FORM 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 designation of the Employee Name and address of the Employer INDIAN OVERSEAS BANK V THIRUMOORTHY 90 PETERS ROAD Roll No 13984 ROYAPETTAH CHENNAI 600014 PAN of the Deductor PAN of the Employee TAN of the Deductor AAACI1223J CHEI00209S CIT (TDS) Period Assessment Year Address: From To 2011-2012 01.04.2010 31.03.2011 City: Pincode: Summary of tax deducted at source Amount of tax Amount of tax Receipt Numbers of original statements of TDS deposited/remitt Quarter deducted in respect under sub-section (3) of section 200 ed in respect of of the employee the employee Quarter 1 20,700 20,700 Quarter 2 3,000 3,000 Quarter 3 3,000 3,000 Quarter 4 38,789 24,427 65,489 51,127 Total PART B (Refer Note 1) Details of Salary Paid and any other income and tax deducted Rs. Rs. Rs. 1. Gross Salary (a) Salary as per provisions contained in sec. 17(1) 700,846
(b) Value of perquisites u/s 17(2) (as per Form No. 12BB, wherever applicable) (c) Profits in lieu of salary under section 17(3)(as per Form No. 12BB, wherever applicable (d) Total

700,846

2. Less: Allowance to the extent exempt U/s 10 Allowance Rs. HRA 2754 Conveyance 0 2,754 3. Balance (1-2) 4. Deductions : (a) Entertainment allowance (b) Tax on employment 5. Aggregate of 4(a) and (b) 6. Income chargebale under the head 'Salaries' (3-5) 7. Add: Any other income reported by the employee Income Rs. Loss on house property -14542 Interest Income 0 8. Gross Total income (6+7) 14,542 681,354 ..2 698,092

2,196 2,196 695,896

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:: 2 :: 9. Deductions under Chapter VI A (A) sections 80C, 80CCC and 80CCD (a) Section 80 C (i) Providend Fund (ii) Housing Loan Repayment (iii) Life Insurance Premium (iv) Children Education (v) PPF (vi) NSC (vii) ULIP (viii) Infra Bonds (b) section 80 CCC (c) section 80 CCD
Note: 1. Aggregate amount deductible under section 80 C shall not exceed one lakh rupees. 2. Aggregate amount deductible under the three sections, i.e. 80C,80CCC,80CCD shall not exceed one lakh rupees.

Gross Amount Deductible Amount 67,209 67,209 10,200 10,200 10,068 10,068 1,000 1,000 88,477 88,477

(B) other sections (e.g. 80E,80G etc.) under Chapter VI-A Gross Amount

Qualifying AmountDeductible Amount 14,692 14,692

(i) section (ii) section (iii) section (iv) section (v) section

80 E

14,692

14,692
10. Aggregate of deductible amount under Chapter VI A

14,692

14,692 103,169 578,185 49,638 1,489 51,127

11. Total Income (8-10) 12. Tax on total income

13. Education cess @ 3% (on tax computed at S.No. 12)

14. Tax Payable (12+13) 15. Less: Relief under section 89 (attach details) 16. Tax Payable (14-15)

51,127 Verification I, ------------------------, son / daughter of -------------------- working in the capacity of ---------------------(designation) do hereby certify that a sum of Rs.------------ [Rs. ----------------------------------- (in Words) 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 statements, TDS deposited and other available records. Place Date 31.05.2011 Designation: Signature of person responsible for deduction of tax Full Name: CHENNAI

Notes: (Need not be printed. Only for info.)

1. An amount of Rs.14,362.00 deducted towards Income Tax has not been remitted to the Government in view of the Stay obtained for not remitting the Income Tax on Amount contributed towards Pension Fund inrespect of Pension Optees

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ANNEXURE - A
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The Employer to provide payment wise details of tax deducted and deposited with respect to the Employee)

S.No.

Tax Deposited in respect of the employee (Rs.)

Book identification number (BIN)

Receipt numbers of Form No.24 G

DDO Sequence Number in the Book Adjustment Mini Statement

Date on which tax deposited (dd/mm/yyyy)

Total

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ANNEXURE - B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN

(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)

S.No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total

Tax Deposited in respect of the 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 17,700 10,000 11,427 51,127

Challan identification number (CIN)

BSR Code of tbe Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

7 7 7 7 7 7 7 7 7 7 7 7 7 7 7

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 2 2 3 2 2 2 2 2 2 2 0 2 2 2

5 8 9 1 7 4 7 9 2 8 6 2 8 6 9

0 0 0 0 0 0 1 1 1 0 0 0 0 0 0

5 6 6 7 9 9 0 1 2 1 2 4 6 2 4

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

0 0 0 0 0 0 0 0 0 1 1 1 0 1 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1 0 0 0 0 0 0 0 0 0 0 0 1

2 4 2 6 1 2 1 1 1 2 2 1 1 5 5

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