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Form 16 2020-2021

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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. FMSYMLA Last updated on 04-Jun-2021

Name and address of the Employer Name and address of the Employee
TECH DATA ADVANCED SOLUTIONS (INDIA) PRIVATE LIMITED
A-301, 3RD FLOOR,, SUPREME BUSINESS PARK,, A-301, 3RD
FLOOR,, DHIRAJ BERI
HIRANANDANI GARDEN, POWAI, MUMBAI - 400076 J-30, SECTOR- 12, GAUTAM BUDH NAGAR, NOIDA (U.P.) -
Maharashtra 201301 Uttar Pradesh
+(91)22-44200200
SHABANA.UPANAL@TECHDATA.COM
Employee Reference No.
PAN of the Employee
PAN of the Deductor TAN of the Deductor provided by the Employer
(If available)

AAACO3686M MUMO01083F AENPB5077R

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2021-22 01-Apr-2020 31-Mar-2021
Building, Charni Road , Mumbai - 400002

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 QUAVPBJF 611578.00 78715.00 78715.00


Q2 QUCFPITB 376241.00 23261.00 23261.00
Q3 QUFEQSDF 405236.00 37861.00 37861.00
Q4 QUJFJQHF 357335.00 75156.00 75156.00
Total (Rs.) 1750390.00 214993.00 214993.00
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 33398.00 6910333 07-05-2020 57041 F


2 5880.00 6910333 04-06-2020 16554 F
3 39437.00 6910333 06-07-2020 21360 F
4 957.00 6910333 05-08-2020 18004 F

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Certificate Number: FMSYMLA TAN of Employer: MUMO01083F PAN of Employee: AENPB5077R Assessment Year: 2021-22

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*

5 957.00 6910333 04-09-2020 26114 F


6 21347.00 6910333 06-10-2020 10468 F
7 957.00 6910333 04-11-2020 10321 F
8 1482.00 6910333 04-12-2020 12881 F
9 35422.00 6910333 06-01-2021 16165 F
10 43375.00 6910333 05-02-2021 13523 F
11 15891.00 6910333 05-03-2021 13756 F
12 15890.00 6910333 30-04-2021 11759 F
Total (Rs.) 214993.00

Verification
I, SHABANA ABDULGANI UPANAL, son / daughter of ABDULGANI AMINSAHEB UPANAL working in the capacity of DIRECTOR HUMAN RESOURCES (designation)
do hereby certify that a sum of Rs. 214993.00 [Rs. Two Lakh Fourteen Thousand Nine Hundred and Ninety Three Only (in words)] has been deducted and a sum of
Rs. 214993.00 [Rs. Two Lakh Fourteen Thousand Nine Hundred and Ninety Three 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 29-Jun-2021 (Signature of person responsible for deduction of Tax)

Designation: DIRECTOR HUMAN RESOURCES Full Name:SHABANA ABDULGANI UPANAL

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

Signature Not Verified


Digitally signed by
SHABANA A UPANAL
Date: 2021.06.29 16:33:19
IST
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