FORM NO.

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

Certificate No. AJDQKPL Last updated on 16-June-2021

Name and address of the Employer Name and address of the Employee

WIPRO LIMITED
DODDAKANNELLI SARJAPUR ROAD, MOHAMEED
RIZWAN KHAN
BENGALURU - 560035
HNO 5-5-91/1/1, GHOUSE PURA, DARUSALAM NAMPALLY,
INDIA TELANGANA -500001
INDIA

Employee Reference No.

PAN of the Employee
PAN of the Deductor TAN of the Deductor provided by the Employer
(If available)

FGSPM9302L HYDP07363G BBDPM8868D

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard , 2020-21 01-April-2020 31-Mar-2021
Hyderabad - 500004

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Receipt Numbers of original

Amount of tax deposited / remitted
quarterly statements of TDS Amount of tax deducted
Quarter(s) Amount paid/credited (Rs.)
under sub-section (3) of (Rs.)
Section 200

Q1 QRYRPNZB 480,000.00 80,424.00 80,424.00

Q2 QSCBPPIF 480,000.00 80,424.00 80,424.00
Q3 QSGYAFOG 480,000.00 80,424.00 80,424.00
Q4 QSLYFFCE 480,000.00 80,424.00 80,424.00

Total (Rs.) 1,920,000.00 321,696.00 321,696.00

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 the
Sl. No. deductee Date of transfer voucher Status of matching
Receipt Numbers of Form DDO serial number in Form no.
(Rs.) (dd/mm/yyyy) with Form no. 24G
No. 24G 24G

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 26,808.00 0013283 22-05-2020 01306 F

2 26,808.00 0013283 15-06-2020 01320 F
3 26,808.00 0004329 28-07-2020 00664 F
4 26,808.00 0013283 26-09-2020 01486 F

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 Certificate Number: AJDQKLP TAN of Employer: HYDP07363G PAN of Employee: BBDPM8868D Assessment Year: 2020-21

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*

5 26,808.00 0004329 10-10-2020 00518 F

6 26,808.00 0011352 23-11-2020 03211 F
7 26,808.00 6390340 22-11-2020 51159 F
8 26,808.00 0004329 12-12-2020 00468 F
9 26,808.00 0004329 08-02-2021 05415 F
10 26,808.00 0004329 14-02-2021 00657 F
11 26,808.00 0013283 05-03-2021 07359 F
12 26,808.00 0004329 18-04-2021 24522 F

Total (Rs.) 321,696.00

Verification

I, SARDAR KAWALJEET SINGH HORA, son / daughter of KULDEEP SINGH HORA working in the capacity of DIRECTOR (designation) do hereby certify that a sum of Rs.
321,696.00 [Rs. Three Lakh Twenty-One Thousand Six Hundred Ninety-Six and Zero Paisa Only (in words)] has been deducted and a sum of Rs. 321,696.00 [Rs. Three Lakh Twenty-
One Thousand Six Hundred Ninety-Six and Zero Paisa 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

Date 16-Jun-2021 (Signature of person responsible for deduction of Tax)

Designation: DIRECTOR Full Name:SARDAR KAWALJEET SINGH HORA

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.

Legend used in Form 16

* Status of matching with OLTAS

Legend Description Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
U Unmatched
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
P Provisional
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
F Final 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
O Overbooked 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

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