FORM NO.

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 paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. SRGNUUA Last updated on 30-May-2025

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
DELOITTE&TOUCHE ASSURANCE&ENTERPRISE RISK SERVICES
INDIA PRIVATE LIMITED
FLOOR 13, DELOITTE TOWER 1, SURVEY NO. 41, KANIKA KHATRI
GACHIBOWALI VILLAGE, HYDERABAD - 500032 2 MAIN SHYAM PARK, SAHIBABAD, SAHIBABAD - 201005 Uttar
Telangana Pradesh
+(91)40-67621000
usipayrollaccountingcompliance@deloitte.com
PAN of the Employee Reference No. provided by the
PAN of the Deductor TAN of the Deductor Employee/Specified senior Employer/Pension Payment order no. provided
citizen by the Employer (If available)

AABCD9794N HYDD01620D HVJPK5528N

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard , 2025-26 01-Apr-2024 31-Mar-2025
Hyderabad - 500004

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Receipt Numbers of original

Amount of tax deposited / remitted
quarterly statements of TDS Amount of tax deducted
Quarter(s) Amount paid/credited (Rs.)
under sub-section (3) of (Rs.)
Section 200

Q1 FXCWROID 282390.00 14506.00 14506.00

Q2 FXCZDMIF 212561.00 8614.00 8614.00
Q3 FXCDXWFJ 209553.00 6072.00 6072.00
Q4 FXCIVXKC 228546.00 8048.00 8048.00
Total (Rs.) 933050.00 37240.00 37240.00
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)

Book Identification Number (BIN)

Tax Deposited in respect of the
Sl. No. deductee Date of transfer voucher Status of matching
Receipt Numbers of Form DDO serial number in Form no.
(Rs.) (dd/mm/yyyy) with Form no. 24G
No. 24G 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)

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. 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 11367.00 6390009 27-03-2024 05482 F

2 0.00 - 03-05-2024 - F
3 3139.00 6390009 03-07-2024 28285 F
4 3451.00 6390009 02-08-2024 09507 F
Signature Not Verified
Signed By:PANKAJ VASHIST
Signing Date:12-06-2025 Page 1 of 2
 Certificate Number: SRGNUUA TAN of Employer: HYDD01620D PAN of Employee: HVJPK5528N Assessment Year: 2025-26

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

5 3139.00 6360014 03-09-2024 06005 F

6 2024.00 6390009 04-10-2024 37089 F
7 2024.00 6360014 04-11-2024 12180 F
8 2024.00 6360014 04-12-2024 13719 F
9 2024.00 6360014 03-01-2025 08850 F
10 3648.00 6360014 04-02-2025 14568 F
11 2025.00 6360014 05-03-2025 06698 F
12 2375.00 6390009 26-03-2025 10728 F
Total (Rs.) 37240.00

Verification

I, PANKAJ VASHIST, son / daughter of RAMA SHANKAR SHARMA working in the capacity of AUTHORISED SIGNATORY (designation) do hereby certify that a sum
of Rs. 37240.00 [Rs. Thirty Seven Thousand Two Hundred and Fourty Only (in words)] has been deducted and a sum of Rs. 37240.00 [Rs. Thirty Seven Thousand
Two Hundred and Fourty 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.

Place HYDERABAD

Date 09-Jun-2025 (Signature of person responsible for deduction of Tax)

Designation: AUTHORISED SIGNATORY Full Name:PANKAJ VASHIST

Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. 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 No.16 pertaining to the period for which such
assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Legend used in Form 16

* Status of matching with OLTAS

Legend Description Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
U Unmatched
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
P Provisional
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
F Final mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
O Overbooked amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

Page 2 of 2
 FORM NO. 16
PART B
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. SRGNUUA Last updated on 30-May-2025

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
DELOITTE&TOUCHE ASSURANCE&ENTERPRISE RISK SERVICES
INDIA PRIVATE LIMITED
FLOOR 13, DELOITTE TOWER 1, SURVEY NO. 41, KANIKA KHATRI
GACHIBOWALI VILLAGE, HYDERABAD - 500032 2 MAIN SHYAM PARK, SAHIBABAD, SAHIBABAD - 201005 Uttar
Telangana Pradesh
+(91)40-67621000
usipayrollaccountingcompliance@deloitte.com
PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior citizen

AABCD9794N HYDD01620D HVJPK5528N

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard , 2025-26 01-Apr-2024 31-Mar-2025
Hyderabad - 500004

