~» TDS ‘Ceara Procesing Cll TRACES ‘TDS Reconciliation Analysis and Correction Enabling System Income Tax Deparment FORM NO. 16 [se ak 31(1)] PARTA ‘Certiicate under Secon 205 of he Income tax At, 1961 for tax deducted ‘source on slaty pald (oan employee under section 192 or peusonnterest income of specified senior citizen under section IMP Certifcate No, RBOCTIA, Last updated on 08-Jun-2023 ‘Name and address ofthe Employer/Specitied Bank [Name and address ofthe Emplayee'Specifed senior citizen ‘NOVARTIS HEALTHCARE PRIVATE LIMITED TTHFLOOR INSPIRE BKC, BANDRA KURL A COMPLEX, G BLOCK BKC MAINROAD, ABDUL SHAHEEN MOHAMMED MAHARASHTRA, MUMBAI 400018 DB 777, INCLINE, RAMAVARAM, KHAMMAM, KOTHAGUDEM. Mabacashira = 507101 Ania Pradesh, 9122-24985888 HROPERATIONS INDIA@NOVARTIS. COM. ‘ [Employee Reference No provided by the PAN of the «ofthe “AN of te Deductor “ senior [Employer?Pension Payment order no. provided PAN of he Deductor ‘TAN of te Dea [Embree pete see ene Orca) AAACNSO98 MUMNIZ7I98 ASCPMZ264 rr rps) Assessment Year Period with the Employer The Commissioner of Income Tex (TDS) — t oom No, 900A, sth Floor, KG Mital Ayurvadie Hosp 008-24 yo-od-2m2 | 21ae202 ‘Building, Cham Road, tumba- 40002 ‘Summary of amount paidvedited and tax deducted at source thereon in respect ofthe employee Recep Nuabersof ‘original quarterly “Amount oftaxdeductea | At04NE of ax deposited emt Quarter) statements of TDS under Amount paid credited css @) ‘sub section ) of Section 200 @ QFrvouc 67445100] 32403.00 s2an3.00] e ‘QUIEUKMA 829918 00| 218291 00| 21529100] ‘Total (Rs) 1504368 09 25069400 250694,0| 1 DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT (The decir to provide payment wise dels of tax deducted end deposited wath respect tothe deductee) ‘Rook Identification Number (BIN) “Tax Deposted in respect of the SLNo. deductee ate of transfer voucher] Status of matching Receipt Numbers of Form] DDO serial number in Form m0, -a pan Ro, Numbers mms cadmmyyy) th Forma no. 2466 Total IL DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The dedueoro provide pasment wise details of x dered md deposited with respect tothe deduces) ‘Tax Deposited in respect ofthe (Chatlen Meattieaion Number (CIN) SLNo. deductee ms) BSR Code ofthe Bank [PAT OH NMED TAS CPOE) Catan Serial Number | SH oF MAK Ma wk cowmmyyyy) OLTas* ‘Brauch, 1 2453300 5390000 4-11-2002, 24400 F 2 393500 90009 07-122022 48527 F a 303500 90009 05.01.2003 26458 F 4 “07.00 ‘90081 oron2m 6 F 5 9252700 ‘00081 06.08.2008 ons F 6 12095700 6590009 26.04.2003, 41028 F Page Lot?ct br RROCTIA “raat taplper ENED Pas etapa SCPE Aveeno 30824 Total 25069400] Tapsclly of SENIOR MANAGER (ih y certify that 2 cam of Re 25060400 (Rs, Ina Lakh Filly Theasand Siz Huadsed and Niasty aur Only (i= words)] bar ‘Imo Lakh Hity. Thousand Six Hundred and Ninety Four Only} has been deposited to the credit of fue Central Government. 1 rurther certify tat the information given above is (rue, complete and correct and is based on the books of ce Moat Dae oo 2023 (siatre open esponshlefer edt of a) Deiguntions SENIOR MANAGER Fal Naganas smaeant aes Par (Annan) ofthe eine Form No 16 salon by the employes 2 Tmasewerisenployed ues one explove: dens he ya Pa ofthe ceri in Fam No 16 ss ote quae ening on Sst Macho Sci ye i corn ede ft deduced od deposed fora te quar of te Scale Sifam assesses enploped es sve ta os eaphyer Suing te Year, ach of he employs sal su Pat Af te crfate a Fam No 16 paint the ps fo whi ic Zeenes ws eaplyed wih arel he erplayers Pat B (Atenas) afte ote nan ny be ey ech e nglges eh Lt