FORM NO.

16
See rule 31(1) (a)
Certificate under section 203 of the Income-ta Act, 1961 for taz deducted at source on Salary
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Name and address of the Employer Name, EmpNo, Bill Unit, Station and desig. of the Employee
-+--- -*---~- ----=-- - =. ----+.
Ministry of Railways, Govt. of India, Rail Bhawan DEV NARAYAN SAH, 52406419756, 2414600, BELA, AWM
- - - - - - - - - - - - . t - - - - - - - - - - - - - - .- -

PAN of the Deductor. TAN of the Deductor. PAN of the Employee.

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PTNRO2504F ANOPS4828H
CIT (TDS) ASsessment Year Period
-

Address: From

2021-2022 01/APR/2020 31/0CT/2020

City: Pin Code:

PART B(Refer Note 1

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Details of Salary paid and any other income and tax deducted.

1. Gross salary
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(a) Salary as per provisions contained in sec.17(1) 1506068

(b) value of perquisites u/s 17(2) (as per Form No. 12BA, wherever applic|
-~~ ~----~ ----~-*
(c) Profits in lieu of salary u/s 17(3) (as per Form No. 12BA,wherever ap
- - - - - - - - - - - - - -

(d) Total |1506068

2. Less: Allowance to the extent exempt u/s 10

(a ) House Rent Allowance

(b)Education and Hostel Allowances For Child

(c) STANDARD DEDUCTION U/s 16(a) 50000

Total 50000

3. Balance (1-2 1456068

4. Deductions

(a) Entertainment allowance 0

- .

(b) TaX on Employment

- - - - - - - - - - - - - - - - - - - - .

5. Aggregate of 4 (a) and (b)

6. Income chargeable under the head. Salaries ( 3 - 5) 1456068

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7. Add: Any other income reported by the employee

Total
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8. Gross total income (6 + 7) 1456068

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ame Emptio, Bill Unit, Station and desig. of the Employel DEV NARAYAN SAH, 52406419756, 2414600, BELA AN
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9. Deductions under Chapter VIA

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(A) sections 80C, 80CCC and B80CCD

Gross Amount | Deduct ible Amt
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(a) section 80C

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(1)PF+VPF 61073
(2)GIS 300

Total
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61373 61373
(b) section 80Ccc
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(C)section 80CCD( 2) (GOVT CONTRIBUTION REBATE) 0

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Note T.
aggregate amount deductible under section 80C shall
not exceed T.5 lakh rupees
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ggregate amount deduct ible under three sections, i.e., 8OC, 8occC and 8occD, shall not exceed 1.5 lakh rupees
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(B) other sections (for e.g. 8OE, 80G etc.) under Chapter VIA
Gross Amount| Qualifying Am | Deductible Amt
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-**-~>-----~-----
T

(1 ) DONATIONS 3047 3047 3047

Tota
3047 3047 3041
-t---~-----
10. Aggregate of deductible amounts under Chapter VI-
64420
T - ~ - -

11. Total income (8-10)

1391650
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12. Ta on total income

| 227495
**------- -~--------
13. Edu Cess 4 t (on tax computed at S. No. 12)
9100
- - - - - - - -

14. Tax payable (12+13)

236595

15. LesS: Relief under sect. 89 (attach details) 0

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16. Tax payable (14-15)

236595
* * * * * * * *

--4+ - - - - -

17. Total Tax Paid

74956
18. Tax payable/Refundable (16-17)
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161640
ARDIND KUMAR SHURLA son/daughter of RAJ BALLABH SHUKLA working in the capacity of ASST. PERS. orriCER-A
o hereby certify that a sum of Rs. 74956|RS. Seventy Four Thousand Nine Hundred Pifty Siz Only (in words) l
as been deducted at 5ource and paid to the credit of the Central Governnent. I further certify that the informat ion
iven above is true and correct based on the books of account, documents and other available recors

lace : RWP BELA Signatue of the personresponsible for

ate :10/07/2021
deduction,
Full
oEtaxnnal Ofic
Name:ARDIND KUMAR SHUKLA
Designation ASST PERS/ OFPICER-A
Raf vvhe Plant/Bela