FORM NO.

16
PART B
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary

Certificate No. IXQTYVA Last updated on 13-Aug-2019

Name and address of the Employer Name and address of the Employee
SOCIETY FOR APPLIED MICROWAVE ELECTRONICS
ENGINEERING AND RESEARC
SAMEER, IIT CAMPUS, HILL SIDE,, SANDIP PURUSHOTTAM GAYAKWAD
POWAI, Mumbai - 400076 C O NARAYAN N DHAGE, KALYAN NAGAR NR POHA,
Maharashtra FACPOHA FACTORY, AMRAVATI -444606 Maharashtra
+(91)22-25727118
accounts@sameer.gov.in

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

AAMFS3027K MUMS42641E BIAPG2824F

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2019-20 01-Apr-2018 30-Sep-2018
Building, Charni Road , Mumbai - 400002

Details of Salary Paid and any other income and tax deducted Rs. Rs.

1. Gross Salary

(a) Salary as per provisions contained in section 17(1) 266913.00

Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 266913.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commuted value of pension under section 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 0.00
(10AA)

(e) House rent allowance under section 10(13A) 0.00

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Certificate Number: IXQTYVA TAN of Employer: MUMS42641E PAN of Employee: BIAPG2824F Assessment Year: 2019-20

Amount of any other exemption under section 10

[Note: Break-up to be prepared by employer and issued to
(f)
the employee, where applicable , before furnishing of Part B
to the employee]

(g) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10 [2(a)+2(b)

(h) 0.00
+2(c)+2(d)+2(e)+2(g)]

3. Total amount of salary received from current employer [1(d)-2(h)] 266913.00

4. Less: Deductions under section 16

(a) Standard deduction under section 16(ia) 40000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 1200.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 41200.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 225713.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS

(b) Income under the head Other Sources offered for TDS 0.00

Total amount of other income reported by the employee [7(a)+7

8. 0.00
(b)]
9. Gross total income (6+8) 225713.00
10. Deductions under Chapter VI-A

Deduction in respect of life insurance premia, contributions to

(a) 0.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00

Deduction in respect of contribution by taxpayer to pension

(c) scheme under section 80CCD (1) 0.00

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 0.00

Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00

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 Certificate Number: IXQTYVA TAN of Employer: MUMS42641E PAN of Employee: BIAPG2824F Assessment Year: 2019-20

Deduction in respect of contribution by Employer to pension

(f) scheme under section 80CCD (2) 0.00

Deduction in respect of health insurance premia under section

(g) 0.00
80D

Deduction in respect of interest on loan taken for higher

(h) education 0.00
under section 80E
Total Deduction in respect of donations to certain funds,
(i) 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00
under section 80TTA

Amount deductible under any other provision(s) of Chapter VI-A

[Note: Break-up to be prepared by employer and issued to
(k)
the employee, where applicable , before furnishing of Part B
to the employee]

Total of amount deductible under any other provision(s) of

(l) 0.00
Chapter VI-A
Aggregate of deductible amount under Chapter VI-A [10(d)+10
11. (e)+10(f)+10(g)+10(h)+10(i) 0.00
10(j)+10(l)]

12. Total taxable income (9-11) 225713.00

13. Tax on total income 0.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 0.00

17. Tax payable (13+15+16-14) 0.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 0.00

Verification
I, PURUSHOTTAM VAMANRAO SURYARAO, son/daughter of VAMANRAO KHANDERAO SURYARAO .Working in the
capacity of HEAD FINANCE AND ACCOUNTS (Designation) do hereby certify that the information given above is true, complete
and correct and is based on the books of account, documents, TDS statements, and other available records.

MUMBAI (Signature of person responsible for deduction of

Place
tax)
Full
Date 13-Aug-2019 PURUSHOTTAM VAMANRAO SURYARAO
Name:

Signature Not Verified

Digitally signed by
PURUSHOTTAM VAMANRAO
SURYARAO
Page 3 of 3 Date: 2019.08.13 11:14:46 IST