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Form No. 16: Part A
Form No. 16: Part A
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. 59, H.M.T. Bhawan, 4th Floor, Bellary Road , 2022-23 26-May-2021 31-Mar-2022
Ganganagar, Bangalore - 560032
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)
Page 1 of 2
Certificate Number: ARZSZVA TAN of Employer: BLRE09000F PAN of Employee: BDNPM2891J Assessment Year: 2022-23
Verification
I, SREEKANTH ARIMANITHAYA KRISHNAN, son / daughter of KRISHNAN RAMAKRISHNAN ARIMANITHAYA working in the capacity of AUTHORISED SIGNATORY
(designation) do hereby certify that a sum of Rs. 193061.00 [Rs. One Lakh Ninety Three Thousand and Sixty One Only (in words)] has been deducted and a sum of
Rs. 193061.00 [Rs. One Lakh Ninety Three Thousand and Sixty One 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 BANGALORE
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.
Page 2 of 2
FORM NO. 16
PART B
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
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. 59, H.M.T. Bhawan, 4th Floor, Bellary Road , 2022-23 26-May-2021 31-Mar-2022
Ganganagar, Bangalore - 560032
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) 1000.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 1472043.00
(e) Reported total amount of salary received from other employer(s) 0.00
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Certificate Number: ARZSZVA TAN of Employer: BLRE09000F PAN of Employee: BDNPM2891J 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) 227303.00 150000.00
Page 2 of 3
Certificate Number: ARZSZVA TAN of Employer: BLRE09000F PAN of Employee: BDNPM2891J Assessment Year: 2022-23
Verification
I, SREEKANTH ARIMANITHAYA KRISHNAN, son/daughter of KRISHNAN RAMAKRISHNAN ARIMANITHAYA .
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.
1) Name and address of the employer : EY Global Delivery Services India LLP
5th Floor, Tower C, RMZ Infinity, Old Madras Road, Benniganahalli,
KR Puram,
Bangalore - 560016,
Karnataka,
India
2) TAN : BLRE09000F
3) TDS assessment range of the employer : Circle 4(1)(1), Bangalore
4) Name, designation and PAN of employee : Mithlesh Kumar Sharma - 3071494
Senior Consultant 2
BDNPM2891J
5) Is the employee a director or a person with substantial interest in the company : No
(where the employer is a company)
6) Income under the head "SALARIES" of the employee (other than from perquisites) : 1,471,043.00
7) Financial year : 2021 - 2022
8) Valuation of perquisites
(b) Tax paid by employer on behalf of the employee u/s 192(1A) : 0.00
(c) Total tax paid : 193,061.00
(d) Date of payment into Government treasury :
DECLARATION BY EMPLOYER
I, Sreekanth Arimanithaya Krishnan , son/daughter of Krishnan Ramakrishnan Arimanithaya working in the capacity of Authorised Signatory do hereby declare
on behalf of EY Global Delivery Services India LLP 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.