DEDUCTOR'S DETAILS (FILL ONLY YELLOW CELL)

TAN of Deductor PAN of Deductor Name of Deductor Place of Office where Office is situated Status of Deductor(Govt/PSU/Others Name of the Person responsible for deduction Father's Name of Responsible Person Designation of the Person Responsible for Deduction
UFBK1234C AACC12345D Rabindra Balika School Berhampore Govt RAMMEWAR SOHINI PREM KUMAR SOHINI A.G.M.

CIT (TDS) Address Detail

Name of the CIT with Address City of the CIT Address Pin Code of CIT Address
Receipt No of Original Quarterly statement collect from NSDL The Commissioner of Income Tax, Halisahar

Kolkata 700005

Acknowledgement No
AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Quarter 1 Acknowledge No Quarter 2 Acknowledge No Quarter 3 Acknowledge No Quarter 4 Acknowledge No

Fill Only Yellow Cell

For Contact :- pranab.banerjee83@gmail.com Cell No. 9474316768

BSR CODE NO ( Against TDS Deposited)

00055 00055 00055 00055

CHALLAN NO of TDS deposited

198 502 601 709

DATE OF DEPOSITE

7/1/2010 9/1/2010 1/1/2011 3/31/2011

ee83@gmail.com

Sl. No.

Employee PAN

Male or Female

Other Name of Employee Designation Income if any

Gross Salary

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

2
APPB4457C

3
Male

4
Pranab Banerjee

5
UDC

6
2000

7
500000

APPB4457C

Female

Tapasi SenGupta

H.A.

400000

APPB4457C

Male

Anup Kukar Das

U.D.C.

600000

APPB4457C

Male

Pradip Mukherjee

L.D.C

700000

APPB4457C

Female

Sahanara Begam

PEON

450000

APPB4457C

Female

Sikha Raha

L.D.C

350000

APPB4457C

Male

Amintava Kumar Karmakar

L.D.C

500000

AZZPC5589C

Female

Gouri Sen Mallik

PEON

900000

Male

Pradip Kumar Chatterjee

HC

1000000

10

Male

Syamapada Sarkar

L.D.C

950000

AAAB555C

Female

Tarun Kumar Moitra

UDC

565000

AAAB565C

Male

Amintava Kumar Malakar

Sr.Manager

220000

AAAB555C

Male

Amia Kumar Chakroborty

LDC

500000

AAAB555C

Female

Puspa Swarnakar

LDC

485000

AAAB555C 16

Male Female

Pradip Kumar Das 16

B.S. 16

0 16

480000 130000

H.R.A. Exempt

Conveyance Allowan/ Chld.Educ.Alo Medical Transport wnc Reimbursmnt Alwn

House Building Loan Interest

P.Tax

Leave Tavel Allowances

Entertnmt Allowance

8
0

9
0

10
1200

11
5000

12
0

13
500

14
2000

15
0

1200

12000

800

1200

8000

800

600

800

9000

400

1200

800

2400

900

600

200

4800

1200

5000

480

72000

9600

2400

2000

900

400

280

14

14

15 16

0 16

0 16

0 16

0 16

500 16

15 16

15 16

Total Ors Deduction Deduction U/s Under Chapter 80C,80CC,80CC VI D& 80CCF A,80E,80G,etc

Relief U/s 89(1)

TDS 1st Q

TDS 2nd Q

TDS 3rd Q

TDS 4th Q

16
100000

17
0

18
0

Put the Quartly Deposited Amount

6000 6000 6000 6030

98000

15000

2000

2000

2000

2549

75000

15000

12000

11020

12000

84000

15000

15000

15000

10000

16114

100000

15000

3000

3000

3000

5114

75000

3000

4787

90000

10000

5000

5000

5544

80000

20000

20000

30000

28887

100000

40000

40000

40000

7535

100000

30000

30000

30000

22208

85000

7000

7000

7000

7688

100000

45000

8000

8000

8000

6344

75000

5000

5000

5000

7628

50000 100000

0 50000

0 2000

7000 3000

7000 3000

7000 3000

6754 3000

TOTAL Deposited TDS

24030

Rupees Twenty Four Thousand Thirty Only

8549

Rupees Eight Thousand Five Hundred Forty Nine Only

35020

Rupees Fifty Six Thousand One Hundred Fourteen Only

56114

Fifty Six thousand one hundred forteen only

14114

Forteen thousand one hundred forteen only

7787

Twelve thousand

25544

Twelve thousand

98887

Rupees Ninety Eight Thousand Eight Hundred Eighty Seven Only

127535

112208

28688

30344

22628

27754 12000

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Pranab Banerjee

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 500,000 Rs. 0 Rs. 0 Rs. 500,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 1,200 Rs. 5,000 Rs. 493,800

Tax on employment.

