Tech Mahindra Limited

FORM16

Employee Name
Employee PAN
Employee ID
Employee Designation
Assessment Year
Financial Year

:Dilipkumar M
:ANVPM9867H
:18068
:Technical Associate
:2009-2010
:2008-2009

__________________________________________________________________________________
Note: Digitally Signed Form
This form has been signed and certified using Digital Signature Certificate as specified
under section 119 of the Income-tax Act, 1961. (Please refer Circular No.2/2007,
dated 21-5-2007).

Signature Not Verified

Digitally signed by PRADEEP ANANT NIGUDKAR
Date: 2009.04.30 00:00:00 +05:30
Reason: Form 16
Location: Pune

Number of Pages 5 (including this page)

Signed using Digital Signature of Pradeep Anant Nigudkar

__________________________________________________________________________________________
18068 Dilipkumar M
Page:1

Tech Mahindra Limited

FORM NO - 16
[See rule 31 (1)(a) ]
Certificate under Section 203 of the Income - tax Act,1961 for tax deducted
at source from income Chargeable under the head "Salaries"
__________________________________________________________________________________________
Name and Address of Employer
Name and Designation of the Employee
Tech Mahindra Limited
18068 Dilipkumar M
Wing - 1,Oberoi Gardens Estate
Technical Associate
Chandivali, Andheri (East)
Mumbai--400 072
Maharashtra
__________________________________________________________________________________________
PAN/GIR No.
TAN
PAN of the Employee
AAACM3484F
MUMM15369E
ANVPM9867H
__________________________________________________________________________________________
Quarter
Acknowledgment No.
Period
Assessment Year
QI
013230100070935
From
To
QII
013230200009272
01/04/2008 31/03/2009
2009-2010
QIII
013230100084246
QIV
070570400384072
__________________________________________________________________________________________
DETAILS OF SALARY PAID AND ANY OTHER INCOME
Rs.
Rs.
Rs.
AND TAX DEDUCTED
__________________________________________________________________________________________
Pay Components :
Basic
127,696.00
Bonus/Ex-gratia
8,400.00
Conveyance Allowance
9,574.00
Misc. Earnings
67.00
House Rent Allowance
63,848.00
Personal Allowance
69,784.00
Shift Allowance
42,800.00
Variable Performance Pay
27,400.00
Perquisites (As per 12BA ) :
Accommodation perquisites (1)
Car Perquisites (2)
Other Perquisites(3-17)
1. Gross Salary
2. Less: Allowance to the extent Exempt U/S 10 :
LTA
Rent
Conveyance
Leave Encashment
Gratuity

0.00
0.00
0.00
______________________________
349,569.00
0.00
51,078.00
9,574.00
0.00
0.00
60,652.00

60,652.00

__________________________________________________________________________________________
18068 Dilipkumar M
Page:2

Tech Mahindra Limited

3. Balance (1-2)
4. Deduction U/S 16
(a) Entertainment Allowance
(b) Tax on Employment
5. Aggregate of 4(a) and (b)

______________________________
288,917.00
0.00
2,400.00
2,400.00
2,400.00
______________________________
286,517.00

6. Income Chargeable under

the head 'Salaries' (3 - 5)
7. Add/Less : Any other income reported by
the employee

0.00

Less : Interest on Housing Loan

8. Gross Total Income (6 + 7)
9. Deductions Under Chapter VI-A
(A) sections 80C,80CCC and 80CCD
(a) sections 80C
PF
VPF
(b) sections 80CCCC
(b) sections 80CCD

0.00

0.00
286,517.00

15,320.00
0.00

0.00
______________________________
15,320.00
(B) Other sections (for e.g 80E,80G etc.
Under Chapter VI- A
0.00
______________________________
0.00
10. Aggregate of deductible amounts
under Chapter VI- A
11. Total Income (8 - 10)(Round to higher 10)
12. Tax on Total Income
13. Surcharge
14. Education Cess 3%
15.
16.
17.
18.

