1 2form16

P I N -
/ /
/ /
/ /
/ /
/ /
/ /
I,
Place Signature of person responsible for dedcution of tax
Date
Designation
Full Name:
PAN of the Dedutor TAN of the Deductor PAN of the Deductee
FORM NO.16A
[See rule 31 (i)(b)]
Certificate under section 203 of the Income-tax Act, 1961 for Tax Deducted at source
Name and address of the Deductor Name and address of the Deductee
..
Summary of Payment
Amount paid/credited Nature of payment Date of payment/credit
CIT(TDS) Assessment Year Period
Address
. From To
City____________________
Summary of tax deducted at source in respect of Deductee
Quarter Receipt Numbers of original quarterly Amount of tax deducted in respect Amount of tax
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH
CHALLAN
(The Deductor to provide payment wise details of tax deducted and deposted with respect to the deductee)
S.No. Tax Deposited in
respect of the
deductee
(Rs.)
Book identification number (BIN)
Receipt number of Form No.24G DDO Sequence Number
in the Book Adjstment
Mini Statement
Date on which tax
deposited
(dd/mm/yyyy)
Total 0 -
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 deposted with respect to the deductee)
S.No. Tax Deposited in
respect of the
deductee
(Rs.)
Challan Identification Number (CIN)
BSR Code of the Bank Branch Date on which tax
deposited
(dd/mm/yyyy)
Challan Serial Number
Total 0
Verfification
has been deducted and deposited to the credit of the Central Govt.
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.
,son/daughter of working in the capacity of
(designation) do hereby certify that a sum of Rs. (in words)
Notes:
1. Government deductors to fill information in item I if tax is paid without production of an income-tax
4. The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction
as regards TDS statements of the assessee.
5. This Form shall be applicable only in respect of tax deducted on ar after 1st day of April,2010;
challan and in item II if tax is paid accompanied by an income-tax-challan.
2. Non-Government deductors to fill information in item II.
3. In item I and II, in the column for TDS, give total amount for TDS, Surcharge (if applicable) and
education cess.
TAN of the Deductor
Assessment Year
From To
Quarter 1
Quarter 2
Quarter 3
Quarter 4
Total - -
Rs. Rs. Rs.
-
-
-
-
2. Less: Allowance to the extent exempt U/s 10
Allowance Rs.
-
3. Balance (1-2) -
4. Deductions :
(a) Entertainment allowance
(b) Tax on employment
5. Aggregate of 4(a) and (b) -
6. Income chargebale under the head 'Salaries' (3-5) -
7. Add: Any other income reported by the employee
Income Rs.
-
8. Gross Total income (6+7) -
..2
FORM 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 and address of the Employer Name and designation of the Employee
PAN of the Deductor PAN of the Employee
CIT (TDS) Period
Address:
City: Pincode:
Details of Salary Paid and any other income and tax deducted
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
Amount of tax
deposited/remitted in
respect of the
PART B (Refer Note 1)
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. 12BB, wherever
(c) Profits in lieu of salary under
section 17(3)(as per Form No. 12BB,
(d) Total
9. Deductions under Chapter VI A
(A) sections 80C, 80CCC and 80CCD
(a) Section 80 C Gross Amount Deductible Amount
(i) -
(ii) -
(iii) -
(iv) -
(v) -
(vi) -
(vii) -
(viii) Infra Bonds -
(b) section 80 CCC -
(c) section 80 CCD -
- -
(B) other sections (e.g. 80E,80G etc.) under Chapter VI-A Gross Amount Qualifying Amount Deductible Amount
(i) section
(ii) section
(iii) section
(iv) section
(v) section
- - -
10. Aggregate of deductible amount 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) -
(The Employer is to provide payment-wise details of tax deducted and deposited)
S.No. TDS Rs. Surcharge Rs. Education Cess Rs.
Total tax deposited
Rs.
Cheque/D
D No. (if
any)
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
:: 2 ::
Note: 1. Aggregate amount deductible
under section 80 C shall not exceed one lakh
rupees.
2. Aggregate amount deductible under the
three sections, i.e. 80C,80CCC,80CCD shall
not exceed one lakh rupees.
Date
Notes: (Need not be printed. Only for info.)
