FORM NO, 16

rSee rule 31 (1) (a) ]

Certificate under section Z0 ot the Income tax Act,1961 for tax
deducted at source on salary Pald to an employee under section 192
or pension/interest income specified senior citizen under
section 194P
Name and address of the Employer Name, ErmpNo, Bill Unit and
designation of the Employe
Ministry ot Railways, Govt. of India,
Rail Bhawan POONAM MISHRA, 50406441154, 0405441, Ch.0S
PAN Of the TAN of the
Deductor. Deductor. PAN of the Employee.
LKNDO7570D ASVPM4830B
CIT (TDS) Period
Asses SInent Year
Address: From To
Pin Code: 92-20;1 C1/APR/2022 31/MAR/2 023 ?
PART B( Refer Note 1 )

Details of Salary paid and any other income and tax deducted.
4. 1Whether opt.ing for taxation u/s
NO
115RAC?
. CIOss salary
(a) Salary as per provisions contained
in sec. 17(1) 1341753
(b) Value of perguisites u/s l7 (2) (as
Form No. 12BA, wherever applicable)
(c) Profics in lieu of salary u/s
17(3) (as per Form No.12BA, wherever
applicable)
(d)Total 134175
2. Less A1lowances to the extent
exemptunder section 10
|(a)Travel concession or ässistance
under section 10(5)
(b) Death-cun-retirement gratuity under
Section i0(10)
(c)Counuted value of pension únder
sectior 10(10A)
(d)Cash equivalent of leave salary
encashment under section 10 (10AA)
(e) House rent allowance under section
10 (13A)
l(f) Amount of any other exemption under
section 10
(1) Children Education & Hostel 1200|
Cxpenditure Aliowances
(2) Travelling Allowance
(3)Conveyance Allowance
(4) Research Allowance
(5)Uniform Allowance
(6) Any other cash allowance under
section 10 (14)
(g) Total amount of any other 1200
exemption under section 10
)Total amount of exemption claimed 1200
juIder section 10(2a+2b+2c+2d+2e+2g)
134055 3
3. Ba] ance (1-2)
4.LeS3: Deductions 1nder section l6:

(a) St andard deduction under section 50000

15(ia)
(b) Entertainmen t alloWance under
sect ion l6(1i)
!) Tdx un Inp oyinent under section
l6(iii)
5. Total sunt of deductions under 50000
section l6iar9b+4c]
6. Income chargeable under the head. 1290>53
alaries (3 - 5)
. Add: Any other income reported by
the enployee
111939
(1) HBA I1NTEREST UNDER SECTION 24(1)
Total -111939
178514
8. Gross total income (6 + 7)

9. Deductions under Chapter VIA

Gross Anount Deductible Aniount
(A) sections 90C, 80CCC and 80cCD
a) section 80C
293032
(1) PE+VPE
360
r2) GIS
639303
3) HBA
15000)
Total 932695
(b) section 80CCC
(c) section 80CCD (2) (GOVT CONTRIBUTION
REEATE)
INote 1 aggregate amount deductible under section 80C shall not exceed one lakh fifty
ouSand rupees
augregate amount deduct ible under three secticns, i.e., 80C, docuC ad 80cD, s.c! nt
exceed one iak} fifty thousand rupees
(B) other sections (for e.g., 80E, 80G Gros: Anourt Qualifying Arnount Deductible Anount
etc.) under Chapter VIA
Total
10. Aggregate of deductible amounts 150000
hunder Chapter VI-A
11. Tota! income (8-10) 1028520j

12. Tax on total incOIe 21 )85

13. Education Cess @ 4* (on tax 4 343

lcomputed at S. No. 12)
123023
14. Tax payable (12 +13)
15. Less: Relief under section 89
(attach detai ls)
1252
16. Tax payalle (14-15)

17 Total Tax Paid 1253%

-18. Tax payable/Re fundable (16-17)

I, BASANT LAL són/daughter of SHYAM BALI working in the capacity of DIVL.PERS. OFFICER-E Jo
that a sum of Rs. l25929 [Rs. RS. One Lakhs Twenty Five Thousand Nine Hundrea
hereby certify
to the credit.of the
Twenty Nine Only Only (in words) | has been deducted at source and paid
information given above is true and correct
Central Government. I further certify that the available records.
based on the books of account, documents ana other
Place : MECHANICAL WORKSHOP NER IZN
Signature of the person responsible for deduction of ax
|Date: 01/04/2023
Full Name: BASANT Ai
PeGigna.ia:RIYPERS PRRICER-B
Date:Wed Jun O7 14:48:32 IST 2023