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IBM DAKSH BUSINESS PROCESS SERVICES PVT.

LTD

Form 16 Digitally Signed

Form16 Details:

Employee Name: VAIBHAV TIWARI

Employee PAN: AKHPT3825D

Employee Serial Number: 194082

Employee Designation: PRACTITIONER-CRM OPERATIONS

Form16 Control Number: 194082/AKHPT3825D/2012-13

Assessment Year: 2013-14 2013-14

Certificate Number:

E-file your Income-tax Return:


Filing
You cyour tax returns has now been made simple as the Corporate Accounting Group has indentified service providers who can assist employees in completing
the process online. In collaboration with the service providers this facility has been extended online, to assist employees across all DCs and countries.

However, employees are required to note that the Company is only acting as a facilitator in enabling employees to file their tax returns through a service provider
and there is no direct involvement or recommendation on the part of Company. Employees are required to make their own assessment of the services offered
by the service provider, and the Company makes no guarantees as to the quality of the service or that tax returns will be filed in an accurate and correct
manner. The Company will not be held liable for any use of the services by employees.

If employees wish to file their tax returns through the service providers identified by the Company, employees may click on the link below.

EMPLOYEES MUST NOTE THAT IF THEY CLICK ON THE LINK GIVEN BELOW, THEY WILL BE TAKEN TO THE SERVICE PROVIDER WEB SITE AND
THEIR PERSONAL DATA (AS GIVEN IN THIS FORM) WILL BE AUTOMATICALLY FILLED ON THE SERVICE PROVIDER WEB SITE. IF EMPLOYEES DO
NOT WISH TO HAVE THEIR DATA AUTOMATICALLY ENTERED ON TO THE SERVICE PROVIDER WEBSITE THEY SHOULD NOT CLICK ON THE
BELOW LINK. EMPLOYEES ARE ALSO REQUESTED TO CHECK THE ACCURACY OF THE DATA ENTERED ON THE SERVICE PROVIDER WEBSITE
BEFORE SUBMITTING THIS DATA.

Click here to prepare your Income-tax Return


If you cannot open the link above then please visit www.myITreturn.com and follow the instructions mentioned therein.

Signature Details:
This form has been signed and certified using a Digital Signature Certificate as specified under section 119 of
the Income-tax Act, 1961. (Please refer Circular No.2/2007,dated 21-5-2007).

The Digital Signature of the signatory has been affixed in the box provided below.To see the details and validate
the signature,you should click on the box.

Digitally Signed by : INDRANIL SEN


INDRANIL SEN
Digital Signature Certificate issued by : SAFESCRYPT SUB-CA FOR RCAI CLASS 2 2012 2013.05.31 08:09:38
Signer:
Serial Number of DSC : 262254
CN=INDRANIL SEN
C=IN
Number of pages : 5 (including this page)
O=Personal
2.5.4.17=122002
Public key:
RSA/2048 bits

IBM VAIBHAV TIWARI/194082/2012-13


FORM NO.16
2013-14
PART A
Certificate under section 203 of the income-tax Act, 1961 for tax deducted at source on Salary
Certificate No.: Last Updated on:
Name and address of the Employer Name and address of the Employee
IBM DAKSH BUSINESS PROCESS SERVICES PVT. LTD VAIBHAV TIWARI

PRACTITIONER-CRM OPERATIONS
1ST FLOOR,BIRLA TOWER,25, BARAKHAMBA ROAD,NEW 194082
DELHI,DELHI,110001

PAN of the Deductor TAN of the Deductor PAN of the Employee Employee Reference No. provided
by the Employer (if available)

AABCD4187D DELD04603E AKHPT3825D 194082

CIT (TDS) Assessment Year Period


The Commissioner of Income Tax (TDS) Aayakar Bhawan, District Centre, From To
6th Floor Room no 610 Hall no.4 Luxmi Nagar Delhi-110092 2013 -14
30/05/2012 01/02/2013
Summary of amount paid / credited and tax deducted at source theron in respect of the employee
Quarter(s) Receipt Numbers of original statements of Amount paid /credited Amount of tax deducted Amount of tax
TDS under sub-section (3) of section 200 deposited/remitted
(Rs.) (Rs.) (Rs.)
Quarter 1 NOT APPLICABLE 16008.00 0.00 0.00
Quarter 2 NOT APPLICABLE 47711.00 0.00 0.00
Quarter 3 NOT APPLICABLE 53421.00 0.00 0.00
Quarter 4 NOT APPLICABLE 22584.00 0.00 0.00
Total 139724.00 0.00 0.00

