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. AQMCTZG Last updated on 31-Mar-2024

Name and address of the Employer Name and address of the Employee
HCL INFOSYSTEMS LIMITED
88 MAYA APARTMENT RAMESH NAGAR
RAJA GARDAN SACHIN KUMAR
DELHI 110037 873 MAYA NAGAR GURGAON ROAD L BLOCK
DELHI MAHIPALPUR VILLAGE SOUTH DELHI-110037
+(91)011-6138-8888

Employee Reference No.

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

AAACA6563F DELO01083F ATOPK2341P

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No 304A, 3rd Floor, Aayakar Bhawan Laxmi 2023-24 01-Apr-2023 31-Mar-2024
Nagar, Delhi 110092

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 750201.00 37510.00 37510.00

Q2 QUCFPITB 786241.00 39312.00 39312.00
Q3 QUFEQSDF 765236.00 38261.00 38261.00
Q4 QUJFJQHF 777335.00 38866.00 38866.00
Total (Rs.) 3079013.00 153949.00 153949.00
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 8690.00 6910333 01-04-2023 57041 F

2 13850.00 6910333 04-05-2023 16554 F
3 14970.00 6910333 06-06-2023 21360 F
4 11583.00 6910333 05-07-2023 18004 F

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 Certificate Number:AQMCTZG TAN of Employer:DELO01083F PAN of Employee:ATOPK2341P Assessment Year:2023-24

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 16727.00 6910333 04-08-2023 26114 F

6 11002.00 6910333 06-09-2023 10468 F
7 13247.00 6910333 04-10-2023 10321 F
8 11110.00 6910333 04-11-2023 12881 F
9 13904.00 6910333 06-12-2023 16165 F
10 14652.00 6910333 05-01-2024 13523 F
11 12767.00 6910333 05-02-2024 13756 F
12 11447.00 6910333 31-03-2024 11759 F
Total (Rs.) 153949.00

Verification
I, NARENDER SINGH, son / daughter of LAL SINGH working in the capacity of SYSTEM ENGINEER (designation) do hereby certify that a sum of Rs. 153949.00 [Rs. One Hundred
Fifty Three Thousand Nine Hundred Forty Nine Only (in words)] has been deducted and a sum ofone
]Rs. Lac
153949.00 [Rs. Onethousand
fifty-three Hundred Fifty Three
nine Thousandforty-nine
hundred Nine Hundred Forty Nine
Only] has been deposited to the credit of the Centra Government. I further certify that the information given above is true, complete and correct and is based on the books of account,
documents,
that TDS statements,
that the information
information given
givenTDS deposited
above
above is and other
is true, available
complete
complete andrecords.
and correct
correct and
and is based
based on
on the
the books
books of
of account,
account, documents,
documents, TDS
TDS statements,
statements, TDS
TDS deposited and other
deposited and other

Place DELHI

Date 31-March-2024 (Signature of person responsible for deduction of Tax)

Designation: SYSTEM ENGINEER Full Name: SACHIN KUMAR

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

Digitally signed by
AMIT KUMAR
Date: 2024.03.31 16:33:19
IST

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