Annexure - I

Details of Salary Paid and any other income and tax deducted

A Whether opting out of taxation u/s 115BAC(1A)? No

1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 933051.00

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 933051.00

(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

(f) Other special allowances under section 10(14) 0.00

Page 1 of 4
Certificate Number: SRGNUUA TAN of Employer: HYDD01620D PAN of Employee: HVJPK5528N Assessment Year: 2025-26

Amount of any other exemption under section 10

(g) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

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

Total amount of exemption claimed under section 10

(i) 0.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(f)+2(h)]

Total amount of salary received from current employer

3. 933051.00
[1(d)-2(i)]
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) 75000.00

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

(c) Tax on employment under section 16(iii) 0.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 75000.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 858051.00

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

8. 0.00
[7(a)+7(b)]
9. Gross total income (6+8) 858051.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

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

Deduction in respect of contribution to certain pension funds

(b) 0.00 0.00
under section 80CCC
Deduction in respect of contribution by taxpayer to pension
(c) 0.00 0.00
scheme under section 80CCD (1)

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

Deductions in respect of amount paid/deposited to notified

(e) 0.00 0.00
pension scheme under section 80CCD (1B)
Deduction in respect of contribution by Employer to pension
(f) 0.00 0.00
scheme under section 80CCD (2)
Deduction in respect of health insurance premia under section
(g) 0.00 0.00
80D

Page 2 of 4
 Certificate Number: SRGNUUA TAN of Employer: HYDD01620D PAN of Employee: HVJPK5528N Assessment Year: 2025-26

Deduction in respect of interest on loan taken for higher

(h) 0.00 0.00
education under section 80E
Deduction in respect of contribution by the employee to Agnipath
(i) 0.00 0.00
Scheme under section 80CCH
Deduction in respect of contribution by the Central Government
(j) 0.00 0.00
to Agnipath Scheme under section 80CCH
Gross Qualifying Deductible
Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(k) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(l) 0.00 0.00 0.00
under section 80TTA

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

(m) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

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

(n) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 0.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(k)+10(l)+10(n)]

12. Total taxable income (9-11) 858051.00

13. Tax on total income 35806.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 1432.00

17. Tax payable (13+15+16-14) 37238.00

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

Less: Tax deducted at source as per Form No. 12BAA submitted

19.
under provisions of section 192(2B)
0.00
Less: Tax collected at source as per Form No. 12BAA submitted
20.
under provisions of section 192(2B)

21. Net tax payable (17-18-19-20) 37238.00

Verification
I, PANKAJ VASHIST, son/daughter of RAMA SHANKAR SHARMA .Working in the capacity of AUTHORISED SIGNATORY
(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.

Place HYDERABAD (Signature of person responsible for deduction of tax)

Full
Date 09-Jun-2025 PANKAJ VASHIST
Name:

Page 3 of 4
 Certificate Number: SRGNUUA TAN of Employer: HYDD01620D PAN of Employee: HVJPK5528N Assessment Year: 2025-26

2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Particular's of Amount for any other
Sl. exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Particular's of Amount deductible under
Sl. any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

HYDERABAD (Signature of person responsible for deduction of

Place
tax)
Full
Date 09-Jun-2025 PANKAJ VASHIST
Name:

Page 4 of 4
 TAN of Employer:HYDD01620D PAN of Employee:HVJPK5528N Assessment Year:2025-26 EMPID:759490

Annexure to Form No.16 PART B [for item nos. 2(f) & 2(g) and 10(m)]

2(f) & 2(g) Break up for 'Amount of any other exemption under section 10' to be filled in the table below
Sl.
No. Particulars of Amount for any other
exemption under section 10 Gross Amount Qualifying Amount Deductible Amount

Rs. Rs. Rs. Rs.

10(m). Break up for 'Amount deductible under any other provision(s) of Chapter VIA' to be filled in the table below
Sl.
No. Particulars of Amount deductible under
any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount

Rs. Rs. Rs. Rs.

