Accenture Services Private Limited

Form 16
Assessment Year 2013-14
Employee Name
Employee PAN
Employee Code
Employee Designation
Period With The Employer
Note on
Digital Signature:
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section 119 of the Income-Tax Act, 1961. Refer Circular No.2/2007, Dated 21-May-2007 for details.
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Signature Details:
Digitally Signed by : Bulusu S Murthy
Digitally signed by B S MURTHY
Date: 2013.05.24 14:53:38 IST
Reason: Security Reason
Location: Mumbai

Private Limited
(Digitally Signed Document)

Janardhana Rao Duddukuri
AGFPJ8213P
10299804
Team Lead
From : 01-Apr-2012 To : 31-Mar-2013

al Signature Certificate as allowed under
2007, Dated 21-May-2007 for details.
procedure has been applied to the entire
valent to afxing of hand written signature)
digital signature details, please click on the

murthy@accenture.) 879982 I. Vikhroli (West). 24G No. No.400079 Maharashtra +(91)80-41062522 bulusu. LBS Marg. Godrej & Boyce Complex. 1961 for tax deducted at source on salary Certificate No.FORM NO. 900A. Total (Rs. II. FQQEJHG Name and address of the Employer Accenture Services Private Limited Plant 3.com PAN of the Deductor TAN of the Deductor AACCA8997K MUMA14563D CIT (TDS) The Commissioner of Income Tax (TDS) Room No.) Tax Book Identification Depo Number (BIN) Date sited of transfer voucher in Status of matching respe Receipt Numbers of ct of Form DDO serial the number in Form no.G. 16 [See rule 31(1)(a)] PART A Certificate under Section 203 of the Income-tax Act. 9th Floor.) 24G 24G (The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee) . 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) Sl. K. Charni Road . Mumbai .400002 Summary of amount paid/credited and tax deducted at source thereon in respect of the employee Receipt Numbers of original quarterly statements of TDS Quarter(s) Amount paid/credited under sub-section (3) of Section 200 Q1 CUTXXORG 60028 Q2 CUTXHTHG 266506 Q3 CUSXBSDB 274171 Q4 OKKXCZTF 279277 Total (Rs. Mumbai . DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (Rs. Mittal Ayurvedic Hospital Building. dedu (dd/mm/yyyy) with ctee Form no.

BSR Code of the Bank Branch 3 Tax Depo sited in respe ct of the 3799 dedu ctee 3016 (Rs.Sl.) 77 4 2488 6910333 1 2 6360218 6360218 6360218 . No.

RAMACHANDRAPURAM.) 3799 3799 5581 5581 6428 6428 42088 42088 57896 57896 .x deducted at source on salary Last updated on 18-May-2013 Name and address of the Employee DUDDUKURI RAO JANARDHANA 8-1-2. RAMACHANDRAPURAM .) (Rs. MARKET STREET. PAN of the Employee TAN of the Deductor provided by the Employer (If available) MUMA14563D AGFPJ8213P Assessment Year 2013-14 UNT THROUGH CHALLAN From To 01-Apr-2012 31-Mar-2013 Amount of tax deposited / remitted ct of the employee THROUGH BOOK ADJUSTMENT Period with the Employer Amount of tax deducted (Rs.533255 Andhra Pradesh Employee Reference No.

Challan Identificatio n Date on which Tax deposited (dd/mm/yyy y) 06-07-2012 Number (CIN) Challan Serial Number Status of matching with OLTAS* 36515 F 04-08-2012 32646 F 06-09-2012 34453 F 05-10-2012 50208 F Page 1 of 2 .

