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. EGUVZMA Last updated on 05-Mar-2022

Name and address of the deductor Name and address of the deductee

AMAZON SELLER SERVICES PRIVATE LIMITED

HARSH DHARAMSI CHAMARIYA
210, MIDFORD HOUSE OFF, M G ROAD,
ROOM NO 604 BUILDING, NO-03 HARIOM CHS LTD, NO-86
BANGALORE, BANGALORE - 560001
AMBEWADI R.K.SINGH,
Karnataka
MARG ANDHERI EAST ANDHERI, EAST MUMBAI - 400069
+(91)80-33273000
Maharashtra
rishabvi@amazon.com

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

AAICA3918J BLRA14702C CCHPC7689E

CIT (TDS) Assessment Year Period

The Commissioner of Income Tax (TDS) From To

Room No. 59, H.M.T. Bhawan, 4th Floor, Bellary Road , 2022-23
Ganganagar, Bangalore - 560032 01-Jul-2021 30-Sep-2021

Summary of payment

Deductee Reference No.

Date of payment/ credit
Sl. No. Amount paid/ credited Nature of payment** provided by the Deductor (if
(dd/mm/yyyy)
any)
1 1140.96 194O 02-07-2021
2 618.10 194O 04-07-2021
3 1740.01 194O 08-07-2021
4 551.43 194O 10-07-2021
5 551.43 194O 11-07-2021
6 599.05 194O 12-07-2021
7 570.48 194O 14-07-2021
8 551.42 194O 15-07-2021
9 2815.24 194O 16-07-2021
10 570.48 194O 17-07-2021
11 570.48 194O 19-07-2021
12 5418.12 194O 22-07-2021
13 2548.57 194O 23-07-2021
14 6161.92 194O 25-07-2021
15 1169.52 194O 26-07-2021
16 3913.33 194O 27-07-2021
17 3784.76 194O 28-07-2021
18 4136.20 194O 29-07-2021
19 2728.58 194O 30-07-2021
20 1474.29 194O 31-07-2021
21 5354.28 194O 01-08-2021
22 3768.58 194O 02-08-2021
23 2757.15 194O 03-08-2021
24 1140.95 194O 04-08-2021
25 2662.87 194O 05-08-2021
26 3551.43 194O 06-08-2021
27 902.86 194O 07-08-2021

Page 1 of 5
Certificate Number: EGUVZMA TAN of Deductor: BLRA14702C PAN of Deductee: CCHPC7689E Assessment Year: 2022-23

Deductee Reference No.

Date of payment/ credit
Sl. No. Amount paid/ credited Nature of payment** provided by the Deductor (if
(dd/mm/yyyy)
any)
28 3499.06 194O 08-08-2021
29 2838.11 194O 09-08-2021
30 2140.00 194O 10-08-2021
31 2567.62 194O 11-08-2021
32 3703.81 194O 12-08-2021
33 3384.77 194O 13-08-2021
34 7610.48 194O 14-08-2021
35 7897.15 194O 16-08-2021
36 551.43 194O 17-08-2021
37 3329.52 194O 18-08-2021
38 4002.86 194O 20-08-2021
39 7350.48 194O 21-08-2021
40 1663.81 194O 22-08-2021
41 6622.98 194O 23-08-2021
42 4069.51 194O 24-08-2021
43 1379.05 194O 25-08-2021
44 4844.77 194O 26-08-2021
45 2929.51 194O 27-08-2021
46 2243.82 194O 29-08-2021
47 8476.21 194O 31-08-2021
48 3802.86 194O 01-09-2021
49 5576.73 194O 02-09-2021
50 3765.72 194O 03-09-2021
51 1045.71 194O 04-09-2021
52 7684.75 194O 05-09-2021
53 4978.11 194O 06-09-2021
54 5647.62 194O 07-09-2021
55 3614.31 194O 08-09-2021
56 4611.01 194O 09-09-2021
57 5049.52 194O 11-09-2021
58 3784.75 194O 12-09-2021
59 1549.53 194O 13-09-2021
60 2315.24 194O 14-09-2021
61 3234.28 194O 15-09-2021
62 9023.90 194O 16-09-2021
63 2472.38 194O 17-09-2021
64 2168.58 194O 18-09-2021
65 2665.72 194O 20-09-2021
66 3911.98 194O 21-09-2021
67 665.71 194O 22-09-2021
68 1121.91 194O 23-09-2021
69 2662.86 194O 24-09-2021
70 3285.31 194O 25-09-2021
71 1997.13 194O 26-09-2021
72 3737.14 194O 27-09-2021
73 6638.08 194O 29-09-2021
74 17758.09 194O 30-09-2021
Total (Rs.) 257626.37
Page 2 of 5
Certificate Number: EGUVZMA TAN of Deductor: BLRA14702C PAN of Deductee: CCHPC7689E Assessment Year: 2022-23