Rs. 0 Rs. 500 Rs. 2,000 Rs. 0 Rs. 2,500 Rs. 491,300 Rs. 2,000 Gross Amount Rs. 100,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 100,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) do hereby certify that a sum of Rupees Twenty Four Thousand Thirty Only 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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

PREM KUM

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
UDC

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

(Refer Note 1)

ted

###

Rs. 493,300 Deductible Amount

### Rs. 100,000 Rs. 0 Rs. 100,000 Rs. 393,300 Rs. 23,330 Rs. 700 Rs. 24,030 Rs. 0 Rs. 24,030
PREM KUMAR SOHINI

### Male ###

rification
Rs. 24,030 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Tapasi SenGupta

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. Rs. Rs. Rs. Rs.

2,000 2,000 2,000 2,549 8,549

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 400,000 Rs. 0 Rs. 0 Rs. 400,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 1,200 Rs. 0 Rs. 398,800

Tax on employment.

Rs. 12,000 Rs. 800 Rs. 0 Rs. 0 Rs. 12,800 Rs. 386,000 Rs. Gross Amount Rs. 98,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 98,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 15,000

Rs. 0 Rs. 0 Rs. 15,000

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees Eight Thousand Five Hundred Forty Nine Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. Rs. Rs. Rs. Rs. 1 2,000 2,000 2,000 2,549 8,549

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
H.A.

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. Rs. Rs. Rs. Rs.

2,000 2,000 2,000 2,549 8,549

(Refer Note 1)

ted

###

Rs. 386,000 Deductible Amount

### Rs. 98,000 Rs. 15,000 Rs. 113,000 Rs. 273,000 Rs. 8,300 Rs. 249 Rs. 8,549 Rs. 0 Rs. 8,549
PREM KUMAR SOHINI

### Male ###

rification
Rs. 8,549 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Anup Kukar Das

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 600,000 Rs. 0 Rs. 0 Rs. 600,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 1,200 Rs. 0 Rs. 598,800

Tax on employment.

Rs. 8,000 Rs. 800 Rs. 0 Rs. 0 Rs. 8,800 Rs. 590,000 Rs. Gross Amount Rs. 75,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 75,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 15,000

Rs. 0 Rs. 0 Rs. 15,000

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI A.G.M.

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of

PREM KUM

working in the capacity of(designation) ( Rupees Thirty Five Thousand Twenty Only

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 0 Rs. 12,000 Rs. 11,020 Rs. 12,000 Rs. 35,020 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
U.D.C.

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

(Refer Note 1)

ted

###

Rs. 590,000 Deductible Amount

### Rs. 75,000 Rs. 15,000 Rs. 90,000 Rs. 500,000 Rs. 34,000 Rs. 1,020 Rs. 35,020 Rs. 0 Rs. 35,020
PREM KUMAR SOHINI

### Male ###

rification
Rs. 35,020 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Pradip Mukherjee

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 700,000 Rs. 0 Rs. 0 Rs. 700,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 4 Rs. 0 Rs. 0 Rs. 0 Rs. 699,996

Tax on employment.

Rs. 0 Rs. 600 Rs. 0 Rs. 0 Rs. 600 Rs. 699,396 Rs. 2,000 Gross Amount Rs. 84,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 84,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 15,000

Rs. 0 Rs. 0 Rs. 15,000

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees Fifty Six Thousand One Hundred Fourteen Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. Rs. Rs. Rs. Rs. 1 15,000 15,000 10,000 16,114 56,114

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
L.D.C

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

(Refer Note 1)

ted

###

Rs. 701,396 Deductible Amount

### Rs. 84,000 Rs. 15,000 Rs. 99,000 Rs. 602,400 Rs. 54,480 Rs. 1,634 Rs. 56,114 Rs. 0 Rs. 56,114
PREM KUMAR SOHINI

### Male ###

rification
Rs. 56,114 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Sahanara Begam

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 450,000 Rs. 0 Rs. 0 Rs. 450,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 450,000

Tax on employment.

