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Sopra India Private Limited

FORM 16
Employee Name Employee PAN Employee Designation Financial Year Assessment Year Name of Signatory Designation of Signatory Digitally Signed Form 16
This form has been signed and certified using Digital Signature Certificate as specified under section 119 of the Income -tax Act, 1961

Nupur Mathur Engineer Development

2010-2011 2011-2012
Varun Joshi Chief Financial Officer

(Please refer Circular No. 2/2007, dated 21-05-2007). The Digital Signature of the signatory has been affixed below. To see the details and validate the signature, you should click on the box.

Digitally signed by VARUN JOSHI Date: 2011.06.17 17:24:48 +05:30 Reason: FORM16 Location: DELHI

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 Sopra India Private Limited 190-SFS, Hauz Khas New Delhi-110016 PAN of the Deductor AAACM1762C Address--- Circl 1,6th floor,Aaykar Bhawan City--- Delhi Quarter
Q1 Q2 Q3 Q4

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Name and Designation of the employee 1177 Nupur Mathur Engineer Development

TAN of the Deductor DELM08561A

PAN of the Employee Assessment Year From Period To 18/Jun/2010 01/Apr/2010

Pin Code--- 110092 Receipt Numbers of original statements of TDS under sub-section (3) of section 200
010270300204301 BUQXBIUF DOWXCABC DOYXGEIF

2011-2012 Amount of tax deducted in respect of the employee (Rs) 3,592 0 0 0 3,592

Summary of tax deducted at source Amount of tax deposited remitted in respect of the employee (Rs) 3,592 0 0 0 3,592

Total PART B ( Refer Note 1 ) Details of Salary paid and any other income tax deducted
1. Gross Salary (a) Salary as per provision contained in sec.17(1) (b) Value of perquisites u/s 17(2) (as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary u/s 17(3) (as per Form No. 12BA, wherever applicable) (d) Total 2. Less : Allowance to the extent Exempt under Section 10
HRA Exemption CONVEYANCE Exemption LTA Exemption CEA Exemption Leave Encashment Exemption Gratuity Perk Car Rs. Rs. Rs. Rs. Rs. Rs. Rs. 0 2,091 0 0 0 0 0

(Rs.)

(Rs.)

(Rs.)

(Rs.)

93,947 0

93,947

2,091 91,856 0 0 0 91,856

3. Balance(1-2) 4. Deductions : (a) Entertainment Allowance (b) Tax on Employment 5. Aggregate of 4 (a) and 4 (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) Rs. 0 Rs. 0

0 91,856

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9. Deduction under Chapter VI-A
Gross Amount (Rs.) Qualifying Amount (Rs.) Deductable Amount (Rs.)

(A). Section 80C,80CCC and 80CCD

(a) Section 80C

(Rs.)

PF+VPF PPF OTHERS LIC / MF EMI LIP C.E.F NSC Pen. Plan NHB ULIP FDR NSC INT Total
(b) Section 80CCC (c) Section 80CCD Note :1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees 2. Aggregate amount deductible under the three sections ie., 80C,80CCC and 80CCD shall not exceed one lakh rupees B. Other sections ( for e,g. ,80E,80G etc.) under chapter VIA

4,119

4119

4,119

4,119

Gross Amount (Rs.)

Qualifying Amount (Rs.)

Deductible Amount (Rs.) (Rs.)

80 D 80 DDB DED. 80 E DED. 80 G DED. 80 GG DED. 80 L DED. 80 U INFS BOND

Total 10. Aggregate of deductible amounts under Chaper VI-A 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(15-16)

4,119

4,119 87,737

0 Verification

I,Varun Joshi Son of Laxmi Kant Joshi working in the capacity of Chief Financial Officer do hereby certify that a sum of Rs. 3,592 (Three Thousand Five Hundred Ninety Two) has been deducted and deposited to the credit of the Central Government. I further certify that the information given about is true, complete and correct and is based on the books of account, documents , TDS statements, TDS deposited and other available records.

Place : New Delhi Date : 25/05/2011 Designation : Chief Financial Officer

Signature of person responsible for deduction of tax

Full Name

: Varun Joshi

4 of 5 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 Tax Deposited in respect of the employee ( Rs. ) BSR Code of the Bank Branch Challan identification number ( CIN ) Date on which tax deposited (dd/mm/yy) Challan Serial Number

1 2
Total

2,113 1,479 3,592

6390340 6390340

07-05-2010 04-06-2010

08141 03029

FORM NO. 12BA

See Rule 26A(2)(b)
Statement showing particulars of perquisites, other fringe benifites or amenities and profites in lieu of salary with value thereof

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1. Name & Address of the Employer 2. TAN 3. TDS Assessment Range of the Employer 4. Name, Designation and PAN of the employee

Sopra India Private Limited

190-SFS, Hauz KhasNew Delhi -110016

DELM08561A 50 (1) Nupur Mathur ( 1177 ) Engineer Development

5. Is the employee a director or a person with a substantial interest in the company (where the employer is a company) 6. Income under the head "Salaries" of the employee (other than from perquisities) 7. Financial Year 8. Valuation of Perquisities
S.No. Nature of perquisites (see rule 3)
(2)

N 91,856 2010-2011
Value of perquisites as per rules (Rs.)
(3)

Rs.

Amount, if any recovered from employee (Rs.)

(4)

Amount of perquisites chargeable to tax

Col. (3) - Col. (4) (Rs.)

(1)

(5)

1. 2. 3.

Accommodation Cars / Other Automotive Sweeper, Gardener, Watchman or Personal attendant

0 0 0

0 0

0 0 0

4.
5.

Gas, Electricity, Water

Interest free or Concessional Loans Holiday Expenses

0
0 0

0
0

0
0 0

6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.

Free or Concessional Travel

Free Meals Free Education Gifts, Vouchers, etc. Credit card expenses 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) Others benefits or amenities Total value of perquisites Total value of profits in lieu of salary as per Section 17

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

9. Details of Tax : (a) Tax Deducted from salary of the employee under section 192 (1) (b) Tax Paid by the employer on behalf of the employee under section 192 (1A) (c) Total tax paid (d) Date of payment into Government treasury

: : : :

3,592 0 3,592 As per Form 16

Declaration by Employer
I, Varun Joshi son of Shri Laxmi Kant Joshi working as Chief Financial Officer do hereby declare on behalf of Sopra India Private 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 perquisites are in accordance with section 17 and rules framed thereunder and that such information is true and correct. This Form 16 is digitally signed by Varun Joshi, Chief Financial Officer Signature of the Person Responsible for deduction of Tax Place : New Delhi Date : 25/05/2011 Full Name : Varun Joshi Designation : Chief Financial Officer