FORM NO.

16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted
at source from income chargeable under the head "SALARIES"
Name and Address of the Employer Name and Designation of the Employee 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Rishi Tulsyan AMOUNT AMOUNT RELIEF
A/153-B, Metropolitan Co-Op. Housing Society, Director, (a) PROVIDENT FUND Rs. -
E.M. By Pass, Calcutta - 700 039. CHENNAI. (b) L.I.P. Rs. 2,426 2,426
(c) N.S.C. VIII Rs. 7,807 7,807
(d) PPF Rs. 7,500 7,500
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 70,000 70,000
AAACD 9376 P D 2086 A (C ) CALCUTTA (f) Total of [ (a) to (e) ] Rs. 87,733 80,000 16,000
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CALCUTTA 01.04.2000 31.03.2001 2001-2002 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 16,000
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 6,749
(b) SURCHAGE THEREON @ 17% 1,147 7,896
1. Gross Salary * Rs. 186,000 16. LESS TAX DEDUCTED AT SOURCE 7,898
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) (2)
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 186,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
7,898 April 7, 2001 R.B.I CALCUTTA
4. DEDUCTIONS:

(a) Standard deduction Rs. 20,000

(b) Entertainment allowance Rs. -
(c) Tax on Employment Rs. -

5. Aggregate of 4 (a to c) 20,000

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 166,000 -
-
7. Add: any other income reported 7,898 :TOTAL
by the employee Certified that a Sum of Rupees. (in words)….………. SEVEN THOUSAND EIGHT HUNDRED
8. GROSS TOTAL INCOME (6+7) 166,000 AND NINTY EIGHT ONLY………………………………………….. has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 3,502 3,502 3,502
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 3,502 PLACE : CALCUTTA Full Name : BRAJESH KUMAR GUTGUTIA
11. TOTAL INCOME (8-10) 162,498 DATE : April 30, 2001 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 22,749 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted
at source from income chargeable under the head "SALARIES"
Name and Address of the Employer Name and Designation of the Employee 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Rishi Tulsyan AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower, Director, (a) PROVIDENT FUND Rs. -
117, Nelson Manickam Road, CHENNAI. (b) L.I.P. Rs. 37,819 37,819
Chennai - 600 029 (c) N.S.C. VIII Rs. 9,002 9,002
(d) PPF Rs. 4,000 4,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. 30,000 30,000
AAACD 9376 P CHE D 2360 B (CHENNAI) (f) Total of [ (a) to (e) ] Rs. 80,821 80,000 16,000
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - -
Section 206 is filed FROM TO (b) Rs. - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2001 31.03.2002 2002-2003 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 16,000
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) 8,400
(b) SURCHAGE THEREON @ 17% 168 8,568
1. Gross Salary * Rs. 198,000 16. LESS TAX DEDUCTED AT SOURCE 9,000
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) (432)
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 198,000 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED
3,000 September 7, 2001 S.B.I., Chennai - 40
4. DEDUCTIONS: 750 October 6, 2001 S.B.I., Chennai - 40
750 November 7, 2001 S.B.I., Chennai - 40
(a) Standard deduction Rs. 25,000 750 December 7, 2001 S.B.I., Chennai - 40
(b) Entertainment allowance Rs. - 750 January 7, 2002 S.B.I., Chennai - 40
(c) Tax on Employment Rs. 1,500 750 February 8, 2002 S.B.I., Chennai - 40
750 March 7, 2002 S.B.I., Chennai - 40
5. Aggregate of 4 (a to c) 26,500 1,500 April 7, 2002 S.B.I., Chennai - 40

