This is Calculator is only for Financial year 2019-2020Don't try for any

You can rename Sheets by names of Staff Members.

To make more number of copies, right click the last sheet>choose "move
"move to end"> and tick the box "create a copy" and click 'OK".
You can make any number of sheets by this way.

Disclaimer: This format is a free version. while atmost care has been taken to
arrive at the Income Tax correctly, the author is not responsible for any difference
due to wrong feeding of datas or otherwise. It is the primary responsibility of the
users to counter check the accuracy.

Reach me at "baskar_iob@yahoo.in"

Baskar.
on't try for any other Financial years.

et>choose "move or copy">choose

k 'OK".
1. Select Normal or Senior Citizen or Super Senior in column D 5. (In Calculation Sheets)
2. Fill only the Green coloured columns - Month-wise.
3. Inclued Amount of NSCs, if any, year-wise in the appropriate column.
4. Calculate seperately & Include HRA exemption, if any, in Column C 28.
You can rename sheets by names of members.
BASIC DETAILS TO BE FILLED IN FOR FORM 16
Name of the Institution
Branch
Name of the Branch Head
Son/Daughter of
Designation
Date of Form 16
PAN/GIR No. of Branch
TAN Number of Branch

Amount of Tax deducted

Receipt No. of Original Statement of TDS
Quarters in respect of the
under sub-section (3) of section 200
employee

Quarter 1
Quarter 2
Quarter 3
Quarter 4

BSR Code of the Date on which Tax

Month Bank Branch deposited
Apr-19
May-19
Jun-19
Jul-19
Aug-19
Sep-19
Oct-19
Nov-19
Dec-19
Jan-20
Feb-20
Mar-20

The datas in Form 16 may be altered (if necessary) for members transferred
from other branches.

Reach me at baskar_iob@yahoo.in

Baskar.
Senior in column D 5. (In Calculation Sheets)
h-wise.
n the appropriate column.
on, if any, in Column C 28.

E FILLED IN FOR FORM 16

Amount of Tax deposited/remitted in respect of the employee

Challan Serial No.

for members transferred

 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0
 0 0
INCOME TAX CALCULATION
Name Roll No. Designation

Citizen Type Normal PAN Number

Month Total Salary PF/NPS VCPF INS(SSS) SHL Inst IT Recovered
2019 Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2020 Jan
Feb
Mar
Salary Arrears, if any Date of remittance of TDS

LTC Encashment Arrears Date of remittance of TDS

Leave Encash above 3 lacs
Gratuity above 20 lacs
Leave & LTC Encashment
Incentive, if any recd.
Total
Date of remittance of TDS
Date of remittance of TDS
Date of remittance of TDS on LTC Encashment
Date of remittance of TDS on Incentive
0 0.00 0.00 0 0.00 0 0

Gross Salary 0 RELIEF UNDER SEC.80C/80CCF

Add: Bonus PF/NPS 0
Add: Perks VCPF 0
Add: Other Income/SB & TD Int LIC SSS 0
Add: NSC Interest 0 0 LIC Direct
Less: HRA Exemption PLI
Less: Standard Deduction u/s 16 50000 PPF
Less: Professional Tax ULIP
Income/Loss on House(80EE) 0 NSC-New
Less: Under 80E(Int.paid in Ednl.Loan) NSC-Interest 0
Less: Under 80 D(Medical Ins.Premium) SHL-Instalments 0
Less:Under 80DD Ednl.Expenses
Under 80 G(Donation to CMRF/PMRF) 5 Yr.Post Office Deposit
Less: Under 80CCD(1B)(NPS above 1.5L)
Less: Rebate u/s 80TTA/80TTB
Less: Under 80 U Tax Saver Deposits
Gross Total Income 0 Jeevan Suraksha (80CCC)
Less:Inv.Under 80C/80CCF 0 RGESS (80CCG)
Less: Inv.Under 80 CCG 0 Total Investment 0
Taxable Income 0
Tax on Total Income 0 NSC INTEREST ACCRUED
NSC Purchased
Less: Rebate u/s 87A 0 before Amount Interest
Balance Tax 0 31.03.2013 0
Add:Edn.Cess @ 4% 0 31.03.2014 0
Total Tax Payable 0 31.03.2015 0
Less: Rebate u/s 89(I) 0 31.03.2016 0
(Appropriation of arrears)_ 31.03.2017 0
Gross Total Tax 0 31.03.2018 0
Total NSC Interest 0
Less:Tax recovered 0
SHL Interest/Loss on
Balance Tax Payable 0
House Property
 Form No.16
Certificate under Section 203 of theIncome Tax Act, 1961