Place
Verification
I, ------------------------, son / daughter of -------------------- working in the capacity of ----------------------
(designation) do hereby certify that a sum of Rs.------------ [Rs. ----------------------------------- (in Words) has been
deducted and deposited to the credit of the Central Government. I further certify that the information given
4. The deductor shall furnish the address of the Commissioner of Income-tax(TDS) having jurisdiction as
regards TDS statements of the assessee.
5. This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.
Signature of person responsible for deduction of tax
Designation: Full Name:
1. 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 16 pertaining to the period for which such assessee was employed
2. Government deductors to enclose Annexure -A if tax is paid without production of an income-tax
challan and Annexure-B if tax is paid accompanied by an income-tax challan.
3. Non-Government deductors to enclose Annexure-B.
BSR Code
of Bank
branch
Date on
which tax
deposited
(dd/mm/y
y)
Transfer
voucher/Challa
n Identification
No.
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
PAN No. of the Deductor TAN No. of the Deductor
AAWPD9214D BPLG-02126F
Assessement Year
Quarter Acknowledgement No. From To
01/04/2013 31/03/2014 2014-15
387949
0
0
387949
Allowance
Rs
Rs
HRA 9432
378517
0
2500
2500
376017
Rs
Interest on N.S.C. 2865
378882
0
Gross Amount Deductible
Amount
30000
10000
2400
54607
0
13500 Rs. ..
2865
Rs. ..
113372 278882
DETAILES OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
[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 the Employer Name and Designation of the Employee
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS PRAVEEN MISHRA S/O VASUDEO MISHRA, T.O.
PAN No. of the Employee
Acknowledgement Nos. of all quarterly statements of TDS under sub-section
(3)of section 200 as provided by TIN Facilitation center or NSDL web -site
Period
AKPPM9187M
6. Income chargeable under the head 'salaries' (3-5)
1. Gross Salary
(a) salary as per provisions contained in section 17 (I)
(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.12 BA,
wherever applicable
(d) Total
2. Less: Allowance to the extent exempt under section
3. Balance(1-2)
4. Deductions:
(a) Entertainment allowance Rs
(b) Tax on employment Rs.
5. Aggregate of 4(a) and (b)
(b) Section 80 CCC -
7. Add: Any other income reported by the employee U/S 24(2)
8. Gross total income (6 + 7)
9. Deductions under Chapter VIA --80 (U)/24 (b) ( INTEREST ON
HOME LOAN )
(A) Section 80c, 80ccc & 80 CCD
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
Note : 1. Aggregate amount deductible under section 80 c shall not exceed one lakh Rupess.
2. Aggregate amount deductible under the three sections i.e. 80c,80 CCC and 80 CCD, Shall not exceed one lakh rupees.
S.No. TDS Rs. Surcharge Rs Education
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 5888 237 6130 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
19.Less:(a)Tax deducted at source
u/s192(1) (b) Tax paid by the employer on
behalf of the employee u/s 192 (1A) on
prquisites u/s 17 (2)
0
6130
20. Tax payable/refundable (17-18) Rs. .. 0
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNENT ACCOUNT (The Employer is to provide payment-
wise details of tax deducted and deposited)
Signatuer of the person responsible for deduction of tax
PlaceDEWAS Full Name DINESH CHANDRA DWIVEDI
I,DINESH CHANDRA DWIVEDI son/daugher of RAMASHANKAR DWIVEDI , working in the capacity of PRINCIPAL , ITI DEWAS
(designation) do hereby certify that a sum of Rs. 6130 [Rupees six thousand one hundred thirty only (in words)] has been
deducted at source and paid to the credit of books ofthe Central Government. I further certify that the information given
above is true and correct based on the books of account, documents and other available records.
16.Relief Under section 89 (attach 0
18.Tax Payable (15-16-17)Rs. 6125
17.Tax Rebate upto Rs. 2000 for annual
income upto 05 lacks 2000
236.6
14.Education Cess @ 2% on (Tax at
S.No.12 Plus surcharge at S.No. 13)Rs.
15.Tax payable (12+13+14)Rs. 8125
12.Tax on total Income Rs. 7888.2
13.Surchage (On tax competed at
S.No.12)Rs.
