TAN BPLBO2886C ITI RAJKUMAR VERMA AFPPV5950E)

FORM NO. 16
[See rule 31(1)(a)]
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 employer Name and designation of theemployce
BLOCK EDUCATION OFFICER ITIRAJKUMAR VERMA
BEOSHIVPURI, SHIVPURI, SHIVPURI, SHIVPURI, MADHYA
PRADESH
PAN No. of the Deductor TAN of the Deductor PAN No. ofthe Employee |Employee Reference No.
Provided by the Employer (if
|available)
PANNOTREQD BPLB02886C |AFPPV5950E 13361316
CIT (TDS) Assess1nent year Period with the Employer
Address:The Commissioner of lncome Tax (TDS),Aayakar Bhawan, From To
|Hoshangabad Road,Bhopal
City:Bhopal Pin Code:462011 2023-2024 01/04/2022 31/03/2023
Summary of amount paid/eredited and tax deducted at source thereon in respect of theemployee
Quarter Receipt Numbers of Amount paid/credited Amount of tax deducted Amount of tax
original statements of deposited/remitted
TDS under sub-section (3)
of section 200
Quarter 1 712799600005743 0

Quarter 2 712799600006373 0 0
Quarter 3 712799600007036 0 0
Ouarter 4 712799600008403 0 0
Total 0
1. 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)
S.No. Tax Deposited in respect Book identification number (BIN)
on of the employee (Rs.)
Receipt numbers of form DDO Sequence Number Date of Transfer Voucher Status of matching
No. 24G in Form No. 24G (dd/mm/yyyy) with Form No.24G

Total 0
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)
|S.No. Tax Deposited in respect Challan identification number (CIN)
on of the employee (Rs.)
BSR Code of the Bank Date on which tax Challan Serial Number Status of matching
Branch deposited dd/mm/yyyy) with OLTAS

Total
Verification

LMANOJ KUMAR NIGAM, son/daughter of ANANDI PRASAD NIGAM working in the capacity ofBEO(designation) do hereby
certify that asumgiven
the information of Rs.above
O(2Zero Only)
is true andhas beenbased
correct deducted at source
on the books and paid to the
of account, credit of the deposited
documents,TDS Central Govemment. Ifurther records
and other available certifiy that
Place SHIVPURI
|Date 07/06/2023 Signature of the person responsible for deduction of tax
Designation BEO Full Name:MANOJ KUMAR NIGAM
Notes:
Government deductors to fill information in item Iif tax is paid without production of an income-tax challan and in item II if tax is paid accompanied by an income-tax challan
Non-Government deductors to fill information in item II.
2.
The deductor shall furnish the address of the Commissioner of Income -tax (TDS) having jurisdiction as regards TDS statements of the assessee.
3
Fan assessee is employed under oe ronly during the vear, certificate in Form No. 16 issued for the quarter ending on 3Ist March of the finaneial year shall contain the details
of tax dcducted and deposited rall the rsofthe financial year.

Developed By CompuTk
 TDS TRACEs
Cenralized Processing Cell TDS Reconciliation Analysis and Correction Enabling System Government of India
Income Tax Department

FORM NO. 16
PART B
Certillcate under section203 of the Income-tax Act, 1961 for tax deducted at source on salary pald to an employee under sectlon 192 or pension/interest income
of specified senior citizen under section 194P
Last updated on 04-Jun-2023
Certificate No. null

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
BLOCK EDUCATION OFFICER
BEOSHIVPURISHIVPURI, ITI RAJKUMAR VERMA
SHIVPURI -473551 THANDI SADAK HANUMAN GALI, SHIVPURI, SHIVPURI -
Madhya Pradesh 473551 Madhya Pradesh
SAI3I@YMAIL.COM

PAN of the Deductor TANof the Deductor PAN of the Employee/Specified senior citizen

PANNOTREQD BPLBO2886C AFPPV5950E

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS) 2023-24
Aayakar Bhawan, Hoshangabad Road Bhopal - 462011 01-Apr-2022 31-Mar-2023

Annexure - I

Details of Salary Paid and any other income and tax deducted

|Whether opting for taxation uws 115BAC No

Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 392821.00

(b)
Value of perquisites under section 17(2) (as per Form No. 12BA, 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No. 0.00
(c)
12BA,wherever applicable)
(d Total 39282 1.00

(e) Reported total amount of salary received from other employer(s) 0.00

2 Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commutedvalue of pension under section 10(10A) 0.00

Cash cquivalent of leave salary encashment under section 10 0.00

(d)
(10AA)

