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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 Name & Address of the Employer Name and Designation of the employee
ALSTOM PROJECTS INDIA LIMITED NARAYANASWAMY KARUNANIDHI KARTHIK (25638) V FLOOR, THE INTERNATIONAL, 16 MARINE LINES CROSS NO 1, OFF MAHARSHI KARVE ROAD, CHURCHGATE. MUMBAI-400020

PAN of the Deductor


AABCA8679F

TAN of the Deductor


MUMA35073D

PAN of the Employee BJDPK2866D Assessment Year From 2012-2013 12/09/2011 Period To 31/03/2012

CIT (TDS)
Address : MUMWT811, ROOM NO. 900A, 9TH FLOOR, K.G. MITTAL AYURVEDIC HOSPITAL BUILDING, CHARNI ROAD. City : MUMBAI PIN :400002

Summary of tax deducted at source


Quarter Receipt Numbers of original statements of TDS under sub-section (3) of section 200 Amount of tax deducted in respect of the employee 170.00 292.00 6,721.00 7,183.00 Amount of tax deposited / remitted in respect of the employee 170.00 292.00 6,721.00 7,183.00

Quarter 2 Quarter 3 Quarter 4 Total

JHKXBHQD JHKXCEPA JHJXFHCG

PART B Details of Salary paid and any other income and tax deducted
1. Gross Salary (a) Salary as per provisions contained in sec.17(1) (b) Value of perquisites u/s 17(2) (as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary u/s 17(3) (as per Form No. 12BB, wherever applicable) (d) Total 2. Less : Allowance to the extent exempt u/s 10 (a) House Rent Allowance (b) Conveyance Allowance (c) LTA (d) Leave Encashment (e) Gratuity (f) Others 3. Balance(1-2) 4. Deductions : (a) Entertainment allowance (b) Tax on employment 5. Aggregate of 4 (a) and (b) 6. Income chargeable under the head 'salaries' (3-5) 7. Add : Any other income reported by the employee (a) Interest on NSC (b) Loss on house property (c) Others 8. Gross total income(6+7) 9. Deduction under Chapter VIA (A) Section 80C, 80CCC and 80CCD (a) Section 80C PF+VPF PPF POST OFF. ELSS C.E.F FXDDEPOSIT MUTUALFUND EMI LIP 316,828 0

316,828 46,433 5,307 0 0 0 0

51,740 265,088

0 0 0 265,088 0 0 0 Gross Amount Qualifying Amount Deductible Amount

0 265,088

11,144 0 0 0 0 0 0 0 0

Location: Reason: Date: 2012.05.31 16:55:32 +05:30 Digitally signed by RAVI REVATHY

Signature Not Verified

LIC DED GSLI NSC ULIP INTEREST BONDS NSS NHB SAL SAV (b) Section 80CCC (c) Section 80CCD (B) Other Sections under Chapter VIA U/S 80CCF U/S 80D U/S 80DP U/S 80DPS DED. 80 DD DED.80DDB DED. 80 E DED. 80 G DED. 80 GG DED. 80 U 10. Aggregate of deductible amount under Chapter VIA 11. Total Income(8-10) 12.Tax on total income 13. Education Cess @ 3% (on tax computed at S. No. 12) 14. Tax Payable(12+13) 15. Less: Relief under section 89 ( attach details ) 16. Tax Payable(14-15)

0 0 0 0 0 0 0 0 0

11,144

11,144

0 0 4,200 0 0 0 0 0 0 0 15,344 249,740 6,974 209 7,183 0 7,183

Verification

FORM NO. 12BA


[See Rule 26A(2)(b)] Statement showing particulars of perquisites, other fringe benifits or amenities and profits in lieu of salary with value thereof 1. Name & Address of the Employer ALSTOM PROJECTS INDIA LIMITED V FLOOR, THE INTERNATIONAL, 16 MARINE LINES CROSS NO 1, OFF MAHARSHI KARVE ROAD, CHURCHGATE. MUMBAI-400020 MUMA35073D NARAYANASWAMY KARUNANIDHI KARTHIK BJDPK2866D 5. Is the employee a director or a person with a substantial interest in the company (where the employer is a company) 6. Income under the head "Salaries" of the employee (other than from perquisites) 7. Financial Year 8. Valuation of Perquisites S.No. Nature of perquisites (see rule 3) (2) Accommodation Cars/Other automotive Sweeper, gardener, watchman or personal attendant Gas, electricity, water Interest free or concessional loans Holiday expenses Free or concessional travel Free meals Free education Gifts, vouchers, etc. Credit card expenses Other benefits or amenities FURNITURE PERK Transfer of assets to employees Value of any other benefit/amenity/service/privilege Stock options (non qualifed options) OTHER PERK Total value of perquisites
Total value of profits in lieu of salary as per section 17(3)

2. TAN 3. TDS Assessment Range of the employer 4. Name, designation and PAN of employee

316,828 2011-2012 Value of perquisites as per rules (Rs.) (3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Amount of perquisite Amount, if any chargeable to tax recovered from the employee (Rs.) Col.(3) - Col.(4) (Rs.) (4) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7,183 0 7,183 As per Form 16

(1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

9. Details of Tax : (a) Tax Deducted from salary of the employee under section 192(1) (b) Tax paid by employer on behalf of the employee under section 192(1A) (c) Total tax paid (d) Date of payment into Government treasury

DECLARATION BY EMPLOYER
I, REVATHY RAVI, daughter of LATE SHRI V.E.KANNAMACHARI working as PAYROLL INCHARGE do hereby declare on behalf of ALSTOM PROJECTS INDIA 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 there under and that such information is true and correct. Signature of the Person Responsible for Deduction of Tax
Signature Not Verified
Digitally signed by RAVI REVATHY Date: 2012.05.31 17:17:19 +05:30 Reason: Location:

Place : NOIDA Date : 31/05/2012

Full Name : MS. REVATHY RAVI Designation : PAYROLL INCHARGE