10. Aggregate of deductible amount
under chapter VIA
278882
11. Totel Taxable Income (8-
10)Rs.
78882
(d) Section Rs. .. Rs. .. Rs. ..
(e) Section
(b) Section Rs. .. Rs. .. Rs. ..
(c) Section Rs. .. Rs. .. Rs. ..
(B) Other sections ( for e.g, 80E, 80G etc.) Gross Amount Qualifying Amount Deductiable Amount
(a) Section Rs. .. Rs. .. Rs. ..
Date 02-04-2014 Designation PRINCIPAL, ITI. DEWAS
Assessement Year
01/04/2013 31/03/2014 2014-15
372969
0
0
372969
Allowance
Rs
Rs
HRA 0
372969
0
2500
2500
370469
Rs
369501
968
Amount
30000
2400
11889
24715
12000 Rs. ..
Rs. ..
81004 288497
[See rule 31(1)(a)]
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS SANTOSH ROHIT S/O LATE K.L. ROHIT , T.O.
AIAPR2507D
Period
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 6850 265 7120 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
288497
10)Rs.
88497
S.No.12)Rs.
265.5
15.Tax payable (12+13+14)Rs. 9115
(designation) do hereby certify that a sum of Rs.7120 [Rupees Seven thousand one hundred twenty only (in words)] has been
18.Tax Payable (15-16-17)Rs. 7115
0
7120
Date 02-04-2014
Designation PRINCIPAL, ITI. DEWAS
Assessement Year
01/04/2013 31/03/2014 2014-15
479851
0
0
479851
Allowance
Rs
Rs
HRA 11164
468687
0
2500
2500
466187
Rs
466187
0
Amount
53776
1440
34101
11043
Rs. ..
Rs. ..
100360 366187
[See rule 31(1)(a)]
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS ,DINESH CHANDRA DWIVEDI S/O RAMASHANKAR DWIVEDI,
AAWPD9214D
Period
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF /CPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 14619 499 15120 -- -- 28/02/2014
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
366187
10)Rs.
166187.00
S.No.12)Rs.
499.0
15.Tax payable (12+13+14)Rs. 17118
(designation) do hereby certify that a sum of Rs.15120 [Rupees Fifteen thousand one hundred twenty only (in words)] has
been deducted at source and paid to the credit of books ofthe Central Government. I further certify that the information given
18.Tax Payable (15-16-17)Rs. 15118
0
15120
Assessement Year
01/04/2013 31/03/2014 2014-15
372967
0
0
372967
Allowance
Rs
Rs
HRA 9130
363837
0
2500
2500
361337
Rs
361337
0
Amount
24000
2400
23234
20600 Rs. ..
4740
Rs. ..
74974 286363
[See rule 31(1)(a)]
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS SHIVA WASKEL S/O RAGHUNATH SINGH T.O.
AAOPW7074J
Period
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 6636 259 6896 -- -- 12/03/2014 38679932/00001
2 sbi 12-03-14
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
286363
10)Rs.
86363
S.No.12)Rs.
259.1
15.Tax payable (12+13+14)Rs. 8895
(designation) do hereby certify that a sum of Rs.6896 [Rupees Six Thousand Eight hundred Ninty Six only (in words)] has been
18.Tax Payable (15-16-17)Rs. 6895
0
6896
Assessement Year
01/04/2013 31/03/2014 2014-15
481269
0
0
481269
Allowance
Rs
Rs
HRA 11928
469341
0
2500
2500
466841
Rs
0
466841
0
Amount
60000
0
2400
25284
0
17800 Rs. ..
0
Rs. ..
105484 366841
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS KISHORE KUMAR SHARMA S/O LATE. GANGA RAM SHARMA, T.O.
AUXPS7475A
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 14684 501 15190 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 15190 [Rupees Fifteen thousand one hundred ninty only (in words)] has
18.Tax Payable (15-16-17)Rs. 15185
0
15190
500.5
15.Tax payable (12+13+14)Rs. 17185
S.No.12)Rs.
under chapter VIA
366841
10)Rs.