Place
HYDERABAD
(Signature of person responsible for deduction of tax)
Date
09-Jun-2025
Designation : Managing Director, Finance Full Name : Pankaj Vashist

Page 1 of 1 (Annexure to Form 16 - Part B)

 EMPID:759490

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: Deloitte & Touche Assurance & Enterprise Risk Services India
PrivateLimited
Floor 13, Deloitte Tower 1, Survey No. 41, Gachibowli Village, Ranga
Reddy District, Hyderabad TELANGANA INDIA
2. TAN HYDD01620D
3. TDS Assessment Range of the employer:
4. Name, designation and Permanent Account Number or Kanika Khatri , Audit & Assurance Senior Assistant 1, HVJPK5528N
Aadhaar Number of employee:
5. Is the employee a director or a person with substantial No
interest in the company (where the employer is a company):
6. Income under the head 'Salaries' of the employee (other 858,051.00
than from perquisites):
7. Financial Year: 2024-2025

8. Valuation of Perquisites:

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

No. perquisite as per recovered from perquisite
rules (Rs.) employee (Rs.) chargeable to tax
Col(3)-Col(4)
(Rs.)
(1) (2) (3) (4) (5)
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 0.00 0.00 0.00
6 Holiday Expenses 0.00 0.00 0.00
7 Free or Concessional Travel 0.00 0.00 0.00
8 Free Meals 0.00 0.00 0.00
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 Value of any other benefit/amenity/service/privilege 0.00 0.00 0.00
16 Stock options allotted or transferred by employer being an eligible start-up 0.00 0.00 0.00
referred to in section 80-IAC
17 Stock options (non-qualified options) other than ESOP in col 16 above 0.00 0.00 0.00
18 Contribution by employer to fund and scheme taxable under section 0.00 0.00 0.00
17(2)(vii)
19 Annual accretion by way of interest, dividend etc. to the balance at the 0.00 0.00 0.00
credit of fund and scheme referred to in section 17(2)(vii) and taxable under
section 17(2)(viia)
20 Other benefits or amenities 0.00 0.00 0.00
21 Total value of perquisites 0.00 0.00 0.00
22 Total value of Profits in lieu of salary as per section 17(3) 0.00 0.00 0.00

9. Details of Tax.
a)Tax deducted from salary of the employee u/s 192(1) 37,240.00
b)Tax paid by employer on behalf of the employee u/s 192(1A) 0.00
c)Total Tax Paid 37,240.00
d)Date of payment into Government treasury Various dates as mentioned on Part A of the Form 16

DECLARATION BY THE EMPLOYER

I, Pankaj Vashist, son/daughter of Rama Shankar Sharma working as Managing Director, Finance do hereby declare
on behalf of Deloitte & Touche Assurance & Enterprise Risk Services India PrivateLimited 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 thereunder and that such information is true and
correct.

Place HYDERABAD

Date 09-Jun-2025 (Signature of person responsible for deduction of tax)

Designation : Managing Director, Finance Full Name : Pankaj Vashist

Page 1 of 1 (Form 12BA)

 EMPID:759490

FORM NO. 12BB

(See rule 26C)

Statement showing particulars of claims by an employee for deduction of tax under section 192

1. Name and address of the employee : Kanika Khatri

2. Permanent Account Number of the employee : HVJPK5528N
3. Financial year : 2024-2025

Details of claims and evidence thereof

Sl. No. Nature of claim Amount(Rs.) Evidence / particulars
(1) (2) (3) (4)
House Rent Allowance:

(i) Rent paid to the landlord for period : Rs.0

(i) Name of the landlord :
1. Rs.0 House Rent Receipts
(ii) Address of the landlord :
(iii) Permanent Account Number of the
landlord :

2. Leave travel concessions or assistance Rs.0 Travel Receipts/Tickets

Deduction of interest on borrowing:

(i) Interest payable/paid to the lender

Self Occupied Interest :

Let-OutInterest :
(ii) Name of the lender

Let-Out :

(iii) Address of the lender

Provisional Certificate from
3. Self Occupied : Rs.0
Bank/Financial Institution/Lender
Let-Out :

(iv) Permanent Account Number of the lender

Self Occupied :
Let-Out :

(a) Financial Institutions

(b) Employer
(c) Others

Page 1 of 2 (Form 12BB)

 EMPID:759490

Deduction under Chapter VI-A

(A) Section 80C,80CCC and 80CCD

(i) Section 80C

4. Rs. 0 Photocopy of the investment proofs

(ii) Section 80CCC :
(iii) Section 80CCD :

(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.

Verification
I, Kanika Khatri, son/daughter of Vinod Khatri do hereby certify that the information given above is complete and correct.
Place : GURGAON

Date: 09-Jun-2025

(Signature of the employee)

Designation : Audit & Assurance Senior Assistant 1 Full Name: Kanika Khatri

Note: The information/details above, as required for deduction of tax u/s 192 of the Income Tax Act, has been provided by the employee.

Page 2 of 2 (Form 12BB)