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 171,500 -
-
7. Add: any other income reported 9,000 :TOTAL
by the employee Certified that a Sum of Rupees. (in words)….………. NINE THOUSAND ONLY ……………………………….
8. GROSS TOTAL INCOME (6+7) 171,500 ....................……………………...……………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. 3,502 3,502 3,502
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A 3,502 PLACE : CHENNAI Full Name : BRAJESH KUMAR GUTGUTIA
11. TOTAL INCOME (8-10) 167,998 DATE : May 31, 2002 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 24,400 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages
 FORM NO.16
[See rule 31(1) (a) of the Income Tax Rules, 1962] ORIGINAL
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted
at source from income chargeable under the head "SALARIES"
Name and Address of the Employer Name and Designation of the Employee 13. REBATE AND RELIEF UNDER CHAPTER VIII
I. Under section 88 (Please Specify) GROSS QUALIFYING TAX REBATE/
DRY DE FASHION PVT. LTD., Mr. Chellappan. P. AMOUNT AMOUNT RELIEF
5th Floor, Nelson Tower III Wing, Manager Accounts (a) PROVIDENT FUND Rs. 6,003 6,003
117, Nelson Manickam Road, CHENNAI (b) L.I.P. Rs. 30,257 30,257
Chennai - 600 029 (c) N.S.C. VIII Rs. - -
(d) PPF Rs. 3,000 3,000
PAN/GIR NO. TAN PAN/GIR NO. (e) INFRASTRUCTURE BONDS Rs. - -
AAACD 9376 P CHE D 2360 B (CHENNAI) (f) Total of [ (a) to (e) ] Rs. 39,260 39,260 7,852
II. Under section 88C (Please Specify) GROSS QUALIFYING TAX REBATE/
AMOUNT AMOUNT RELIEF
TDS Circle where Annual Return/Statement under PERIOD ASSESSMENT YEAR (a) Rs. - - -
Section 206 is filed FROM TO (b) Rs. - - -
(c) Total [ (a) to (b) ] Rs. - - -
TDS WARD - CHENNAI 01.04.2001 31.03.2002 2002 - 2003 III. Under Section 89 (attach details) Rs. -
14. AGGREGATE OF TAX REBATES AND
RELIEF AT 13 ABOVE [ I (f) + II (c) + III ] Rs. 2,238
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 15. (a) TAX PAYABLE (12-14) -
(b) SURCHAGE THEREON @ 2% - -
1. Gross Salary * Rs. 96,188 16. LESS TAX DEDUCTED AT SOURCE -
2. Less: Allowance to the extent exempt u/s 10 Rs. - 17. TAX PAYABLE / (REFUNDABLE) (15-16) -
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
3. BALANCE (1-2) Rs. 96,188 AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED

4. DEDUCTIONS:

(a) Standard deduction Rs. 30,000

(b) Entertainment allowance Rs. -
(c) Tax on Employment Rs. -

5. Aggregate of 4 (a to c) 30,000

6. INCOME CHARGEABLE UNDER

THE HEAD SALARIES (3-5) 66,188

7. Add: any other income reported - :TOTAL

by the employee Certified that a Sum of Rupees. (in words)….………. N I L ……………………………………………………………
8. GROSS TOTAL INCOME (6+7) 66,188 ….....................……………………………………………………………… has been deducted at source and paid to the credit
9. DEDUCTIONS UNDER GROSS QUALIFYING DEDUCTIBLE of the Central Government.Further certified that the above information is true and correct as per records.
CHAPTER VI A AMOUNT AMOUNT AMOUNT
(a) U/s.80 D MEDICLAIM Rs. - - -
(b) U/s.80 G Rs. - - -
(c) U/s.80 GG Rs. - - -
(d) U/s.80 L Rs. - - - Signature of the person responsible for deduction of tax
10. Aggregate of deductible amount under
Chapter VI-A - PLACE : CHENNAI Full Name : RISHI TULSYAN
11. TOTAL INCOME (8-10) 66,188 DATE : May 31, 2002 Designation :DIRECTOR
12. TAX ON TOTAL INCOME 2,238 *See sections 15 & 17 & rule 3. Furnish seperate details of value of the perquisites and profits in lieu of or in addition to salary or wages

Note: Gross Salary = Salary (7250*9 + 8500*3) + Bonus (7250/12*9)