FORM NO.

16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
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 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Brajesh Kumar Gutgutia, AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower, Director, (a) PROVIDENT FUND Rs. - -
117, Nelson Manickam Road, CHENNAI. (b) L.I.P. Rs. 43,494 43,494
Chennai - 600 029 (c) N.S.C. VIII Rs. 8,954 8,954
(d) PPF Rs. 500 500
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 50,000 50,000
AAACD 9376 P CHE D 2360 B (CHENNAI) (f) Total of [ (a) to (e) ] Rs. 102,948 100,000 15,000
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2002 31.03.2003 2003-2004 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 15,000
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 50,613
(b) SURCHAGE THEREON @ 5% 2,531 53,144
1. Gross Salary * Rs. 330,000 16. LESS TAX DEDUCTED AT SOURCE 53,144
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 330,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
750 June 7, 2002 S.B.I., Chennai - 40
4. DEDUCTIONS: 750 July 5, 2002 S.B.I., Chennai - 40
750 August 6, 2002 S.B.I., Chennai - 40
(a) Standard deduction Rs. 20,000 750 September 7, 2002 S.B.I., Chennai - 40
(b) Entertainment allowance Rs. - 750 October 8, 2002 S.B.I., Chennai - 40
(c) Tax on Employment Rs. 600 750 November 6, 2002 S.B.I., Chennai - 40
24,550 December 5, 2002 Bank of India, Chennai Main Branch, Chennai - 2
5. Aggregate of 4 (a to c) 20,600 4,150 January 7, 2003 S.B.I., Chennai - 40
4,150 February 6, 2003 S.B.I., Chennai - 40
6. INCOME CHARGEABLE UNDER 4,150 March 7, 2003 S.B.I., Chennai - 40
THE HEAD SALARIES (3-5) 309,400 4,150 April 4, 2003 S.B.I., Chennai - 40
4,150 May 6, 2003 Bank of India, Chennai Main Branch, Chennai - 2
7. Add: any other income reported 3,344 May 29, 2003 Bank of India, Chennai Main Branch, Chennai - 2
by the employee 53,144 :TOTAL
8. GROSS TOTAL INCOME (6+7) 309,400 Certified that a Sum of Rupees. (in words)….………. FIFTY THREE THOUSAND ONE HUNDRED AND FORTY
FOUR ONLY …….…………………………………………….... has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 4,026 4,026 4,026
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 4,026 PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 305,374 DATE : May 31, 2003 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 65,613 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
Note: Remuneration 12 x 25000 = 300000/- Perks Calculation : 10% of 300000 30000
Value of Un furnished accomodation = 30000/- Value of Un furnished accomodation Actual Rental Value 109200
Gross Remuneration = 330000/- Less: 60% of 300000 180000 - 30000
 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
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 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Rishi Tulsyan AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower, Director, (a) PROVIDENT FUND Rs. - -
117, Nelson Manickam Road, CHENNAI. (b) L.I.P. Rs. 37,819 37,819
Chennai - 600 029 (c) N.S.C. VIII Rs. 10,051 10,051
(d) PPF Rs. 5,000 5,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 50,000 50,000
AAACD 9376 P CHE D 2360 B (CHENNAI) (f) Total of [ (a) to (e) ] Rs. 102,870 100,000 15,000
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2002 31.03.2003 2003-2004 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 15,000
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 50,613
(b) SURCHAGE THEREON @ 5% 2,531 53,144
1. Gross Salary * Rs. 330,000 16. LESS TAX DEDUCTED AT SOURCE 53,144
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 330,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
750 June 7, 2002 S.B.I., Chennai - 40
4. DEDUCTIONS: 750 July 5, 2002 S.B.I., Chennai - 40
750 August 6, 2002 S.B.I., Chennai - 40
(a) Standard deduction Rs. 20,000 750 September 7, 2002 S.B.I., Chennai - 40
(b) Entertainment allowance Rs. - 750 October 8, 2002 S.B.I., Chennai - 40
(c) Tax on Employment Rs. 600 750 November 6, 2002 S.B.I., Chennai - 40
24,550 December 5, 2002 Bank of India, Chennai Main Branch, Chennai - 2
5. Aggregate of 4 (a to c) 20,600 4,150 January 7, 2003 S.B.I., Chennai - 40
4,150 February 6, 2003 S.B.I., Chennai - 40
6. INCOME CHARGEABLE UNDER 4,150 March 7, 2003 S.B.I., Chennai - 40
THE HEAD SALARIES (3-5) 309,400 4,150 April 4, 2003 S.B.I., Chennai - 40
4,150 May 6, 2003 Bank of India, Chennai Main Branch, Chennai - 2
7. Add: any other income reported 3,344 May 29, 2003 Bank of India, Chennai Main Branch, Chennai - 2
