Accenture Services Private Limited

Form 16
Assessment Year 2013-14
Employee Name
Employee PAN
Employee Code
Employee Designation
Period With The Employer
Note on
Digital Signature:
This Form-16 document has been digitally signed with a Digital Signature Certificate as allowed under
section 119 of the Income-Tax Act, 1961. Refer Circular No.2/2007, Dated 21-May-2007 for details.
Afxing of Digital Signature means that a secure cryptographic procedure has been applied to the entire
contents of this document and a unique digital signature (equivalent to afxing of hand written signature)
has been embedded in this document.To view and validate the digital signature details, please click on the
digital signature afxed below.
Signature Details:
Digitally Signed by : Bulusu S Murthy
Digitally signed by B S MURTHY
Date: 2013.05.24 14:53:38 IST
Reason: Security Reason
Location: Mumbai

Private Limited
(Digitally Signed Document)

Janardhana Rao Duddukuri

AGFPJ8213P
10299804
Team Lead
From : 01-Apr-2012 To : 31-Mar-2013

al Signature Certificate as allowed under

2007, Dated 21-May-2007 for details.
procedure has been applied to the entire
valent to afxing of hand written signature)
digital signature details, please click on the

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
Certificate No. FQQEJHG
Name and address of the Employer
Accenture Services Private Limited
Plant 3, Godrej & Boyce Complex, LBS Marg,
Vikhroli (West), Mumbai - 400079
Maharashtra
+(91)80-41062522

bulusu.murthy@accenture.com

PAN of the Deductor

TAN of the Deductor

AACCA8997K

MUMA14563D
CIT (TDS)

The Commissioner of Income Tax (TDS)

Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital

Building, Charni Road , Mumbai - 400002

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Receipt Numbers of original

quarterly statements of TDS
Quarter(s)

Amount paid/credited
under sub-section (3) of
Section 200

Q1

CUTXXORG

60028

Q2

CUTXHTHG

266506

Q3

CUSXBSDB

274171

Q4

OKKXCZTF

279277

Total (Rs.)

879982

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Sl. No.

Total
(Rs.)

Tax
Book Identification
Depo
Number (BIN) Date
sited
of transfer voucher
in
Status of matching
respe
Receipt Numbers of
ct of
Form DDO serial
the
number in Form no.
dedu
(dd/mm/yyyy) with
ctee
Form no. 24G
No.
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL
GOVERNMENT
ACCOUNT THROUGH CHALLAN
(Rs.)
24G 24G
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Sl. No.

BSR Code of the

Bank Branch

Tax
Depo
sited
in
respe
ct of
the
3799
dedu
ctee
3016
(Rs.)
77

2488

6910333

1
2

6360218
6360218
6360218

x deducted at source on salary

Last updated on

18-May-2013

Name and address of the Employee

DUDDUKURI RAO JANARDHANA
8-1-2, MARKET STREET, RAMACHANDRAPURAM,

RAMACHANDRAPURAM - 533255 Andhra Pradesh

Employee Reference No.

PAN of the Employee
TAN of the Deductor

provided by the Employer

(If available)

MUMA14563D

AGFPJ8213P
Assessment Year

2013-14

UNT THROUGH CHALLAN

From

To

01-Apr-2012

31-Mar-2013

Amount of tax deposited / remitted

ct of the employee

THROUGH BOOK ADJUSTMENT

Period with the Employer

Amount of tax deducted

(Rs.)
(Rs.)

3799

3799

5581

5581

6428

6428

42088

42088

57896

57896

Challan
Identificatio
n Date on
which Tax
deposited
(dd/mm/yyy
y)
06-07-2012

Number (CIN) Challan

Serial Number

Status of
matching
with
OLTAS*

36515

04-08-2012

32646

06-09-2012

34453

05-10-2012

50208

F
Page 1 of 2

Certificate Number: FQQEJHG

TAN of Employer: MUMA14563D

Tax Deposited in respect of the

Sl. No.

deductee
(Rs.)

BSR Code of the Bank

Date on which Tax deposited Ch

Branch

(dd/mm/yyyy)

389

6910333

5423

6910333

616

6910333

616

6910333

14605

6360218

10

26867

6360218

Total (Rs.)

