Tech Mahindra Limited

FORM16

Employee Name
Employee PAN
Employee ID
Employee Designation
Assessment Year
Financial Year

:Dilipkumar M
:ANVPM9867H
:18068
:Technical Associate
:2009-2010
:2008-2009

__________________________________________________________________________________
Note: Digitally Signed Form
This form has been signed and certified using Digital Signature Certificate as specified
under section 119 of the Income-tax Act, 1961. (Please refer Circular No.2/2007,
dated 21-5-2007).

Signature Not Verified
Digitally signed by PRADEEP ANANT NIGUDKAR
Date: 2009.04.30 00:00:00 +05:30
Reason: Form 16
Location: Pune

Number of Pages 5 (including this page)
Signed using Digital Signature of Pradeep Anant Nigudkar

__________________________________________________________________________________________
18068 Dilipkumar M
Page:1

569.784.00 House Rent Allowance 63. Rs.652.00 0. Less: Allowance to the extent Exempt U/S 10 : LTA Rent Conveyance Leave Encashment Gratuity 0.00 60. Gross Salary 2.078. Period Assessment Year QI 013230100070935 From To QII 013230200009272 01/04/2008 31/03/2009 2009-2010 QIII 013230100084246 QIV 070570400384072 __________________________________________________________________________________________ DETAILS OF SALARY PAID AND ANY OTHER INCOME Rs.Tech Mahindra Limited FORM NO .00 Shift Allowance 42.16 [See rule 31 (1)(a) ] Certificate under Section 203 of the Income .1.00 60.00 0.Oberoi Gardens Estate Technical Associate Chandivali.1961 for tax deducted at source from income Chargeable under the head "Salaries" __________________________________________________________________________________________ Name and Address of Employer Name and Designation of the Employee Tech Mahindra Limited 18068 Dilipkumar M Wing .848. Rs.00 0.00 0.00 9. Earnings 67. AND TAX DEDUCTED __________________________________________________________________________________________ Pay Components : Basic 127.00 51.800.652.00 0.00 Conveyance Allowance 9.00 Personal Allowance 69.574.00 Perquisites (As per 12BA ) : Accommodation perquisites (1) Car Perquisites (2) Other Perquisites(3-17) 1.00 Misc.00 ______________________________ 349.00 __________________________________________________________________________________________ 18068 Dilipkumar M Page:2 .400.400.696. TAN PAN of the Employee AAACM3484F MUMM15369E ANVPM9867H __________________________________________________________________________________________ Quarter Acknowledgment No.00 Bonus/Ex-gratia 8.574.00 Variable Performance Pay 27.tax Act. Andheri (East) Mumbai--400 072 Maharashtra __________________________________________________________________________________________ PAN/GIR No.

400.00 286.00 0. Aggregate of 4(a) and (b) ______________________________ 288. Surcharge 14.00 10.80G etc.00 12.400. 16.5) 7.A 0.320. Add/Less : Any other income reported by the employee 0.00 12.00 _______________ 12.00 Tax Payable (12 + 13 + 14 ) Relief under section 89 Tax Payable (15 -16) Less: Tax Deducted at Source u/s 192(1) & 192 (IA) on perquisites u/s 17 (2) __________________________________________________________________________________________ 19.320.A 11.00 (B) Other sections (for e. Under Chapter VI.00 15.917.200.00 0. 15. Education Cess 3% 15.00 0. Deductions Under Chapter VI-A (A) sections 80C.320. Gross Total Income (6 + 7) 9.00 __________________________________________________________________________________________ 18068 Dilipkumar M Page:3 .10)(Round to higher 10) 12.00 0.00 ______________________________ 15.00 ______________________________ 0.484.00 6. Tax on Total Income 13.517. Tax Payable / Refundable (17 -18) 0. Aggregate of deductible amounts under Chapter VI. Income Chargeable under the head 'Salaries' (3 .00 2.00 2. Total Income (8 .00 0. Deduction U/S 16 (a) Entertainment Allowance (b) Tax on Employment 5. Balance (1-2) 4.g 80E.517.00 271.00 Less : Interest on Housing Loan 8. 18.00 _______________ 12.484.00 ______________________________ 286.00 2.80CCC and 80CCD (a) sections 80C PF VPF (b) sections 80CCCC (b) sections 80CCD 0.400.484.00 364.00 0.Tech Mahindra Limited 3. 17.120.