payee opt ote mene 4 Toupdie PAN deaibin Inco Tx Depron abu, apply fer PAN chaage oust Cheah NSDL or UTITSL. Legend sean Form 16 Status of matching with OLTAS Te Detain 1 Feamacta: | Detbows lave nc pss eso have fs oie prt of wx pat Fal ee wl bee ‘ly when pyncat des ath th deals € Soa TDS/ TCS stot p Joronsiaad | Pov rts eftred ely fr TDS '7CS Sateen led by Goverment dedatos"P vans willbe caused :9Ful on enon of payment dea bed by Pay ad Accom Ofer PAO) ‘acts of a goeneect edt gana et f TDS TS depen bak by deducts Tave mcd ah he erin ema det seanoned ie TDS TCS stmt ied by th dt Incase ofgovenana edu etl of $s Tes booked ia Gover cout ave beware by Py Acs OfSeet (PAD) Prat tals of TDS TCS deposed a kb daca matched wth deals mewionedin the TDS TCS © Jorersokst | smemesrbutthe amounts oer clued in te sates Fi) eed nal bref nthe Sede rete (Esse saat ae stro kes pajat fx ets aa ned ne tae Signature Not Verified Data fea) SRIRAM Date 2023.08410 25 3:45, sv Page 2082¥ TDS _|TRAcESs Cenralzed Procesing Cell | TDS Reconciliation Analysis and Correction Enabling System Income Tax Deparment FORM NO. 16 PARTB (Certificate under section 208 of the Income tax Act, 196 for tx deducted at source on salary paid fo an employee under section 192 or pensionnterest income specified senior citizen under section 194P Certificate No, RBOCTIA Last updated on 08-2023 Same and address ofthe Employer/Specifed Bank ‘Name and sddess ofthe Empleyse'Speciied senior citizen ‘NOVARTIS HEALTHCARE PRIVATE LAMTED 7THFLOOR INSPIRE BKC, RANDRA KURLA COMPLEX, G BLOCK BKC MAINROAD, ‘MAHARASHTRA, MUMBAI 400018 ‘Mabe 002224965858 HROPERATIONS INDIAGNOVARTIS COM [ARDUL SHAHEEN MOHAMMED DB 777, SINCLINE, RAMAVARAM, KHAMMAM, KOTHAGUDEM, = 50710 Asia Prades, PAN ofthe Deductor ‘TAN ofthe Dedctor TPAN of the Employee Speciied senor citizen AAACNSODAN MUN ASCPMD2847 cr as) Assessment Year Period with the Employer The Commissions of Income Tax (TDS) Room No, 9008, Si Foor KG Mitel Ayurvache Hogpatal ‘Budi, Cham Roed, Mba 100002 From To mm2324 108-2002 ‘Annexure - 1 Details of Salary Paid and any oer income and tax detcted Whether oping for taxation ws 1.5BAC No 1 | ross Saary Rs Rs (@) | satay as per provisions contained in seston 17(1) 1504369.00 ‘Vals of perquisites under section 170) (sper Form © | No. 12BA. wherever applicable) 0-00 (e | Pfs en of salty under section 170) (sper Form Pe No. 12BA, wherever applicable) y @ | Tora 1504369.00 fe) | Reotediotal anownt of salary reseved fom athe wnossre 00 employex() 2. | Less: Allowances to the extent exempt under section 10 (@) | Travel concession o assistance under section 10(5) 0.00 (0) | Death-cum-retremeateratity under section 1010) 0.00 (© | Commuted vale of pension under section 10(108) 0.00 Cash equivalent of leave salary encashment under @ | section 1010) 000 (© | House rent allowance under section 101134) 142080 00 Page 1 of 4ct br RROCTIA “raf taplpee MERE IOA Pao Eagne ASCE [Amount of any other exemption under section 10| [Note: Break-up to be filled and signed by employer in the table © provide at the bottom of this form (@) | Total amount of any other exemption under section 10 0 00| oval amount of exemption claimed inde section 10 142080.00 © | (260}+20)+200=20)=200218)] 45, _ | Total amount of salary received from eurent employer 1362289.00 L@20)) 4_| Less: Deductions under section 16 (@)_| ‘Standard deduction under section 164i) 50000.00] (&) | Entertainment allowance wader section 16(i) 0.00 (| Taxon employment under section 16Gi) 2400.00 «__| Total emount of deductions der section 16 [4@) 40) se400.00 +0) ¢._ | gone ingle aa (2600) +7360368.00 7.