166841
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
299959
0
0
299959
Allowance
Rs
Rs
HRA 7500
292459
0
2500
2500
289959
Rs
0
289028
931
Amount
30000
0
2400
38675
0
12000 Rs. ..
0
Rs. ..
83075 205953
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
9. Deductions under Chapter VIA --80 (D)( MEDICAL INSURANCE)
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(b) Tax on employment Rs
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS SUNIL KUMAR BAMNE S/O LATE. JEEVAN LAL BAMNE, T.O.
AWFPB2673M
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 0 0 0 -- --
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs.nil [Rupees nil only (in words)] has been deducted at source and paid to the
credit of books ofthe Central Government. I further certify that the information given above is true and correct based on the
books of account, documents and other available records.
18.Tax Payable (15-16-17)Rs. 0
0
0
17.9
15.Tax payable (12+13+14)Rs. 613
S.No.12)Rs.
under chapter VIA
205953
10)Rs.
5953
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
434017
0
0
434017
Allowance
Rs
Rs
HRA 0
434017
0
2500
2500
431517
Rs
0
321939
109578
Amount
30000
0
2400
7930
18089
24700 Rs. ..
0
Rs. ..
83119 238820
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS KAMAL SINGH SAURASHTRY S/O BABU LAL SAURASHTRY , T.O.
AZSPS9527M
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 1882 116 2000 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 2000 [Rupees Two thousand only (in words)] has been deducted at source
and paid to the credit of books ofthe Central Government. I further certify that the information given above is true and correct
based on the books of account, documents and other available records.
18.Tax Payable (15-16-17)Rs. 1998
0
2000
116.5
15.Tax payable (12+13+14)Rs. 3998
S.No.12)Rs.
under chapter VIA
238820
10)Rs.
38820
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
396770
0
0
396770
Allowance
Rs
Rs
HRA 15752
381018
0
800
2500
3300
377718
Rs
0
377718
0
Amount
60000
0
2400
15502
0
7000 Rs. ..
0
Rs. ..
84902 292816
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(a) Conveyance allowance Rs
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS MOHD. JUNED FAROOQUI S/O MOHD. ISMAIL FAROOQUI, ASST GRADE-I
AARPF2970K
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 4675 200 7560 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
266753
10)Rs.
66753
S.No.12)Rs.
200.3
15.Tax payable (12+13+14)Rs. 6876
(designation) do hereby certify that a sum of Rs. 7560 [Rupees Seven thousand five hundred sixty only (in words)] has been
18.Tax Payable (15-16-17)Rs. 4876
0
7560
Assessement Year
01/04/2013 31/03/2014 2014-15
289500
0
0
289500
Allowance
Rs
Rs
HRA 7500
282000
0
2500
2500
279500
Rs
0
279500
0
Amount
27325
2400
Rs. ..
30000
Rs. ..
59725 219775
[See rule 31(1)(a)]
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS AARTI BAIRAGI D/O RADHESHYAM BAIRAGI, T.O.
BHCPB8707P
Period
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF/CPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vii) N.S.C.
(b) Section 80 CCC - / PENSION PLAN
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 1978 59 -- -- 01/03/2014 01/1.3.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
219775
10)Rs.
19775
S.No.12)Rs.
59.3
15.Tax payable (12+13+14)Rs. 2037
(designation) do hereby certify that a sum of Rs. 15870 [Rupees Fifteen Thousand Eight hundred Seventy only (in words)] has
18.Tax Payable (15-16-17)Rs. 37
0
40
40
(2037-2000=
37
ROUNDED
TO Rs 40.00
Assessement Year
01/04/2013 31/03/2014 2014-15
454617
0
0
454617
Allowance
Rs
Rs
HRA 11120
443497
0
2500
2500
440997
Rs
0
309911
50000
81086
Amount
24000
2400
29674
43900 Rs. ..
Rs. ..
99974 209937
24 (b) ( INTEREST ON HOME LOAN )
(vii) N.S.C.
(c) Section 80 CCD
(i) GPF/CPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(a) Section 80C
3. Balance(1-2)
4. Deductions:
9. Deductions under Chapter VIA --80 (U)/ PHY. DISABILITY
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS HARI SINGH CHOUHAN S/O BASANTI LAL CHOUHAN , T.O.
ABFPC4934P
Period
1. Gross Salary
wherever applicable
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 0.00 [Rupees Zero only (in words)] has been deducted at source and paid to
the credit of books ofthe Central Government. I further certify that the information given above is true and correct based on
the books of account, documents and other available records.
0
0
29.8
15.Tax payable (12+13+14)Rs. 1024
S.No.12)Rs.
under chapter VIA
209937
10)Rs.
9937
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
315288
0
0
315288
Allowance
Rs
Rs
HRA 7284
308004
0
2500
2500
305504
Rs
0
236122
69382
Amount
35074
0
1440
0
47666
20400 Rs. ..
0
0 Rs. ..
104580 136122
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS SATISH SONI S./O SHYAMLAL SONI, T.O.
AVKPS8898K
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 0 .00 [Rupees Zero only (in words)] has been deducted at source and paid to
0
0
income upto 05 lacks
0.0
15.Tax payable (12+13+14)Rs. 0
S.No.12)Rs.
under chapter VIA
136122
10)Rs.
0
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
433934
0
0
433934
Allowance
Rs
Rs
HRA 0
433934
0
2500
2500
431434
Rs
0
358975
72459
Amount
36000
2400
2250
23049
52900 Rs. ..
Rs. ..
116599 258975
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF/CPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS ASHOK KUMAR RAWAL S/O RAMESHWAR RAWAL T.O.
AIUPR5830M
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 5898 177
6075
-- -- 28/02/2014 50/ 28/02/2014
2
3
4
5
6
7
8
9
10
20. Tax refundable (17-18) Rs. .. 2000
(designation) do hereby certify that a sum of Rs. 6075 [Rupees Six Thousand Seventy Five only (in words)] has been deducted
at source and paid to the credit of books ofthe Central Government. I further certify that the information given above is true
and correct based on the books of account, documents and other available records.
18.Tax Payable (15-16-17)Rs. 4075
0
6075
177.0
15.Tax payable (12+13+14)Rs. 6075
S.No.12)Rs.
under chapter VIA
258975
10)Rs.
58975
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
378689
0
0
378689
Allowance
Rs
Rs
HRA 9436
369253
0
2500
2500
366753
Rs
0
366753
0
Amount
48000
0
2400
44352
0
42700 Rs. ..
0
0 Rs. ..
137452 266753
[See rule 31(1)(a)]
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS DINESH KUMAR PANDIT S/O MUNNA LAL PANDIT, T.O.
AHIPP0949A
Period
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 4675 200 4875 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 4875 [Rupees Four Thousand Eight hundred Seventy five only (in words)] has
18.Tax Payable (15-16-17)Rs. 4875
0
4875
200.0
15.Tax payable (12+13+14)Rs. 6875
S.No.12)Rs.
under chapter VIA
266753
10)Rs.
66753
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
616909
0
0
616909
Allowance
Rs
Rs
HRA 0
616909
0
2500
2500
614409
Rs
0
614409
0
Amount
48000
2400
0
0
52450 Rs. ..
Rs. ..
102850 514409
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF/CPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS AVINASH PAWAR S/O LATE. GOVIND RAO PAWAR T.O.
ADMPP7486Q
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 27063 177
27240
-- -- 28/02/2014 50/ 28/02/2014
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 27240 [Rupees Twenty seven Thousand two hundred fourty only (in words)]
has been deducted at source and paid to the credit of books ofthe Central Government. I further certify that the information
given above is true and correct based on the books of account, documents and other available records.
18.Tax Payable (15-16-17)Rs. 27235
0
27240
794.0
15.Tax payable (12+13+14)Rs. 27235
S.No.12)Rs.
under chapter VIA
514409
10)Rs.
264409
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
622324
0
0
622324
Allowance
Rs
Rs
HRA 0
622324
0
2500
2500
619824
Rs
0
507358
112466
Amount
60000
2400
0
129934
0 Rs. ..
Rs. ..
192334 407358
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
(i) GPF/CPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS PRAKASH CHANDRA SEN S/O LATE BABU LAL SEN T.O.
