FORM 16 [ See rule 31 (1) (a) ]

Name and Address of Employer Name & Address of employee

Integrated Headquarters, MoD(Navy)(GoI) Name: HARISH PANCHAL Rank: ERA 4
New Delhi - 110 011 P. No.: 502647F Unit: VIKRAMADITYA
Naval Pay Office Sex: MALE DOB: 24-Feb-1995
SBS Road, Mumbai - 400 023 PAN No: BZDPP0895F Assessment Year: 2019-2020
TAN No: MUMN12612F Period of actual employment: 01-APR-18 To 31-MAR-19
TDS Circle where Annual Return/ Statement under Sec 206 is to be filed: ITO (TDS) WD 2(1)NEW
SUMMARY OF TAX DEDUCTED AT SOURCE

Quarter Receipt numbers of original statements of TDS under Amount of Tax deducted in respect of the employee Amount of tax deposited / remitted in respect of the employee
sub-section (3) of section 200
Quarter 1 QTCYMBZB Rs. 3,233 Rs. 3,233
Quarter 2 QTFJINYD Rs. 1,835 Rs. 1,835
Quarter 3 QTKXAHPG Rs. 2,319 Rs. 2,319
Quarter 4 QTNXBZQB Rs. 1,431 Rs. 1,431

Total ----- Rs. 8,818 Rs. 8,818

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED HBA
1. Gross Salary Principal Interest Accrual Basis

(a) Salary as per provision contained in Section 17(1) Rs. 6,34,405 0 0

(b) Value of perquisites under Section 17(2) Rs. 0

(c) Profits in lieu of Salary under Section 17(3) Rs. 0 NGIF HOUSE LOAN
(d) Total Rs. 6,34,405 Principal Interest Paid

(e) Reported total amount of salary received from other employer(s) Rs. 0 0 0

2. Less: Allowance to the extent exempt under section 10 HRA PAID

(a) Travel concession or assistance under section 10(5) Rs. 0 Period Amount

(b) Death-cum-retirement gratuity under section 10(10) Rs. 0 - -

(c) Commuted value of pension under section 10(10A) Rs. 0

(d) Cash equivalent of leave salary encashment 10(10AA) Rs. 0 ARREARS PREVIOUS FY
(e) House rent allowance under section 10(13A) Rs. 0 Year Amount

(f) Amount of any other exemption under section 10 2017-2018 12,755

KMA Rs. 1,080 0

ISDA/SCRLA Rs. 0 0

CEA under section 10(14) Rs. 0 0

OTHERS(TA/DA,LTC,OUTFIT etc) Rs. 21,310

DETAILS OF SECTION 80C
g. Total amount of any other exemption under section 10 Rs. 22,390 DSOP/AFPPF 2,40,000

h. Total amount of any other exemption claimed under section 10

Rs. 22,390 NGIS/AGIS 56,250 / 0
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]
3. Total amount of salary received from current employer [1(d)-2(h)] Rs. 6,12,015 PLI/BOND 0/0

4. Less: Deductions under sections 16 LIC/UTI 0/0

(a) Standard deduction under Section 16(ia) Rs. 40,000 ULIP/PPF 0/0

(b) Entertainment allowance under Section 16(ii) Rs. 0 HSGPRCPL/PART PAY 0/0

(c) Tax on employment under Section 16(iii) Rs. 0 NSC/NSC INT 0/0

5. Total amount of deductions under section 16[4(a)+4(b)+4(c)] Rs. 40,000 ArmyGIS/TuitionFee 0/0

6. Income chargeable under the head 'SALARIES'[3+1(e)-5] Rs. 5,72,015 80CCC/Others 0/0

7. Add: Any other income reported by the employee under as per section 192(2B) Total 2,96,250
(a) Income/loss from house property Rs. 0
(b) Income under the head Other Sources offered for TDS Rs. 0 DETAILS OF TAX PAID
8. Total amount of other income reported by the employee[7(a)+7(b)] Rs. 0 Tax 8,479
9. Gross total income (6+8) Rs. 5,72,015 Surcharge 0
10. Deductions under Chapter VI-A Education Cess 339
(a) Deduction - LIC, contributions to provident fund etc. u/s 80C Rs. 1,50,000 Total Tax 8,818
(b) Deduction - contribution to certain pension funds u/s 80CCC Rs. 0
(c) Deduction - contribution by taxpayer to pension scheme u/s 80CCD(1) Rs. 0
(d) Total Deduction under section 80C, 80CCC, 80CCD(1) Rs. 1,50,000
 (e) Deduction - amount paid to notified pension scheme u/s 80CCD(1B) Rs. 0
(f) Deduction - contribution by Employer to pension scheme u/s 80CCD(2) Rs. 0
(g) Deduction - health insurance premia u/s 80D Rs. 0
(h) Deduction - interest on loan taken for higher education u/s 80E Rs. 0
(i) Total Deduction-donations to certain funds, charitable institutions u/s 80G Rs. 2,450
(j) Deduction - interest on deposits in savings account u/s80TTA Rs. 0
(k) Amount deductible under any other provision(s) of chapter VI-A
(Sec 80U, 80DD, 80DDB etc) Rs. 0
(l) Total of amount Deductible under any other provision(s) of Chapter VI-A Rs. 0
11. Aggregate of deductible amount under Chapter VI-A
Rs. 1,52,450
[10(a)+10(b)+10(c)+10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(l)]
12. Total taxable income (9-11) Rs. 4,19,565
13. Tax on total income Rs. 8,479
14. Rebate under section 87A, if applicable Rs. 0
15. Surcharge, wherever applicable Rs. 0
16. Health and education cess Rs. 339
17. Tax payable (13+15+16-14) Rs. 8,818
18. Less: Relief under section under 89(attach details) Rs. 0
19. Net tax payable Rs. 0
It is Certified that a sum of Rupees 8818 has been deducted at source. The information given above is true,complete and correct and is based on
the books of account,documents,TDS statements,and other available records.
80G=> PAN NO INBA(AAATI4485R) RS.1450
80G=> PAN NO CM KERALA RELEF FUND - AAAGD0584M RS.1000
ADDRESS: CHIEF MINISTER'S DISTRESS RELIEF FUND
GOVT OF KERALA SECRETARIAT 'STRAIGHT FORWARD' SECRETARIAT STATUE.
THIRUVANANTHAPURAM, KERALA - 695001
NOTE :- THIS FORM 16 IS COMPUTER GENERATED ON 03-JUL-2019 FOR INFORMATION ONLY