57896

Verification
I, SAMBA MURTHY RAOBU BULUSU, son / daughter of RAOBU working in the capacity of MANAGER (designation) do hereby certify that a sum of Rs. 57896.00 [Rs.
Fifty Seven Thousand Eight Hundred and Ninety Six Only (in words)] has been deducted and a sum of Rs. 57896.00 [Rs. Fifty Seven Thousand Eight Hundred and
Ninety Six Only] has been deposited to the credit of the Central Government. I further certify that the information given
based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place MUMBAI
Date

24-May-2013

Designation: MANAGER

(Signature of person responsible for de

Full Name:SAMBA MURTHY RAOB

Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. 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 (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Legend used in Form 16

* Status of matching with OLTAS
Legen
dU

Description
Unmatched

Provisional

Final

Overbooked

Definition
Deductors
have not
deposited
Provisional
taxes or have
tax credit is
furnished
effected
In
case ofonly
incorrect
for
TDS /
nonparticulars of
TCS
government
tax payment.
Statements
deductors,
Final credit
filed by
Payment
payment
will be
Government
details
of
TDS
details
of only
TDS
reflected
//deductors."P"
TCS
TCS
when
status willin
be
deposited
deposited
payment in
changed
bank
byinto
bank
by
details
Final (F) on
deductor
have
deductor
have
bank
match
verification
of
matched
with
matched
with
with details
of
payment
details
the
payment
deposit
in
details
mentioned
details
TDS / TCSin
submitted
the
TDS / by
mentioned
in
statement
Pay
and /
TCS
the TDS
Accounts
statement
but
TCS
Officer
(PAO)
the
amount
is
statement
over
filed claimed
by the
in
the
deductors.
In
statement.
case of
Final
(F)
government
credit
will be
deductors,
reflected
details of only
TDS
when
/ TCS bo...
deductor
reduces
claimed
amount in ...

PAN of Employee: AGFPJ8213P

Assessment Year: 2013-14

Challan Identification Number (CIN)

Date on which Tax deposited Challan Serial Number

Status of matching with

(dd/mm/yyyy)

OLTAS*
07-11-2012

50692

06-12-2012

57410

05-01-2013

52085

07-02-2013

54375

07-03-2013

61421

06-04-2013

31510

of Rs. 57896.00 [Rs.

above is true, complete and correct and is

(Signature of person responsible for deduction of Tax)

Full Name:SAMBA MURTHY RAOBU BULUSU

the financial year shall contain the details

aining to the period for which such

st employer at the option of the assessee.

Page 2 of 2

PART B
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

Particulars
1.GROSS SALARY (As per
enclosed annexure) (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) (c) Profits in lieu
of salary under section 17(3)
(as per ...

Janardhana Rao Duddukuri/10299804/1

AND ANY OTHER INCOME AND TAX DEDUCTED

Rs.

Rs.

8,79,983.00 5,550.00 0.00

0.00 2,340.00 Gross Amount
65,630.00 3,000.00
49,875.00 0.00 0.00
Qualifying Amount 0.00
15,000.00 0.00 0.00 0.00
0.00 0.00 0.00

8,85,533.00 1,37,143.00 7,48,390.00

2,340.00 Deductible Amount
65,630.00 3,000.00 49,875.00 0.00
0.00 1,00,000.00 Deductible Amount
0.00 15,000.00 0.00 0.00 0.00
0.00 0.00 0.00 15,000.00

Rs.
7,46,050.00 0.00 0.00
7,46,050.00

10.Aggregate of deductible amounts 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

16.Tax Payable (14-15)

Verification
I, Bulusu S Murthy, son of Late B Venkata Rao working in the capacity of Manager, do hereby certify that a sum of Rs 57,896.00 [ Rupees
Fifty Seven Thousand Eight Hundred Ninety Six 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 statement,
TDS deposited and other available records,which includes the declaration given by the employee.

For Accenture Services Private Limited

Place :Mumbai
Date :24-May-2013

Janardhana Rao Duddukuri/10299804/2

1,15,000.00
6,31,050.00
56,210.00
1,686.00
57,896.00
0.00

57,896.00

m of Rs 57,896.00 [ Rupees

ount, documents, TDS statement,

Signature of the person responsible for deduction of tax

(Digitally Signed Document)
Full Name : Bulusu S Murthy
Designation : Manager

1,15,000.00
6,31,050.00

57,896.00

FORM No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisites, other fringe benefits or
amenities and profits in lieu of salary with value thereof
1) Name and Address of the Employer :
2) TAN:
3) TDS Assesment Range of the Employer :
4) Name of Employee:
Designation:
PAN:
5) Is the employee a director or a person with substantial interest
in the company (Where the employer is a company):
6) Income under the Head "Salaries" of the Employee :
(Other than from perquisites)
7) Financial Year :

8) Valuation of Perquisites
Sr No.

