FORM NO.

16A
[See rule 31(1)(b)]

Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source

Certificate No. OUYFDWC Last updated on 20-May-2019

Name and address of the deductor Name and address of the deductee
STATE BANK OF INDIA
3RD FLOOR SBI BHAVAN CC, MADAME CAMA ROAD, NARIMAN
POINT, JNTUH COLLEGE OF ENGINEERING
MUMBAI - 400021 NACHUPALLY KONDAGATTU,
Maharashtra KODIMAYAL MANDAL, KARIMNAGAR - 505501 Andhra Pradesh
+(91)22-22740340
tds.frt@sbi.co.in
PAN of the deductor TAN of the deductor PAN of the deductee

AAACS8577K MUMS89574C AAAJJ0706G

CIT (TDS) Assessment Year Period

The Commissioner of Income Tax (TDS) From To

Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital Building, 2019-20
Charni Road , Mumbai - 400002 01-Jan-2019 31-Mar-2019

Summary of payment

Deductee Reference No.

Date of payment/ credit
Sl. No. Amount paid/ credited Nature of payment** provided by the Deductor (if
(dd/mm/yyyy)
any)
1 21655.00 194A 05-01-2019
2 16672.00 194A 05-01-2019
3 136034.00 194A 05-01-2019
4 124027.00 194A 05-01-2019
5 124111.00 194A 05-01-2019
6 26455.00 194A 05-01-2019
7 398065.00 194A 08-01-2019
8 398065.00 194A 08-01-2019
9 398683.00 194A 08-01-2019
10 398683.00 194A 08-01-2019
11 398683.00 194A 08-01-2019
12 398683.00 194A 08-01-2019
13 265788.00 194A 08-01-2019
14 127.00 194A 01-02-2019
15 1193.61 194A 23-02-2019
16 12507.00 194A 16-03-2019
17 2989.00 194A 16-03-2019
18 12576.00 194A 18-03-2019
19 3005.00 194A 18-03-2019
20 277347.00 194A 31-03-2019
21 277347.00 194A 31-03-2019
22 365519.00 194A 31-03-2019
23 57176.00 194A 31-03-2019
24 3046.00 194A 31-03-2019
25 266273.00 194A 31-03-2019
26 266273.00 194A 31-03-2019
27 266273.00 194A 31-03-2019

Page 1 of 6
Certificate Number: OUYFDWC TAN of Deductor: MUMS89574C PAN of Deductee: AAAJJ0706G Assessment Year: 2019-20

Deductee Reference No.

Date of payment/ credit
Sl. No. Amount paid/ credited Nature of payment** provided by the Deductor (if
(dd/mm/yyyy)
any)
28 29.00 194A 31-03-2019
29 2488.00 194A 31-03-2019
30 29853.00 194A 31-03-2019
31 112208.00 194A 31-03-2019
32 5900.00 194A 31-03-2019
33 5154.00 194A 31-03-2019
34 1065.00 194A 31-03-2019
35 12241.00 194A 31-03-2019
36 155703.00 194A 31-03-2019
37 155703.00 194A 31-03-2019
38 4010.00 194A 31-03-2019
39 3762.00 194A 31-03-2019
40 785.00 194A 31-03-2019
41 121.00 194A 31-03-2019
42 121.00 194A 31-03-2019
43 738.00 194A 31-03-2019
44 771.00 194A 31-03-2019
45 3342.00 194A 31-03-2019
46 3016.00 194A 31-03-2019
47 696.00 194A 31-03-2019
48 666.00 194A 31-03-2019
49 47713.00 194A 31-03-2019
50 43502.00 194A 31-03-2019
51 43531.00 194A 31-03-2019
52 9280.00 194A 31-03-2019
53 7596.00 194A 31-03-2019
54 5848.00 194A 31-03-2019
55 124577.00 194A 31-03-2019
56 6425.00 194A 31-03-2019
57 3928.00 194A 31-03-2019
58 4152.00 194A 31-03-2019
59 160614.00 194A 31-03-2019
60 81.00 194A 31-03-2019
61 55426.00 194A 31-03-2019
62 166278.00 194A 31-03-2019
63 624.00 194A 31-03-2019
64 150.00 194A 31-03-2019
65 546.00 194A 31-03-2019
66 131.00 194A 31-03-2019
67 581.00 194A 31-03-2019
68 3689.00 194A 31-03-2019
69 3689.00 194A 31-03-2019
70 124770.00 194A 31-03-2019
71 124770.00 194A 31-03-2019
72 124770.00 194A 31-03-2019
73 124770.00 194A 31-03-2019
74 83180.00 194A 31-03-2019
75 124577.00 194A 31-03-2019
Page 2 of 6
Certificate Number: OUYFDWC TAN of Deductor: MUMS89574C PAN of Deductee: AAAJJ0706G Assessment Year: 2019-20

Deductee Reference No.