Summary of tax deducted at source in respect of Deductee

Receipt Numbers of Original

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

Q2 QUQJEMQC 2576.27 2576.27

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)

Book Identification Number (BIN)

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

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)

Challan Identification Number (CIN)

Tax deposited in respect of the
Sl. No.
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 11.41 6390340 04-11-2021 10418 F

2 6.18 6390340 04-11-2021 10418 F
3 17.40 6390340 04-11-2021 10418 F
4 5.51 6390340 04-11-2021 10418 F
5 5.51 6390340 04-11-2021 10418 F
6 5.99 6390340 04-11-2021 10418 F
7 5.70 6390340 04-11-2021 10418 F
8 5.51 6390340 04-11-2021 10418 F
9 28.15 6390340 04-11-2021 10418 F
10 5.70 6390340 04-11-2021 10418 F
11 5.70 6390340 04-11-2021 10418 F
12 54.18 6390340 04-11-2021 10418 F
13 25.49 6390340 04-11-2021 10418 F
14 61.62 6390340 04-11-2021 10418 F
15 11.70 6390340 04-11-2021 10418 F
16 39.13 6390340 04-11-2021 10418 F
17 37.85 6390340 04-11-2021 10418 F
18 41.36 6390340 04-11-2021 10418 F
19 27.29 6390340 04-11-2021 10418 F
20 14.74 6390340 04-11-2021 10418 F
21 53.54 6390340 04-11-2021 10418 F
22 37.69 6390340 04-11-2021 10418 F
23 27.57 6390340 04-11-2021 10418 F
24 11.41 6390340 04-11-2021 10418 F
25 26.63 6390340 04-11-2021 10418 F
26 35.51 6390340 04-11-2021 10418 F
27 9.03 6390340 04-11-2021 10418 F
28 34.99 6390340 04-11-2021 10418 F
29 28.38 6390340 04-11-2021 10418 F
30 21.40 6390340 04-11-2021 10418 F
31 25.68 6390340 04-11-2021 10418 F
32 37.04 6390340 04-11-2021 10418 F
33 33.85 6390340 04-11-2021 10418 F
Page 3 of 5
Certificate Number: EGUVZMA TAN of Deductor: BLRA14702C PAN of Deductee: CCHPC7689E Assessment Year: 2022-23

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)

Challan Identification Number (CIN)

Tax deposited in respect of the
Sl. No.
deductee (Rs.)
BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

34 76.10 6390340 04-11-2021 10418 F

35 78.97 6390340 04-11-2021 10418 F
36 5.51 6390340 04-11-2021 10418 F
37 33.30 6390340 04-11-2021 10418 F
38 40.03 6390340 04-11-2021 10418 F
39 73.50 6390340 04-11-2021 10418 F
40 16.64 6390340 04-11-2021 10418 F
41 66.23 6390340 04-11-2021 10418 F
42 40.70 6390340 04-11-2021 10418 F
43 13.79 6390340 04-11-2021 10418 F
44 48.45 6390340 04-11-2021 10418 F
45 29.30 6390340 04-11-2021 10418 F
46 22.44 6390340 04-11-2021 10418 F
47 84.76 6390340 04-11-2021 10418 F
48 38.03 6390340 04-11-2021 10418 F
49 55.77 6390340 04-11-2021 10418 F
50 37.66 6390340 04-11-2021 10418 F
51 10.46 6390340 04-11-2021 10418 F
52 76.85 6390340 04-11-2021 10418 F
53 49.78 6390340 04-11-2021 10418 F
54 56.48 6390340 04-11-2021 10418 F
55 36.14 6390340 04-11-2021 10418 F
56 46.11 6390340 04-11-2021 10418 F
57 50.50 6390340 04-11-2021 10418 F
58 37.85 6390340 04-11-2021 10418 F
59 15.50 6390340 04-11-2021 10418 F
60 23.15 6390340 04-11-2021 10418 F
61 32.34 6390340 04-11-2021 10418 F
62 90.24 6390340 04-11-2021 10418 F
63 24.72 6390340 04-11-2021 10418 F
64 21.69 6390340 04-11-2021 10418 F
65 26.66 6390340 04-11-2021 10418 F
66 39.12 6390340 04-11-2021 10418 F
67 6.66 6390340 04-11-2021 10418 F
68 11.22 6390340 04-11-2021 10418 F
69 26.63 6390340 04-11-2021 10418 F
70 32.85 6390340 04-11-2021 10418 F
71 19.97 6390340 04-11-2021 10418 F
72 37.37 6390340 04-11-2021 10418 F
73 66.38 6390340 04-11-2021 10418 F
74 177.58 6390340 04-11-2021 10418 F
Total (Rs.) 2576.27

