PART B (ANNEXURE)

Details of Salary paid and any other income and tax deducted
1. Gross Salary
(a) Salary as per provisions contained in sec.17(1) 501,785
(b) Value of perquisites u/s 17(2) 0
(as per Form No. 12BA, wherever applicable)
(c) Profits in lieu of salary u/s 17(3)
(as per Form No. 12BA, wherever applicable)
(d) Total 501,785
2. Less : Allowance to the extent exempt u/s 10
(a) House Rent Allowance 0
(b) Conveyance Allowance 19,200
(c) LTA 0
(d) Leave Encashment 0
(e) Gratuity 0
(f) Others(Uniform,Books & periodicals & Medical Reim.) 0 19200
3. Balance(1-2) 482,585
4. Deductions :
(a) Entertainment allowance 0
(b) Tax on employment 0
5. Aggregate of 4 (a) and (b) 0
6. Income chargeable under the head 'salaries (3-5) 482,585
7. Add : Any other income reported by the employee
(a) Interest on NSC 0
(b) Loss on house property 0
(c) Others 0 0
8. Gross total income(6+7) 482,585
9. Deduction under Chapter VIA Gross Qualifying Deductible
(A) section 80C, 80CCC and 80CCD
(a) section 80C
PF+VPF 18,373
18,373 18,373
(B) other sections under Chapter VIA
10. Aggregate of deductible amount under Chapter VIA 18,373
11. Total Income(8-10) 464,220
12. Tax on total income 21,422
13. Rebate U/S 87 A 2,000
14. Surcharge 0
15. Education Cess 583
16. Tax Payable(12-13+14+15) 20,005
17. Relief under section 89 ( attach details ) 0
18. Tax Payable(16-17) 20,005
Verification
I WOUTER RODERIK POOL son/daughter of TONNIS POOL, working in the capacity of DIRECTOR-FINANCE do hereby certify that the
information given above is true, complete and correct and is based on the books of account, documents, TDS statement, TDS Deposited
and other available records.
Place : Delhi

Date : 31/05/2016 Signature of the Person Responsible for Deduction of Tax

Designation : DIRECTOR-FINANCE Full Name : WOUTER RODERIK POOL
Company Name : Hilti India Pvt Ltd Employee Name : Arsalan Ur Rasheed
Company TAN : DELH02158C Employee PAN : BPOPR0562N
Company PAN : AAACH3583Q Employee ID : 75395
Financial Year : 2015-2016 Date Of Joining : 25/02/2014

Signed by : WOUTER RODERIK POOL

(Personal , CID - 3152257)
Date : 31/May/2016 16:31:50
Location :
Reason : Form16

This file is signed using Digital Signature.