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FORM NO.

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

PART A
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary
Certificate No. KCHQXFI

Last updated on

Name and address of the Employer

22-May-2015

Name and address of the Employee

HINDUSTHAN ZINC LTD.
HO-CRDL, Debari - 652649
Rajasthan
+(91)294-2652649
kishor.kateja@vedanta.co.in

MULTANSINGH BHATI
HOUSE NO 18, JAIL RAVASIYA PARISAR, UDAIPUR, UDAIPUR 313001 Rajasthan

PAN of the Deductor

TAN of the Deductor

AAACH7354K

JDHH00716C

PAN of the Employee

Employee Reference No.
provided by the Employer
(If available)

AWGPB6035L

CIT (TDS)

Assessment Year

The Commissioner of Income Tax (TDS)
New Central Revenue Building, Statue Circle, Janpath Jaipur 302005

2015-16

Period with the Employer
From

To

01-Apr-2014

31-Mar-2015

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Quarter(s)

Receipt Numbers of original
quarterly statements of TDS
under sub-section (3) of
Section 200

Q4

QRGAQFDA

Total (Rs.)

Amount of tax deposited / remitted
(Rs.)

Amount of tax deducted
(Rs.)

Amount paid/credited

114368.00

10360.00

10360.00

114368.00

10360.00

10360.00

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Book Identification Number (BIN)
Sl. No.

Tax Deposited in respect of the
deductee
(Rs.)

Receipt Numbers of Form
No. 24G

DDO serial number in Form no.
24G

Date of transfer voucher Status of matching
(dd/mm/yyyy)
with Form no. 24G

Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Sl. No.

Tax Deposited in respect of the
deductee
(Rs.)

Challan Identification Number (CIN)
BSR Code of the Bank
Branch

Date on which Tax deposited Challan Serial Number
(dd/mm/yyyy)

Status of matching with
OLTAS*

1

4342.00

6910333

07-02-2015

53504

F

2

5068.00

6910333

07-03-2015

56241

F

3

950.00

6910333

28-03-2015

53247

F

Total (Rs.)

10360.00

Signature Not Verified
Signed By:KATEJA KISHOR
Signing Date:31.05.2015 15:09

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son / daughter of JHAMAN DAS KATEJA working in the capacity of MANAGER FINANCE (designation) do hereby certify that a sum of Rs. TDS statements.00 [Rs.16 pertaining to the period for which such assessee was employed with each of the employers. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or makes new payment for excess amount claimed in the statement Signature Not Verified Signed By:KATEJA KISHOR Signing Date:31. 10360. 4. Part 'A' of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee. complete and correct and is based on the books of account."P" status will be changed to Final (F) on verification of payment details submitted by Pay and Accounts Officer (PAO) F Final In case of non-government deductors. In case of government deductors. KISHOR KUMAR KATEJA. I further certify that the information given above is true. To update PAN details in Income Tax Department database. If an assessee is employed under one employer during the year. 2.2015 15:09 Page 2 of 2 . 3. If an assessee is employed under more than one employer during the year. Ten Thousand Three Hundred and Sixty Only] has been deposited to the credit of the Central Government.16 shall be issued by the employer. payment details of TDS / TCS deposited in bank by deductor have matched with the payment details mentioned in the TDS / TCS statement filed by the deductors. Ten Thousand Three Hundred and Sixty Only (in words)] has been deducted and a sum of Rs. Final credit will be reflected only when payment details in bank match with details of deposit in TDS / TCS statement P Provisional Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors. details of TDS / TCS booked in Government account have been verified by Pay & Accounts Officer (PAO) O Overbooked Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the amount is over claimed in the statement. documents. apply for 'PAN change request' through NSDL or UTITSL.00 [Rs. 10360. Part B (Annexure) of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details of tax deducted and deposited for all the quarters of the financial year. Place UDAIPUR Date 31-May-2015 Designation: MANAGER FINANCE (Signature of person responsible for deduction of Tax) Full Name:KISHOR KUMAR KATEJA Notes: 1. TDS deposited and other available records.05.Certificate Number: KCHQXFI TAN of Employer: JDHH00716C PAN of Employee: AWGPB6035L Assessment Year: 2015-16 Verification I. Legend used in Form 16 * Status of matching with OLTAS Legend Description Definition U Unmatched Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. each of the employers shall issue Part A of the certificate in Form No. Part B (Annexure) of the certificate in Form No.

12BA. KCHQXFI EMPID:284787 Form No.00 12. provided by the Employer (if available) AWGPB6035L 284787 Assessment Year Period with the Employer CIT(TDS) Address : The Commissioner of Income Tax (TDS) New Central Revenue Building.00 9.80CCC and 80CCD Gross Amount Deductible Amount 8.000.Gross Total Income(6+7) 395.00 8.38 b)Value of perquisites u/s 17(2) (as per Form No. wherever applicable) 26.00 b)Tax on employment 0.Certificate No.Deductions : a)Entertainment allowance 0.12BA.00 6. 80CCC and 80CCD(1) shall not exceed one lakh fifty thousand rupees.073. 377.68 7. 0. Aggregate amount deductible under sections 80C.00 0.000.00 8. Statue Circle. 16 [See Rule 31(1)(a)] PART B (Annexure) Certificate under section 203 of the Income-tax Act. a)Salary as per provisions contained in sec.073.00 4.00 4.00 0.68 9.17(1) Rs.150.342.00 12. Signature Not Verified Signed By:KATEJA KISHOR Signing Date:31.Deductions under Chapter VIA (A)Sections 80C.342.2015 15:09 Page 1 of 2(Form 16 – Part B) .00 5.073. wherever applicable) 0.762.00 d)Total 404. Janpath City : Jaipur 2015-2016 FROM TO 01-Apr-2014 31-Mar-2015 Pin code : 302005 Details of Salary Paid and any other income and tax deducted 1.00 0.68 4.150.00 3.00 a)Section 80C Life Insurance Premium Other Investments Provident Fund Voluntary Provident Fund b)Section 80CCC 0.Add: Any other income reported by the employee Income Rs.00 Note: 1.Gross Salary Rs. Conveyance Allowance 9.00 0.Income chargeable under the head 'Salaries'(3-5) 395. 1961 for Tax deducted at source on Salary Name and address of the Employer Name and address of the Employee HINDUSTAN ZINC LIMITED MULTANSINGH BHATI Yashad Bhawan Udaipur .00 c)Section 80CCD 0.600. Rs.30 c)Profits in lieu of salary under section 17(3) (as per Form No.68 2.05.Aggregate of 4(a) and 4(b) 0.673.600.Less :Allowance to the extent exempt u/s 10 Allowance Rs.Balance(1-2) 395.313004 RAJASTHAN INDIA PAN of the Deductor TAN of the Deductor AAACH7354K JDHH00716C PAN of the Employee Employee Reference No.911.

