SHRI K.J.

POLYTECHNIC,BHARUCH
TENTETIV STATEMENT OF INCOME - 2017-18
NAME OF EMPLOYEE:- YOGESH CHAUHAN POST:- Lect. App. Mech. PAN NO. ASBPC8354L
Mobil No. 9712845427 GPF NO. 2016060475440209
PAID DEDUCTI0N
OTHER SP. PRO. GRUP. HOUSE HOUSE INCOME TOTAL NET
MONTHS
S Recove GPF/ INS/ BUL.AD DIDUCTI
PAY PAY DA HRA MA. TA ry TOTAL NPS TAX FUND VANCE RENT TAX ON TOTAL
Mar-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
Apr-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
May-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
Jun-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
Jul-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
Aug-17 21600 0 27000 2160 0 800 0 51560 4860 200 400 0 0 1000 6460 45100
Sep-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
Oct-17 21600 0 27000 2160 0 800 51560 4860 200 400 0 0 1000 6460 45100
Nov-17 21600 0 29376 2160 0 800 53936 5098 200 400 0 0 1000 6698 47238
Dec-17 21600 0 29376 2160 0 800 53936 5098 200 400 0 0 0 5698 48238
Jan-18 21600 0 29376 2160 0 800 53936 5098 200 400 0 0 0 5698 48238
Feb-18 21600 0 29376 2160 0 800 53936 5098 200 400 0 0 0 5698 48238
OTHER INCOME
B. EXAM 0 0 0 0 0 0 0 0 0 0
C. D.L.M. 0 0 0 0 0 0 0 0 0 0
O.L. 0 0 0 0 0 0 0 0 0
DA DIFF. 0 0 0 0 0 0 0 0
DA DIFF. 0 0 0 0 0 0 0 0 0 0
Supli Bill 0 0 0 0 0 0 0 0 0 0
CDPT 0 0 0 0 0 0 0
Others Pay 0 0 0 0 0 0 0
LTC Encase 0 0 0
Ret.leave encase 0 0 0
TOTAL 0 259200 0 333504 25920 0 9600 0 0 628224 59272 2400 4800 0 0 9000 75472 552752
INVESTMENT Amount
(a) HRA Examssion 25920 Tax
March -17 (Paid in April-17) form
(i) section 80D (Meiclame Primium) Up to 25,000 5000
my Monthly 1000
(ii) section 10(14) (Home Loan Interest) up to 2,00,000 0 Round nearest Rs.100 0
(iii) section 80DD (Medi. Treatment & Disability) 0
0
LIC 17532
PPF/PLI 0
HBA Repayment 0
Tution Fee 0 PRINCIPAL
Others 105000 Employe Signature SHRI K.J. POLYTECNIC
Section 80CCC 0 BHARUCH CODE NO.74
Section 80 CCD (NPS Extra) Maximum 50000/- 50000
 SHRI K.J.POLYTECHNIC,BHARUCH
TENTETIVE STATEMENT OF INCOME 2017-18 POST:- Lect. App. Mech.
NAME OF EMPLOYEE:- YOGESH CHAUHAN PAN NO. ASBPC8354L
Mobile No. 9712845427 GPF NO. 2016060475440209
DIDUCTI0N
OTHER GROSS TA GPF/ PRO. GOVT. HBA INCOME TAX
MONTHS
INCOME TOTAL CPF TAX INSURA LOAN
NCE
Mar-17 51560 800 4860 200 400 0 1000
Apr-17 51560 800 4860 200 400 0 1000
May-17 51560 800 4860 200 400 0 1000
Jun-17 51560 800 4860 200 400 0 1000
Jul-17 51560 800 4860 200 400 0 1000
Aug-17 51560 800 4860 200 400 0 1000
Sep-17 51560 800 4860 200 400 0 1000
Oct-17 51560 800 4860 200 400 0 1000
Nov-17 53936 800 5098 200 400 0 1000
Dec-17 53936 800 5098 200 400 0 0
Jan-18 53936 800 5098 200 400 0 0
Feb-18 53936 800 5098 200 400 0 0

