007
008
009
010
011
012

1693.25
1114.55
1003.86
1535.91
759.30
759.31
1726.26
760.10
760.10
1726.17
760.31
759.32

(The Employer is to provide transaction-wise details of tax deducted and deposited)

Surcharge Education
Total Tax
Cheque /DD No. BSR Code of
Date on which Transfer
Rs.
Cess
deposited
(if any)
Bank Branch
Tax deposited voucher/Challan
Rs.
(dd/mm/yy)
Identification No.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

50.75
33.45
30.14
46.09
22.70
22.69
51.74
22.90
22.90
51.83
22.69
22.68

1744.00
1148.00
1034.00
1582.00
782.00
782.00
1778.00
783.00
783.00
1778.00
783.00
782.00

00009127000590
00009156000381
00009188000479
00009217000526
00009250000508
00009280000652
00009310001259
00009341000681
00010007003193
00010036001072
00010064001309
00010088001779

0510308
0510308
0510308
0510308
0510308
0510308
0510308
0510308
0510308
0510308
0510308
0510308

07.05.2009
05.06.2009
07.07.2009
05.08.2009
07.09.2009
07.10.2009
06.11.2009
07.12.2009
07.01.2010
05.02.2010
05.03.2010
29.03.2010

82007
82007
82068
82001
82001
82030
82069
82023
82026
82014
82030
82001

_______________________________________________________________________________________________________________________________________________________________

I, BHIKHOO J. KATRAK, son/daughter of JEHANGIRJI working in the capacity of GENERAL MANAGER do hereby certify that
a sum of Rs 13759.00 [ Rupees THIRTEEN THOUSAND SEVEN HUNDRED FIFTY NINE ]
has been deducted at source and paid to the credit of the Central Government. I further certify that the information given
above is true and correct based on the books of account, documents and other available records.

Place: MUMBAI
Date: 09.04.2010

______________________________________________
Signature of the person responsible for deduction of tax
for TATA CONSULTANCY SERVICES LTD.
Full name: BHIKHOO J. KATRAK
Designation: GENERAL MANAGER

Signature Not Verified

Digitally signed by Bhikhoo J
Katrak
Date: 2010.04.10 01:36:22
GMT+05:30

Annexure to Form No.16

Name: KISHORE VENISHETTI

Emp No.: 00236544

Particulars

Amount(Rs.)

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Emoluments paid
--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Basic Salary
Conveyance Allowance
House Rent Allowance
Leave Travel Allowance
Medical Allowance
Special Allowance
Personal Allowance
Variable Allowance

162000.00
9600.00
79800.00
2280.00
15000.00
46800.00
18000.00
129600.00

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Perks
--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Interest free or concessional loans

127.50

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- -------

Gross emoluments

463207.50

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Income from other sources

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- ---------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- -------

Total income from other sources

0.00

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Exemptions u/s 10
--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- --

Conveyance Exemption
HRA Exemption

9600.00
79800.00

--------------------------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- -------

Total Exemption

Date: 09.04.2010
Place: MUMBAI

89400.00

Full Name: BHIKHOO J. KATRAK

Designation: GENERAL MANAGER

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), 10th floor, IT Office,Charni Road, Mumbai, , 400002,
4) Name, designation and PAN of employee :
Mr/Ms: KISHORE VENISHETTI , Desig.: Asst.Systems Engineer , Emp #: 00236544 , PAN: ADRPV8983F
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 :
371730.00
(other than from perquisites)
7) Financial year :
2009-2010
8) Valuation of Perquisites
S.No
(1)

Nature of perquisite
(see rule 3)
(2)

Value of perquisite
as per rules (Rs.)
(3)

Amount, if any, recovered

from the employee (Rs.)
(4)

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

Sweeper, gardener, watchman or

personal attendant

0.00

0.00

0.00

Gas, electricity, water

Interest free or concessional loans

127.50

0.00

127.50

Holiday expenses

Free or concessional travel

0.00

0.00

0.00

Free meals

Free Education

10

Gifts, vouchers, etc.

0.00

0.00

0.00

11

Credit card expenses

12

Club expenses

13

Use of movable assets by employees

0.00

0.00

0.00

14

Transfer of assets to employees

0.00

0.00

0.00

15

Value of any other benefit

/amenity/service/privilege

16

Stock options ( non-qualified options )

17

Other benefits or amenities

0.00

0.00

0.00

18

Total value of perquisites

127.50

0.00

127.50

19

Total value of profits in lieu of salary

as per section 17 (3)

9. Details of tax, (a) Tax deducted from salary of the employee under section 192(1)
13759.00
(b) Tax paid by employer on behalf of the employee under section192(1A)
0.00
(c) Total tax paid
13759.00
(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 : 09.04.2010

Signature of the person responsible

for deduction of tax
Full Name : BHIKHOO J. KATRAK
Designation : GENERAL MANAGER