Rs. 0 Rs. 800 Rs. 0 Rs. 0 Rs. 800 Rs. 449,200 Rs. Gross Amount Rs. 100,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 100,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 15,000

Rs. 0 Rs. 0 Rs. 15,000

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees Fourteen Thousand One Hundred Fourteen Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 3,000 Rs. 3,000 Rs. 3,000 Rs. 5,114 Rs. 14,114 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
PEON

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 6,000 Rs. 6,000 Rs. 6,000 Rs. 6,030 Rs. 24,030

(Refer Note 1)

ted

###

Rs. 449,200 Deductible Amount

### Rs. 100,000 Rs. 15,000 Rs. 115,000 Rs. 334,200 Rs. 14,420 Rs. 433 Rs. 14,853 Rs. 0 Rs. 14,853
PREM KUMAR SOHINI

### Male ###

rification
Rs. 14,114 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Sikha Raha

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 0 Rs. 0 Rs. 3,000 Rs. 4,787 Rs. 7,787

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 350,000 Rs. 0 Rs. 0 Rs. 350,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 350,000

Tax on employment.

Rs. 9,000 Rs. 400 Rs. 0 Rs. 0 Rs. 9,400 Rs. 340,600 Rs. Gross Amount Rs. 75,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 75,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees Seven Thousand Seven Hundred Eighty Seven Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 0 Rs. 0 Rs. 3,000 Rs. 4,787 Rs. 7,787 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
L.D.C

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 0 Rs. 0 Rs. 3,000 Rs. 4,787 Rs. 7,787

(Refer Note 1)

ted

###

Rs. 340,600 Deductible Amount

### Rs. 75,000 Rs. 0 Rs. 75,000 Rs. 265,600 Rs. 7,560 Rs. 227 Rs. 7,787 Rs. 0 Rs. 7,787
PREM KUMAR SOHINI

### Male ###

rification
Rs. 7,787 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Amintava Kumar Karmakar

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl APPB4457C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 10,000 Rs. 0 Rs. 5,000 Rs. 5,544 Rs. 20,544

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 500,000 Rs. 0 Rs. 0 Rs. 500,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 1,200 Rs. 0 Rs. 498,800

Tax on employment.

Rs. 0 Rs. 800 Rs. 0 Rs. 0 Rs. 800 Rs. 498,000 Rs. Gross Amount Rs. 90,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 90,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees Twenty Five Thousand Five Hundred Forty Four Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 10,000 Rs. 5,000 Rs. 5,000 Rs. 5,544 Rs. 25,544 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
L.D.C

PAN NO. of the Employee From APPB4457C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 10,000 Rs. 0 Rs. 5,000 Rs. 5,544 Rs. 20,544

(Refer Note 1)

ted

###

Rs. 498,000 Deductible Amount

### Rs. 90,000 Rs. 0 Rs. 90,000 Rs. 408,000 Rs. 24,800 Rs. 744 Rs. 25,544 Rs. 0 Rs. 25,544
PREM KUMAR SOHINI

### Male ###

rification
Rs. 25,544 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Gouri Sen Mallik

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl AZZPC5589C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. Rs. Rs. Rs. Rs.

20,000 20,000 30,000 28,887 98,887

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 900,000 Rs. 0 Rs. 0 Rs. 900,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 8 Rs. 0 Rs. 2,400 Rs. 0 Rs. 897,592

Tax on employment.

Rs. 0 Rs. 900 Rs. 0 Rs. 0 Rs. 900 Rs. 896,692 Rs. Gross Amount Rs. 80,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 80,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) do hereby certify that a sum of ( Rupees Ninety Eight Thousand Eight Hundred Eighty Seven Only 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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

PREM KUM

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. Rs. Rs. Rs. Rs. 1 20,000 20,000 30,000 28,887 98,887

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
PEON

PAN NO. of the Employee From AZZPC5589C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. Rs. Rs. Rs. Rs.

