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5388 EMPID:FG0001780

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 the employer Name and designation of the employee
ALCATEL LUCENT INDIA LIMITED GYANESH SENGAR
202-206 Tolstoy House, Deputy General Manager
15, Tolstoy Marg,
NEW DELHI - 110001
Delhi
INDIA

PAN of the Deductor TAN of the Deductor PAN of the Employee


AACCA8667N DELA03947G APSPS3254B

Acknowledgement Nos. of all quarterly statements of TDS under Period Assessment Year
sub-section (3) of section 200 as provided by TIN Facilitation
Centre or NSDL website FROM TO

Quarter Acknowledgement No.


Q1 020010200089434 01-Apr-2009 31-Mar-2010 2010-2011
Q2 061710100079961
Q3 020010200102911
Q4 Not Available as the last Quarterly Statement is yet to be
Furnished

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

1.Gross Salary Rs. Rs. Rs.


a)Salary as per provisions contained in sec.17(1) 2,098,239.00
b)Value of perquisites u/s 17(2) (as per Form No.12BA,
wherever applicable) 23,484.38
c)Profits in lieu of salary under section 17(3) (as per
Form No.12BA, wherever applicable 0.00
d)Total 2,121,723.38
2.Less :Allowance to the extent exempt u/s 10
Conveyance Allowance 9,600.00
Education Allowance 1,200.00
House Rent Allowance 197,500.00
208,300.00
3.Balance(1-2) 1,913,423.38
4.Deductions :
a)Entertainment allowance Rs. 0.00
b)Tax on employment Rs. 2,500.00
5.Aggregate of 4(a) to 4(b) 2,500.00
6.Income chargeable under the head 'Salaries'(3-5) 1,910,923.38
7.Add: Any other income reported by the employee
LOSS FROM HOUSE PROPERTY 0.00
0.00
8.Gross Total Income(6+7) 1,910,923.38
9.Deductions under Chapter VIA
(A)Section 80C,80CCC and 80CCD

Description Gross Amount Qualifying Amount Deductible Amount


a)Section 80C
PF 84,600.00 84,600.00 84,600.00
LIC 78,025.00 78,025.00 78,025.00

b)LIC ANNUITY 10,000.00 10,000.00 10,000.00

c)Section 80CCD 0.00 0.00 0.00

(B)Other Sections (for e.g. 80E,80G etc) under Chapter VIA


10.Aggregate of deductible amount under Chapter VIA 100,000.00
11.Total Income(8-10) 1,810,920.00
12.Tax on Total Income 447,276.00
5388 EMPID:FG0001780

13.Surcharge (on tax computed at S.No.12) 0.00


14.Education Cess @ 3% (on tax at S.No.12 plus surcharge 13,418.00
at S.No.13)
15.Tax Payable(12+13+14) 460,694.00
16.Relief under Section 89 (attach details) 0.00
17.Net Tax Payable(15-16) 460,694.00
18.Less: a)Tax deducted at source u/s 192(1) 460,694.00
b)Tax paid by the employer on behalf of the employee 0.00
u/s 192(IA) on perquisites u/s 17(2)
19.Tax Payable/(refundable)(17-18) 0.00

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT


Sl.N TDS Rs. Surcharge Rs. Education Total Tax Cheque/DD BSR Code Date on which tax Transfer
o. Cess Rs. Deposited Rs. No.(if any) of Bank deposited (DD-Mon Voucher /
Branch -YYYY) Challan
Identification
No.
1 39,097.00 0.00 1,173.00 40,270.00 E- PAY 0510308 06-May-2009 80410
2 39,097.00 0.00 1,173.00 40,270.00 E- PAY 0510308 06-Jun-2009 80308
3 39,097.00 0.00 1,173.00 40,270.00 E- PAY 0510308 07-Jul-2009 80527
4 39,097.00 0.00 1,173.00 40,270.00 E- PAY 6910333 05-Aug-2009 40508
5 33,641.00 0.00 1,009.00 34,650.00 E- PAY 6910333 04-Sep-2009 12319
6 33,952.00 0.00 1,019.00 34,971.00 E- PAY 6910333 07-Oct-2009 18494
7 33,952.00 0.00 1,019.00 34,971.00 E- PAY 6910333 05-Nov-2009 14059
8 33,952.00 0.00 1,019.00 34,971.00 E- PAY 6910333 05-Dec-2009 15758
9 42,987.00 0.00 1,290.00 44,277.00 E- PAY 6910333 07-Jan-2010 17728
10 36,087.00 0.00 1,083.00 37,170.00 E- PAY 6910333 05-Feb-2010 13248
11 38,157.00 0.00 1,145.00 39,302.00 E- PAY 6910333 05-Mar-2010 15028
12 38,157.00 0.00 1,145.00 39,302.00 E- PAY 6910333 07-Apr-2010 19187