Certificate No.05.No.360.Aggregate of deductible amount under Chapter VI-A 24. 80G.Less: Relief under Section 89 (attach details) 0. etc.00 12.00 Verification I.Education cess @ 3% (on tax computed at S.Total Income(8-10) 370.12) 0.Tax on total income 10.No.580. KCHQXFI EMPID:284787 (B)Other sections (e.00 on surchage computed at S.00 14.00 16.) under Chapter VI-A. 80E. documents. and other available records.00 17.2015 15:09 Page 2 of 2(Form 16 – Part B) . TDS statements. complete and correct and is based on the books of account.Tax Payable(15-16) 10.058.12 + 302.Surcharge (on tax computed at S.13) 15. KISHOR KUMAR KATEJA.00 11.g. Gross amount Qualifying amount Deductible amount 0.Tax Payable(12+13+14) 10. 80TTA.360.00 10.492. Place UDAIPUR Date 31-May-2015 Designation : MANAGER FINANCE (Signature of person responsible for deduction of tax) Full Name : KISHOR KUMAR KATEJA Signature Not Verified Signed By:KATEJA KISHOR Signing Date:31.No.00 13. S/O JHAMAN DAS KATEJA working in the capacity of MANAGER FINANCE do hereby certify that the information given above is true.

00 0.00 0.30 0.00 0.00 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 rules framed there under and that such information is true and correct.30 0.Process AWGPB6035L 5.00 0.311.762.00 18 Total value of perquisites 26. KCHQXFI EMPID:284787 Form No.525.00 0.00 2 24.Certificate No.00 3 Sweeper.00 6 Holiday Expenses 0.00 0.00 10 Gifts.00 0.00 4 Gas.00 0.00 14 Transfer of assets to Employees 0.30 5 Interest free or concessional loans 0. electricity. TAN JDHH00716C 3.00 9. Is the employee a director or a person with substantial interest in the company (where the employer is a company): N 6.00 0.00 0.00 9 Free Education 0.00 0. gardener.00 0. vouchers.00 8 Free Meals 0.00 0.30 19 Total value of Profits in lieu of salary as per section 17(3) 0. Name and address of the employer: HINDUSTAN ZINC LIMITED Yashad Bhawan Udaipur .2015 15:09 Page 1 of 1(Form 12BA) . Details of Tax.360.00 b)Tax paid by employer on behalf of the employee u/s 192(1A) 0.00 0. KISHOR KUMAR KATEJA. Name.designation and PAN of the employee: MULTANSINGH BHATI Associate .00 12 Club expenses 0.762. 0.00 0.00 13 Use of movable assets by employees 0.00 0.360.525.00 15 Value of any other benefit/amenity/service/privilege 0.00 17 Other benefits or amenities 0.00 0.00 7 Free or Concessional Travel 0.237.00 0. a)Tax deducted from salary of the employee u/s 192(1) 10.05.00 c)Total Tax Paid 10.00 0. Valuation of Perquisites: SL.237.00 0.00 0. etc.313004 RAJASTHAN INDIA 2.38 7. Income under the head 'Salaries' of the employee (other than from perquisites): 368. Financial Year: 2014-2015 8.00 11 Credit card expenses 0.if any recovered from employee (Rs.other fringe benefits or amenities and profits in lieu of salary with value thereof 1.00 d)Date of payment into Government treasury Various dates as mentioned on Part A of the Form 16 DECLARATION BY THE EMPLOYER I.) Amount of perquisite chargeable to tax Col(3)-Col(4) (Rs. TDS Assessment Range of the employer: 4.00 0. No.00 0.00 0.00 16 Stock options (non-qualified options) 0.00 0.00 0.00 0. Place UDAIPUR Date 31-May-2015 Designation : MANAGER FINANCE (Signature of person responsible for deduction of tax) Full Name : KISHOR KUMAR KATEJA Signature Not Verified Signed By:KATEJA KISHOR Signing Date:31.00 26.00 0.00 2.) (2) (3) (4) (5) (1) 1 Accommodation 24.00 0.00 Cars/Other automotive 0.00 0. water 2. S/O JHAMAN DAS KATEJA working as MANAGER FINANCE do hereby declare on behalf of HINDUSTAN ZINC LIMITED that the information given above is based on the books of account.00 0.00 0. watchman or personal Attendant 0.12BA {See Rule 26A(2)(b)} Statement showing particulars of perquisites. Nature of perquisites(see rule 3) Value of perquisite as per rules (Rs.) Amount.