20,000 20,000 30,000 28,887 98,887

(Refer Note 1)

ted

Rs. 896,692 Deductible Amount

Rs. 80,000 Rs. 0 Rs. 80,000 Rs. 816,690 Rs. 96,007 Rs. 2,880 Rs. 98,887 Rs. 0 Rs. 98,887
PREM KUMAR SOHINI

rification
Rs. 98,887 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Pradip Kumar Chatterjee

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl 9.0 Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 40,000 Rs. 40,000 Rs. 40,000 Rs. 7,535 Rs. 127,535

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 1,000,000 Rs. 0 Rs. 0 Rs. 1,000,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 1,000,000

Tax on employment.

Rs. 0 Rs. 600 Rs. 0 Rs. 0 Rs. 600 Rs. 999,400 Rs. Gross Amount Rs. 100,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 100,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) do hereby certify that a sum of ( Rupees One Lakh Twenty Seven Thousand Five Hundred Thirty Five Only 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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

PREM KUM

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 40,000 Rs. 40,000 Rs. 40,000 Rs. 7,535 Rs. 127,535 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
HC

PAN NO. of the Employee 9.0 From

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 40,000 Rs. 40,000 Rs. 40,000 Rs. 7,535 Rs. 127,535

(Refer Note 1)

ted

###

Rs. 999,400 Deductible Amount

### Rs. 100,000 Rs. 0 Rs. 100,000 Rs. 899,400 Rs. 123,820 Rs. 3,715 Rs. 127,535 Rs. 0 Rs. 127,535
PREM KUMAR SOHINI

### Male ###

rification
Rs. 127,535 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer
Rabindra Balika School

Name and designation of th

Syamapada Sarkar

PAN NO.of Deductor

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl 10.0 Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 30,000 Rs. 30,000 Rs. 30,000 Rs. 22,208 Rs. 112,208

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 950,000 Rs. 0 Rs. 0 Rs. 950,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 950,000

Tax on employment.

Rs. 0 Rs. 200 Rs. 0 Rs. 0 Rs. 200 Rs. 949,800 Rs. Gross Amount Rs. 100,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 100,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees One Lakh Twelve Thousand Two Hundred Eight Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 30,000 Rs. 30,000 Rs. 30,000 Rs. 22,208 Rs. 112,208 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
L.D.C

PAN NO. of the Employee 10.0 From

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 30,000 Rs. 30,000 Rs. 30,000 Rs. 22,208 Rs. 112,208

(Refer Note 1)

ted

###

Rs. 949,800 Deductible Amount

### Rs. 100,000 Rs. 0 Rs. 100,000 Rs. 849,800 Rs. 108,940 Rs. 3,268 Rs. 112,208 Rs. 0 Rs. 112,208
PREM KUMAR SOHINI

### Male ###

rification
Rs. 112,208 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer Rabindra Balika School
PAN NO.of Deductor Tarun Kumar Moitra

Name and designation of th

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl AAAB555C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 7,000 Rs. 7,000 Rs. 7,000 Rs. 7,688 Rs. 28,688

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 565,000 Rs. 0 Rs. 0 Rs. 565,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 4,800 Rs. 1,200 Rs. 5,000 Rs. 554,000

Tax on employment.

Rs. 0 Rs. 480 Rs. 0 Rs. 0 Rs. 480 Rs. 553,520 Rs. Gross Amount Rs. 85,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 85,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) do hereby certify that a sum of ( Rupees Twenty Eight Thousand Six Hundred Eighty Eight Only 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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

PREM KUM

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 7,000 Rs. 7,000 Rs. 7,000 Rs. 7,688 Rs. 28,688 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
UDC

PAN NO. of the Employee From AAAB555C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 7,000 Rs. 7,000 Rs. 7,000 Rs. 7,688 Rs. 28,688

(Refer Note 1)

ted

###

Rs. 553,520 Deductible Amount

### Rs. 85,000 Rs. 0 Rs. 85,000 Rs. 468,520 Rs. 27,852 Rs. 836 Rs. 28,688 Rs. 0 Rs. 28,688
PREM KUMAR SOHINI

### Male ###

rification
Rs. 28,688 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer Rabindra Balika School
PAN NO.of Deductor Amintava Kumar Malakar

Name and designation of th

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl AAAB565C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. Rs. Rs. Rs. Rs.

