FORM NO. 16 See nie HOGOL FARIA aman nal TNR le seton 208 ot he tome At 196 for Tax deed at oes om ely tsa No | ost Upsated On [Nac ates phy Fran designation of he employee OCK EDUCATION OFFICER MADHO SINGH RAJPUT Be OSHIVPURI, SHIVPURL, SHIVPURL, MADHYA PRADESH | PAN No. of the Deductor | 1 WAN No, ofthe Ded [TAN ot the Deductor PAN No. ofthe Employee | REQD | PL nnansc BRSPSSESHA 1 — | mnont year | Period with the Employer Adkress: The Commissioner af Income tax (FDS),Aayakan shawn, | cians) fe Hoshanvabid Rod, shopal igo vin Codess2014 | aaa ; Summary of amount paileretited an i deducted at source thereon in respeet ofthe employee ——_—— {anes Hct Nuntcsot | Amant panded, [Arount of ix degued (Amount fox depos original quarterly | Rs.) | ae nents of LDS under | | tion (3) of setion} | | \ 200 | | Quarter 1 | a} [anata | | af {Quarter 3 | | st = Quarter 4 | | 9 real 0 ae a } “LortansSor vax brbvci axp pc vos itn TL CENIRAT GOUurRSS¥ENT ACCOUNT THROUGH BOOK ADIUSIMEN ‘he dedactor to provide payinont wise detail of tix deducted aed deere with respect te the des S.No [Tax Deposited in| hook identification number (BIN) espection of the | \ deductec (Ks.) | ee : \ t——}* Feccpe ners [PDOSeqia Sune] acolFanser Saws oti 6 | {Storm Nobic." in rnm No, 246 | Vougher damm) |__towm’ 2 | a 1 [torat _ ol | a == T-THROUGH CHALLAN the deductee) IN THE CENTRAL GOYERNMENT ACCC J of tay deducted and deposited with respes tification number (CIN) DUCTED AND DEPOSITED. IL. DETAILS OF TAX DI ment wise detail (The deductor 10 f ie pi Challan id S.No. } Tax Deposited in respect on of the | employee (RS) | - - Pate on which fax) Challan Serial Number | Status of matching wit BSR Code of the Bank | | depositedtdd em yy yy) A OLTAS | Branch | Verification So P_NIGAMworking in the capacity of. F.. O.(designation) do hereby cert ‘and paid to the eredit of the Central Government, | further certify tha ailable records. | I | [or i [MANOJ KUMAR NIGAM, son‘danghter of SHRI A, Only) has been deduetedat source and correct based on the book’ of account, documents and other {iat a sum of Rs 0.0002 Yinormation given above fs Mace in ohor2020 (Sisrmtere of person responsible for deduction of tax) vivaion BELO, Fuil Name MANOJ KUMAR NIGAM ne xs to fill information in item Tif ts is paid without production of income-tax cl mand Os Men ‘Scanned wih CamScanner‘The deductor shall furnish the address of the Commissioner of Income-tax (TDS) statements of the assessee, 4. Han assessee is employed under one employer only during the year, certificate in Form No. 16 issued 31st March of the financial year shall contain the details of tax deducted and deposited for all the quart 5, Han assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with each of the employers. Part B (Annexure) 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, ) having jurisdiction as regards TDS for the quarter ending on fers ofthe financial year, 6. __tn items | and Il in column for tax deposited in respect of deductee. furnish total amount of TDS and education cess. PART B (Annexure) Details of Salary paid and any other income and tax deducted 1 Gross Salary \ (a)_ Salary as per provisions contained in section 17(1) a \ (b) Value of perquisites under section 17(2) (as per Form No. 12BA, wherever 0 applicable) (©) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, 9 | ‘wherever applicable) |) Total 595603; | (e)_ Reported total amount of salary received from other employer(s) 9 L.ess: Allowance tothe extent exempt un 0 10 0 Allowance a Rs. (@) [Travel concession or assistance under section | 0 0 0 1045) ze) ‘ ) a ‘gratuity under section 0 0 9 100) - (©) [Commuted valve of pension under section 0 ol hrocioay _ 1 @ [Cash equivatent of eave salary encashient [ 0 ° ° under section 10(10AA) © [House rent allowance under section TOCI3A) @ 2 ° (8, [Amount of any other exemption under section Lio = (@ |Total amount of any other exemption under | o oO o section 10 Total amount of salary received from eurrent employer [1(4)-2(h)] 595603 Less: Deductions under section 16 (@)_ Standard deduction under section 16(ia) 0000] | (6) Entertainment allowance under section 16) 0 (€) Tax on employment under section 16ii) 2500) Total amount of deductions under section 16 [4(a)+4(b}+4(e)] 52500] ocome chargeable under the head "Salaries" [(3+1(e)-5] 543103 Add: Any other income reported by the employee under as per section 192 2B) Income Rs (2) |Income (or admissible loss) from house property reported by 0 ‘employee offered for TDS | (b) |Income under the head Other Sources offered for TDS 0 8. Total amount of other income reported by the employee [7(a)+7(b)] 0 9. Gross total income(6+8) 543103 10, Deduction under Chapter VIA |Gross Deductible Amount — | Amount (2) Deduction in of fife insura i i fad oe a eaPet of ie insurance prema, contbution io provident up 84935 Developed By Compas ‘Scanned wih CamScannerpeduction in respect OF COMET or Deduction Daduetion in vespect oF COnHETBUTON sestion SOCCD (1) eduction minder section Total deductio WED IBY 1) Deduction in es 2) Dedtstion in respect of (hy Deda 1 in respect of int rest on oan taken for bi sestion SOF Tora Deduction in re ext of d SOTTA 1) Amount deductible under any other provision(s) of ehapter VIN fo certain pension funds under se set of contribution by Employ et t0 Pet health insurance premia und on scheme under by taypayer to pension seh 0 $0CCC and S0CCD i ed pension scheme He ota pa posite 6 noted Pe nsion scheme under Jer section SOD education under tain funds.charitable Jct section Aggregate of deductible amount under Chapter VI {iowa wey BOAT) HOKE) LOKI): 10 otal taste income 11) Tax on Total Income under sextion 87H appticable ge, wherever anplical Health and education cess MANOJ KUMAR NIGAM. so hat the information and other available ree aughter of SURE A, P. NIGAM working ature of the pe Verification and is b wrson responsible for de ume MANOJ KUMAR NIGAM ‘Scanned wih CamScanner in the capacity of B. E ton darcy duction of tax.