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

Sr. Tax Deposited in Respect of the Employee Challan Identification Number (CIN)
No (Rs.) BSR Code of the Date on which Tax Challan Serial Status of matching
Bank Branch Deposited (dd/MM/yyyy) number with OLTAS*
1 0.00 N/A N/A N/A N/A
2 0.00 N/A N/A N/A N/A
3 0.00 N/A N/A N/A N/A
4 0.00 N/A N/A N/A N/A
5 0.00 N/A N/A N/A N/A
6 0.00 N/A N/A N/A N/A
7 0.00 N/A N/A N/A N/A
8 0.00 N/A N/A N/A N/A
9 0.00 N/A N/A N/A N/A
10 0.00 N/A N/A N/A N/A
11 0.00 N/A N/A N/A N/A
12 0.00 N/A N/A N/A N/A

0.00
Verification
I, INDRANIL SEN son / daughter of SUBIR KUMAR SEN, working in the capacity of GROUP MANAGER-HR (designation) do hereby certify that a sum of Rs. 0.00
[(RUPEES ZERO ONLY) (in words)] has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true,
complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

For IBM DAKSH BUSINESS PROCESS SERVICES PVT. LTD

Place : NEW DELHI Signature of the person responsible for deduction of tax
Date : 31-May-2013 This form is signed using Digital Signature. Please see page 1.

Designation : GROUP MANAGER-HR Full Name : INDRANIL SEN

IBM VAIBHAV TIWARI/194082/2012-13


Part B (Annexure)

Details of Salary paid and any other Income and tax deducted Rs. Rs. Rs.
1. GROSS SALARY
(a) Salary as per provisions contained in section 17(1) 139,724.00
(b) Value of perquisites under section 17(2) 0.00
(as per Form No:12BA,wherever applicable)
(c) Profits in lieu of salary under section 17(3) 0.00
(as per Form No: 12BA,wherever applicable)

Total 139,724.00

2. Less : Allowance to the extent exempt u/s 10 1,646.00

3. Balance (1-2) 138,078.00

4. DEDUCTIONS :
(a) Entertainment Allowance 0.00
(b) Tax on Employment 0.00

5. Aggregate of 4 (a) and (b) 0.00

6. INCOME CHARGEABLE UNDER THE HEAD 'SALARIES' ( 3-5 ) 138,078.00

7. Add : Any other income reported by the employee


(a) Income under the Head 'Income from House Property' 0.00

0.00
8. GROSS TOTAL INCOME ( 6+7 ) 138,078.00

9. DEDUCTIONS UNDER CHAPTER VI-A

(A) Sections 80C, 80CCC & 80CCD

(a) Section 80C Gross Amount Deductible Amount


Employee Provident Fund 6654.00 6654.00
(b) Section 80CCC 0.00 0.00
(c) Section 80CCD(1) 0.00 0.00
(d) Section 80CCD(2) 0.00 0.00
Total of (a) + (b) + (c) + (d) 6,654.00
Note: Aggregate amount deductible under sections, i.e., 80C, 80CCC and 80CCD(1) shall not
exceed one lakh rupees.

IBM VAIBHAV TIWARI/194082/2012-13


(B) Other Sections(e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A Gross Amount Qualifying Amount Deductible Amount

(a) 80 CCG Rajiv Gandhi Equity Scheme 0.00 0.00 0.00


(b) 80 D Health Insurance Premium 954.00 954.00 954.00
(c) 80 DD Handicapped Dependents 0.00 0.00 0.00
(d) 80 DDB Medical Expenses, Chronic Diseases 0.00 0.00 0.00
(e) 80 E Interest on Loan taken for Higher Education 0.00 0.00 0.00
(f) 80 U Permanent Physical disability 0.00 0.00 0.00
(g) 80 G Donation 0.00 0.00 0.00
(h) 80 GG Rent paid(HRA not received) 0.00 0.00 0.00
(i) 80 TTA Deduction on Interest on Saving Account 0.00 0.00 0.00

954.00

10. Aggregate of deductible amounts under chapter VI-A 7,608.00


11. Total income (8-10 ) 130,470.00
12. Tax on total income 0.00
13. Education Cess @ 3% (on tax computed at S.No. 12) 0.00
14. Tax Payable (12+13) 0.00
15. Relief under section 89 0.00
16. Tax Payable (14-15 ) 0.00

Verification

I, INDRANIL SEN son / daughter of SUBIR KUMAR SEN, working in the capacity of GROUP MANAGER-HR (designation), do hereby certify that the information given above is true, complete and
correct and is based on the books of account, documents, TDS statements, and other available records.

