UCO BANK ZONAL OFFICE

Digitally signed document

Form 16A

Details in Form 16A:

Date: 06-02-2021
Deductee Name: TENZIN CHOEZOM
Deductee PAN: AJRPC7225R
Financial Year: 2020-21
Assessment Year: 2021-22
Form 16A Control No: IOMTTOA

Details of signature:

Form 16A is a Certificate issued under section 203 of the Income-Tax Act, 1961 for Tax deducted at source. Please refer, [See Rule 31(1)(a)].This certificate is signed with a "Secure
Digital Signature",as defined under section 15 of Indian Information Technology Act, 2000.

Respective Digital Signature of the signatory has been affixed below. Please click on the box in order to see the details and validate the signature (for your reference):

Issuer Organization: UCO BANK ZONAL OFFICE

Issuer (TAN): MRTU01598C

Document Name1: Form 16A

SANDEEP KUMAR BOSE

Digitally Signed By SANDEEP KUMAR BOSE
Reason: Digitally signed TDS certificate as per Information Technology Act, 2000.
Location: KOLKATA
Date: 06-02-2021 05:57:37

(This document is digitally signed and enclosed with Statutory format of Form 16A.)

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 FORM NO. 16A

[See rule 31(1)(b)]

Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source

Certificate No. IOMTTOA Last Updated on 30-Nov-2020

Name and Address of Deductor Name and Address of Deductee

UCO BANK ZONAL OFFICE

PRITAM CASTLE,,PALTAN BAZAR, TENZIN CHOEZOM
NEAR CLOCK TOWER,DEHRADUN-248001, NEW ARUNA NAGAR,MAJNU K TILLA,
Uttarakhand ,,DELHI - 110054 Delhi
+(91)135-6510211
zo.dehradun@ucobank.co.in

PAN of the deductor TAN of the deductor PAN of the deductee

AAACU3561B MRTU01598C AJRPC7225R

CIT (TDS) Assessment Year Period

The Commissioner of Income Tax (TDS) From To

110/25-26, 80 ft road, Ashok nagar, Opp. Sant Paul School, 2021-22
-, Kanpur - 208001 01-Jul-2020 30-Sep-2020

Summary of payment

Sl. No. Nature of payment** Deductee Reference No. Date of payment/ credit
Amount paid/ credited provided by the Deductor(if (dd/mm/yyyy)
any)

1 891.00 194A 22-09-2020

2 77.00 194A 26-09-2020

3 3482.00 194A 26-09-2020

4 329.00 194A 26-09-2020

5 1871.00 194A 26-09-2020

6 2921.00 194A 26-09-2020

7 1973.00 194A 26-09-2020

8 733.00 194A 26-09-2020

9 83.00 194A 30-09-2020

Total (Rs.) 12360.00

Summary of tax deducted at source in respect of Deductee

Receipt Numbers of Original Amount of Tax Deducted in

Quarterly Statements of TDS Amount of Tax Deposited/ Remitted in
Quarter respect of
Under sub-section(3) of Section respect of Deductee
Deductee
200

Q2 FXIRFTKM 0.00 0.00

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The Deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Tax deposited in respect of

Sl. No. Book Identification Number (BIN)
deductee (Rs.)

Receipt Numbers of Form DDO serial number in Form No. Date of Transfer Status of Matching
No.24G 24G voucher (dd/mm/yyyy) with Form No.24G

Total (Rs.)

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

Tax deposited in respect of the

Sl. No. Challan Identification Number (CIN)
deductee(Rs.)

BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 0.00 - 07-10-2020 - F

2 0.00 - 07-10-2020 - F

3 0.00 - 07-10-2020 - F

4 0.00 - 07-10-2020 - F

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 5 0.00 - 07-10-2020 - F

6 0.00 - 07-10-2020 - F

7 0.00 - 07-10-2020 - F

8 0.00 - 07-10-2020 - F

9 0.00 - 07-10-2020 - F

Total (Rs.) 0.00

Verification

I, SANDEEP KUMAR BOSE, son / daughter of SUBODH KUMAR BOSE working in the capacity of ASSISTANT GENERAL MANAGER (designation) do hereby certify
that a sum of Rs. 0.00 [Rs. Zero Only (in words)] has been deducted and a sum of Rs. 0.00 [Rs. Zero Only] has been 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.

Place KOLKATA

Form is digitally signed. Please refer page 1 for details

Date 04-Feb-2021 (Signature of person responsible for deduction of tax)

Designation: ASSISTANT GENERAL MANAGER Full Name: SANDEEP KUMAR BOSE

Notes

1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website
https://www.tdscpc.gov.in
2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL
3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

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