DynPro India Private Limited

Digitally signed document

Form 16
Details in Form 16: Date: Employee: Employee PAN: Financial Year: Assessment Year: Form 16 Control No: 10/05/2012 Kaushik Sarkar BORPS3963L 2011-12 2012-13 749/192/700

Details of signature: Form 16 is a Certificate issued under section 203 of the Income-Tax Act, 1961 for Tax deducted at source. Please refer, [See Rule 31(1)(a)] This certificate is signed with a "Secure Digital Signature", as defined under section 15 of Indian Information Technology Act, 2000. Respective Digital Signature of the signatory has been affixed below. Please click on the box in order to see the details and validate the signature (for your reference).

Issuer Organization: DynPro India Private Limited Issuer (TAN): BLRD02399F Document Name: Form 16

Signer Info:

Shefali Lall 1056958

Name : Shefali Lall 1056958 Certified Authority: India PKI Date: 10/05/2012 09:42:06

(This document is digitally signed and enclosed with Statutory format of Form 16.)

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Original

749/192/700 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 Name and Designation of the Employee Kaushik Sarkar Sr. Software Consultant

DynPro India Private Limited # 101, First Floor, THE ESTATE 121 Dickenson Road BANGALORE - 560042 KARNATAKA PAN of the Deductor AAACD4498E CIT (TDS) Address: Room No. 59,,H.M.T. Bhawan, 4th Floor,,Bellary Road, Ganganagar, City: Bangalore Pincode: 560032

TAN of the Deductor BLRD02399F Assessment Year 2012-13

PAN of the Employee BORPS3963L Period From 31/10/2011 To 31/03/2012

Summary of tax deducted at source Quarter Receipt Numbers of original statements of TDS under sub-section (3) of section 200. DKCXBCYC DKCXCUZB EONXFGID EONXHMCF 1,228.00 PART B (Refer Note 1) Details of Salary paid and any other income and tax deducted 1,228.00 1,228.00 1,228.00 Amount of tax deducted in respect of the employee Amount of tax deposited/remitted in respect of the employee

1 2 3 4 Total

1 Gross Salary a) Salary as per provisions contained in sec. 17(1) b) Value of perquisites u/s 17(2) c) Profits in lieu of salary under section 17(3) d) Total 2 Less :Allowance to the extent exempt u/s 10 Conveyance Exemption 3 Balance 1-2 4 Deductions : a) Entertainment Allowance b) Tax on Employment 5 Aggregate of 4 (a) and (b) 6 Income chargeable under the head 'salaries' (3-5) 7 Add: Any other income reported by the employee 8 Gross total income (6+7) 9 Deductions under chapter VI-A
Gross Amount Deductible Amount

Rs. Rs. Rs.

2,56,846.00

Rs. Rs. 4,000.00 Rs. Rs. Rs. Rs. 1,000.00 Rs.

2,56,846.00

4,000.00 2,52,846.00

1,000.00 Rs. Rs. 2,51,846.00 2,51,846.00

(A) Sections 80C and 80CCD

(a)Deductions in respect of specified investments/savings 80C 1)Life Insurance Premium 2)Mutual Fund Sec 80CCE (B) Other Sections under Chapter VIA
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Rs. Rs.

1,06,272.00 Rs. 6,000.00 Rs. Rs.

1,06,272.00 6,000.00 1,00,000.00

Gross Amount

Qualifying Amount

Deductible Amount

10 Aggregate of deductible amount under chapter 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 (14 - 15)
Verification

Rs. Rs. Rs. Rs. Rs. Rs. Rs.

1,00,000.00 1,51,850.00

Nil Nil

I, Shefali Lall, daughter of Mr. S.B.Lall working in the capacity of Authorised Signatory (designation) do hereby certify that a sum of Rs. 1,228.00 [Rupees One Thousand Two Hundred Twenty Eight Only] has been deducted at source 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

BANGALORE

Form is digitally signed. Please refer Page 1 for details.

Date Designation

09/05/2012 Authorised Signatory

Signature of person responsible for deduction of tax Full Name: Shefali Lall

Notes: 1. 2. 3. 4. 5. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with each of the employers. Part B may be issued by each of the employers or the last employer at the option of the assessee. Government deductors to enclose Annexure-A if tax is paid without production of an income-tax challan and Annexure-B if tax is paid accompanied by an income-tax challan. Non-Government deductors to enclose Annexure-B. The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction as regards TDS statements of the assessee. This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.

Tax Deducted Summary (Summary of Tax Payable and Tax Deducted Information) Sl.No. 1 2 3 4 5 Tax payable as per Part-B (Sl No 16) Tax Deducted at Current Employment Tax Deducted at Previous Employment Total Tax Deducted (2+3) Net Tax Payable / (Refundable) (1-4) Particulars Amount Nil 1,228.00 Nil 1,228.00 (1,228.00)

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ANNEXURE-A DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY (The Employer to provide payment wise details of tax deducted and deposited with respect to the employee) Not Applicable Note:

1. In the column for TDS, give total amount for TDS, Surchage (if applicable) and education cess.

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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) Sl.No. Tax Deposited in respect of the employee (Rs.) Challan Identification Number (CIN) BSR Code of the Bank Branch 1
TOTAL

Date on which tax deposited (dd/mm/yyyy) 0 6 1 2 2 0 1 1 0

Challan Serial Number 3 6 9 4

1,228.00 1,228.00 Note:

1. In the column for TDS, give total amount for TDS, Surchage (if applicable) and education cess.

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