I, Manojit Dhar S/o Lt Dr. Ranajit Dhar working in the capacity of Director do hereby certify that a sum of Rs.460,694.00
[Rupees Four Lakh Sixty Thousand Six Hundred And Ninety Four only] 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 books of
accounts,documents and other available records.

Place : Gurgaon Signature of the person responsible for deduction of tax


Date : 21-Apr-2010 Full Name : Manojit Dhar
Designation : Director
5388 EMPID:FG0001780

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. Name and address of the employer: ALCATEL LUCENT INDIA LIMITED


202-206 Tolstoy House,
15, Tolstoy Marg,
NEW DELHI - 110001
Delhi
INDIA

2. TAN DELA03947G
3. TDS Assessment Range of the employer: DEL-79(1)(C)
4. Name,designation and PAN of the employee: GYANESH SENGAR
Deputy General Manager
APSPS3254B
5. Is the employee a director or a person with N
substantial interest in the company (where employer
is a company):
6. Income under head 'Salaries' of the employee 1,887,439.00
(other than perquisites):
7. Financial Year: 2009-2010
8. Valuation of Perquisites:

SL.N Nature of perquisite(see rule 3) Value of perquisite Amount,if any Amount of


o. as per rules (Rs.) recovered from perquisite
employee (Rs.) chargeable to tax
Col(3)-Col(4) (Rs.)
1 Accommodation 0.00 0.00 0.00
2 Cars/Other automotive 0.00 0.00 0.00
3 Sweeper, gardener, watchman or personal Attendant 0.00 0.00 0.00
4 Gas, electricity, water 0.00 0.00 0.00
5 Interest free or concessional loans 7,734.38 0.00 7,734.38
6 Holiday Expenses 0.00 0.00 0.00
7 Free or Concessional Travel 0.00 0.00 0.00
8 Free Meals 15,750.00 0.00 15,750.00
9 Free Education 0.00 0.00 0.00
10 Gifts, vouchers, etc. 0.00 0.00 0.00
11 Credit card expenses 0.00 0.00 0.00
12 Club expenses 0.00 0.00 0.00
13 Use of movable assets by employees 0.00 0.00 0.00
14 Transfer of assets to Employees 0.00 0.00 0.00
15 Stock options (non-qualified options) 0.00 0.00 0.00
16 Other benefits or amenities 0.00 0.00 0.00
17 Value of any other benefit/amenity/service/privilege 0.00 0.00 0.00
18 Total value of perquisites 23,484.38 0.00 23,484.38
19 Total value of Profits in lieu of salary as per 17(3) 0.00 0.00 0.00

9. Details of Tax.
a)Tax deducted from salary of the employee u/s 192(1) 460,694.00
b)Tax paid by the employer on behalf of the employee u/s 192(1A) 0.00
c)Total Tax Paid 460,694.00
d)Date of payment into Government treasury Various Dates as mentioned on Page 2 of the Form 16

DECLARATION BY THE EMPLOYER

I, Manojit Dhar S/o Lt Dr. Ranajit Dhar working as Director do hereby declare on behalf of ALCATEL LUCENT 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.

Place : Gurgaon Signature of the person responsible for deduction of tax


Date : 21-Apr-2010 Full Name : Manojit Dhar
Designation : Director

Signature Not Verified


Digitally signed by Manojit Dhar
Date: 2010.04.21 10:37:29 IST
Reason: Authorized Signatory
Location: Gurgaon