You are on page 1of 4

Form No.

16
[See Rule 31(1) (a)]

261986

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 RANDSTAD INDIA LIMITED. (Formerly known as "Ma Foi Management Consultants Limited" ). 'Randstad House' New No.9, Pycrofts Garden Road, Chennai - 6000 006. PAN No. of the Deductor : AABCM4781A TAN No.: Name and designation of the Employee JAIMIN MUNGALPARA(261986) RF CO-ORDINATOR

CHEM01532G

PAN of the Employee : ASSESSMENT YEAR 2013-2014

BHGPM3555G PERIOD

CIT (TDS) LARGE TAX PAYERS UNIT, ANNA NAGAR, CHENNAI - 600101.

FROM 01-04-2012

TO 31-12-2012

SUMMARY OF TAX DEDUCTED AT SOURCE


Quarter Receipt Numbers of original statements of TDS under sub-section (3) of section 200 Amount of tax deducted in respect of the employee Amount of tax deposited remitted in respect of the employee

I II III IV

JPDXEBCB KRQXBELF KRQXBEMG OTMXXBMG

0 0 0 0 DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

0 0 0 0

1. Gross Salary (a) Salary as per provision contained in sec.17 (1) (b) Value of perquisites u\s 17(2) (as per Form no12 BA, wherever applicable ) (c) Profits in lieu of salary under section17 (3) ( as per Form No. 12 BA, wherever applicable ) (d) TOTAL 2. Less: Allowance to the extent exempt under section 10 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 Income from House Property Other Income 8. Gross Total Income (6+7) 9. Deduction Under Chapter VI-A A) Sections 80C, 80CCC and 80CCD a) Sec 80C (i) Provident Fund (ii) Voluntary Provident Fund (iii) Superannuation (iv) Life insurance premium (v) Equity Linked Savings Schemes (vi) Housing Loan Principal Repayment (vii) NSC (viii) NSC Interest (ix) Contribution to Public Provident Fund (x) Senior Savings Scheme (xi) Mutual fund/ SIP (xii) Child Education Fees (xiii) ULIP (xiv) Fixed Deposits/ POTD (b) Under Section 80CCC (c) Under section 80CCD Section 80CCE Total Note : 1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees 8640 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8640 8640
GROSS AMT QUALIFYING AMT

188010 0

188010 7200 180810

1800 1800 179010

0 0 179010
DEDUCTIBLE AMT

Employee No: 261986 (B) Other sections under Chapter VI A (a) Under Section 80CCG (b) Under Section 80D (c) Under Section 80DD (d) Under Section 80GGA (e) Under Section 80DDB (f) Under Section 80E (g) Under Section 80G (h) Under Section 80GG (i) Under Section 80U 10. Aggregate of deductible amount under chapter VI-A 11. Total Income (8-10) 12. Tax on Total income

Employee Name

JAIMIN MUNGALPARA Gross Amt. 0 0 0 0 0 0 0 0 0 Qualifying Amt. 0 0 0 0 0 0 0 0 0 8640 170370 0 0 0 Deductible Amt.

13. Education Cess @3% on ( tax at S.No.12 plus surcharge at S.No. 13) 14. Tax Payable (12+13) 15. Relief under section 89(attach details) 16. Tax Payable (14-15) VERIFICATION I, MARCO VALSECCHI , Son of GIUSEPPE VALSECCHI , working in the capacity of CFO , do hereby certify that a sum of Rs. 0 [Rupees Nil Only ] has been deducted and 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 Statement, TDS Deposited and other available records.

Signature of the person responsible for deduction of tax Place : CHENNAI Date : Full Name : MARCO VALSECCHI CFO Designation :

Digitally Signed By VALSECCHI MARCO (RANDSTAD INDIA LIMITED) Date : 08-Jul-2013

ANNEXURE - B
261986 DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN TDS Sur charge Edu Cess Total Tax Deposited Cheque/DD No. (if any) BSR Code of Bank Branch Date on which Tax Deposited (dd/mm/yy) Transfer vch/ Challan Identification No. 19956

Sl No.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

0 -

0 -

0 -

0 0

000000

6910333

05-07-2012

Total

Form 12BA
[See Rule 26A(2)(b)]

261986

Statement showing particulars of perquisites, other fringe benefits or amenities and profits in lieu of salary with value thereof 1) Name and address of employer RANDSTAD INDIA LIMITED. (Formerly known as "Ma Foi Management Consultants Limited" ). 'Randstad House' New No.9, Pycrofts Garden Road, Chennai - 6000 006.

2) TAN 3) TDS Assessment Range of the employer 4) Name, Designation and PAN of the employee

CHEM01532G LTU CHENNAI JAIMIN MUNGALPARA(261986) RF CO-ORDINATOR BHGPM3555G

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 : S.No. Name of Perquisites (See Rule 3)

NO Rs. 188010

2012-2013

Value of perquisite as per rules (Rs.) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Amount, if any paid (Rs.) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Amount of taxable perquisite (Rs.) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.

Accomodation Cars / Other automotive Sweeper, gardener, watchman or personal attendant Gas, Electricity, Water Interest free or concessional loans Holiday expenses Free or concessional travel Free Meals Free education Gifts, Vouchers etc Superannuation Club expenses Use of movable assets by employees Transfer of assets to employees Value of any other benefit/ amenity/ service/ privilege Stock options(non-qualified options) Other benefits or amenities Total value of perquisites Total value of profits in lieu of salary as per section 17(3)

9) Details of Tax a) Tax deducted from salary of the employee u/s 192(1) b) Tax Paid by the employer on behalf of the employee u/s 192(1A) c) Total Tax Paid d) Date of Payment into Government treasury AS PER FORM 16 DECLARATION BY EMPLOYER

0 0 0

Digitally Signed By VALSECCHI MARCO I, MARCO VALSECCHI , Son of GIUSEPPE VALSECCHI, working as CFO , do hereby declare on behalf of RANDSTAD INDIA INDIA LIMITED) LIMITED. (Formerly known as "Ma Foi Management Consultants Limited" ). (RANDSTAD 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 Date : 08-Jul-2013 accordance with section 17 and rules framed thereunder and that such information is true and correct.

Signature of the person responsible for deduction of tax Place : CHENNAI Date : Full Name : MARCO VALSECCHI CFO Designation :

You might also like