0 0
0
OTHER INCOME
B. EXAM 0 0 0 0 0
Over load 0 0 0 0 0
C. D.L.M. 0 0 0 0 0
DA DIFF. 0 0 0 0 0
DA DIFF. 0 0 0 0 0
Supli Bill 0 0 0 0 0
CDPT 0 0 0 0 0
Others 0 0 0 0 0
LTC Encase 0 0 0 0 0
Ret.leave encas 0 0 0 0 0
TOTAL 0 628224 9600 59272 2400 4800 0 9000

Place: (Signature)
Date: Name: YOGESH CHAUHAN
Designation: Lect. App. Mech.
 SHRI K.J.POLYTECHNIC,BHARUCH
Tentetive Income Tax For the Financial Year 2017-2018 (ASSESSMENT YEAR 2018-2019)
Name: YOGESH CHAUHAN Designation: Lect. App. Mech.
Resident Address: Mobile No: 9712845427

Permanent Account No: ASBPC8354L GPF/CPF 2016060475440209

Name and Address of the Employer Name and Designation of the Employee
Principal, Shri K.J. Polytechnic. Bharuch YOGESH CHAUHAN
Dedctor TAN of the Dedctor PAN of the Employee
BRDS01828B ASBPC8354L
Period
CIT(TDS) Address:- Bank of Baroda, St. Road, Bharuch City- Assessement year From To
Bharuch Pin Code -392002 2018-19 1/04/2017 31/03/2018

1. Gross salary Rs. Rs. Rs.

(a) Salary as per provisions contained in section.
628,224
17(1)
(b) value of perquisites u/s 17(2) (as per Form
-
No.12BB, wherever applicable)
(c) Profits in lieu of salary under section 17(3)
-
(as per Form No.12BB , wherever applicable)
(d) Total Rs. 628,224
Gross Amount Qualifiying Deductible Amount
Rs. Amount Rs. Rs.
2 Less: Allowance to extent exempt under
section 10
Allowance 10(10AA)(i)) Leave Rs. - -
encase Allowance
Transport Rs. 9,600 9,600
3 Balance (1-2) 9,600 618,624
4 Deductions under section 16
(a) HRA Examssion 25,920
(b) Tax on Employment 2,400
5 Aggregate of 4 (a to b) 28,320
6 Income chargeable under the head
590,304
Salaries' (3-5)
7 Other Section for
(i) section 80D (Meiclame Primium) Up to 25,000 5,000 5,000
(ii) section 10(14) (Home Loan Interest) up to 2,00,000 - -
(iii) section 80DD (Medi. Treatment & Disability) - -
- -
Total Rs. 5,000
8 Gross total income ( 6-7) 585,304
9 Section 80C, 80CCC & 80CCD
(a) Section 80C
(i) GPF/CPF 59,272 59,272
(II) GIS 4,800 4,800
(iii)LIC 17,532 17,532
(iv) PPF/PLI - -
(v) HBA Repayment - -
(vi) Tution Fee - -
Others 105,000 105,000
(b) Section 80CCC Rs. - - -
(c) Section 80 CCD Rs. - 50,000 50,000 200,000
236,604 150,000 385,304
10 Total Income (Nearest 10) 385,304
11 TOTAL INCOME TAX Tax Rebate U/s 87A (Rs. 2,500) 6,765
UP TO income 3,50,000 2,500 -
12 Balance Tax 6,765
13 Education Cess @ 3% (on tax at S.No.13) 203
14 Tax payble( 12+13) 6,968
15 Total Tax Paid March 16 to Feb.17 9,000
16 Total Tax payble/Refund Rs. -2,032
Pl.Deduct Rs.
0 Dec. -17 To Feb.17form my Monthly (Col.14/12) Rs. 581
Salary (In 12 equal part of Total Income Tax Payable.) Round nearest Rs.100 Rs. -
4860 Deduct G.P.F. Per.Month.
Place: (Signature)
 YOGESH
Date: Name:
CHAUHAN
Verifiction Principal Designation: Lect. App. Mech.
13

385,304 Income Tax Payee Type

0 0 250,000
135304 6765 350,000 500,000
0 0 1,000,000
0 0 10,00,000+
0
6765
-
 FORM NO-16
[See rule 31(1)(a)]
PART-A
CERTIFICATE UNDER SECTION 203 OF THE INCOME-TAX ACT 1961 FOR THE TAX DEDUCTED AT
SOURCE ON SALARY
Name and Address of the Employer Name and Designation of the Employee
Principal,
PAN of the Shri K.J. Polytechnic. Bharuch YOGESH CHAUHAN
Dedctor TAN of the Dedctor PAN of the Employee
BRDS01828B ASBPC8354L
CIT(TDS) Assessement Period
Address:- Bank of Baroda, St. Road, Bharuch City- year From
Bharuch Pin Code -392002 2018-19 1/04/2017
Summary of tax deducted at source
Quarter Receipt Numbers of original statements of TDS Amount of tax deducted in
under sub -section (3) of section 200 respect of the employee

Quarter1
Quarter2
Quarter3
Quarter4 -
Total Rs. -
PART-B(Refer Note 1)
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross salary Rs. Rs.
(a) Salary as per provisions contained in section.
628,224
17(1)
(b) value of perquisites u/s 17(2) (as per Form
-
No.12BB, wherever applicable)
(c) Profits in lieu of salary under section 17(3)
-
(as per Form No.12BB , wherever applicable)
(d) Total Rs. 628,224
2 Less: Allowance to extent exempt under
section 10
Allowance 10(10AA)(i)) Leave Rs. - -
encase 9,600 9,600
Transport Allowance Rs.
3 Balance (1-2) 9,600
4 Deductions under section 16
(a) HRA Examssion 25,920
(b) Tax on Employment 2,400
5 Aggregate of 4 (a to b) 28,320
6 Income chargeable under the head
Salaries' (3-5)
7
0
0
8 Gross total income ( 6+7)
9 Deductions under Chapter VI-A Gross Amount Qualifiying
Rs. Amount Rs.
9A. Section 80C, 80CCC & 80CCD
(a) Section 80C
(i) GPF/CPF 59,272 59,272
(II) GIS 4,800 4,800
(iii)LIC 17,532 17,532
(iv) PPF - -
(v) HBA Repayment - -
(vi) Tution Fee - -
Others 105,000 105,000
(b) Section 80CCC Rs. - - -
(c) Section 80 CCD NPS Rs. - 50,000 50,000
 236,604 200,000

YOGESH CHAUHAN
9B Other Section for e.g.80E,80G etc.) Gross Amount Qualifiying Amount
under VIA Rs.
Rs. 5,000 5,000
(i) section 80D (Meiclame Primium) upto 25,000
(ii) section 10(14) (Home Loan Interest) up to 2,00,000 - -
(iii) section 80DD (Medi. Treatment & Disability) - -
- -
10 Aggregate of deductible amounts under
Chapter VI-A
11 Total Income (8-10)
12 TOTAL INCOME TAX Tax Rebate U/s 87A (Rs. 2500)
UP TO income 350000
13 Balance Tax
14 Education Cess @ 3% (on tax at S.No.13)
15 Tax payble( 13+14)
16 Tax Paid
17 Tax payble ( 15-16) If Refund -00

Verification
I Rinkuben Shukla Daughter of Arvindkumar working in the capacity of Principal shri K. J. Polytechnic, Bharuch
do hereby certify that a sum of Rs. 9,000 has been deducted at source and paid to the Central
Government.I further certify that the information given above is trueand correct based on the book of accounts,
documents and other available records.

Signature of the person responsible for the

Place: Bharuch deduction of tax.
Date: 4/21/2018 Full Name :Rinkuben Shukla
Designation :Principal, Shri K.J.Polytechnic,Bharuch.
HE TAX DEDUCTED AT

nation of the Employee

Lect. App. Mech.
he Employee
PC8354L
Period
To
31/03/2018

Amount of tax
deposited remitted
in respect of the
employee
-
-
-
-
-

DUCTED
Rs.

618,624

590,304

590,304
Deductible
Amount Rs.

200,000
 340,304

YOGESH CHAUHAN
Deductible Amuont
Rs.

5,000

205,000
385,304 385,304 Income Tax Payee Type
6,765 0 0 250,000
- 350,000 500,000
6,765 1,000,000
203 135304 6765 10,00,000+
6,968 0 0
9,000 0 0
Rs. -2,032 11,032 0
6765

Polytechnic, Bharuch
to the Central
he book of accounts,

rson responsible for the

a
K.J.Polytechnic,Bharuch.