484. TOTAL TAX CHEQUE/DD NO BSR CODE DATE ON WHICH CHALLAN NO No. Manager __________________________________________________________________________________________ __________________________________________________________________________________________ 18068 Dilipkumar M Page:4 . Nigudkar working in the capacity of Sr.00 1988173 6910333 07/04/2009 53808 __________________________________________________________________________________________ 12. For Tech Mahindra Ltd.440.00 1174384 6910239 04/07/2008 50575 4 1. Place :Pune Full Name : Pradeep Anant Nigudkar Date :30/04/2009 Designation : Sr. 12.00 1117728 6910239 06/06/2008 50969 3 638.00 1586874 6910333 05/12/2008 52013 9 2.00 1511042 6910333 07/11/2008 51469 8 2.484.495.00 276894 6910214 07/05/2008 00048 2 303.00 1256779 6910333 07/08/2008 51726 5 1.Tech Mahindra Limited __________________________________________________________________________________________ DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT __________________________________________________________________________________________ Sr.00 1864513 6910333 06/03/2009 52403 12 97.00 1324900 6910333 05/09/2008 51401 6 1. OF BANK TAX DEPOSITED __________________________________________________________________________________________ 1 267. documents and other available records.004.00 __________________________________________________________________________________________ I.00 1770598 6910333 06/02/2009 51980 11 142. Pradeep Anant Nigudkar Son of : Anant V.00 1421035 6910333 07/10/2008 50574 7 2.557. Manager do hereby certify that a sum of Rs. This form is digitally signed. I further certify that the information given above is true and correct based on the book of account.00 ( Twelve Thousand Four Hundred Eighty Four ) has been deducted at source and paid to the credit of the Central Government.00 1683321 6910333 07/01/2009 55726 10 141.004.396.

00 0.00 0.00 __________________________________________________________________________________________ Total value of perquisites 0.gardener.Oberoi Gardens Estate Mumbai Maharashtra 2.00 0.00 0. Name and Address of the Employer: Tech Mahindra Limited Wing .00 Total value of Profits 0.00 0. Name of Perquisite Value of per.00 0. (See rule 3) -quisite as Paid by Taxable per rules employee perquisite __________________________________________________________________________________________ 1 Accommodation 0.00 0.00 0. Manager Date :30/04/2009 __________________________________________________________________________________________ 18068 Dilipkumar M Page:5 .00 5 Club expenses 0.00 3 Cars 0.00 0.00 0.00 0.Soft furnishings 0.Pradeep Anant Nigudkar S/o Anant V.00 6 Education 0.00 0.00 0.00 0.00 0.00 0.water.00 0.00 7 Interest free or concessional loans 0. Manager' do hereby declare on behalf of Tech Mahindara Limited that the information given above is based on the books of account.00 0.00 14 Stock options (non-qualified options) 0.00 2 Transfer of assets to employees 0.1.00 0.00 0. If any Amount of No.00 attendent 16 Free or concessional travel 0.00 0.00 0.00 0. other fringe benefits of amenities and profits in lieu of salary with value thereof __________________________________________________________________________________________ 1.00 0. 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 the rules framed thereunder and that such information is true and correct.00 0.Tech Mahindra Limited FORM NO 12BA [See rule 26A(2)(b)] Statement showing particulars of perquisites.00 0. Signed By Designation :Pradeep Anant Nigudkar :Sr.00 13 Other benefits or amenities 0.00 0.00 4 Credit card expenses 0. Assessment Year: 2009-2010 __________________________________________________________________________________________ Sr.00 0.electricity.00 0.00 9 Gas.00 0.00 0.00 0.00 10 Gifts. Nigudkar working as 'Sr.00 11 Holiday expenses/Own Cars 0. This form is digitally signed. TAN: MUMM15369E 3.Amount. Place :Pune For Tech Mahindra Ltd. Name and Designation of the Employee:18068 Dilipkumar M Technical Associate 4. vouchers etc.00 8 Free meals 0. PAN: ANVPM9867H 5.00 0.00 12 Use of movable assets by employees 0.00 0.00 15 Sweeper.00 0.00 0.watchman or personal 0. 0.00 in lieu of salary __________________________________________________________________________________________ DECLARATION BY EMPLOYER I.

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