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“Y TDS | TRACES
Cenmlze Pons Call | TDS Reconciliation Analysis andl Corection Enabling Systam 4
2 | csi Ta apart
FORM NO. 16
[Seerule 31148)
PART A.
(Ceriicate under Section 03 ofthe Income tax Ac, 1961 for tax deducted a source on salary paid Yo
‘ot specified senior cen under section 194P
-mployec under section 192 oF penson/ners income
(CertieateNo. SROLPCA
asp ora
‘anes ar the Epler Bok ame a ie fe pepe er tn
AIL vias MoawurD
Ooi NO IRST FLOOR AUGUST KKANTL AWA,
bra row susan Aa
bat ARARATIVA HATIUA. GOPALGAND- 42 mar
sey lcon
| avert Emp: Rte proied ye
PsN Dette Tanettennior —|Eaigeespeitedseor [Eamets ose ee aa
tee bike fpoyer Oa
acenssaa etner3c ireasos | smn
crras) Amat Yar rhe Enger
The Commissioner of Income Tax (TDS) a =
Aap howe it Ch Paras, aon ma fiiizm | steno
‘nm age Da 1008 |
Sema ofampnt ple sn it ere ren eget ape
Tet Nemaes terol ] | Fon
uray | serena a OS | Aeon tt ected epee
ere et rag cs)
Scio 20
a ‘auncyra ian oa oa
a ~auro10z rake oe oe
= ‘uronneo vess00) ae iva
[er quwistep ssi eel oe
To 0) snare aon ror
|. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK. ADJUSTMENT
(he deduct provide payment wise details of wx dete and depoied with espe the deduce)
Desk enn Name
‘edna rope :
mn ‘nn : Seeeetnacioucn he tananee aes
os ec Name 30 a mame promi Bevel
|
Tae i ; Ey
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(be deduct to provide payment wise deals tx dct and deposited with espe othe deduct)
‘Tax Dposted in respect of te ‘Chuan Edenton Number (CN)
SL. decree - — -
(es) Coe af the Bank | Date on which Tax deposit Chatan Serial Number | Status of matching with
| Branch (da/may99) ovtas*
1 oo (05.0520) - F
2 00 E 5.062001 r
3 000 y (607-2021 F
[+ 00 E [oso¢-a0a1 E a |cements "etapa Peseta mse semen 33
“ax Deposited in respec ofthe a ete eee ay
Ste eductee
| a) sre Code ofthe Bank [Date on whch Tas deposited] Chan Seri Number | Stata of matching with
‘rane Gomme ouras™
3 = oo | eeopam " Fr _|
6 000) z oro Fousa|
7 000) wire z F |
® 1924.00) 360218 06.12.2001, 4348 F
2 00 2 werent : F
0 00) : estan = F
un “00 : esmam2 5 £
2 00 = emo | F
8 00 - zeman | 2 F
Teal) 1934.00 E
Verification
| MUTHILESLKLMAR SINGH, se / deeper of SUGRLB FRASAD SINGH vorking it he capac of MANAGER FINANCE (esgatin) do Brey cet tha sum
jt Rs 12409 One Thousand Nine Mundo and Tues ans Only in werd bas bem deducted
andes our Only 4 ben deposited tothe ret of the Cantral Government, fre eri
bcd on the books of account, Gocument, TDS statements, TDS depited and ther aval eeords,
Place EW DELHI
Date 08.un-2022 {Signature of person responsible fr deduction of Tas)
Designation: MANAGER FINANCE Full Name: ITHILESH KUMAR SINGH
Notes
[Pat (Aamo) ft coin Fa No.6 sl ny he ema.
2 Afanansencmplp wed oe employe dig Yr, Pu 0 he stn Fe Ns 16 iad fhe queen March fs ye shal can he eis
‘la dete an dot le gars he fa ear
5 tf nna wk mare thn ons mye ding the eo: of he npn sli Fat ft etic i Form No 6 poral te er fr which ch
‘ens wn ale co oe ply, Par (Anes oe eee Fo Ne, ey baby ech pes soto epee see,
4 Totpde PAN di nome Ta Duct mba pt fr PAN cage ape eagh NSDL UTTSL
‘Legends in Form 16 :
“Status of matching with OLAS:
[tees | —Desipion Detain
10 |uamasey | Deiicas ane wr pened acorn fanshop ft erent Fal elt il eed ol wh prt
sca ink mh ih tase pent TST
> Fier | vison tx ret i toot i TOS TC Steven ll by Govern dda" wan ws anges Fa or
sro payment dts sty Py nt Ac fe (PAO)
cme ofan goverment detest deta of TS, TS depen uk by dtr ae match wi patel
© emt einen th TDS/TCS stant ly the econ. nce of gene Sten dea sf TOS, Tes henked earnest
scorch vita by Fay Aceon Ot PAO).
"me det of DS TCS depose nb yds ve mah wih a iodine TOTS amc he
© Jorettet stun noe etn i ct ibe! ny sedate ns eo
TR Ran cnicr
at DORN 15
ge 2f290004206/BIFPASOO8N
Annexure to Form No.16
‘SHAMIM AHMAD
Name: SHAMIM AHMAD
Emp No. 90004208
Emoluments paid
Particulars
Basic Salary
Leave Encashment
House Rant Allowance
Transpoet Allowance
Medica Atowance
Eaueaton Allomance
an Bera
Income
Total income from other sources
‘Amount(INR)
302280.00
eri700
resr.00
454800
8348.00
45348.00
_37000.00,
0.00
Date: 14.08.2022
Place
Full Name: MIT
Designation:
“Nithlesh Kumar Singh
eee sere
tar ror Fr Rito Ral Vise
orem ear 1 we BC