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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 Name & Address of the Employer Name and Designation of the employee
ALSTOM PROJECTS INDIA LIMITED NARAYANASWAMY KARUNANIDHI KARTHIK (25638) V FLOOR, THE INTERNATIONAL, 16 MARINE LINES CROSS NO 1, OFF MAHARSHI KARVE ROAD, CHURCHGATE. MUMBAI-400020
PAN of the Employee BJDPK2866D Assessment Year From 2012-2013 12/09/2011 Period To 31/03/2012
CIT (TDS)
Address : MUMWT811, ROOM NO. 900A, 9TH FLOOR, K.G. MITTAL AYURVEDIC HOSPITAL BUILDING, CHARNI ROAD. City : MUMBAI PIN :400002
PART B Details of Salary paid and any other income and tax deducted
1. Gross Salary (a) Salary as per provisions contained in sec.17(1) (b) Value of perquisites u/s 17(2) (as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary u/s 17(3) (as per Form No. 12BB, wherever applicable) (d) Total 2. Less : Allowance to the extent exempt u/s 10 (a) House Rent Allowance (b) Conveyance Allowance (c) LTA (d) Leave Encashment (e) Gratuity (f) Others 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 (a) Interest on NSC (b) Loss on house property (c) Others 8. Gross total income(6+7) 9. Deduction under Chapter VIA (A) Section 80C, 80CCC and 80CCD (a) Section 80C PF+VPF PPF POST OFF. ELSS C.E.F FXDDEPOSIT MUTUALFUND EMI LIP 316,828 0
51,740 265,088
0 265,088
11,144 0 0 0 0 0 0 0 0
Location: Reason: Date: 2012.05.31 16:55:32 +05:30 Digitally signed by RAVI REVATHY
LIC DED GSLI NSC ULIP INTEREST BONDS NSS NHB SAL SAV (b) Section 80CCC (c) Section 80CCD (B) Other Sections under Chapter VIA U/S 80CCF U/S 80D U/S 80DP U/S 80DPS DED. 80 DD DED.80DDB DED. 80 E DED. 80 G DED. 80 GG DED. 80 U 10. Aggregate of deductible amount under Chapter VIA 11. Total Income(8-10) 12.Tax on total income 13. Education Cess @ 3% (on tax computed at S. No. 12) 14. Tax Payable(12+13) 15. Less: Relief under section 89 ( attach details ) 16. Tax Payable(14-15)
0 0 0 0 0 0 0 0 0
11,144
11,144
Verification
2. TAN 3. TDS Assessment Range of the employer 4. Name, designation and PAN of employee
316,828 2011-2012 Value of perquisites as per rules (Rs.) (3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Amount of perquisite Amount, if any chargeable to tax recovered from the employee (Rs.) Col.(3) - Col.(4) (Rs.) (4) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7,183 0 7,183 As per Form 16
(1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 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
DECLARATION BY EMPLOYER
I, REVATHY RAVI, daughter of LATE SHRI V.E.KANNAMACHARI working as PAYROLL INCHARGE do hereby declare on behalf of ALSTOM PROJECTS INDIA LIMITED 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 there under and that such information is true and correct. Signature of the Person Responsible for Deduction of Tax
Signature Not Verified
Digitally signed by RAVI REVATHY Date: 2012.05.31 17:17:19 +05:30 Reason: Location: