o0102707 tArJPP8292K

PATEL RAMESHKUMAR

PART B (Annexure)

Details of Salary paid and any other income and tax deducted
1.

cross

INR

INR

satary

(a) Salary as per provisions contained in

(b) Value of perquisites uls

17(2)

sec.17(1)

460463.00
I

applicable)
(c) Profits in lieu of salary under section 17(3)
(as per Form No.12BA, wherever aPPrrudurt,
applicable)
(as per Form No.l2BA, wherever

0.00
|

Total

(d)

0.00
460463.00

2. Less: Allowance to the extent exempt u/s

10

30360.00

Conveyance Exemption

9000.00

HRA Exemption

21

360.00

3. Balance(1 -2)
4. Deductions

tl

4301 03.00

(a) Entertainment allowance

0.00

(b) Tax on employment

2400-00

5. Aggregate of 4(a) and (b)

2400.00

6. lncome chargeable under the head 'salaries' (3-5)

427703.00

7. Add: Any other income reported by the employee

Deductions u/s 24 - lnterest

B. Gross

-1

794.00

-11794.00

lotal income.(6+7)

41

9. Deductions under chapter Vl-A

5909.00

Deductible amount

Gross amount

(A) sections 80C, 80CCC and 80CCD

(a) section 80C
i) Employee Provident Fund

87552.00

ii)

Payment towards Life lnsurance Policy

42009.00

iii)

Repayment of Housing loan

48205.00

(b) section 80CCC

(c) section 80CCD

00000.00

0.00

0.00

0.00

0.00

Note: 1. Aggregate amount deductible under sections 80C, 80CCC and

80CCD(1) shall not exceed one lakh rupees.
(B) Other sections (e.9. 80E, 80G, 80TTA, etc.) under Chapter Vl-A.

Gross amount

Qualifying amount

Deductible amount

10. Aggregate of deductible amount under Chapter VIA

1

1. Total lncome (8-10)

ooooo.oo

31 591

12. Tax on total income

13. Education cess @ 3 % ( on tax computed at S.No.12 )

0.00

1591.00
288.00

14. Tax Payable (12+13)

9879.00

15. Less: Relief under section Bg (attach details)

0.00

16. Tax payable (14-15)

9879.00

Verification

of

l, SUDHANSU MOHAPATRA son/daughter

MADHUSUDAN MOHAPARTA working in the capacity of AGM FINANCE & ACGOUNT
(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
Datc

MUNDRA

21.0s.2014

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PATEL RAMESHKUMAR

00102707 /ATJPP8292K

I.

FORM No.12BA

{See Rule 26A(2Xb)}

Statement showing particulars of perquisites, other fringe
benefits or amenities and profits in lieu of salary with value thereof
1) Name and address of employer

Jlndal Saw Limited , Paragpar Mandvi Road,Vilamaghogha Tehsil Mundra, Dist-Kutch - 370415 , Gujarat
2)

TAN:

RKTJ01415B

3) TDS Assesment Range of the employer

4) Name, designation and PAN of employee

Mr/Ms: PATEL RAMESHKUMAR l. , Desig.: JUNIOR EXECUTIVE - ELECTR , Emp #: 00102707 , PAN: ATJPP8292K
5) ls the employee a director or a person with substantial interest in
:

the company (where the employer is a company):

6) lncome under the head "Salaries" of the employee

,l
- i..' I

427703.00

(other than from perquisites)

7) Financial year:

2013-2014

8) Valuation of Perquisites

S.No

Nature of perquisite
(see rule 3)

(1)

Amount, if any, recovered

as per rules ( INR

from the employee (lNR)

(3)

(2)

Amount of perquisite
chargeable to tax( INR)
Col(3)-Col(a) (5)

(4)

0.00

0.00

0.00

0.00

0.00

0.00

Sweeper, gardener, watchman or

personal attendant

0.00

0.00

0.00

Gas, electricity, water

0.00

0.00

0.00

Accommodation

Cars/Olher

Value of perquisite

automotive

lnterest free or concessional loans

0.00

0.00

Holiday expenses

0.00

0.00

0.00

Free or concessional travel

0.00

0.00

0.00

Free meals

0.00

0.00

0.00

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

0.00

0.00'

0.00

of any

other benefit

/amenity/service/privilege
10

btocK oplrons ( non-quailileo opllons ,

U.UU

1a

other benellts or amenrttes

0.00

0.00

0.00

18

Total value of perquisites

0.00

0.00

0.00

19

Total value of profits in lieu

0.00

0.00

0.00

of

salary

U.UU

as per section 1 7 (3)

9. Details of tax, (a) Tax deducted from salary ofthe employee under section 192(1)

9879.00

(b) Tax paid by employer on behalf of the employee under sectionl92('lA)

0.00
9879.00

(c) Total tax paid

(d) Date of payment into Government treasury

DECLARATION BY EMPLOYER
MADHUSUDAN MOHAPARTA working as AGM FINANCE & ACCOUNT (designation ) .do
hereby declare on behalf of Jlndal Saw Limited ( name of the employer ) that the information given above is based on the books-.of accdu14,1
documents and other relevant records or information available with us and the details of value of each such perquisite are in accordance with .1.
l, SUDHANSU MOHAPATRA son/daughter

of

section 17 and rules framed thereunder and that such information is true and

ha)

correct.