For Tax deducted at source from income chargeable under the head 'Salaries'
PART A
0 Name & Designation of the Employee
0
0 Roll No.
0
PAN/GIR No. 0 PAN No. 0
TAN 0 Period
TDS Circle where annual return under section 206 is to filled From To Assessment Year
01.04.2019 31.03.2020 2020 - 2021

Receipt No. of Original Statement of TDS under sub-section (3) of Amount of Tax deducted in Amount of Tax deposited/remitted in
Quarters
section 200 respect of the employee respect of the employee

Quarter 1 0 0.00 0.00

Quarter 2 0 0.00 0.00
Quarter 3 0 0.00 0.00
Quarter 4 0 0.00 0.00
PART B
ILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1. Gross Salary
a. Salary as per provisions in sec.17(1) 0
b. Value of perquisites u/s 17(2) (as per Form No.12BA) 0
c. Profit in lieu of salary u/s 17(3) (as per Form No.12BA)
d. Total 0
2. Less: Allowances to the extent exempt u/s 10:
a. House Rent Allowance 0
3. Standard Deduction u/s 16(ia) 50000
4. Balance (1-2) 0
5. Deductions:
a. Entertainment Allowance
b. Tax on Employment 0
6. Aggregate of 4(a) to (b) 0
7. Income Chargeable under the head 'Salaries" (3 - 5) 0
8. Add: Any other income reported by the employee (F 12C) 0
9. GROSS TOTAL INCOME (6+7) (Rounded Off) 0
10. Deductions under Chapter VI A
Qualifying
A) (i) Section 80C Gross Amount
Amount
PF 0 0
VCPF 0 0
LIC SSS 0 0
LIC Direct 0 0
PLI 0 0
PPF 0 0
ULIP 0 0
NSC-New 0 0
NSC-Interest 0 0
SHL-Instalments 0 0
Ednl.Expenses 0 0
5 Yr. Post Office Deposit 0 0
Tax Saver Deposits 0 0
0 0 0
0 0 0
(ii) Section 80CCC 0 0
TOTAL (i) & (ii) 0 0 0
Aggregate of Tax Rebate & Relief u/s 80 CCE
0 0
10.B. Other Sections of Chapter VI A
a. Under Section 80D 0
b. Under Section 80DD 0
c. Under Section 80E 0
d.Under Section 80 G 0
e. Under Section 80U 0
f. Under Section 80CCD(1B) 0
g.Under Section 80TTA/80TTB 0
11. Aggregate of deductible amount under CHAPTER VI A 0 0
12. Under Sec.80CCG (Rajiv Gandhi Equity Savings Schame 0
13. TAXABLE INCOME (8 - 10) (Rounded off u/s 288(A)) 0
14. Tax on TOTAL INCOME 0

15. Rebate under Section 87A 0 0

16 ADD: Education Cess @ 4% 0

17. TAX PAYABLE 0

18. Less: Relief under section 89(i) 0

19. NET TAX PAYABLE 0

20. Less: Tax Deducted at source 0

21. Tax Payable/Refundable 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVT. ACCOUNT

Tax deposited in respect of the Date on which Tax Challan

BSR Code of the Bank Branch
employee (Rs.) deposited Serial No.
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0.00
0 0.00
0 0.00
0 0.00
0 0
0 0

I, ,Son/Daughter of ,working as do hereby certify that

a sum of Rs. 0 (Rupees only)
has been deducted and deposited to the credit of Central Government. I further certify that the
information given above is true, complete and correct and is based on the books of accounts,
documents, TDS statements, TDS deposited and other available records.

Place 0 Signature of person responsible for deduction of Tax

Name 0
Date 0 Designation 0