0 0 0 0 0

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 220,000 Rs. 0 Rs. 0 Rs. 220,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 72,000 Rs. 9,600 Rs. 2,400 Rs. 2,000 Rs. 134,000

Tax on employment.

Rs. 0 Rs. 900 Rs. 0 Rs. 0 Rs. 900 Rs. 133,100 Rs. Gross Amount Rs. 100,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 100,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI A.G.M.

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of

PREM KUM

working in the capacity of(designation) (

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. Rs. Rs. Rs. Rs. 1 0 0 0 0 0

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
Sr.Manager

PAN NO. of the Employee From AAAB565C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. Rs. Rs. Rs. Rs.

0 0 0 0 0

(Refer Note 1)

ted

###

Rs. 133,100 Deductible Amount

### Rs. 100,000 Rs. 0 Rs. 100,000 Rs. 33,100 ### Male ###

Rs. 0
Rs. 0 Rs. 0 Rs. 0 Rs. 0
PREM KUMAR SOHINI

rification
Rs. 0 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer Rabindra Balika School
PAN NO.of Deductor Amia Kumar Chakroborty

Name and designation of th

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl AAAB555C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 8,000 Rs. 8,000 Rs. 8,000 Rs. 6,344 Rs. 30,344

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 500,000 Rs. 0 Rs. 0 Rs. 500,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 500,000

Tax on employment.

Rs. 0 Rs. 400 Rs. 0 Rs. 0 Rs. 400 Rs. 499,600 Rs. Gross Amount Rs. 45,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 45,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) ( Rupees Thirty Thousand Three Hundred Forty Four Only

PREM KUM

do hereby certify that a sum of

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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 8,000 Rs. 8,000 Rs. 8,000 Rs. 6,344 Rs. 30,344 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
LDC

PAN NO. of the Employee From AAAB555C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 8,000 Rs. 8,000 Rs. 8,000 Rs. 6,344 Rs. 30,344

(Refer Note 1)

ted

###

Rs. 499,600 Deductible Amount

### Rs. 45,000 Rs. 0 Rs. 45,000 Rs. 454,600 Rs. 29,460 Rs. 884 Rs. 30,344 Rs. 0 Rs. 30,344
PREM KUMAR SOHINI

### Male ###

rification
Rs. 30,344 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer Rabindra Balika School
PAN NO.of Deductor Puspa Swarnakar

Name and designation of th

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl AAAB555C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 5,000 Rs. 5,000 Rs. 5,000 Rs. 7,628 Rs. 22,628

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 485,000 Rs. 0 Rs. 0 Rs. 485,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 485,000

Tax on employment.

Rs. 0 Rs. 280 Rs. 14 Rs. 14 Rs. 308 Rs. 484,692 Rs. Gross Amount Rs. 75,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 75,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) do hereby certify that a sum of ( Rupees Twenty Two Thousand Six Hundred Twenty Eight Only 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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

PREM KUM

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 5,000 Rs. 5,000 Rs. 5,000 Rs. 7,628 Rs. 22,628 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
LDC

PAN NO. of the Employee From AAAB555C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 5,000 Rs. 5,000 Rs. 5,000 Rs. 7,628 Rs. 22,628

(Refer Note 1)

ted

###

Rs. 484,692 Deductible Amount

### Rs. 75,000 Rs. 0 Rs. 75,000 Rs. 409,690 Rs. 21,969 Rs. 659 Rs. 22,628 Rs. 0 Rs. 22,628
PREM KUMAR SOHINI

### Male ###

rification
Rs. 22,628 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)

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

PART- A
Name and address of the Employer Rabindra Balika School
PAN NO.of Deductor Pradip Kumar Das

Name and designation of th

TAN No.of the Deductor UFBK1234C CIT (TDS)

PAN NO. of the Empl AAAB555C Assessment Year

AACC12345D

Address City

The Commissioner of Income Tax, Halisahar 2011

Kolkata

2012

Pin Code

700005

Summary of tax deducted at source

Quarter Q1 Q2 Q3 Q4 TOTAL
Receipt Numbers of original statements of TDS under subsection (3) of section 200 Amount of tax deducted in respect of the employee

