FORM16
FORM16
16
[See rule 31(1)(a)]
PART A
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P
Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard , 2022-23 01-Apr-2021 31-Mar-2022
Hyderabad - 500004
Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
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)
Verification
I, PANKAJ VASHIST, son / daughter of RAMA SHANKAR SHARMA working in the capacity of AUTHORISED SIGNATORY (designation) do hereby certify that a sum
of Rs. 344170.00 [Rs. Three Lakh Fourty Four Thousand One Hundred and Seventy Only (in words)] has been deducted and a sum of Rs. 344170.00 [Rs. Three Lakh
Fourty Four Thousand One Hundred and Seventy 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 HYDERABAD
Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No.16 pertaining to the period for which such
assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.
Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior citizen
From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard , 2022-23 01-Apr-2021 31-Mar-2022
Hyderabad - 500004
Annexure - I
Details of Salary Paid and any other income and tax deducted
Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 2096066.00
(e) Reported total amount of salary received from other employer(s) 0.00
Page 1 of 4
Signature Not Verified
Signed By:PANKAJ VASHIST
Certificate Number: SRWDAJA TAN of Employer: HYDD00664G PAN of Employee: AWLPG5685Q Assessment Year: 2022-23
7. Add: Any other income reported by the employee under as per section 192 (2B)
(b) Income under the head Other Sources offered for TDS 0.00
(d) Total deduction under section 80C, 80CCC and 80CCD(1) 150000.00 150000.00
Page 2 of 4
Signature Not Verified
Signed By:PANKAJ VASHIST
Certificate Number: SRWDAJA TAN of Employer: HYDD00664G PAN of Employee: AWLPG5685Q Assessment Year: 2022-23
Verification
I, PANKAJ VASHIST, son/daughter of RAMA SHANKAR SHARMA .Working in the capacity of AUTHORISED SIGNATORY
(Designation) do hereby certify that the information given above is true, complete and correct and is based on the books of account,
documents, TDS statements, and other available records.
Page 3 of 4
Signature Not Verified
Signed By:PANKAJ VASHIST
Certificate Number: SRWDAJA TAN of Employer: HYDD00664G PAN of Employee: AWLPG5685Q Assessment Year: 2022-23
2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Particular's of Amount for any other
Sl. exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.
10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Particular's of Amount deductible under
Sl. any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.
Page 4 of 4
Signature Not Verified
Signed By:PANKAJ VASHIST
TAN of Employer:HYDD00664G PAN Of Employee:AWLPG5685Q Assessment Year:2022-23 EMPID:473995
Annexure to Form No.16 PART B [for item nos. 2(f) and 10 (k)]
2. (f) Break up for 'Amount of any other exemption under section 10' to be filled in the table below
Sl.
No. Particulars of Amount for any other
exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
10(k). Break up for 'Amount deductible under any other provision(s) of Chapter VIA' to be filled in the table below
Sl.
No. Particulars of Amount deductible under
any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
Place
HYDERABAD
(Signature of person responsible for deduction of tax)
Date
08-Jun-2022
Designation : SVP Finance Full Name : Pankaj Vashist
Form No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisites,other fringe benefits or amenities and profits in lieu of salary with value thereof
1. Name and address of the employer: Deloitte Consulting India Private Limited
Floor 4, Deloitte Tower 1, Survey No. 41, Gachibowli Village, Ranga
Reddy District, Hyderabad TELANGANA INDIA
2. TAN HYDD00664G
3. TDS Assessment Range of the employer:
4. Name, designation and Permanent Account Number or Siva Ramakrishna Gumma , XIN-DC SENIOR CONSULTANT,
Aadhaar Number of employee: AWLPG5685Q
5. Is the employee a director or a person with substantial No
interest in the company (where the employer is a company):
6. Income under the head 'Salaries' of the employee (other 2,014,736.00
than from perquisites):
7. Financial Year: 2021-2022
8. Valuation of Perquisites:
9. Details of Tax.
a)Tax deducted from salary of the employee u/s 192(1) 344,170.00
b)Tax paid by employer on behalf of the employee u/s 192(1A) 0.00
c)Total Tax Paid 344,170.00
d)Date of payment into Government treasury Various dates as mentioned on Part A of the Form 16
I, Pankaj Vashist, son/daughter of Son of Rama Shankar Sharma working as SVP Finance do hereby declare on behalf
of Deloitte Consulting India Private Limited that the information given above is based on the books of account,documents and
other relevant records or information available with us and the details of value of each such perquisite are in accordance with
section 17 and rules framed thereunder and that such information is true and correct.
Place HYDERABAD
Statement showing particulars of claims by an employee for deduction of tax under section 192
Property No : 1
(i) Rent paid to the landlord Rs.96000
1. (ii) Name of the landlord Mohan Sai Krishna Rs.96000 House Rent Receipts
(iii) Address of the landlord Nalanda Nagar 2nd line, Guntur
(iv) Permanent Account Number of the ABRPE7472N
landlord
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.
Verification
I, Siva Ramakrishna Gumma, son/daughter of Lakshmaiah do hereby certify that the information given above is complete and correct.
Place : HYDERABAD
Date: 08-Jun-2022
Note: The information/details above, as required for deduction of tax u/s 192 of the Income Tax Act, has been provided by the employee.