1 1000 Form16
1 1000 Form16
1 1000 Form16
16
[ See rule 31(1) (a) ] " ORIGINAL "
PART-A
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on Salary
Name and address of the employer Name and designation of the Employee Mr/Ms: Dhiraj Kumar Singh Desig.: Software Engineer Emp #: 40212816 TAN of the Deductor DELH01586E CIT(TDS) Assessment year Address Ayakar Bhawan, Laxmi Nagar From City To
31.03.2012
Delhi
Pin code
110092
2012- 2013
01.04.2011
BUQXBZNB
DLDXEFAA
3195.00
2304.00 2088.00
3195.00
2304.00
2088.00
8404.00
8404.00
INR
INR
INR
0.00
0.00
330848.42
54693.70
HRA Exemption
3. Balance(1-2) 4. Deductions: (a) Entertainment allowance (b) Tax on Employment 5. Aggregate of 4(a) and (b) 6. Income chargeable under the head 'salaries'(3-5) 7. Add: Any other Income reported by the employee 8. Gross total income (6+7) 9. Deductions under chapter VI-A A) sections 80C, 80CCC and 80CCD a) section 80C i) Employee Provident Fund
ii) Payment towards Life Insurance Policy
45093.70
276154.72
0.00
1000.00
1000.00
275154.72
0.00
275154.72
Gross Amount Deductible Amount
10819.00
2741.00 13560.00
13560.00
0.00
0.00
13560.00
261590.00
8159.00
245.00
8404.00
0.00
8404.00
Verification
I, MR.NAVIN KUMAR son/daughter of LATE MR. HANS RAJ working in the capacity of AVP & GLOBAL HEAD - EHS do hereby certify that a sum of INR 8404.00 [ Rupees EIGHT THOUSAND FOUR HUNDRED FOUR ( in words ) ] has been deducted and 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 book of accounts , documents, TDS statements, TDS deposited and other available records.
NAVIN KUMAR
Digitally signed by NAVIN KUMAR DN: c=IN, o=mtnlTrustLine Enterprise Subscriber, ou=mtnlTrustLine, cn=NAVIN KUMAR, serialNumber=12C52CAB53C0223CB96AF613DF14CFE0B73E4304686F25EE559E067 1832A80C2, email=navin.kumar@hcl.com Reason: I attest to the accuracy and integrity of this document Date: 2012.05.14 03:55:29 +05'30'
Signature of the person responsible for deduction of tax Full Name: MR.NAVIN KUMAR
ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)
Challan Identification number (CIN) S. No Tax Deposited in respect of the employee (INR) BSR Code of the Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number
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 : (other than from perquisites) 7) Financial year : 8) Valuation of Perquisites 275154.72 2011-2012
S.No (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Nature of perquisite (see rule 3) (2) Accommodation Cars/Other automotive Sweeper , gardener , watchman or personal attendant Gas , electricity , water Interest free or concessional loans Holiday expenses Free or concessional Travel Free meals Free Education Gifts,vouchers etc. Credit card expenses Club expenses Use of movable assets by employees Transfer of assets to employees Value of any other benefit /amenity/service/privilege Stock options ( non-qualified options ) Other benefits or amenities Total value of perquisites Total value of Profits in lieu of salary as per 17 (3)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
16 17 18 19
9. Details of tax, (a) Tax deducted from salary of the employee under section 192(1) (b) Tax paid by employer on behalf of the employee under section 192(1A) (c) Total tax paid (d) Date of payment into Government treasury
8404.00 0.00 8404.00 *
DECLARATION BY EMPLOYER
I, MR.NAVIN KUMAR Son/daughter of LATE MR. HANS RAJ working as AVP & GLOBAL HEAD - EHS (designation ) do hereby declare on behalf of HCL Technologies 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.
NAVIN KUMAR
Digitally signed by NAVIN KUMAR DN: c=IN, o=mtnlTrustLine Enterprise Subscriber, ou=mtnlTrustLine, cn=NAVIN KUMAR, serialNumber=12C52CAB53C0223CB96AF613DF14CFE0B73E4304686F25EE559E0671 832A80C2, email=navin.kumar@hcl.com Reason: I attest to the accuracy and integrity of this document Date: 2012.05.14 03:55:35 +05'30'
Amount(INR)
90187.40
Conveyance Allowance
23600.00
58216.00 10145.92
148699.10
Perquisites
Gross emoluments
330848.42
0.00
Exemptions u/s 10
Conveyance Exemption 9600.00
HRA Exemption
Total Exemption
45093.70
54693.70
Full Name: MR.NAVIN KUMAR Designation: AVP & GLOBAL HEAD - EHS