son / daughter of RAOBU working in the capacity of MANAGER (designation) do hereby certify that a sum of Rs. 57896. 3. Fifty Seven Thousand Eight Hundred and Ninety Six Only] has been deposited to the credit of the Central Government.. I further certify that the information given based on the books of account."P" TCS TCS when status willin be deposited deposited payment in changed bank byinto bank by details Final (F) on deductor have deductor have bank match verification of matched with matched with with details of payment details the payment deposit in details mentioned details TDS / TCSin submitted the TDS / by mentioned in statement Pay and / TCS the TDS Accounts statement but TCS Officer (PAO) the amount is statement over filed claimed by the in the deductors..00 [Rs. 57896.. Legend used in Form 16 * Status of matching with OLTAS Legen dU Description Unmatched P Provisional F Final O Overbooked Definition Deductors have not deposited Provisional taxes or have tax credit is furnished effected In case ofonly incorrect for TDS / nonparticulars of TCS government tax payment.Certificate Number: FQQEJHG TAN of Employer: MUMA14563D Tax Deposited in respect of the Sl. TDS deposited and other available records. If an assessee is employed under one employer during the year. 2. deductee (Rs.16 pertaining to the period for which such assessee was employed with each of the employers. To update PAN details in Income Tax Department database.) 57896 Verification I.. each of the employers shall issue Part A of the certificate in Form No. 4. Part 'A' of the certificate in Form No. apply for 'PAN change request' through NSDL or UTITSL.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. deductor reduces claimed amount in . If an assessee is employed under more than one employer during the year. Part B (Annexure) of the certificate in Form No. Fifty Seven Thousand Eight Hundred and Ninety Six Only (in words)] has been deducted and a sum of Rs. SAMBA MURTHY RAOBU BULUSU. case of Final (F) government credit will be deductors.00 [Rs. documents.16 shall be issued by the employer. Place MUMBAI Date 24-May-2013 Designation: MANAGER (Signature of person responsible for de Full Name:SAMBA MURTHY RAOB Notes: 1. 16 may be issued by each of the employers or the last employer at the option of the assessee. No. TDS statements. . Statements deductors. In statement. reflected details of only TDS when / TCS bo. Final credit filed by Payment payment will be Government details of TDS details of only TDS reflected //deductors. Part B (Annexure) of the certificate in Form No.) BSR Code of the Bank Date on which Tax deposited Ch Branch (dd/mm/yyyy) 5 389 6910333 6 5423 6910333 7 616 6910333 8 616 6910333 9 14605 6360218 10 26867 6360218 Total (Rs.

above is true. complete and correct and is (Signature of person responsible for deduction of Tax) Full Name:SAMBA MURTHY RAOBU BULUSU the financial year shall contain the details aining to the period for which such st employer at the option of the assessee. 57896. Page 2 of 2 .00 [Rs.PAN of Employee: AGFPJ8213P Assessment Year: 2013-14 Challan Identification Number (CIN) Date on which Tax deposited Challan Serial Number Status of matching with (dd/mm/yyyy) OLTAS* 07-11-2012 50692 F 06-12-2012 57410 F 05-01-2013 52085 F 07-02-2013 54375 F 07-03-2013 61421 F 06-04-2013 31510 F of Rs.

12BA. wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per .PART B DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED Particulars 1.. Janardhana Rao Duddukuri/10299804/1 ..GROSS SALARY (As per enclosed annexure) (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) (as per Form No.

630.00 0.00 49.AND ANY OTHER INCOME AND TAX DEDUCTED Rs.00 0.00 1.390.00 .37.00 3.00 Qualifying Amount 0.00 0.000. 8.00 0.00 0.000.00 0.00 7.00 0.875.000.875.00 0.00 1.340.00 2.00 0.00 5.000.00 0.550.79.00 0.00 15.85.00 Gross Amount 65.00 0.00 0.00 0.143.630.00 3.00 Deductible Amount 65.00 0.983.00 0.00.48.00 15.00 8. Rs.00 0.00 15.000.00 2.533.00 0.000.00 49.340.00 Deductible Amount 0.

46.050.00 0.00 7. 7.00 .00 0.Rs.050.46.

I further certify that the information given above is true. TDS statement.Education cess @ 3% (on tax computed at S.Tax Payable(12+13) 15.Tax On Total Income 13.Total Income (8-10) 12. son of Late B Venkata Rao working in the capacity of Manager.which includes the declaration given by the employee. do hereby certify that a sum of Rs 57.10. TDS deposited and other available records. No. 12) 14. complete and correct and is based on the books of account.Less: Relief under section 89 16.Tax Payable (14-15) Verification I. For Accenture Services Private Limited Place :Mumbai Date :24-May-2013 Janardhana Rao Duddukuri/10299804/2 . documents.00 [ Rupees Fifty Seven Thousand Eight Hundred Ninety Six Only ]has been deducted and deposited to the credit of the Central Government.896. Bulusu S Murthy.Aggregate of deductible amounts under Chapter VI-A 11.

050.00 [ Rupees ount. documents.896.1.00 0.686.15.00 56.00 57.210.00 6.896.00 57.31. TDS statement.00 1.896.000.00 m of Rs 57. Signature of the person responsible for deduction of tax (Digitally Signed Document) Full Name : Bulusu S Murthy Designation : Manager .