Date of payment/ credit
Sl. No. Amount paid/ credited Nature of payment** provided by the Deductor (if
(dd/mm/yyyy)
any)
76 3307.00 194A 7203014235 31-03-2019
Total (Rs.) 6814132.61

Summary of tax deducted at source in respect of Deductee

Receipt Numbers of Original

Quarterly Statements of TDS Amount of Tax Deducted in respect of Amount of Tax Deposited / Remitted in
Quarter
Under sub-section (3) of Section Deductee respect of Deductee
200

Q4 FXGFLJXO 684424.00 684424.00

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment-wise details of tax deducted and deposited with respect to the deductee)

Book Identification Number (BIN)

Tax deposited in respect of
Sl. No. Status of Matching
deductee (Rs.) Receipt Numbers of Form DDO serial number in Form No. Date of Transfer
with Form No. 24G
No. 24G 24G voucher (dd/mm/yyyy)

Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment-wise details of tax deducted and deposited with respect to the deductee)

Challan Identification Number (CIN)

Tax deposited in respect of the
Sl. No.
deductee (Rs.)
BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 2166.00 0004329 07-02-2019 10416 F

2 1668.00 0004329 07-02-2019 10416 F
3 13604.00 0004329 07-02-2019 10416 F
4 12403.00 0004329 07-02-2019 10416 F
5 12412.00 0004329 07-02-2019 10416 F
6 2646.00 0004329 07-02-2019 10416 F
7 39807.00 0004329 07-02-2019 10416 F
8 39807.00 0004329 07-02-2019 10416 F
9 39869.00 0004329 07-02-2019 10416 F
10 39869.00 0004329 07-02-2019 10416 F
11 39869.00 0004329 07-02-2019 10416 F
12 39869.00 0004329 07-02-2019 10416 F
13 26579.00 0004329 07-02-2019 10416 F
14 13.00 0004329 07-03-2019 19140 F
15 120.00 0004329 07-03-2019 19140 F
16 1251.00 0004329 30-04-2019 08793 F
17 299.00 0004329 30-04-2019 08793 F
18 1258.00 0004329 30-04-2019 08793 F
19 301.00 0004329 30-04-2019 08793 F
20 27735.00 0004329 30-04-2019 08793 F
21 27735.00 0004329 30-04-2019 08793 F
22 36552.00 0004329 30-04-2019 08793 F
23 5718.00 0004329 30-04-2019 08793 F
24 305.00 0004329 30-04-2019 08793 F
25 26628.00 0004329 30-04-2019 08793 F
26 26628.00 0004329 30-04-2019 08793 F
27 26628.00 0004329 30-04-2019 08793 F
28 3.00 0004329 30-04-2019 08793 F

Page 3 of 6
Certificate Number: OUYFDWC TAN of Deductor: MUMS89574C PAN of Deductee: AAAJJ0706G Assessment Year: 2019-20

II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment-wise details of tax deducted and deposited with respect to the deductee)

Challan Identification Number (CIN)

Tax deposited in respect of the
Sl. No.
deductee (Rs.)
BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

29 249.00 0004329 30-04-2019 08793 F

30 2986.00 0004329 30-04-2019 08793 F
31 11221.00 0004329 30-04-2019 08793 F
32 590.00 0004329 30-04-2019 08793 F
33 516.00 0004329 30-04-2019 08793 F
34 107.00 0004329 30-04-2019 08793 F
35 1225.00 0004329 30-04-2019 08793 F
36 15571.00 0004329 30-04-2019 08793 F
37 15571.00 0004329 30-04-2019 08793 F
38 401.00 0004329 30-04-2019 08793 F
39 377.00 0004329 30-04-2019 08793 F
40 79.00 0004329 30-04-2019 08793 F
41 13.00 0004329 30-04-2019 08793 F
42 13.00 0004329 30-04-2019 08793 F
43 74.00 0004329 30-04-2019 08793 F
44 78.00 0004329 30-04-2019 08793 F
45 335.00 0004329 30-04-2019 08793 F
46 302.00 0004329 30-04-2019 08793 F
47 70.00 0004329 30-04-2019 08793 F
48 67.00 0004329 30-04-2019 08793 F
49 4772.00 0004329 30-04-2019 08793 F
50 4351.00 0004329 30-04-2019 08793 F
51 4354.00 0004329 30-04-2019 08793 F
52 928.00 0004329 30-04-2019 08793 F
53 760.00 0004329 30-04-2019 08793 F
54 585.00 0004329 30-04-2019 08793 F
55 12458.00 0004329 30-04-2019 08793 F
56 643.00 0004329 30-04-2019 08793 F
57 393.00 0004329 30-04-2019 08793 F
58 416.00 0004329 30-04-2019 08793 F
59 16062.00 0004329 30-04-2019 08793 F
60 9.00 0004329 30-04-2019 08793 F
61 5543.00 0004329 30-04-2019 08793 F
62 16628.00 0004329 30-04-2019 08793 F
63 63.00 0004329 30-04-2019 08793 F
64 15.00 0004329 30-04-2019 08793 F
65 55.00 0004329 30-04-2019 08793 F
66 14.00 0004329 30-04-2019 08793 F
67 59.00 0004329 30-04-2019 08793 F
68 369.00 0004329 30-04-2019 08793 F
69 369.00 0004329 30-04-2019 08793 F
70 12477.00 0004329 30-04-2019 08793 F
71 12477.00 0004329 30-04-2019 08793 F
72 12477.00 0004329 30-04-2019 08793 F
73 12477.00 0004329 30-04-2019 08793 F
Page 4 of 6
 Certificate Number: OUYFDWC TAN of Deductor: MUMS89574C PAN of Deductee: AAAJJ0706G Assessment Year: 2019-20