15,320.00
271,200.00
_______________
12,120.00
0.00
364.00
_______________
12,484.00
0.00
12,484.00
12,484.00

Tax Payable (12 + 13 + 14 )

Relief under section 89
Tax Payable (15 -16)
Less: Tax Deducted at Source u/s
192(1) & 192 (IA) on
perquisites u/s 17 (2)
__________________________________________________________________________________________
19. Tax Payable / Refundable (17 -18)
0.00

__________________________________________________________________________________________
18068 Dilipkumar M
Page:3

Tech Mahindra Limited

__________________________________________________________________________________________
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
__________________________________________________________________________________________
Sr.
TOTAL TAX
CHEQUE/DD NO BSR CODE
DATE ON WHICH
CHALLAN NO
No.
OF BANK
TAX DEPOSITED
__________________________________________________________________________________________
1
267.00
276894 6910214
07/05/2008
00048
2
303.00
1117728 6910239
06/06/2008
50969
3
638.00
1174384 6910239
04/07/2008
50575
4
1,440.00
1256779 6910333
07/08/2008
51726
5
1,495.00
1324900 6910333
05/09/2008
51401
6
1,557.00
1421035 6910333
07/10/2008
50574
7
2,004.00
1511042 6910333
07/11/2008
51469
8
2,004.00
1586874 6910333
05/12/2008
52013
9
2,396.00
1683321 6910333
07/01/2009
55726
10
141.00
1770598 6910333
06/02/2009
51980
11
142.00
1864513 6910333
06/03/2009
52403
12
97.00
1988173 6910333
07/04/2009
53808
__________________________________________________________________________________________
12,484.00
__________________________________________________________________________________________

I, Pradeep Anant Nigudkar Son of : Anant V. Nigudkar working in the capacity of Sr. Manager
do hereby certify that a sum of
Rs. 12,484.00 ( Twelve Thousand Four Hundred Eighty Four )
has been deducted at source and paid to the credit of the Central Government. I further
certify that the information given above is true and correct based on the book of account,
documents and other available records.

For Tech Mahindra Ltd.

This form is digitally signed.
Place :Pune
Full Name
: Pradeep Anant Nigudkar
Date :30/04/2009
Designation : Sr. Manager
__________________________________________________________________________________________

__________________________________________________________________________________________
18068 Dilipkumar M
Page:4

Tech Mahindra Limited

FORM NO 12BA
[See rule 26A(2)(b)]
Statement showing particulars of perquisites, other fringe benefits of amenities and
profits in lieu of salary with value thereof
__________________________________________________________________________________________
1. Name and Address of the Employer:
Tech Mahindra Limited
Wing - 1,Oberoi Gardens Estate
Mumbai
Maharashtra
2. TAN:
MUMM15369E
3. Name and Designation of the Employee:18068 Dilipkumar M
Technical Associate
4. PAN:
ANVPM9867H
5. Assessment Year:
2009-2010
__________________________________________________________________________________________
Sr. Name of Perquisite
Value of per- Amount, If any
Amount of
No. (See rule 3)
-quisite as
Paid by
Taxable
per rules
employee
perquisite
__________________________________________________________________________________________
1 Accommodation
0.00
0.00
0.00
2 Transfer of assets to employees
0.00
0.00
0.00
3 Cars
0.00
0.00
0.00
4 Credit card expenses
0.00
0.00
0.00
5 Club expenses
0.00
0.00
0.00
6 Education
0.00
0.00
0.00
7 Interest free or concessional loans
0.00
0.00
0.00
8 Free meals
0.00
0.00
0.00
9 Gas,electricity,water,Soft furnishings
0.00
0.00
0.00
10 Gifts, vouchers etc.
0.00
0.00
0.00
11 Holiday expenses/Own Cars
0.00
0.00
0.00
12 Use of movable assets by employees
0.00
0.00
0.00
13 Other benefits or amenities
0.00
0.00
0.00
14 Stock options (non-qualified options)
0.00
0.00
0.00
15 Sweeper,gardener,watchman or personal
0.00
0.00
0.00
attendent
16 Free or concessional travel
0.00
0.00
0.00
__________________________________________________________________________________________
Total value of perquisites
0.00
0.00
0.00
Total value of Profits
0.00
0.00
0.00
in lieu of salary
__________________________________________________________________________________________

DECLARATION BY EMPLOYER
I,Pradeep Anant Nigudkar S/o Anant V. Nigudkar
working as 'Sr. Manager' do hereby
declare on behalf of Tech Mahindara 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 the rules framed
thereunder and that such information is true and
correct.
Place :Pune

For
Tech Mahindra Ltd.
This form is digitally signed.
Signed By
Designation

:Pradeep Anant Nigudkar

:Sr. Manager

Date :30/04/2009

__________________________________________________________________________________________
18068 Dilipkumar M
Page:5