Digitally Signed
Form 16
Form16 Details:
Employee Name: Employee PAN: Employee Serial Number: Employee Designation: Form16 Control Number: Assessment Year:
Signature Details:
This form has been signed and certified using a Digital Signature Certificate as specified under section 119 of Income-tax Act 1961. The Digital Signature of the signatory has been affixed in the box provided below. To see the details and validate signature, you should click on the box.
Digitally signed by Digital Signature Certificate Issued by Serial Number of DSC Number of pages
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SOORAJ SHAJAHAN-223957
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 Name and address of the Employer WIPRO LIMITED
76P & 80P, SARJAPUR ROAD BENGALURU,KARNATAKA,560035
Name and designation of the Employee SOORAJ SHAJAHAN #223957 Project Engineer PAN of the Employee BOGPS8653Q Assessment Year 2012-13
Summary of tax deducted at source
Receipt Numbers of original statements of TDS under section (3) of section 200
sub -
0.00
0.00
PART B
Details of Salary paid and any other Income and tax deducted Rs. Rs. Rs.
1. GROSS SALARY (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) (as per Form No:12BA,wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per Form No: 12BA,wherever applicable) Total 2. Less : Allowance to the extent exempt u/s 10
Sl No. 1 CONVEYANCE Allowance Rs. 5,280.00
179,209.00 5,280.00
3. Balance (1-2) 4. DEDUCTIONS : (a) Entertainment Allowance (b) Tax on Employment 5. Aggregate of 4 (a) and (b) 6. INCOME CHARGEABLE UNDER THE HEAD 'SALARIES' ( 3-5 ) 7. Add : Any other income reported by the employee (a) Income under the Head 'Income from House Property' (b) Income from other source 8. GROSS TOTAL INCOME ( 6+7 ) 9. DEDUCTIONS UNDER CHAPTER VI-A (A) Sections 80C, 80CCC & 80CCD (a) Section 80C
Employee Provident Fund
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SOORAJ SHAJAHAN-223957
(b) Section 80CCC (c) Section 80CCD Total of (a) + (b) + (c)
0.00 0.00
Note : 1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees. 2. Aggregate amount deductible under the three sections, i.e., 80C, 80CCC and 80CCD shall not exceed one lakh rupees.
2,420.00 10. Aggregate of deductible amounts under chapter VI-A 11. Total income (8-10 ) 12. Tax on total income 13. Surcharge (on tax computed at S.No 12) 14. Education Cess @ 3% on (Tax at S.No.12 plus Surcharge at 13) 15. Tax Payable (12+13+14) 16. Relief under section 89 17. Tax Payable (15-16 ) 18. Less : (a) Tax Deducted at source u/s 192 (1) (b) Tax paid by the employer on behalf of the employee u/s 192 (1A) on perquisites u/s 17(2) 0.00 0.00 7,014.00 165,190.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00
Income tax deducted in case of individual employee forms a part of total amount of monthly deposits. I, P V SRINIVASAN son / daughter of P V VASUDEVAN, working in the capacity of SENIOR VICE PRESIDENT - CORPORATE TAXATION, do hereby certify that a sum of Rs. (RUPEES ONLY) 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. Place Date Designation : BENGALURU : 31/05/2012 : SENIOR VICE PRESIDENT - CORPORATE TAXATION For WIPRO LIMITED Signature of the person responsible for deduction of tax This form is signed using Digital Signature. Please see page 1. Full Name : P V SRINIVASAN
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SOORAJ SHAJAHAN-223957
2. TAN 3. TDS Assessment Range of the Employer 4. Name of Employee Designation PAN 5. Is the Employee a Director or a person with substantial interest in the company (Where the employer is a company) 6. Income under the Head "Salaries" of the Employee (Other than from perquisites) 7. Financial Year 8. Valuation of perquisites
Sl. No (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) Nature of perquisite Company Leased Accommodation Cars/Other Automotive Perq. on Driver Salary Perq. on Pension Contribution Interest free or concessional loans Perq. on Long Service Award Perq. on Transfer of Asset (CAR) Free Meals (Food Coupons Taxable) Free Education Gifts, Vouchers, etc. Credit Card Expenses Club Expenses Use of Moveable Assets by Employees Transfer of Assets to Employees Value of any other benefit/amenity/service/privilege Stock Options (ESOP Perquisites) Perq. on Medical Reimbursement Total Value of Perquisites Value of Profit for in lieu of salary as per section 17(3)
: : : : : : : : :
BLRW00126A
Value of perquisite as per rules(Rs.) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Amount, if any, recovered from employee(Rs.) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Amount of Taxable perquisite(Rs.) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9. Details of Tax a) Tax Deducted from Salary of Employee u/s 192(1) b) Tax Paid by Employer on behalf of Employee u/s 192(1A) c) Total Tax Paid d) Date of Payment into Government Treasury
: : : : :
DECLARATION BY EMPLOYER
I, P V SRINIVASAN son / daughter of P V VASUDEVAN working as SENIOR VICE PRESIDENT - CORPORATE TAXATION do hereby declare on behalf of WIPRO LIMITED 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. For WIPRO LIMITED Signature of the person responsible for deduction of tax This form is signed using Digital Signature. Please see page 1. Place Date : BENGALURU : 31/05/2012 Full Name : Designation P V SRINIVASAN : SENIOR VICE PRESIDENT - CORPORATE TAXATION
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SOORAJ SHAJAHAN-223957