Name : GOPAL KRISHNA CHEMBETI

OTH_ALL
Month Year BPay DA HRA CCA IR Gross
OW
Mar 2017 61450 9338 18435 1000 0 0 90223

0 28198 0 0 0 0 28198
Apr 2017 61450 11270 18435 1000 0 300 92455

May 2017 61450 11270 18435 1000 0 300 92455

Jun 2017 61450 11270 18435 1000 0 300 92455

Jul 2017 61450 11270 18435 1000 0 300 92455

Aug 2017 61450 11270 18435 1000 0 300 92455

Sep 2017 61450 13524 18435 1000 0 300 94709

Oct 2017 61450 13524 18435 1000 0 300 94709

0 31100 0 0 0 0 31100
Nov 2017 61450 13524 18435 1000 0 300 94709

Dec 2017 61450 13524 18435 1000 0 300 94709

Jan 2018 61450 13524 18435 1000 0 300 94709

Feb 2018 61450 13524 18435 1000 0 300 94709

Grand Totals 737400 206130 221220 12000 0 3300 1180050

RENT
P+DA
10% OF P+DA
RENT -10% OF P+DA

50% OF P+DA
HRA RECEIVED
 2017-2018
EHF_SUB Deductio
APGLI(S) GIS PT IT CPS NET
S ns
750 120 200 5000 7079 120 13269 76954 P+D
0
0 0 0 0 0 0 0 28198 30215
750 120 200 5000 7272 120 13462 78993 11270
0
750 120 200 5000 7272 120 13462 78993 13287
0
750 120 200 5000 7272 120 13462 78993 13287
0
750 120 200 5000 7272 120 13462 78993 13287
0
750 120 200 5000 7272 120 13462 78993 13287
0
750 120 200 5000 7497 120 13687 81022 0
13287
750 120 200 5000 7497 120 13687 81022

0 0 0 0 0 0 0 31100
750 120 200 5000 7497 120 13687 81022

750 120 200 5000 7497 120 13687 81022

750 120 200 5000 7497 120 13687 81022

750 120 200 23230 7497 120 13687 81022

9000 1440 2400 78230 88421 1440 162701 1017349

99600
943530
94353
0% OF P+DA 5247

P+DA 471765
CEIVED 221220
 FORM NO.16
Certified under section 203 of the income tax Act,1961 for tax deducted at source from Income
chargeable under the head "Salaries"
chargible under the head ' " Salaries ""
Name and Designation of the Employer
Dr.S.ARUNA KUMARI
GOPAL KRISHNA CHEMBETI

DIRECTOR OF HEALTH, A.P CAS/ In-service P.G.at OMC, HYD

PAN No.of the Deductor TAN No.of the Deductor PAN No.of the Employee
ALKPG8401A
HYDD06986A
Acknowledgement Nos. of all quarterly statements of TDS TIN Period Assessment year
facilitation Centre or NSDL web-site
under sub-section (3) of section 200 as provided by TIN FROM TO
Faciliation centre or NSDL
Faciliation centre or NSDL Web-site
Quarter Acknowledgement 4/1/2017 3/31/2018 2018-2019
No.
Details of Salary paid and any other Income and Tax deducted
1. Gross Salary 1180050 1180050
2. Medical Expenses under section 17(2)

3. Less: Allowances to the extent exempt u/s10

House Rent Allowance 5247
Int. on house building loan/Eduction 200000
Acadamic Allowance 3600
Medi claim/AA/AHRA/RA/EducationLoan 1440
Total 969763
4. Balance {1-(2+3)} 969763
(a) standed deduction
5. Deductions under section 16
b) Tax on Employment 16 (3) P.T. 2400

6. Income chargiable under the head 'salaries' (4-5) 967363

7. Add: Any other Income reported by the employee

Income from house property
8. Gross Total Income ( 6 + 7 ) 967363
Gross Qualifying Deductible
Amt. Amt. Amt.
9. Less: Deductions under section 80G

a) C M Relief Fund / E.W.F. 150

Total 150 150 150
10. Less: Deductions under section 80 GG
(Form No. 10-I is enclosed)
11). Less: Deductions under section 80 C & 80 CCC
a) G.P.F/ C.P.S. 88421
b) A.P G.L.I 9000
c) GIS 1440
d) H.B.A. Principa/PLI 83952
e) L.I.C. Premium paid 5441
f) Tution fees/PPF/National Insurance 8784
Total [(a) to (f)] 197038 150000 150150
817213 317213
12. Total Taxable Income [ 8-(9+10+11)] 817213
Rounded off to Rs. 75943
13. IncomeTax thereon 75943
14. Educational Cess @ 3% on Tax Payable 2278
15. Total Tax Payable (13 + 14) 78221
16.Less Tax deducted at source 78230
17.Tax refundable/Payable -9
63443
12500
75943