FROM TO

FIN YEAR 4/1/2009 3/31/2010 PAN NO.

ASST. YEAR 2010-2011
NAME SHRI K.R. NANDANWAR
DESIGNATION STATISTICAL INVESTIGATOR GR.- I

GENDER : Male %
Female da Increase (to be
announced in sept 09) 5

Allottee of Govt. Qrts. Yes

No HRA A-20%

Rent paid p.m.

Pay in the Pay Band as on 01st March 2009 15500

Grade Pay 4600
Transport Allowance Per month (excl DA) 800
Personal Pay per month
Qualification pay Per month
Spl. Pay per month
Bonus for the yr. 2878
Honororium for yr.
Tution fee reimbs. received during the yr.
O.T.A. for the year
PAY COMMISSION ARREARS IInd
INSTALMENT 84628

DEDUCTIONS :
i) Prof. Tax for the year 2500

Loss from House Property (Interest on HBA)

ANNUAL SAVINGS U/S 80 C
(a) Contribution to GPF 96000
(b) CGEGIS 720
(c) Life Insurance Premium

(d) NSC VI & VIII

(e) Interest accrued on NSC VI/VIII

(f) Deposits in 10/15 year A/c in P.O.

(g) Tution fees paid(limited to 2 children)

(h) Payment towards PLI Premium

(i) Repayment of HBA

(j)Other savings covered u/s 80 C (PPF etc)

k) (ICICI Bonds etc)

ANNUAL SAVINGS U/S 80 CCC

Pension fund (max 10000)

ANNUAL SAVINGS U/S 80 CCD

Emp.cont.(max 10% of
salary
New Pension Scheme
Govt.cont.(max 10% of
salary

Deductions U/s.80D/80DD/80DDB/80E

DONATIONS DURING THE YEAR U/S 80 G etc

I) P.M.'S RELIEF ETC

ADVANCE TAX PAID:

Amount of Advance tax paid / Tax deducted at
source 14214
NAME SHRI K.R. NANDANWAR DESIG. STATISTICAL INVESTIG

FIN YEAR 4/1/2009 to 3/31/2010

MONTH BASIC GRADE PAY DA TA HRA PP QP SP GROSS

DA & DA ON TA
Arrears 2412 96 2508
MARCH 15500 4600 4422 976 2010 0 0 0 27508
APRIL 15500 4600 4422 976 2010 0 0 0 27508
MAY 15500 4600 4422 976 2010 0 0 0 27508
JUNE 15500 4600 4422 1952 2367 0 0 0 28841
JULY 16100 4600 4554 1952 5298 0 0 0 32504
AUG 16100 4600 4554 1952 5298 0 0 0 32504
DA & DA ON TA
Arrears 3015 240 3255
SEPT 16100 4600 4554 1952 5298 0 0 0 32504
OCT 16100 4600 5589 2032 6210 0 0 0 34531
NOV 16100 4600 5589 2032 4140 0 0 0 32461
DEC 16100 4600 5589 2032 4140 0 0 0 32461
JAN 16100 4600 5589 2032 4140 0 0 0 32461
FEB 16100 4600 5589 2032 4140 0 0 0 32461
TOTAL 190800 55200 64722 21232 47061 0 0 0 379015
SIXTH PAY COMM ARREARS IInd INSALTMENT 84628
HONORARIUM 0
REIMBURSEMENT OF TUTION FEES 0
OTA 0
BONUS 2878
TOTAL 466521
LESS HRA EXEMPTED U/S-10(13A) RENT PAID 0 0
TRANSPORT ALLOWANCE 9600
9600
GROSS SALARY 456921
LESS PROFESSIONAL TAX 2500
2500
NET SALARY INCOME 454421
NET SALARY INCOME 454421 SAVINGS U/S.80-C
Less : INTEREST ON HBA 0 (a) Contribution to GPF 96000
GROSS TOTAL INCOME 454421 (b) CGEGIS 720
Less : SAVINGS UNDER SEC. 80-C TO 80 CCD 96720 (c) Life Insurance Premium 0
Less : DEDUCTIONS U/S.80D/80DD/80DDB/80E 0 (d) NSC VI & VIII 0
Less : DEDUCTIONS U/S.80G ETC. 0 (e) Interest accrued on NSC VI/VI 0
TAXABLE INCOME (rounded off to nearest ten) 357700 (f) Deposits in 10/15 year A/c in 0
TAX ON NET INCOME 19770 (g) Tution fees paid(limited to 2 c 0
ADD : SURCHARGE 0 (h) Payment towards PLI Premi 0
ADD : EDUCATION CESS @ 2% OF I.T 395 (i) Repayment of HBA 0
ADD : SECONDARY & HIGHER EDU. CESS @ 1% 198 (j)Other savings covered u/s 80 0
NET TAX PAYABLE 20363 k) (ICICI Bonds etc) 0
LESS : Advance Tax paid 14214 TOTAL SAVINGS 96720
BALANCE TAX TO BE PAID 6149 80 CCC- PENSION FUND 0
80 CCD-NEW PENSION SCH. 0
 FORM No. 16
[See Rule 31(1)(a)]