AHQPS8327K
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 20736 623
21360
-- -- 28/02/2014 50/ 28/02/2014
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 6075 [Rupees Six Thousand Seventy Five only (in words)] has been deducted
18.Tax Payable (15-16-17)Rs. 21359
0
21360
623.0
15.Tax payable (12+13+14)Rs. 21359
S.No.12)Rs.
under chapter VIA
407358
10)Rs.
207358
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
615995
0
0
615995
Allowance
Rs
Rs
HRA 15364
600631
0
2500
2500
598131
Rs
0
469652
122598
5881
128479
Amount
48000
0
2400
4032
46602
0 Rs. ..
0
Rs. ..
101034 369652
(vii) N.S.C.
(c) Section 80 CCD
(vi) EDU. T. FEES
HOME LOAN )
(a) Section 80C
Deductions under Chapter VIA --80 (D)( MEDICAL INSURANCE)
TOTAL DEDUCTION UNDER CHAPTER 80 (U)/24 (b) AND 80 (D)
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
1. Gross Salary
wherever applicable
(d) Total
3. Balance(1-2)
4. Deductions:
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS DATTU MAHAJAN S/O ANANDA MAHAJAN, T.S.
AKAPM9015F
Period
[See rule 31(1)(a)]
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 14965 509 17480 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(designation) do hereby certify that a sum of Rs. 17480 [Rupees Seventeen thousand four hundred eighty only (in words)] has
18.Tax Payable (15-16-17)Rs. 17474
0
17480
509.0
15.Tax payable (12+13+14)Rs. 17474
S.No.12)Rs.
under chapter VIA
369652
10)Rs.
169652
(e) Section
Assessement Year
01/04/2013 31/03/2014 2014-15
617349
0
0
617349
Allowance
Rs
Rs
HRA 0
617349
0
2500
2500
614849
Rs
0
560849
54000
0
54000
Amount
30000
0
2400
0
36000
0 Rs. ..
0
Rs. ..
68400 492449
[See rule 31(1)(a)]
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS BHAG CHAND PATIL S/O LATE SONA JI PATIL, T.S.
ADUPP1559L
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 27245 877 30125 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
492449
10)Rs.
292449
S.No.12)Rs.
877.3
15.Tax payable (12+13+14)Rs. 30122
(designation) do hereby certify that a sum of Rs. 30125 [Rupees Thirty thousand one hundred twenty five only (in words)] has
18.Tax Payable (15-16-17)Rs. 30122
0
30125
Assessement Year
01/04/2013 31/03/2014 2014-15
372813
0
0
372813
Allowance
Rs
Rs
HRA 9152
363661
0
2500
2500
361161
Rs
0
320219
33502
7440
40942
Amount
24000
18000
2400
10354
18698
27000 Rs. ..
0
Rs. ..
100452 220219
[See rule 31(1)(a)]
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS VIPIN PUROHIT S/O LATE DEVKINANDAN PUROHIT, T.O.
BFGPP6215N
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf /Tax saving FD
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 22 61 100 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
220219
10)Rs.
20219
S.No.12)Rs.
60.7
15.Tax payable (12+13+14)Rs. 2083
(designation) do hereby certify that a sum of Rs. 100 [Rupees One hundred only (in words)] has been deducted at source and
paid to the credit of books ofthe Central Government. I further certify that the information given above is true and correct
18.Tax Payable (15-16-17)Rs. 83
0
100
Assessement Year
01/04/2013 31/03/2014 2014-15
257565
0
0
257565
Allowance
Rs
Rs
HRA 6312
251253
0
2500
2500
248753
Rs
0
248753
0
0
0
Amount
18000
0
1200
0
0
0 Rs. ..
0
Rs. ..
19200 229553
[See rule 31(1)(a)]
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS RAMESH BANJARE , SWEEPER
AKAPM9015F
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 955 89 1045 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
229553
10)Rs.
29553
S.No.12)Rs.
88.7
15.Tax payable (12+13+14)Rs. 3044
(designation) do hereby certify that a sum of Rs. 1045 [Rupees One thousand fourty five only (in words)] has been deducted
18.Tax Payable (15-16-17)Rs. 1044
0
1045
Assessement Year
01/04/2013 31/03/2014 2014-15
287500
0
0
287500
Allowance
Rs
Rs
HRA 0
287500
0
2500
2500
285000
Rs
0
160395
124605
0
124605
Amount
28000
0
2400
0
22995
0 Rs. ..
0
Rs. ..
53395 107000
[See rule 31(1)(a)]
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS WALTER RITESH KUJUR S/O JERALD KUJUR, T.O.
BZQPK7889H
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf /Tax saving FD
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
107000
10)Rs.
0
S.No.12)Rs.
0.0
15.Tax payable (12+13+14)Rs. 0
(designation) do hereby certify that a sum of Rs. 0.0 [Rupees ZERO only (in words)] has been deducted at source and paid to
0
0
Assessement Year
01/04/2013 31/03/2014 2014-15
367470
0
0
367470
Allowance
Rs
Rs
HRA 0
367470
0
0
2500
2500
364970
Rs
0
320457
42764
1749
44513
Amount
24000
19000
2400
2385
30861
14000 Rs. ..
0
(viii) EQUITY SHARE 7422
Rs. ..
[See rule 31(1)(a)]
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS RAMESH PRASAD RAJAK S/O LATE. DARSHAN LAL RAJAK, COMPOUNDER
ABPQR1267D
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(ii) H.B.CAP. /Ppf / TAX SAVING F.D.
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
100068 220457
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 46 61 110 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
220457
10)Rs.
20457
S.No.12)Rs.
61.4
15.Tax payable (12+13+14)Rs. 2107
(designation) do hereby certify that a sum of Rs. 110 [Rupees One hundred ten only (in words)] has been deducted at source
and paid to the credit of books ofthe Central Government. I further certify that the information given above is true and correct
18.Tax Payable (15-16-17)Rs. 107
0
110
Assessement Year
01/04/2013 31/03/2014 2014-15
335833
0
0
335833
Allowance
Rs
Rs
HRA 0
335833
0
0
2500
2500
333333
Rs
0
320122
13211
0
13211
Amount
24000
15500
2400
11538
22789
23800 Rs. ..
0
Rs. ..
[See rule 31(1)(a)]
(d) Total
D.C. DWIVEDI PRINCIPAL I.T.I.DEWAS SAROJ BAKSHI D/O RAMESH CHANDRA PATHAK, ASSTT. GRADE -II
AOFPB7053K
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
100027 220122
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 12 60 75 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
220122
10)Rs.
20122
S.No.12)Rs.
60.4
15.Tax payable (12+13+14)Rs. 2073
(designation) do hereby certify that a sum of Rs. 75 [Rupees Seventy five only (in words)] has been deducted at source and
paid to the credit of books ofthe Central Government. I further certify that the information given above is true and correct
18.Tax Payable (15-16-17)Rs. 73
0
75
Assessement Year
01/04/2013 31/03/2014 2014-15
374410
0
0
374410
Allowance
Rs
Rs
HRA
374410
0
0
2500
2500
371910
Rs
0
371910
0
0
0
Amount
36000
0
2400
3816
0
10400 Rs. ..
0
Rs. ..
[See rule 31(1)(a)]
(d) Total
Period
1. Gross Salary
wherever applicable
3. Balance(1-2)
4. Deductions:
HOME LOAN )
(a) Section 80C
(i) GPF
(iii) GIS
(iv) LIC
(v) HOME LOAN
(vi) EDU. T. FEES
(vii) N.S.C.
(c) Section 80 CCD
52616 319294
Cess Rs.
Total Tax
Deposited
Rs.
(ACTUAL
AMOUNT BY
ROUNDING
OFF)
Cheque/DD
No.(if any)
BSR Code of
Bank Branch
Date on which tax
deposited
(dd/mm/yy)
Transferboucher /
Challan
Identification No.
1 9929 358 10290 -- -- 28/02/2014 50/28.2.14
2
3
4
5
6
7
8
9
10
(e) Section
under chapter VIA
319294
10)Rs.
119294
S.No.12)Rs.
357.9
15.Tax payable (12+13+14)Rs. 12287
(designation) do hereby certify that a sum of Rs. 10290 [Rupees Ten thousand two hundred ninety only (in words)] has been
18.Tax Payable (15-16-17)Rs. 10287
0
10290

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