For IBM DAKSH BUSINESS PROCESS SERVICES PVT. LTD

Place : NEW DELHI Signature of the person responsible for deduction of tax
Date : 31-May-2013 This form is signed using Digital Signature. Please see page 1.

Designation : GROUP MANAGER-HR Full Name : INDRANIL SEN

IBM VAIBHAV TIWARI/194082/2012-13


FORM NO. 12BA
{See Rule 26A(2)(B)}
Statement showing particulars of perquisites, other fringe benefits or
amenities and profits in lieu of salary with value thereof
1. Name and Address of the Employer : IBM DAKSH BUSINESS PROCESS SERVICES PVT. LTD
1ST FLOOR,BIRLA TOWER,25, BARAKHAMBA ROAD,NEW
DELHI,DELHI,110001

2. TAN : DELD04603E
3. TDS Assessment Range of the Employer : The Commissioner of Income Tax (TDS) Aayakar Bhawan, District
Centre, 6th Floor Room no 610 Hall no.4 Luxmi Nagar Delhi-110092
4. Name of Employee : VAIBHAV TIWARI

Designation : PRACTITIONER-CRM OPERATIONS


PAN : AKHPT3825D
5. Is the Employee a Director or a person with substantial
interest in the company (Where the employer is a company) : NO
6. Income under the Head "Salaries" of the Employee : 139,724.00
(Other than from perquisites)
7. Financial Year : 2012-13 2012-13
8. Valuation of perquisites
Sl. Nature of perquisite Value of perquisite Amount,if any, recovered Amount of Taxable
No as per rules(Rs.) from employee(Rs.) perquisite(Rs.)

(1) Accommodation 0.00 0.00 0.00


(2) Cars/Other automotive 0.00 0.00 0.00
(3) Sweeper,gardener,watchman or personal attendant 0.00 0.00 0.00
(4) Gas,electricity,water 0.00 0.00 0.00
(5) Interest free or concessional loans 0.00 0.00 0.00
(6) Holiday expenses 0.00 0.00 0.00
(7) Free or concessional travel 0.00 0.00 0.00
(8) Free Meals (Food Coupons Taxable ) 0.00 0.00 0.00
(9) Free Education 0.00 0.00 0.00
(10) Gifts,vouchers,etc. 0.00 0.00 0.00
(11) Credit card expenses 0.00 0.00 0.00
(12) Club expenses 0.00 0.00 0.00
(13) Use of movable assets by employees 0.00 0.00 0.00
(14) Transfer of assets to employees 0.00 0.00 0.00
(15) Value of any other benefit/amenity/service/previlege 0.00 0.00 0.00
(16) Stock Options (ESOS Perquisites) 0.00 0.00 0.00
(17) Other Benefits or amenities (Conveyance Perks) 0.00 0.00 0.00
(18) Total Value of Perquisites 0.00 0.00 0.00
(19) Value of profits for in lieu of salary as per section 17(3) 0.00 0.00 0.00

9. Details of Tax
a) Tax Deducted from Salary of Employee u/s 192(1) : 0.00
b) Tax Paid by Employer on behalf of Employee u/s 192(1A) : 0.00
c) Total Tax Paid : 0.00
d) Date of Payment into Government Treasury : Refer Form16
DECLARATION BY EMPLOYER
I, INDRANIL SEN son of SUBIR KUMAR SEN working as GROUP MANAGER-HR do hereby declare on behalf of IBM DAKSH BUSINESS PROCESS SERVICES PVT.
LTD that the information given above is based on the books of account, 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 thereunder and that such information is true and correct.

For IBM DAKSH BUSINESS PROCESS SERVICES PVT. LTD

Signature of the person responsible for deduction of tax


This form is signed using Digital Signature. Please see page 1.
Place: NEW DELHI Full Name : INDRANIL SEN
Date : 31-May-2013 Designation : GROUP MANAGER-HR
IBM VAIBHAV TIWARI/194082/2012-13

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