Certificate under section 203 of the Income-Tax Act, 1961 for tax deducted at source from Income chargeable under the head "Salaries"

Name and address of the Employer Name and Designation of the Employee
SHRI K.R. NANDANWAR
STATISTICAL INVESTIGATOR GR.- I

PAN/GIR NO. TAN PAN NO. 0

PERIOD
ASST. YEAR 2010-
TDS Circle where Annual Return Statement under section 206 is to be filed FROM TO 2011
04-2009 03-2010

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs. Rs.
1. Gross Salary * 466521

2. Less: Allowance to the extent

exempt under section 10 9600 9600

3. Balances (1 - 2) 456921

4. Deductions:
(A) Entertainment allowance 0
[B] Prof.Tax 2500

5. Aggregate of 4 2500

6. Income chargeable under the

head Salaries (3 - 5) 454421

7. LESS: Inerest. on HBA 0

8. Gross Total Income (6 + 7) 454421

Qualifying Deductible
Gross Amount Amount Amount
9. Savings u/s. 80 C to 80 CCD
(a) Contribution to GPF 96000
(b) CGEGIS 720
(c) Life Insurance Premium 0
(g) Tution fees paid(limited to 2 children) 0
(i) Repayment of HBA 0
(j)Other savings covered u/s 80 C (PPF etc) 0
others 0

96720 96720 96720

10. Deductions u/s.80D/80DDD/80DDB/80E 0
11. Deductions u/s.80 G etc. 0
96720 96720
11. Total Income (8 - 10) 357700
12. Tax on Total Income 19770
Add Surcharge 0
Add Education Cess 395
Add Sec & Higher Education Cess 198
Total Tax Payable 20363
16. Less: Tax deducted at source 14214
17. Tax Payable/Refundable (15 - 16) 6149

Details of Tax Deducted and Deposited into Central Govt. Account

Amount Date of Payment Name of Bank & Branch where tax Deposited

Certified that a sum of Rs.____________ (in words) ______________________ has been

deducted at source and paid to the credit of the Central Government. Further certified that the
above information is true and correct as per records.

Signature of the person responsible for

Place : deduction of tax
Date : Full Name :
Designation :
* See sections 15 and 17 and Rule 3. Furnish separate details of value of the perquisites and
profits in lieu of or in addition to salary and wages.
1
2
1 APRIL A1-30% 2
MAY A-20%
JUNE B1-20%
JULY B2-20%
AUG C-10%
UNCL-10%
 0

70000

70000
BASIC
PAY

D.P.

BASIC
PAY+D.P.

DUE

#REF! DRAWN
#REF!
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19770
16770
Jan Feb Mar
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15500 15500 15500

15500 15500 15500
15500 15500 15500
7750 7750 7750
7750 7750 7750
7750 7750 7750
23250 23250 23250
23250 23250 23250
23250 23250 23250
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