__ | Ada: Any other income reported by the employee under as per section 192 (2B) Income (or admissible loss) from house property ; © | sported by employee offered for TDS 200000.00) (&) | tncome under the head Other Sources offered for TDS 0 00| Total amount of othcr income reported by the employce 8 -200000.00 (7709) 9. | Gross total income (618) 2160368,00 10. | Deductions under Chapter VIA, Gross Amount Deductible Amount Deduction in respect of life insurance premia, © | contibutions to provident fund ete. under section 80C 258046.00) 150000.00 Dedustion in respect of contribution to certain pension ©) | fands 0.00 0.00 under section S0CCC Deduction in respect of contribution by taxpayer to (©) | pension 0.00 000 Scheme under section SOCCD (1) co | sa edasionender tin 80, UCC md ED assose 00 150000.00 Deductions in respect of amount paid deposited 10 cw | wie 0.00 000 pension scheme under section 80CCD (1B) Page 2 of 4ct br RROCTIA “raf taplpee MERE IOA Pao Eagne ASCE Aven Yea 9834 Deduction in respect of contribution by Employer to (® | pension 0.00| 0.00] scheme under section 80CCD (2) Deduction in respect of health insurance prema under ® | section 80D 9400.00 9400.00) ‘Deduction in respect of interest on loan ten for higher (2) | education under section SOE 0.00] 000 Gross Qualifying Deductible Amount “Amount “Amount Total Deduction in espect of donations to certain fds, © | charitable institutions, ete. under section 80G 9.00 O00) 0.90) Gp _| ston in espect finest on deposits in savings 00 ood ood account |Amount Deductible under any other provision (s) of Chapter VI-A| w [Note: Break-up to be filled and signed by employer in the table| [provide at the bottom of this form} ¢y | Tgsoanon: deci any ote proviso) am aa aaa Aggregate of deductible amount under Chapter VIA TM. | Tyoc@yetove)+10(8)=10(@)-10(4)~106)=104) +1000] ‘9400.9 12, | Total taanble income (9-11) 2000968.00 13. | tax on total income 32279000 14. | Rebate under section 87A, if applicable 000 1S. ‘Surcharge, wherever applicable 0.00) 16. ‘Health and education cess 1291200) 17. | Taxpayable (34151614) 23570200 18. | Less: Relief under section 89 (attach details) 000 19. Net tax payable (17-18) +335702.00| Verification T, NAGARAI SRIRAM, son/daughter of AMRUTHUR NANJUNDA IYER NAGARAT Working in the capacity of SENIOR MANAGER (Designation) do hereby certify that the information given above is trac, complete and comrect and is based on the books of account, documents, TDS statements, and other available records, a Maa (Gigs of person roponsble fr deduction me a rat Yacakar seat Page 3 of 4 Signature Not Verified Data fea) SRIRAM Date 2023.08410 25 31:46 svEmployee Name | Shaheen Mohammed Abdul Employee PAN: ASCPM2284) Employee ID 40028123 Financial Year: 2022-23 2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below Deductible S.No. Particular's of Amount for any other exemption under section 10 ART ERE) 10. (k) Break up for ‘Amount deductible under any other provision(s) of Chapter VIA’ to be filled in the table below S.No,| Pafticulars of Amount deductible under any | Gross Amount | Qualifying Peductible other provision(s) of Chapter VIA (Rs.) Amount (Rs.) | Amount Place [MUMBAI Full Name [SRIRAM N Date [09-Jun-2023 Designation SR. MANAGER Signature of the person responsible for deduction of tax Signature Not Verified Data egy SRIRAM Date 2023.08410 25 3:46 svEmployee Name | Shaheen Mohammed Abdul Employee PAN: ASCPM2284) Employee ID 40028123 Financial Year: 2022-23 FORM NO. 12BA [See rule 264(2)()] Statement Showing particular of perquisites, other fringe benefits or amenities and profits in lieu of salary with value thereof (2) Name and address of Employer NOVARTIS HEALTHCARE PRIVATE LIMITED 22 ITTAMADU LAYOUT BANADHANKAR! Ill STAGE Ill PHASE MUMBAI MAHARASHTRA 560085 @ TaN © MuMNT27198 (3) TDS Assessment Range ofthe Employer : (4) Name, designation and PAN or Aadhar Number of employee {Shaheen Mohammed Abdul Soliton Delivery Specialist Surveys ASCPMZ2@4) (5) Isthe employee a director or a person with substantial interest inthe No company (Where the employer is a company) (6) Income under the head snares ofthe employe (omer than am + 206036600 (7) Financial Year 2022.23 (@)_ Valuation of Perquistes vaweor evan "| Amount of S.No. sean perestiie perquisite as | "Sc°¥8red | chargeable to (See Rule 3) from the per rules (RS.)| eripioyee | tax Col: (3)~ tRs,) Col. (4) (Rs.) Q) 2) GB) (4) (5) 1 [Recommodation 300] 0.00 30) 2: [CarsfOther automotive 0.00] 0.00 0:0) 3.__|Sweeper, gardener, watchman or personal aWendant 0.00] 0.00 0:00) 4. __|Gas, electricity, water 0.00) 0.00) 0,00. 5. [interest fee of concessional oats 0.90] 0.00 0.90) 6. [Holiday expenses 0.90] 0.00 0.0) 7. [Free or concessional Wavel 0,00] 0.00 0:0) 3. [Free meats 0.00] 0.00 0.00 9. [Free education 0.00] 0.00 0.0 10 _[Gits, vouchers 0.00] 0.00 0.0 11. [Credit card expenses 0.90] 0.00 0.00 12___[Chib expenses 0.00] 0.00 0.00 13._[Use of movable assets by employees 3,00] 0.00 3.0) Ta. [Transfer of assets fo employees 3.00| 0.00 3.0 15. __|Value of any other benefit/amenity/service/privilege 0.00) 0.00) 0.00 Stock options alloted or transferred by employer being 8a 16, |eligibie startup referred ton section AOAC: Tax to be 0.00] 0 0.00 deferred Stock oplions (rom qialfied options) cther tan ESOP Ta 17. [eck options (ronal F 0.00] 0.00 0.0 1p, | Contribution by employerto fund and scheme taxable aol Go| Cou under section 17(2)(vii) Annual accretion by way of interest, dividend etc. to the 19, [balance at the credit of und and scheme referred to in 0.00} 0.00 0.00 section 17(2)(vil) and taxable under section 17(2)(viia). Stock options elotied or transfered by employer being 2a 20, _|elgibe startup reterred ton section 80:1AC-Tax not to be 0.00] 0.00 0.00 deferred 21, [Other Benefits or Perquisites 0.00) 0.00) 0,00 22. [Total value of perquisites 0.00) 0.00) 0,00" 23. | Total value of profits in lieu of salary as per section 17(3) 0.00Employee Name | Shaheen Mohammed Abdul Employee PAN: ASCPM2284) Employee ID 40028123 Financial Year: 2022-23 (9) Details of tax (a) Tax Deducted from salary of the employee under section 192(1) : 250694.00 (0) 8X paid by the employer on behaif of the employee under section 192(1A) ono) (c) Total Tax paid 250694.00 ‘As per the dates mentioned in Part A (d) Date of payment into Government treasury As per thes DECLARATION BY EMPLOYER |, SRIRAM N, son/daughter of AMRUTHUR NANJUNDA IYER NAGARAJ working as SR. MANAGER (designation) do hereby declare on behalf of NOVARTIS HEALTHCARE PRIVATE LIMITED (name of the employer) that the Information given above is based on the books of account, documents and other relevant records or information available with us and the details of value of each such perquisite are in accordance with section 17 and rules framed thereunder and that such information is true and correct. Place [MUMBAI Full Name SRIRAM N Date [09-Jun-2023 Designation _|5R. MANAGER Signature of the person responsible for deduction of tax Signature Not Verified Data egy SRIRAM Date 2023.08410 25 3:46 sv