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. SSZKuIU Last updated on 17-Jun-2021

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

ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED

1/D1, SIPCOT IT PARK, SIRUSERI MAIN ROAD, SIRUSERI,
P SELVI
CHENNAI, TAMIL NADU - 603103
NO. 18, LAKSHMI TACKIES ROAD, SHENOY NAGAR,
CHENNAI, TAMIL NADU - 600030

Employee Reference No.

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

AACCA4543M CHEC45437Z KLTPS0799Q

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
7th Floor, New Block, Aayakar Bhawan, 121 , M.G. Road, 2021-22 01-Apr-2020 31-Mar-2021
Chennai - 600034

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 QXRRTIL 205863.00 3549.00 3549.00

Q2 QZSDFVK 205093.00 3549.00 3549.00
Q3 QQWMNJI 204351.00 3549.00 3549.00
Q4 QOORSVI 210000.00 4023.00 4023.00
Total (Rs.) 825307.00 14670.00 14670.00
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 1183.00 2583301 04-05-2020 11282 F

2 1183.00 1720012 06-06-2020 00457 F
3 1183.00 3682145 10-07-2020 11178 F
4 1183.00 1472250 07-08-2020 90201 F

Page 1 of 2
 Certificate Number: SSZKTIU TAN of Employer: CHEC45437Z PAN of Employee: KLTPS0799Q 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 1183.00 9023571 09-09-2020 85201 F

6 1183.00 902574 09-10-2020 33421 F
7 1183.00 508897 11-11-2020 04752 F
8 1183.00 638215 06-12-2020 05367 F
9 1183.00 196081 08-01-2021 75214 F
10 1341.00 196081 08-02-2021 36521 F
11 1341.00 196081 06-03-2021 12087 F
12 1341.00 196081 10-04-2021 17251 F
Total (Rs.) 14670.00

Verification

I, SUBRAMANIAN GOWRISHANKAR , son / daughter of GOWRISHANKAR working in the capacity of DIRECTOR (designation) do hereby certify

do hereby certify that a sum of Rs. 29850.00 [Rs. Twenty Nine Thousand Eight Hundred and Fifty Only (in words)] has been deducted 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 CHENNAI

Date 21-Jun-2021 (Signature of person responsible for deduction of Tax)

Designation: DIRECTOR Full Name: SUBRAMANIAN GOWRISHANKAR

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

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

Certificate No. SSZKTIU Last updated on 17-Jun-2021

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

ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED

1/D1, SIPCOT IT PARK, SIRUSERI MAIN ROAD, SIRUSERI,
P SELVI
CHENNAI, TAMIL NADU - 603103
NO. 18, LAKSHMI TACKIES ROAD, SHENOY NAGAR,
CHENNAI, TAMIL NADU - 600030

PAN of the Deductor TAN of the Deductor PAN of the Employee

AACCA4543M CHEC45437Z KLTPS0799Q

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
7th Floor, New Block, Aayakar Bhawan, 121 , M.G. Road, 2021-22 01-Apr-2020 31-Mar-2021
Chennai - 600034

Details of Salary Paid and any other income and tax deducted Rs. Rs.

1. Gross Salary

(a) Salary as per provisions contained in section 17(1) 825307.00

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 825307.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commuted value of pension under section 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 0.00
(10AA)

(e) House rent allowance under section 10(13A) 194520.00

Page 1 of 3
Certificate Number: SSZKTIU TAN of Employer: CHEC45437Z PAN of Employee: KLTPS0799Q Assessment Year: 2021-22

Amount of any other exemption under section 10

[Note: Break-up to be prepared by employer and issued to
(f)
the employee, where applicable , before furnishing of Part B
to the employee]

(g) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10 [2(a)+2(b)

(h) 194520.00
+2(c)+2(d)+2(e)+2(g)]

3. Total amount of salary received from current employer [1(d)-2(h)] 630787.00

4. Less: Deductions under section 16

(a) Standard deduction under section 16(ia) 30000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 2496.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 32496.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 598291.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS

(b) Income under the head Other Sources offered for TDS 0.00

Total amount of other income reported by the employee [7(a)+7

8. 0.00
(b)]
9. Gross total income (6+8) 598291.00
10. Deductions under Chapter VI-A

Deduction in respect of life insurance premia, contributions to

(a) 31056.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00

Deduction in respect of contribution by taxpayer to pension

(c) scheme under section 80CCD (1) 0.00

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 31056.00

Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00

Page 2 of 3
 Certificate Number: SSZKTIU TAN of Employer: CHEC45437Z PAN of Employee: KLTPS0799Q Assessment Year: 2021-22

Deduction in respect of contribution by Employer to pension

(f) scheme under section 80CCD (2) 0.00

Deduction in respect of health insurance premia under section

(g) 15000.00
80D

Deduction in respect of interest on loan taken for higher

(h) education 0.00
under section 80E
Total Deduction in respect of donations to certain funds,
(i) 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00
under section 80TTA

Amount deductible under any other provision(s) of Chapter VI-A

[Note: Break-up to be prepared by employer and issued to
(k)
the employee, where applicable , before furnishing of Part B
to the employee]

Total of amount deductible under any other provision(s) of

(l) 0.00
Chapter VI-A
Aggregate of deductible amount under Chapter VI-A [10(d)+10
11. (e)+10(f)+10(g)+10(h)+10(i) 46056.00
10(j)+10(l)]

12. Total taxable income (9-11) 552235.00

13. Tax on total income 0.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 0.00

17. Tax payable (13+15+16-14) 14670.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 14670.00

Verification
I, SUBRAMANIAN GOWRISHANKAR, son/daughter of GOWRISHANKAR Working in the capacity of
DIRECTOR HR (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.

