Certificate No.

2088/ 2014 - 2015

FORM NO. 16
[See rule 31(1)(a)]

Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on Salary

Name and address of the Employer Name and designation of the Employee

SPI Technologies India Private Limited 300937

R.S. No.4/5 & 4/6, Gothi Industrial RAMESH S
Vazhudavur Road, Kurumbapet Revenue Village SUBJECT MATTER EXPERT - ELECTRICAL
Puducherry 605 009
PAN of the Deductor TAN of the Deductor PAN of the Employee
AABCK3967C CHES23736G BSHPR3385P

CIT(TDS) Assessment Year Period

From To
2015-16
01-Apr-2014 31-Mar-2015
Summary of tax deducted at source
Receipt Nos. of original Amount of tax deducted
Amount of tax deposited/remitted
Quarter statements of TDS under sub-sec. in respect of the
in respect of the employee
(3) of sec. 200 employee
Quarter 1 QQTDETHA
Quarter 2 QQWYSWWA
Quarter 3 QRBBTFJF
Quarter 4 QRGHRNGF
Total

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1.Gross salary
(a)Salary as per provisions in Section 17(1)
Basic salary 152,700
House Rent Allowance 76,350
Conveyance Allowance 9,600
Others 40,298

(b)Value of perquisites U/s 17(2) (as per Form No.

0
12BA, where applicable)
(c) Profits in lieu of salary U/s 17(3) (as per Form
0
No. 12BA, wherever applicable)
(d)Total 278,948
2. Less: Allowance to the extent HRA 38,730
exempt under Sec. 10 Conveyance 9,600 48,330
3. Balance (1-2) 230,618
4. Deductions:

(a) Medical allowance 0

(b) Education allowance 0
(c) Leave travel allowance 0
(d) Tax on Employment 2,190
(e) Leave encashment on settlement 0
5. Aggregate of 4 (a) to (e) 2,190

6. Income chargeable under the head Salaries (3 5) 228,428

7. Add: Any other income reported by the employee
Housing Loan Interest
8. Gross total income (6 + 7) 228,428
 300937

9. Deductions under Chapter VI-A

Deductible
(A) Section 80C, 80CCC and 80CCD Gross Amount Qualifying Amount
Amount

(a) Section 80C

(i) Provident Fund 15,230
(ii) NSC VIth & VIIth ISSUE

(iii) Tuition Fees

(iv) Public Provident Fund

(v) Mutual Fund

(vi) Bank Deposits

(vii) Housing Loan (Principal)

(viiI) Life Insurance Premium

Total u/s 80C 15,230 15,230 15,230

Deductible
(B) Other Sections under chapter VIA Gross Amount Qualifying Amount
Amount

Mediclaim

Donations 0 0 0

10. Aggregate of deductible amounts under Chapter VIA 15,230

11. Total Income (8 10) 213,198

12. Tax on total income
13. Education Cess @ 3% (on tax computed at 12)
14. Tax Payable (12 + 13)

15. Less: Relief under Section 89 (attach details) 0

16. Tax Payable / Refundable (14 15)

Verification

I, Ezhil Arasan S/o Kuppusamy working in the capacity of Associate Vice President-Finance & Accounts do hereby
certify that a sum of Rs. 0/- (Rupees Zero 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 statements, TDS deposited and other available records.

Place : Puducherry
Date : 31-May-2015

Signature of the person responsible for deduction of tax

Full Name : K Ezhil Arasan
Designation : Associate Vice PresidentFinance & Accounts.