JAKSON ENGINEERS LIMITED

FORM 16
Employee Name Employee PAN Employee Designation Assessment Year Name of Signatory Designation of Signnator : : : : : : :

ANIT SINGH BYYPS1262H

2012-2013 Anuj Dhiman AVP

Digitally Signed Form 16 This form has been signed and certified using Digital Signature Certificate as per rule 31(6) of the Income -tax Act, 1961.

The Digital Signature of the signatory has been affixed in the box provided below. To see the details and validate the signature, you should click on the box.

Signature Not Verified

Digitally signed by ANUJ KUMAR Date: 2012.06.20 18:03:16 +05:30

For JAKSON ENGINEERS LIMITED

Anuj Dhiman AVP

Form 16 of ANIT SINGH

FORM NO. 16
PART - A

[See rule 31(1)(a)]

CERTIFICATE UNDER SECTION 203 OF THE INCOME-TAX ACT 1961 FOR TAX DEDUCTED AT SOURCE ON SALARY

Name and address of the Employer

Name and designation of the Employee

JAKSON ENGINEERS LIMITED 626, SIXTH FLOOR DLF TOWER-A JASOLA NEW DELHI DELHI 110044
PAN of the Deductor TAN of the Deductor

ANIT SINGH

PAN of the employee

AAACJ1625K
CIT(TDS)

DELJ04454C
Assessment Year

BYYPS1262H
Period From 01/04/2011 To 31/03/2012

Aayakar Bhawan,4th Floor, District Centre, Luxmi Nagar Delhi

Pin code

City

110092 Summary of tax deducted at source

2012-2013

Quarter

Quarter 1 Quarter 2 Quarter 3 Quarter 4

Receipt Number of original statements of TDS under sub-section (3) of section 200. DLDXXUNF DOYXDEEF DLDXEHNB BMPXOULE

Total

Amount of tax deducted in respect of the employee 4192 3090 2767 7165 17214

Amount of tax deposited/remitted in respect of the employee 4192 3090 2767 7165 17214

PART - B DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

1. Gross salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) (as per Form no. 12BA, wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, wherever applicable) (d) Total 2. Less : Allowances to the extent exempt under section 10 House Rent Allowance Conveyance/Transport Allowance Residence - Office

Rs. Rs. Rs. Rs. Rs. Rs. Rs.

513620 4800

Rs.

518420

102067 9600
Rs. Rs.

111667 406753

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
Rs. Rs. Rs. Rs. Rs. Rs.

Rs.

406753

Rs.

8. Gross Total Income (6+7) 9. Deductions Under Chapter VI-A A. Sections 80C,80CCC and 80CCD a. Sections 80C
Form 16 of ANIT SINGH

Rs.
Gross Amt Deductible Amt.

406753

(i) (ii (iii (iv) (v) (vi

P.F. Life Insurance

Rs. Rs. Rs. Rs. Rs. Rs.

9360 50263

Rs Rs Rs

59623

Rs. Rs. Rs.

59623

b. Section 80CCC c. Section 80CCD B. Other Sections (e.g. 80E, 80G etc.) under Chapter VI A.
Gross Amt.

Qualifying Amt.

Deductible Amt.

(a) (b) (c) (d) (e)

Rs. Rs. Rs. Rs. Rs.

Rs. Rs. Rs. Rs. Rs.

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

10. Aggregate of deductible amounts under Chapter VI-A 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)

59623 347130 16713 501 17214

17214

Verification
I, Anuj Dhiman, son/daughter of Shri Shiv Charan working in the capacity of A V P do hereby certify that a sum of Rs. 17214/- [Rupees Seventeen Thousand Two Hundred Fourteen Only] has been deducted and 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.
Signature of the person responsible for deduction of tax Full Name : Anuj Dhiman Designation : AVP

Place : Date :

NEW DELHI 31/05/2012

Form 16 of ANIT SINGH

DETAILS OF TAX DEDUCTED AND DEPOSITED IN CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The Employer to provide payment wise details of tax deducted and deposited with respect to the employee) Challan identification number (CIN)
S. No. Tax Deposited in respect of the employee(Rs.) BSR Code of the Bank Branch Date on which tax deposited Challan Serial Number

1 2 3 4 5 6 7 8 9 10 11 12 Total

1000 2192 1000 1000 1168 922 922 922 923 922 3126 3117 17214

0510308 0510308 0510308 0510308 0510308 0004329 0510308 0510308 0510308 0510308 0510347 0510347

07/05/2011 07/06/2011 07/07/2011 08/08/2011 07/09/2011 07/10/2011 07/11/2011 07/12/2011 06/01/2012 07/02/2012 07/03/2012 30/04/2012

08660 13734 17410 00276 21668 29546 07614 17879 16636 19817 11559 10662

This Form 16 has been Digitally Signed by Anuj Dhiman ,

AVP

Form 16 of ANIT SINGH

FORM NO. 12BA

[See rule 26A(2)(b)] Statement showing particulars of Perquisites, other fringe benefits or amenities and profits in lieu of salary with value thereof 1. (a) Name of the employer : JAKSON ENGINEERS LIMITED (b) Address of the employer : 626, SIXTH FLOOR , DLF TOWER-A JASOLA , NEW DELHI , DELHI - 110044 2. TAN : DELJ04454C 3. TDS Assessment Range of the employer : 4. (a) Name of the employee : ANIT SINGH (b) Designation of the employee : (c) PAN of the employee : BYYPS1262H 5. Is the employee a director or a person with substantial : No interest in the company ? (where the employer is a Co.) 6. Income under the head "Salaries" of the : 401953 employee: (other than from perquisities) 7. Financial year : 2011-2012 8. Valuation of Perquisites S.No. Nature of Perquisites (see rule 3) Value of Amount, if Amount of Perquisities as any, recovered perquisite per rules from the chargeable to (Rs.) employee tax Col(3)(Rs.) Col(4) (Rs.) (1) (2) (3) (4) (5) 1 Accommodation 0 0 0 2 Cars/Others automotive 0 0 0 3 Sweeper,gardener,watchman or personal attendant 0 0 0 4 Gas,electricity,water 0 0 0 5 Interest free or concessional loans 0 0 0 6 Holiday expenses 0 0 0 7 Free or concessional travel 0 0 0 8 Free Meals 0 0 0 9 Free Education 0 0 0 10 Gifts,Vouchers,etc. 0 0 0 11 Credit card expenses 0 0 0 12 Club Expenses 0 0 0 13 Use of moveable assets by employees 0 0 0 14 Transfer of assets to employees 0 0 0 15 Value of any other benefit/amenity/service/privilege 0 0 0 16 Stock options (non-qualified options) 0 0 0 17 Other benefits or amenities 16800 12000 4800 18 Total value of perquisites 16800 12000 4800 19 Total value of profits in lieu of salary as per section 17(3) 0 0 0 9. Details of Tax:(a) Tax deducted from salary of the employee under section 192(1) (b) Tax paid by the employer on behalf of the employee under section 192(1A) (c) Total tax paid (d) Date of payment into Government treasury DECLARATION BY EMPLOYER 17214 0 17214 As per Form 16

I, Anuj Dhiman , son/daughter of Shri Shiv Charan working as A V P do hereby declare on behalf of JAKSON ENGINEERS 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.

This Form 12BA has been Digitally Signed by Anuj Dhiman, A V P

Place: Date :

NEW DELHI 07/04/2012

Form 16 of ANIT SINGH

Signature of the person responsible for deduction of tax Full Name Anuj Dhiman Designation : AVP