Page 4 of 5
 Certificate Number: EGUVZMA TAN of Deductor: BLRA14702C PAN of Deductee: CCHPC7689E Assessment Year: 2022-23

Verification

I, RISHABH VINAYAKA, son / daughter of KAMAL VINAYAKA working in the capacity of AUTHORISED SIGNATORY (designation) do hereby certify that a sum of
Rs. 2576.27 [Rs. Two Thousand Five Hundred and Seventy Six Twenty Seven paisa Only (in words)] has been deducted and a sum of Rs. 2576.27 [Rs. Two Thousand
Five Hundred and Seventy Six Twenty Seven paisa 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 BANGALORE

Date 08-Mar-2022 (Signature of person responsible for deduction of tax)

Designation: AUTHORISED SIGNATORY Full Name: RISHABH VINAYAKA

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).

Legend used in Form 16A

* Status of matching with OLTAS

Legend Description
U Unmatched
P Provisional
F Final
O Overbooked
Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

** Nature of Payment

Section Code Description Section Code Description

193 Interest on Securities 195 Other sums payable to a non-resident
194 Dividends 196A Income in respect of units of non-residents
194A Interest other than 'Interest on securities' 196B Payments in respect of units to an offshore fund
194B Winning from lottery or crossword puzzle Income from foreign currency bonds or shares of Indian company payable to
196C
194BB Winning from horse race non-residents
194C Payments to contractors and sub-contractors 196D Income of foreign institutional investors from securities
194D Insurance commission 206CA Collection at source from alcoholic liquor for human consumption
194E Payments to non-resident sportsmen or sports associations 206CB Collection at source from timber obtained under forest lease
194EE Payments in respect of deposits under National Savings Scheme Collection at source from timber obtained by any mode other than a forest
206CC
Payments on account of repurchase of units by Mutual Fund or Unit Trust of lease
194F
India
206CD Collection at source from any other forest produce (not being tendu leaves)
194G Commission, price, etc. on sale of lottery tickets
194H Commission or brokerage 206CE Collection at source from any scrap
194I Rent Collection at source from contractors or licensee or lease relating to parking
206CF
194I(a) Payment of Rent for the use of any machinery or plant or equipment lots
Payment of Rent for the use of land or building or land appurtenant or
194I(b) 206CG Collection at source from contractors or licensee or lease relating to toll plaza
furniture or fittings
194J Fees for professional or technical services Collection at source from contractors or licensee or lease relating to mine or
206CH
Income payable to a resident assessee in respect of units of a specified mutual quarry
194K
fund or of the units of the Unit Trust of India 206CI Collection at source from tendu Leaves
194LA Payment of compensation on acquisition of certain immovable property 206CJ Collection at source from on sale of certain Minerals
194LB Income by way of Interest from Infrastructure Debt fund 206CK Collection at source on cash case of Bullion and Jewellery
206CL Collection at source on sale of Motor vehicle
194LC Income by way of interest from specified company payable to a non-resident
Collection at source on sale in cash of any goods(other than
206CM
194LBA Certain income from units of a business trust bullion/jewelry)
194LBB Income in respect of units of investment fund Collection at source on providing of any services (other than
206CN
194LBC Income in respect of investment in securitization trust Ch-XVII-B)

Signature Not Verified

Digitally signed by Rishabh
Vinayaka
Date: 2022.03.08 13:06:22
IST
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