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Digitally Signed
FORM 16
Form16 Details:
Signature Details:
This form has been signed and certified using a Digital Signature Certificate as specified under section 119 of the Income-Tax
Act 1961 (Please refer Circular No 2/2007, Dated 21-05-2007)
The Digital Signature of the signatory has been provided below. To see the details and validate the signature,
you should click on the signature.
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
RELIANCE COMMUNICATIONS LIMITED Mr/Ms: Mr. Sudipta Mishra
#H# Block, 1st Floor,DAKC, Desig.:DEPUTY MANAGER
Emp #: 20023767
NAVI MUMBAI 400710
Maharashtra
PAN NO. of the Deductor TAN No. of the Deductor PAN No. of the Employee
AACCR7832C MUMR25035D AQOPM3349Q
Acknowledgement Nos. of all quarterly
statements of TDS under sub-section (3) of period Assessment year
section 200 as provided by TIN Facilitation
Centre or NSDL web-site
Quarter Acknowledgement No From To 2010-2011
30.06.2009 060630200070274
30.09.2009 060630100220535 01.04.2009 31.03.2010
31.12.2009 060630100228681
31.03.2010 ***
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Particulars Rs. Rs. Rs.
1. Gross salary
a) Salary as per provisions contained in sec.17(1) 216085
b) Value of perquisites under section 17(2)
( as per Form No.12BA wherever applicable ) 15000
c) Profits in lieu of salary under section 17(3)
( as per Form No.12BA wherever applicable ) 0
d) Total 231085
2. Less: Allowance to the extent exempt under section 10
--------------------------------------------------------------------------------
Particulars Amount(Rs.)
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S.No TDS Surcharge Education Total Tax Cheque/DD BSR Code of Date onWhich Transfer
Rs. Rs. Cess Rs. Deposited Rs. No. (if any) Bank Branch Tax Deposited Voucher/Challan
(dd/mm/yyyy)
_______________________________________________________________ _______________________________________________________________ Identification No.
_________________________________
I SH.VIKRAM HOSKOTE son of DR.SADANANDA HOSKOTE working in the capacity of AUTHORISED SIGNATORY do hereby certify that
a sum of Rs 1830.00 [ ONE THOUSAND EIGHT HUNDRED THIRTY Rupees ( in words ) ]
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 account, documents and other available records.
* : As per the information provided by the employee through Form 12B or Form 12C
*** : Not available as quarterly statement is yet to be furnished
FORM No.12BA
See Rule 26A(2)
S.No Nature of perquisite Value of perquisite Amount, if any recovered Amount of perquisite
(see rule 3) as per rules(Rs.) from the employee(Rs.) chargeable to tax(Rs.)
(1) (2) (3) (4) (5) Col(3)-Col(4)
1 Accommodation 0 0 0
2 Cars/Other automotive 0 0 0
3 Sweeper , gardener , watchman or 0 0 0
personal attendant
4 Gas , electricity , water 0 0 0
5 Interest free or concessional loans 0 0 0
6 Holiday expenses 0 0 0
7 Free or concessional travel 0 0 0
8 Free meals
9 Free Education
10 Gifts,vouchers etc.
11 Credit card expenses
12 Club expenses 0 0 0
13 Use of movable assets by employees 0 0 0
14 Transfer of assets to employees 0 0 0
15 Value of any other benefit
/amenity/service/privilege
16 Stock options ( non-qualified options )
17 Other benefits or amenities 15000 0 15000
18 Total value of perquisites 15000 0 15000
19 Total value of Profits in lieu of salary 0 0
as per 17 (3)
9. Details of tax, - (a) Tax deducted from salary of the employee u/s192(1) 1830
(b) Tax paid by employer on behalf of the employee u/s 192(1A) 0
(bb) Tax paid by previous employer 0
(c) Total tax paid 1830
(d) Date of payment into Government treasury *
* Refer to page 2 of form 16 under Details of tax deducted and deposited into Central Government Account.
DECLARATION BY EMPLOYER
I SH.VIKRAM HOSKOTE S/o DR.SADANANDA HOSKOTE working as AUTHORISED SIGNATORY ( designation ) do hereby declare on
behalf of RELIANCE COMMUNICATIONS LIMITED ( name of the employer ) 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.