CHENNAI (Signature of person responsible for deduction of

Place
tax)
Full
Date 21-Jun-2021 SUBRAMANIAN GOWRISHANKAR
Name:

Page 3 of 3
Name: P SELVI PAN: KLTPS0799Q

2.(f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
S No Amount of any other exemption under Gross Amount Qualifying Amount Deductible Amount
section 10 (Rs.) (Rs.) (Rs.)
(Rs.)

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
S No Amount deductible under any other Gross Amount Qualifying Amount Deductible Amount
provision(s) of Chapter (Rs.) (Rs.) (Rs.)

Place CHENNAI
Date 21-Jun-2021
Designation Director
Full Name SUBRAMANIAN Signature of Person Responsible for Deduction of Tax

ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED Page 1 / 4

Name: P SELVI PAN: KLTPS0799Q

FORM NO. 12BA

[See rule 26A(2)(b)]
Statement Showing particular of perquisites, other fringe benefits or amenities and profits in lieu of salary with value
thereof

(1) Name and address of Employer ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED
1/D1,SIPCOT IT PARK, SIRUSERI MAIN ROAD, SIRUSERI,
CHENNAI, TAMIL NADU - 603103
(2) TAN CHEC45437Z
(3) TDS Assessment Range of the employer
(4) Name, designation and PAN of employee P SELVI
Module Lead
KLTPS0799Q
(5) Is the employee a director or a person with No
substantial interest in the company(Where the
employer is a company)
(6) Income under the head Salaries of the employee 5,52,235.00
(Other than from Perquisites)
(7) Financial Year 2020-2021
(8) Valuation of Perquisites
S No Nature of Perquisite (See rule 3) Value of Amount, if any Amount of
Perquisite as Recovered from perquisite
per rules the employee chargeable to
(Rs.) (Rs.) tax
col(3) - col(4)
(Rs.)
(1) (2) (3) (4) (5)
1 Accomodation 0.00 0.00 0.00
2 Cars / Other automotive 0.00 0.00 0.00
3 Sweeper, gardener, watchman or personal attendant 0.00 0.00 0.00
4 Gas, electricity, water 0.00 0.00 0.00
5 Interest free or concessional Loans 0.00 0.00 0.00
6 Holiday expenses 0.00 0.00 0.00
7 Free or concessional travel 0.00 0.00 0.00
8 Free Meals 0.00 0.00 0.00
9 Free Education 0.00 0.00 0.00
10 Gifts, Vouchers etc 0.00 0.00 0.00
11 Credit Card Expenses 0.00 0.00 0.00
12 Club Expenses 0.00 0.00 0.00
13 Use of movable assets by employees 0.00 0.00 0.00
14 Transfer of assets to employees 0.00 0.00 0.00
15 Value of any other benefit / amenity / service / 0.00 0.00 0.00
privilege
16 Stock options (non-qualified options) 0.00 0.00 0.00
17 Other benefits or amenities 0.00 0.00 0.00
18 Total value of perquisites 0.00 0.00 0.00
19 Total value of profits in lieu of salary as per 17(3) -

ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED Page 2 / 4

Name: P SELVI PAN: KLTPS0799Q

(9) Details of tax

(a) Tax Deducted from salary of the employee under section 192(1) 14670.00
(b) Tax paid by the employer on behalf of the employee under -
section 192(1A)
(c) Total Tax paid 14670.00

DECLARATION BY EMPLOYER
I, SUBRAMANIAN son/daughter of GOWRISHANKAR working in the capacity of Director (designation)
do hereby declare on behalf of ASPIRE SYSTEMS (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 CHENNAI
Date 21-Jun-2021
Designation Director
Full Name SUBRAMANIAN Signature of Person Responsible for Deduction of Tax

ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED Page 3 / 4

Name: P SELVI PAN: KLTPS0799Q

Annexure To Form 16
Details of Salary Paid and Allowance Exempted u/s 10 and 17(2) Income-tax Act, 1961

(1) Name and address of Employer ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED
1/D1,SIPCOT IT PARK, SIRUSERI MAIN ROAD, SIRUSERI,
CHENNAI, TAMIL NADU - 603103
(2) TAN CHEC45437Z
(3) Name, designation and PAN of employee P SELVI
Module Lead
KLTPS0799Q

Employee Ref. No. : 200462 From 01-Apr-2020 To 31-Mar-2021

1. Salary as per provisions contained in Sec 17(1)
(a) Basic Salary 5,52,235.00
(b) TOTAL SALARY AS PER SEC 17(1) 5,52,235.00
2. Value of perquisites u/s 17(2) as per Form 12BA -
3. Profits in lieu of salary u/s 17(3) as per Form 12BA -
4. GROSS SALARY 5,52,235.00

DECLARATION BY EMPLOYER
I, SUBRAMANIAN, son/daughter of GOWRISHANKAR working in the capacity of Managing Director(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.
Place CHENNAI
Date 21-Jun-2021
Designation Director
Full Name SUBRAMANIAN Signature of Person Responsible for Deduction of Tax

ASPIRE SYSTEMS (INDIA) PRIVATE LIMITED Page 4 / 4