II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment-wise details of tax deducted and deposited with respect to the deductee)

Challan Identification Number (CIN)

Tax deposited in respect of the
Sl. No.
deductee (Rs.)
BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

74 8318.00 0004329 30-04-2019 08793 F

75 12458.00 0004329 30-04-2019 08793 F
76 3307.00 0004329 30-04-2019 08793 F
Total (Rs.) 684424.00

Verification

I, ANIL ARORA, son / daughter of ROSHAN LAL working in the capacity of DEP GENERAL MANAGER TAXATION (designation) do hereby certify that a sum of
Rs. 684424.00 [Rs. Six Lakh Eighty Four Thousand Four Hundred and Twenty Four Only (in words)] has been deducted and a sum of Rs. 684424.00 [Rs. Six Lakh
Eighty Four Thousand Four Hundred and Twenty Four Only] has been deposited to the credit of the Central Government. I further certify that the information given
above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place MUMBAI

Date 13-Jun-2019 (Signature of person responsible for deduction of tax)

Designation: DEP GENERAL MANAGER TAXATION Full Name: ANIL ARORA

Notes:
1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in
2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL
3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

Legend used in Form 16A

* Status of matching with OLTAS

Legend Description
U Unmatched
P Provisional
F Final
O Overbooked
Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

** Nature of Payment

Section Code Description Section Code Description

193 Interest on Securities 195 Other sums payable to a non-resident
194 Dividends 196A Income in respect of units of non-residents
194A Interest other than 'Interest on securities' 196B Payments in respect of units to an offshore fund
194B Winning from lottery or crossword puzzle Income from foreign currency bonds or shares of Indian company payable to
196C
194BB Winning from horse race non-residents
194C Payments to contractors and sub-contractors 196D Income of foreign institutional investors from securities
194D Insurance commission 206CA Collection at source from alcoholic liquor for human consumption
194E Payments to non-resident sportsmen or sports associations 206CB Collection at source from timber obtained under forest lease
194EE Payments in respect of deposits under National Savings Scheme Collection at source from timber obtained by any mode other than a forest
206CC
Payments on account of repurchase of units by Mutual Fund or Unit Trust of lease
194F
India
206CD Collection at source from any other forest produce (not being tendu leaves)
194G Commission, price, etc. on sale of lottery tickets
194H Commission or brokerage 206CE Collection at source from any scrap
194I Rent Collection at source from contractors or licensee or lease relating to parking
206CF
194I(a) Payment of Rent for the use of any machinery or plant or equipment lots
Payment of Rent for the use of land or building or land appurtenant or
194I(b) 206CG Collection at source from contractors or licensee or lease relating to toll plaza
furniture or fittings
194J Fees for professional or technical services Collection at source from contractors or licensee or lease relating to mine or
206CH
Income payable to a resident assessee in respect of units of a specified mutual quarry
194K
fund or of the units of the Unit Trust of India 206CI Collection at source from tendu Leaves
194LA Payment of compensation on acquisition of certain immovable property 206CJ Collection at source from on sale of certain Minerals
194LB Income by way of Interest from Infrastructure Debt fund 206CK Collection at source on cash case of Bullion and Jewellery

Page 5 of 6
Certificate Number: OUYFDWC TAN of Deductor: MUMS89574C PAN of Deductee: AAAJJ0706G Assessment Year: 2019-20

194LC Income by way of interest from specified company payable to a non-resident

% DSUnknown
q
1G
1g
0.1 0 0 0.1 9 0 cm
0 J 0 j 4 M []0 d
1i
0g
313 292 m
313 404 325 453 432 529 c
478 561 504 597 504 645 c
504 736 440 760 391 760 c
286 760 271 681 265 626 c
265 625 l
100 625 l
100 828 253 898 381 898 c
451 898 679 878 679 650 c
679 555 628 499 538 435 c
488 399 467 376 467 292 c
313 292 l
h
308 214 170 -164 re
f
0.44 G
1.2 w
1 1 0.4 rg
287 318 m
287 430 299 479 406 555 c
451 587 478 623 478 671 c
478 762 414 786 365 786 c
260 786 245 707 239 652 c
239 651 l
74 651 l
74 854 227 924 355 924 c
425 924 653 904 653 676 c
653 581 602 525 512 461 c
462 425 441 402 441 318 c
287 318 l
h
282 240 170 -164 re
B
Q

Document Certified by :TRS-APP-

Sri Anil Arora<TDS.FRT@SBI.CO.IN>

Digitally Signed by TRS-APP-

Sri Anil Arora<TDS.FRT@SBI.CO.IN>
Date:2019.06.15 20:19:208 IST Page 6 of 6