by the employee 53,144 :TOTAL
8. GROSS TOTAL INCOME (6+7) 309,400 Certified that a Sum of Rupees. (in words)….………. FIFTY THREE THOUSAND ONE HUNDRED AND FORTY
FOUR ONLY …….……………………………………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 4,026 4,026 4,026
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 4,026 PLACE : CHENNAI Full Name : BRAJESH KUMAR GUTGUTIA
11. TOTAL INCOME (8-10) 305,374 DATE : May 31, 2003 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 65,613 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
Note: Remuneration 12 x 25000 = 300000/- Perks Calculation : 10% of 300000 30000
Value of Un furnished accomodation = 30000/- Value of Un furnished accomodation Actual Rental Value 106375
Gross Remuneration = 330000/- Less: 60% of 300000 180000 - 30000
 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
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 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Uttam Kumar Gutgutia, AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower, Director, (a) PROVIDENT FUND Rs. - -
117, Nelson Manickam Road, CHENNAI (b) L.I.P. Rs. 54,322 54,322
Chennai - 600 029 (c) N.S.C. VIII Rs. 3,766 3,766
(d) PPF Rs. 10,000 10,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 50,000 50,000
AAACD 9376 P CHE D 2360 B (CHENNAI) (f) Total of [ (a) to (e) ] Rs. 118,088 100,000 15,000
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2002 31.03.2003 2003-2004 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 15,000
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 49,892
(b) SURCHAGE THEREON @ 5% 2,495 52,387
1. Gross Salary * Rs. 330,000 16. LESS TAX DEDUCTED AT SOURCE 52,387
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 330,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
750 June 7, 2002 S.B.I., Chennai - 40
4. DEDUCTIONS: 750 July 5, 2002 S.B.I., Chennai - 40
750 August 6, 2002 S.B.I., Chennai - 40
(a) Standard deduction Rs. 20,000 750 September 7, 2002 S.B.I., Chennai - 40
(b) Entertainment allowance Rs. - 750 October 8, 2002 S.B.I., Chennai - 40
(c) Tax on Employment Rs. 600 750 November 6, 2002 S.B.I., Chennai - 40
24,550 December 5, 2002 Bank of India, Chennai Main Branch, Chennai - 2
5. Aggregate of 4 (a to c) 20,600 4,150 January 7, 2003 S.B.I., Chennai - 40
4,150 February 6, 2003 S.B.I., Chennai - 40
6. INCOME CHARGEABLE UNDER 4,150 March 7, 2003 S.B.I., Chennai - 40
THE HEAD SALARIES (3-5) 309,400 4,150 April 4, 2003 S.B.I., Chennai - 40
4,150 May 6, 2003 Bank of India, Chennai Main Branch, Chennai - 2
7. Add: any other income reported 2,587 May 29, 2003 Bank of India, Chennai Main Branch, Chennai - 2
by the employee 52,387 :TOTAL
8. GROSS TOTAL INCOME (6+7) 309,400 Certified that a Sum of Rupees. (in words)….………. FIFTY TWO THOUSAND THREE HUNDRED EIGHTY
SEVEN ONLY ……………………………………………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 6,427 6,427 6,427
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 6,427 PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 302,973 DATE : May 31, 2003 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 64,892 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
Note: Remuneration 12 x 25000 = 300000/- Perks Calculation : 10% of 300000 30000
Value of Un furnished accomodation = 30000/- Value of Un furnished accomodation Actual Rental Value 90000
Gross Remuneration = 330000/- Less: 60% of 300000 180000 - 30000
 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
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 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Chellappan. P. AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower III Wing, Manager Accounts (a) PROVIDENT FUND Rs. 6,732 6,732
117, Nelson Manickam Road, CHENNAI (b) L.I.P. Rs. 31,887 31,887
Chennai - 600 029 (c) N.S.C. VIII Rs. - -
(d) PPF Rs. 3,000 3,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. - -
(f) Total of [ (a) to (e) ] Rs. 41,619 41,619 8,324
AAACD 9376 P CHE D 2360 B (CHENNAI) AEJPC 1562 J II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - - -
Section 206 is filed FROM TO (b) Rs. - - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2002 31.03.2003 2003-2004 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 4,621
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) -
(b) SURCHAGE THEREON @ 5% - -
1. Gross Salary * Rs. 110,500 16. LESS TAX DEDUCTED AT SOURCE -
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 110,500 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED

4. DEDUCTIONS:

(a) Standard deduction Rs. 30,000

(b) Entertainment allowance Rs. -
(c) Tax on Employment Rs. -

5. Aggregate of 4 (a to c) 30,000

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 80,500

7. Add: any other income reported - :TOTAL

by the employee Certified that a Sum of Rupees. (in words)….………. N I L …………………………………………………………
8. GROSS TOTAL INCOME (6+7) 80,500 ….....................……………………………………………………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 2,395 2,395 2,395
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 2,395 PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 78,105 DATE : May 31, 2003 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 4,621 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages

Note: Gross Salary = Salary (8500*12) + Bonus (8500/12*12)

 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
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 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mythily Anand AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower III Wing, (a) PROVIDENT FUND Rs. 4,436 4,436
117, Nelson Manickam Road, CHENNAI (b) L.I.P. Rs. - -
Chennai - 600 029 (c) N.S.C. VIII Rs. - -
(d) PPF Rs. - -
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. - -
(f) Total of [ (a) to (e) ] Rs. 4,436 4,436 887
AAACD 9376 P CHE D 2360 B (CHENNAI) II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - - -
Section 206 is filed FROM TO (b) Rs. - - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2002 31.03.2003 2003-2004 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. -
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) -
(b) SURCHAGE THEREON @ 5% - -
1. Gross Salary * Rs. 73,200 16. LESS TAX DEDUCTED AT SOURCE -
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 73,200 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED

4. DEDUCTIONS:

(a) Standard deduction Rs. 24,400

(b) Entertainment allowance Rs. -
(c) Tax on Employment Rs. -

5. Aggregate of 4 (a to c) 24,400

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 48,800

7. Add: any other income reported - :TOTAL

by the employee Certified that a Sum of Rupees. (in words)….………. N I L …………………………………………………………
8. GROSS TOTAL INCOME (6+7) 48,800 ….....................……………………………………………………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. - - -
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A - PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 48,800 DATE : May 31, 2003 Designation :DIRECTOR
12. TAX ON TOTAL INCOME - *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages

* Salary (4 x 4800 + 8 x 6000)+ bonus 6000

 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
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 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., P. Vijayakumar AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower III Wing, (a) PROVIDENT FUND Rs. 4,752 4,752
117, Nelson Manickam Road, CHENNAI (b) L.I.P. Rs. - -
Chennai - 600 029 (c) N.S.C. VIII Rs. - -
(d) PPF Rs. - -
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. - -
(f) Total of [ (a) to (e) ] Rs. 4,752 4,752 950
AAACD 9376 P CHE D 2360 B (CHENNAI) II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - - -
Section 206 is filed FROM TO (b) Rs. - - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2002 31.03.2003 2003-2004 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. -
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) -
(b) SURCHAGE THEREON @ 5% - -
1. Gross Salary * Rs. 74,100 16. LESS TAX DEDUCTED AT SOURCE -
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 74,100 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED

4. DEDUCTIONS:

(a) Standard deduction Rs. 24,700

(b) Entertainment allowance Rs. -
(c) Tax on Employment Rs. -

5. Aggregate of 4 (a to c) 24,700

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 49,400

7. Add: any other income reported - :TOTAL

by the employee Certified that a Sum of Rupees. (in words)….………. N I L …………………………………………………………
8. GROSS TOTAL INCOME (6+7) 49,400 ….....................……………………………………………………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. - - -
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A - PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 49,400 DATE : May 31, 2003 Designation :DIRECTOR
12. TAX ON TOTAL INCOME - *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
2002-03 BKG RT UKG
L.I.P. 43,494 37,819 54,322
N.S.C. VIII 8,954 10,051 3,766
PPF 500 5,000 10,000
INFRASTRUCTURE BONDS 50,000 50,000 50,000
102,948 102,870 118,088

2003-04 BKG RT UKG

L.I.P. 43,494 37,819 54,322
N.S.C. VIII 8,954 10,051 3,766
PPF 500 5,000 10,000
INFRASTRUCTURE BONDS 50,000 50,000 50,000
102,948 102,870 118,088