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Signa/re of the person resps$ib,le

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16

P{RT A
CertificateunderSection:0Jofthtlncome-tarAcr.1!}6lfortardeductedatsourceonsalarJ
Certificate

\o.

list

'i F\ZCtsH

l0-Mar -l0l-1

updated on

Name and address ofthe EmPlolee

\ame and address of the EmPIol er

JINDAL SAW LIMITED

a
.
RAMESHKUMAR iSHWARLAL PATEL
KUTCH.
SAMAGHOGHA, MANDVI PRACPAR ROAD. MUNDRA
GANDHIDIJAM - 370415 Gujarat

Pragpur Mandvi Road,

Samaghogha, Kutch - 37041 5

Gujarat
+{91)2836-661 900
kamlesh. patel@indalsau' com

P.{\ ofthe

T.\\

Deductor

P\\

of the Deductor

Period rYith the EmPloYer

Assessment Year

CIT (TDS)

f.mplol ee Reference \o'

provided bl the EmPlover
(If available)

ATJPP8]9]K

RKT.ra'11l:3

AABCST]80C

of the EmPlo)ee

The Commissioner of Income Tax (TDS)

B/h Gujarat
Room No. 201, 2nd Floor, Navjivan Trust Building'
Vidhyapith Ashram Road, Ahmedabad - 380014

2014-75

Summaryofamountpaid/crediteclandtaxdeductedatSourcethereoninrespectofthee*ploy:

Qua rtcr(s)

Receipt Numbers of original

quarterlY statements of TDS
uxder sub-Setti.n (3) of -

Amount of tax dePosited / remitted

Amount of tar deducted

Amount paid/credited

{Rs.)

Section 200

ECENTRALGoVERNNIENTACCoUNTTHRoUGHBooKADJUSTMENT
and deposited \\'ith Iespect to the deductee)
(The deductor to provrde payment wise detalls oftax deducted

Book Identification Number (BIN)

Tax Deposited in resPect

ofthe
DDO serial number in Form

deductee

no.

(Rs)

Total(Rs.)

Date of iransfer voucher

(AOlmmlyyyy)

Status of matching
with Form no.24G

CHALLAN
HE CENTRAL GOVERNMENT ACCOUNT TIIROUGH
(Thedeductortopror,idepar'mentrrisedetailsoftardeiluctedanddepositecrvithrespecttothedeductee)
Challan Identifi cation \umber (CIN)

Tar Deposited in respect of the

Sl.

\o.

deductee
(Rs.)

Challan Serial Number

Branch
0004329

07-10-2013

55129

1656.00

0060356

07

-t1-2013

00025

18.00

0060356

07-1 1-2013

00023

879 00

000'+329

01-12-2013

55512

317.00

0004329

07-0 l-2014

69170

s78 00

2
3

4
5

Status of matching \Yith

Date on which Tax dePosited

(dd/mm/YYYY)

BSR Code ofthe Bank

OLTAS*

Page 1

"*

of2

TAN of Employer: RKTJolll58

Certificate Nunber: UFXZGBH

PAN of Employee: ATJPP8292X

Assessment Year: 2014-15

Challan Identilication Number (CIN)

BSR Code ofthe Bank

Branch

Date on I hich Tax deposited

(dd/mm/y1'yy)

88s 00
I

Status of matching rvith

OLTAS"

a7 -02-2011

080 00

07-0i-2014
29-04-20r4

000.1t19

Toral (Its.)

Challan Serial Number

9879.00

Verification
I,

son / daughter of

workins in the caDAcitv of AGM ACCOUNT tdesipnrtion)

hereby certify that a sum of Rs. 9879.00 [Rs.

true, complete
I

KI ]TCH

Place
Date

(Signature of person responsible for deduction ofTax)

Designation: AGM ACCOU\T

Full \ame: SLDHANSU SEKHAR MOHAPATRA

Notes:
L Pafi B (Annexure) ofthe certificat in Fom No

16 shall be issued by the employer

of tax deducted and deposited for all the quarters of the financial year.

,1.

do

(in words)l has [reen deducted and a suril of Rs19879.00 [Rs. Nine
I has been deposited to the credit of the Central Government. I further certify that the inforftidlion.given above is
correct and is based on the bouk\ of account, docuntents. TDS statenrents, .IOS rieposited and other available records.

To update PAli details in lncome

Td

Depadment database, apply for'PAN chilge request' through r''SDL or UTITSL

Lesend used in Form 16

* Status of matching with OLTAS

Description

--.-_',-

Unmatched

Deductorshavenotdepositedtaxesorhavet'umishedinconectparticuiarsoftaxpayment
dtails in bank match rvith details of deposit rn TDS / TCS statement

Provisronal

Provisional tax credit is eff'ected only for TDS / TCS Statements filed by Govement deductors "P" status will be changed to Final (F) on
verification ofpayment details submitted by Pay and Accomts OfTicer (PAO)

Final

In case of non-govemment deductors, payment details of TDS / TCS deposited in bok by deductor have matched with the payment details
mentioned in the TDS / TCS statement filed by the deductors In case of govemment deductors. details of TDS / TCS booked in Govement
accomt have been verrfied by Pa1 & Accounts Olficer IPAO)

Overbooked

FLnalcreditrvillbereflectedonlywhenpaymenl

Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
in the staterent or

mount is over clatmed in the statement. Fmal (F) credrt will be rflected onl), when deductor reduces claimed amount
makes new payment for excess amout claimed in tlle statement

Doclment @d fied bv SUDHANSU SEKHAR

MOHAPATRA <s molapatE &aa.rt * *^'

't"iffiffi,,^,",
Page 2

,-*

ol2