FORM NO.

16A

[See rule 31(1)(b)]

Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source

Certificate No. JIMSMLA Last Updated on 03-Nov-2022

Name and Address of Deductor Name and Address of Deductee

BANK OF BARODA
BARODA CORPORATE CENTER,C 26 G BLOCK,BANDRA KURLA CHIRATHAHALLI MUDDANNA CHANDRAMMA
COMPLEX, #19/10,,1ST MAIN ROAD,
BANDRA EAST,MUMBAI-400051, GANGANAGAR LAYOUT,,BANGALORE - 560032 Karnataka
Maharashtra
+(91)22-66985253
TAX.BCC@BANKOFBARODA.CO.IN

PAN of the deductor TAN of the deductor PAN of the deductee

AAACB1534F MUMB21711E ADLPC4428J

CIT (TDS) Assessment Year Period

The Commissioner of Income Tax (TDS) From To

Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital Building, Charni 2023-24
Road, 01-Jul-2022 30-Sep-2022
-, Mumbai - 400002

Summary of payment

Sl. No. Nature of payment** Deductee Reference No. Date of payment/credit

Amount paid/credited provided by the Deductor(if (dd/mm/yyyy)
any)

1 2054.00 194A 25/07/2022

2 1342.00 194A 26/09/2022

3 8494.00 194A 26/09/2022

4 4247.00 194A 26/09/2022

5 4247.00 194A 26/09/2022

6 4247.00 194A 26/09/2022

7 2548.00 194A 26/09/2022

Total (Rs.) 27179.00

Summary of tax deducted at source in respect of Deductee

Receipt Numbers of Original Amount of Tax deducted in

Quarterly Statements of TDS Amount of Tax Deposited/ Remitted in
Quarter respect of
Under sub-section(3) of Section respect of Deductee (Rs.)
Deductee (Rs.)
200

Q2 FXBACDTV 0.00 0.00

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The Deductor to provide payment wise details of tax deducted and deposited with respect to the Deductee)

Tax deposited in respect of

Sl. No. Book Identification Number (BIN)
Deductee (Rs.)

Receipt Numbers of Form DDO serial number in Form No. Date of Transfer Status of Matching
No.24G 24G voucher (dd/mm/yyyy) with Form No.24G

Total (Rs.)

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 deposited with respect to the Deductee)

Tax deposited in respect of the

Sl. No. Challan Identification Number (CIN)
Deductee (Rs.)

BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 0.00 - 05/08/2022 - F

2 0.00 - 07/10/2022 - F

3 0.00 - 07/10/2022 - F

4 0.00 - 07/10/2022 - F

5 0.00 - 07/10/2022 - F

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 6 0.00 - 07/10/2022 - F

7 0.00 - 07/10/2022 - F

Total (Rs.) 0.00

Verification

I, LALIT BARDIA, son / daughter of VIRENDRA SINGH BARDIA working in the capacity of DEPUTY GENERAL MANAGER (designation) do hereby certify that a sum
of Rs. 0.00 [Rs. Zero Only (in words)] has been deducted and a sum of Rs. 0.00 [Rs. Zero Only] has been deposited to the credit of the Central Government. 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.

LALIT BARDIA
Place MUMBAI Digitally Signed By LALIT BARDIA
Reason: Digitally signed TDS certificate as per Information Technology Act, 2000.
Location: MUMBAI
Date: 04/11/2022 23:08:34

Date 04-Nov-2022 (Signature of person responsible for deduction of tax)

Designation: DEPUTY GENERAL MANAGER Full Name: LALIT BARDIA

Notes

1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website
https://www.tdscpc.gov.in
2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL
3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

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