AAAABBBB BBBBCCCC CCCCDDDD FFFFGGGG

Rs. 7,000 Rs. 7,000 Rs. 7,000 Rs. 6,754 Rs. 27,754

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted 1 Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2)(as per Form No.
12BA,wherever applicable)

Rs. 480,000 Rs. 0 Rs. 0 Rs. 480,000

(c) Profits in lieu of salary under section 17(3)(as per Form

No. 12BA, wherever applicable)

(d) TOTAL
2 (i) (ii) (iii) (v) 3 4 Less: Exempted Allowance u/s 10 Allowance:-

H.R.A Exemption.. Conveyances Allowances Children Edu Allownc Medical Reimbursment

Balance(1-2) .. Deductions : U/ s 16 (a) (b)
H.B.Loan Int.(Max-1,50,000/-) . u/s 24(B)

Rs. 15 Rs. 0 Rs. 0 Rs. 0 Rs. 479,985

Tax on employment.

Rs. 0 Rs. 500 Rs. 15 Rs. 15 Rs. 530 Rs. 479,455 Rs. Gross Amount Rs. 50,000
Qulfy amount

(c ) Leave Travel Allowances (f) 5 6 7 8 9 (A) Entertainment Allowances.. Aggregate of 4(a) to (f).. Income Chargeable under head of 'Salaries'(3 - 5 ) Add: Any other income reported by the employee a ) Other Income reported by the employee

Gross total income (6+7) .. Deductions under Chapter VIA :a) U/s 80C & U/s 80CCF

Rs. 50,000

(b) Section 80 CCC (c ) Section 80CCD

B 10 11 12 13 14 15 16 I

Rs. 0 Rs. 0 Rs. 0

Rs. 0 Rs. 0 Rs. 0

Other sections e.g.,80E,80G,etc under chapter VI A

Total Income (8-10) [ Rounded off ]).. Tax on total income Education & cess @3% on col.no.12.. Tax payable (12+13+14) . Less Relief U/s 89(1) [attach Form 10E].. Tax payable/refundable (15-16) RAMMEWAR SOHINI

Aggregate of deductible amount under Chap. VIA (Col.9a +9b)..

Verification
son/daughter of A.G.M. working in the capacity of(designation) do hereby certify that a sum of ( Rupees Twenty Seven Thousand Seven Hundred Fifty Four Only 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 statement, TDS deposited and other available records. Place:Date:Designation Berhampore 4/15/2011 A.G.M.

PREM KUM

Signature of person responsible for deductio

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

Challan Identification Number ( C I N )

Sl.No

Tax Deposited in respect on of the employee (Rs.) Rs. 7,000 Rs. 7,000 Rs. 7,000 Rs. 6,754 Rs. 27,754 1

BSR Code of the Bank Branch 00055 00055 00055 00055

Date on which tax de (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011

1 2 3 4 Total

In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess

pranab.banerjee83@gmail.com

M NO.16
rule 31(1)(a)]

-tax Act, 1961 for Tax deducted at source on Salary

PART- A
Name and designation of the employee
B.S.

PAN NO. of the Employee From AAAB555C

To Period

DD/MM/YY 4/1/2010

DD/MM/YY 3/31/2011

x deducted at source
Amount of tax deposited remitted in respect of the employee

Rs. 7,000 Rs. 7,000 Rs. 7,000 Rs. 6,754 Rs. 27,754

(Refer Note 1)

ted

###

Rs. 479,455 Deductible Amount

### Rs. 50,000 Rs. 0 Rs. 50,000 Rs. 429,460 Rs. 26,946 Rs. 808 Rs. 27,754 Rs. 0 Rs. 27,754
PREM KUMAR SOHINI

### Male ###

rification
Rs. 27,754 [in words])

Signature of person responsible for deduction of tax

NEXURE-B

HE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN Challan Identification Number ( C I N ) Date on which tax deposited (dd/mm/yy) 7/1/2010 9/1/2010 1/1/2011 3/31/2011 Challan Serial Number 198 502 601 709

of tax deducted and deposited with respect to employee)