00 6.1.000.15.896.00 .050.31.00 57.

son of Late B Venkata Rao working in the capacity of Manager.watchman or personal attendant 4 Gas. 11 Credit card 12 Club expenses 13 Use of movable assets by employee 14 Transfer of assets to employee 15 Value of any other benefit/amenity/service/privile 16 Stock options ge 17 Other benefits or amenities * 18 Total Value of Perquisites 19 Value of profits in lieu of salary as per section 17 (3) * "Other benefits or amenities" includes medical reimbursement exceeding Rs. do hereby declare on behalf Limited that the information given above is based on the books of account. 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. Nature of perquisite 1 Accommodation 2 Cars/Other automotive 3 Sweeper.FORM No. 9) Details of tax (a) Tax Deducted from Salary of Employee u/s 192(1) (b) Tax Paid by Employer on behalf of Employee u/s 192(1A) (c) Total tax paid (d) Date of payment into Government treasury DECLARATION BY EMPLOYER I. For Accenture Services Private Limited .15. documents and other relevant records or information available with .000/-. Bulusu S Murthy.water 5 Interest free or concessional loans 6 Holiday expenses 7 Free or concessional travel 8 Free meals 9 Free Education 10 Gifts.gardener. other fringe benefits or amenities and profits in lieu of salary with value thereof 1) Name and Address of the Employer : 2) TAN: 3) TDS Assesment Range of the Employer : 4) Name of Employee: Designation: PAN: 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 : (Other than from perquisites) 7) Financial Year : 8) Valuation of Perquisites Sr No.electricity.vouchers etc.12BA {See Rule 26A(2)(b)} Statement showing particulars of perquisites.

Signature of the person responsible for deduction of ta (Digitally Signed Document) Place :Mumbai Full Name : Bulusu S Murthy Date :24-May-2013 Designation : Manager Janardhana Rao Duddukuri/10299804/3 .

550. if any paid by employee(Rs.) 0 0 0 0 0 0 0 0 0 5.896.00 0 57.896. LBS Marg. Mumbai Janardhana Rao Duddukuri Team Lead AGFPJ8213P No 8. Maharashtra -400079 MUMA14563D DCIT (TDS).00 0.550. Mumbai.550.) Amount. Circle 1(1).79.00 57.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 eby declare on behalf Amount of Taxable perquisite(R s.550. Godrej & Boyce Complex.00 2012-13 Value of perquisite as per rules(Rs.Accenture Services Private Limited Plant 3.00 0 0 0 0 0 0 0 5. Vikhroli(West).983.00 Refer Form16 of Accenture Services Private .00 0 0 0 0 0 0 0 5.) 0 0 0 0 0 0 0 0 0 5.

of the person responsible for deduction of tax Signed Document) : Bulusu S Murthy .

..16 Details of Salary Paid and Allowance Exempted u/s 10 and 17(2) of Income-tax Act. Salary as per provisions contained in Sec 17(1) Basic HRA Conveyance Hot Skill Bonus Variable Pay Exgratia Uncollected Food Coupon Total Salary (A) Value of perquisites u/s 17(2) (as per Form No.12BA.1961 1) Name and Address of the Employer: 2) Name of Employee: Designation: PAN: Employee Code: Salary Details for the period: 01-Apr-2012 to 31-Mar-2013 1. For Accenture Services Private Limited Signature of the person responsible for deduction of ta (Digitally Signed Document) Place :Mumbai Full Name : Bulusu S Murthy Date :24-May-2013 Designation : Manager Janardhana Rao Duddukuri/10299804/4 .ANNEXURE TO FORM NO.wherever applicable) Profits in li.

37.00 2.143.00 .28.143.00 8.00 8.353.15.293. Godrej & Boyce Complex.00 1.21.390.00 ture Services Private Limited of the person responsible for deduction of tax Signed Document) : Bulusu S Murthy 8.320.206.00 1.00 1.48.37.00 5.07.550. LBS Marg. Maharashtra -400079 Janardhana Rao Duddukuri Team Lead AGFPJ8213P 10299804 4.07.983.00 8. Mumbai. Vikhroli(West).533.00 0.00 5.00 11.00 1.627.206.937.Accenture Services Private Limited Plant 3.384.79.00 1.00 8.85.550.00 7.800.

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