(e) House rent allowance under section 10(13A) 0.00

Page 1of 4
 Certikate Nuaber: null IAN ofE mploser RPLH02NM6
PAN of Employee: AFPP 59505 Assessnent Year: 202L24

A mount of any other

( exCmption
|Note: Break-up to be filled and signed by under section T0
provide at the bottom of this fornn employer in the table

(g) Total anmount of any other

exemption under scction 10 0.00

(h) Total amount of exemption claimed

under section 10
[24a)+2(6)+2(c)+2(d)+ 2(c)+2(g)) 0.00
3 Total amount of salary reccivcd from
(l(d)-2(h)) current employer
Less: 392821.00
Dcductions under section 16
(a) Standarddeduction under section 16(ia)
(b)
50000.00
Entertainment allowance under scction 16(ii)
0.00
(c) Tax on cmploymcnt under scction
16(iii)
2500.00
Total amount of deductions under
section 16 (4(a)+4(b)+4(c)]
52500.00
6.
Income chargcable under the head
"Salarics" [(3+1(e)-5]
7. Add: Any other income reported by the 340321.00
employee under as per scction 192 (2B)
(a) Income (or admissible loss) from housc
employce offered for TDS propcrty reported by
0.00
(b Income under the head Other Sources offered for TDS
0.00
Total amount of other income
8 reported by the employee
[7(a)+7(b)]
9 0.00
Gross total income (6+8)
10.
Deductions under Chapter VI-A 340321.00
Gross Amount
Deductible Amount
(a) Deduction in respcct of life insurance premia, contributions to
provident fund etc. under section 80C 2400.00 2400.00
Deduction in respect of contribution to certain pension funds
(b) under section 80CCC
0.00 0.00
Deduction in respect of contribution bytaxpayer to pension
(c) scheme under section 80CCD (1)
0.00 0,00

(d) Total deduction under section 80C, 80CCC and

80CCD) 2400.00) 2400.00
Deductions in respcct of amount paid/deposited to notified
(e) pension scheme under section80CCD (|B)
38871.00 3887100

Page 2 of 4
 fkate Nuaber: null TAN of Emplover: BPLB02886C PAN of Employce: AFPPV5950E. Assessment Year: 2023-24

Deduction in respect of contribution by Employcr to pension

scheme under section 80CCD (2) 0.00 0.00

Deduction in respect of hcalth insurance premia under section

(g) 80D 0.00 0.00

Deduction in respect of interest on loan taken for higher

(h) education under section 8OE 0.00 0.00

Gross Qualifying Deductible

Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(i 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
under section 80TTA 0.00 0.00 0.00

Amount Deductible under any other provision (s) of Chapter VI-A

(k) Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

Total of amount deductible under any other provision(s) of

(1) 0.00 0.00 0.00
Chapter VI-A

11. Aggregate of deductible amount under Chapter VI-A

41271.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(1)]
12. Total taxable income (9-11) 299050.00

13 Tax on total income 2453.00

14 Rebate under section 87A, if applicable 2453.00

15 Surcharge, wherever applicable 0.00

16 Health and education cess 0.00

17 Tax payable (13+15+16-14) 0.00

18 Less: Relief under section 89 (attach details) 0.00

19 Net tax payable (17-18) 0.00

Verification
I, MANOJ KUMAR NJGAM, son/daughter of ANANDI PRASAD NIGAM .Working in the capacity of BEQ (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,

Place SHIVPURI (Signature of person responsible for deduction of tax)

Full
Date 07-Jun-2023 MANOJ KUMAR NIGAM
Name:

Page 3 of 4
 Certificate Number: TAN of Emplover:BPLBO2886C PAN of Employee:AFPPV595OE Assessment Year:2023-24

2. () Break up for Amount of any other exemption

under section 10 to be filled in the table below
Si. Amount of any other exemption Gross Amount
No. under section lo Qualifying Amount Deductible Amount
Rs.
Rs. Rs. Rs.
2
3
4.
5.
6

|10(k). Break up for Amount deductible under any

other provision(s) of Chapter VIA to be
SI. Amount deductible under any filled in the table below
No. other provision(s) of Chapter Gross Amount
VIÀ
Qualifying Amount Deductible Amount
Rs.
1. Rs. Rs. Rs.
2.

3.
|4.
S.
6

Place
SHIVPURI
(Signature of the person responsible for deduction of
Date tax)
07-Jun-2023 Full MANOJ KUMAR NIGAM
Name:

Digitally signed by: Manoj Kumar Nigam

Signing Date: 14/06/2023
Page 4 of 4 Serial No.: -964479988 03:4 l:43 PM
Issued by: Verasys CA 2014