10001605/AJPPM3616G Jyoti Maharana

PART B (Annexure)
Details of Salary paid and any other income and tax deducted INR INR INR

1. Gross Salary

(a) Salary as per provisions contained in sec.17(1) 2708442.00

(b) Value of perquisites u/s 17(2) (as per Form No.12BA,

wherever applicable) 0.00

(c) Profits in lieu of salary under section 17(3) (as per 0.00
Form No.12BA, wherever applicable)

(d) Total
2708442.00

(e) Reported total amount of salary received from other employer(s) 0.00
2. Less: Allowance to the extent exempt u/s 10

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

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

(c) Commuted value of pension under section 10(10A) 0.00

(d) Cash equivalent of leave salary encashment under section

10(10AA) 0.00

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

0.00
(f) Amount of any other exemption under section 10

(g) Total amount of any other exemption under section 10 0.00

(h) Total amount of exemption claimed under section 10
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]
0.00
3. Total amount of Salary received from current employer [1(d)-2(h)]
2708442.00
4. Less: Deductions under section 16

(a) Standard Deduction under section 16(ia) 50000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on Employment under section 16(iii) 2500.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)]

52500.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 2655942.00

7. Add: Any other income reported by the employee under as per section
192 (2B)

(a) Income (or admissible loss) from house property reported by

employee offered for TDS 0.00

(b) Income under the head Other Sources offered for TDS
0.00
8. Total amount of other income reported by the employee
[7(a)+7(b)] 0.00

9. Gross total income (6+8)

2655942.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

(a) Ded. in respect of life ins. premia, contr to provident fund etc U/S 80C 280188.00 150000.00

(b) Ded. in respect of contribution to certain pension funds U/S 80CCC 0.00 0.00

(c) Ded. in respect of contr by taxpayer to pension scheme U/S 80CCD(1) 0.00 0.00

(d) Total deduction U/S 80C, 80CCC, 80CCD(1) 280188.00 150000.00

(e) Ded. in respect of amount paid/dep. to pension scheme U/S 80CCD(1B) 0.00 0.00

(f) Ded. in respect of contr by employer to pension scheme U/S 80CCD(2) 0.00 0.00

(g) Ded. in respect of health insurance premia U/S 80D 0.00 0.00
10001605/AJPPM3616G Jyoti Maharana

(h) Ded. in respect of interest on loan taken for higher education U/S 80E 0.00 0.00
Gross Amount Qualifying Amount Deductible Amount

(i) Ded. in respect of donations to certain funds, charitable inst, etc. U/S 80G 0.00 0.00 0.00

(j) Ded. in respect of interest on deposits in saving account U/S 80TTA 0.00 0.00 0.00

(k) Amount deductible under any other provision(s) of Chapter VI-A 0.00 0.00 0.00

(l) Total amount deductible under any other provision(s) of Chapter VI-A 0.00 0.00 0.00

11. Aggregate of deductible under Chapter VI-A [10(d)+10(e)+10(f) 150000.00

+10(g)+10(h)+10(i)+10(j)+10(l)

12. Total taxable Income (9-11) 2505940.00

13. Tax on total income 564282.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 22571.00

17. Tax payable (13+15+16-14) 586850.00

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

19. Net Tax Payable (17-18) 586850.00

Verification

I, MS. HEMANGI M. KARGUTKAR, son/daughter of SHRI. MADHUKAR A. KARGUTKAR working in the capacity of ACTG. A.R. HR-2(PAYROLL)
(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 MUMBAI

(Signature of person responsible for deduction of tax)

Date 04.05.2022 Full Name: MS. HEMANGI M. KARGUTKAR

10001605/AJPPM3616G Jyoti Maharana

FORM No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisities, other fringe
benefits or amenities and profits in lieu of salary with value thereof

1) Name and address of employer :

Indian Institute of Technology Bombay, Powai,Mumbai-400076, Maharashtra
2) TAN: MUMI00377G
3) TDS Assessment Range of the employer :
, , , ,
4) Name, designation and PAN of employee :
Mr/Ms: Jyoti Maharana, Desig.:Sr. Technical Officer (Sc, Emp #:10001605, PAN:AJPPM3616G
5) Is the employee a director or a person with :
substantial interest in the company (where the
employer is a company)
6) Income under the head "Salaries" of the employee : 2655942.00
(other than from perquisites)
7) Financial year : 2021-2022
8) Valuation of Perquisites

S.No Nature of perquisites Value of perquisite Amount, if any, recovered Amount of perquisite
(see rule 3) as per rules(INR) from the employee(INR) chargeable to tax(INR)
(1) (2) (3) (4) Col(3)-Col(4) (5)
1 Accommodation 0.00 0.00 0.00
2 Cars/Other automotive 0.00 0.00 0.00
Sweeper , gardener , watchman or
3 0.00 0.00 0.00
personal attendant
4 Gas , electricity , water 0.00 0.00 0.00
5 Interest free or concessional loans 0.00 0.00 0.00
6 Holiday expenses 0.00 0.00 0.00
7 Free or concessional Travel 0.00 0.00 0.00

8 Free meals 0.00 0.00 0.00

9 Free Education 0.00 0.00 0.00

10 Gifts,vouchers etc. 0.00 0.00 0.00
11 Credit card expenses 0.00 0.00 0.00
12 Club expenses 0.00 0.00 0.00
13 Use of movable assets by employees 0.00 0.00 0.00
14 Transfer of assets to employees 0.00 0.00 0.00
15 Value of any other benefit
0.00 0.00 0.00
/amenity/service/privilege

16 Stock options ( non-qualified options ) 0.00 0.00 0.00

17 Other benefits or amenities 0.00 0.00 0.00
18 Total value of perquisites 0.00 0.00 0.00
19 Total value of Profits in lieu of salary
0.00 0.00 0.00
as per section 17 (3)

Details of tax
(a) Tax deducted from salary of the employee under section 192(1) 586850.00
(b) Tax paid by employer on behalf of the employee under section 192(1A) 0.00
(c) Total tax paid 586850.00
(d) Date of payment into Government treasury
DECLARATION BY EMPLOYER
I, MS. HEMANGI M. KARGUTKAR Son/daughter of SHRI. MADHUKAR A. KARGUTKAR working as ACTG. A.R. HR-2(PAYROLL)
(designation ) do hereby declare on behalf of Indian Institute of Technology Bombay ( 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 Signature of person responsible

Full Name:MS. HEMANGI M. KARGUTKAR
Date : 04.05.2022 Designation:ACTG. A.R. HR-2(PAYROLL) for deduction of tax