Nature of perquisite

1
Accommodation
2
Cars/Other automotive
3
Sweeper,gardener,watchman
or
personal attendant
4
Gas,electricity,water
5
Interest free or concessional
loans
6
Holiday expenses
7
Free or concessional travel
8
Free meals
9
Free Education
10
Gifts,vouchers etc.
11
Credit card
12
Club expenses
13
Use of movable assets by
employee
14
Transfer of assets to
employee
15
Value of any other
benefit/amenity/service/privile
16
Stock options
ge
17
Other benefits or amenities *
18
Total Value of Perquisites
19
Value of profits in lieu of
salary
as per section
17 (3)
* "Other benefits
or amenities"
includes
medical reimbursement exceeding Rs.15,000/-.
9) Details of tax
(a) Tax Deducted from Salary of Employee u/s 192(1)
(b) Tax Paid by Employer on behalf of Employee u/s 192(1A)
(c) Total tax paid
(d) Date of payment into Government treasury
DECLARATION BY EMPLOYER

I, Bulusu S Murthy, son of Late B Venkata Rao working in the capacity of Manager, do hereby declare on behalf
Limited that the information given above is based on the books of account, documents and other relevant records or information available with ,
us and the details of value of each such perquisite are in accordance with section 17 and rules framed thereunder and that such information is true
and correct.

For Accenture Services Private Limited

Signature of the person responsible for deduction of ta

(Digitally Signed Document)
Place :Mumbai

Full Name : Bulusu S Murthy

Date :24-May-2013

Designation : Manager

Janardhana Rao Duddukuri/10299804/3

Accenture Services Private Limited

Plant 3, Godrej & Boyce Complex, LBS Marg,
Vikhroli(West), Mumbai, Maharashtra -400079
MUMA14563D
DCIT (TDS), Circle 1(1), Mumbai
Janardhana Rao Duddukuri
Team Lead
AGFPJ8213P
No
8,79,983.00

2012-13
Value of perquisite as per
rules(Rs.)

Amount, if any paid by employee(Rs.)

0
0
0
0
0
0
0
0
0
5,550.00
0
0
0
0
0
0
0
5,550.00
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

eby declare on behalf

Amount of
Taxable
perquisite(R
s.)
0

0
0
0
0
0
0
0
0
5,550.00
0
0
0
0
0
0
0
5,550.00
0
57,896.00
0.00
57,896.00
Refer Form16

of Accenture Services Private

of the person responsible for deduction of tax

Signed Document)
: Bulusu S Murthy

ANNEXURE TO FORM NO.16

Details of Salary Paid and Allowance Exempted u/s 10 and 17(2) of Income-tax Act,1961
1) Name and Address of the Employer:
2) Name of Employee:
Designation:
PAN:

Employee Code:

Salary Details for the period: 01-Apr-2012 to 31-Mar-2013

1. Salary as per provisions contained in Sec 17(1) Basic HRA Conveyance Hot Skill
Bonus Variable Pay Exgratia Uncollected Food Coupon Total Salary (A) Value of
perquisites u/s 17(2) (as per Form No.12BA,wherever applicable) Profits in li...

For Accenture Services Private Limited

Signature of the person responsible for deduction of ta

(Digitally Signed Document)
Place :Mumbai

Full Name : Bulusu S Murthy

Date :24-May-2013

Designation : Manager

Janardhana Rao Duddukuri/10299804/4

Accenture Services Private Limited

Plant 3, Godrej & Boyce Complex, LBS Marg,
Vikhroli(West), Mumbai, Maharashtra -400079
Janardhana Rao Duddukuri
Team Lead
AGFPJ8213P

10299804
4,15,627.00 2,07,353.00
8,206.00 1,21,384.00
1,07,293.00 11,320.00
8,800.00 5,550.00 0.00
1,28,937.00 8,206.00

ture Services Private Limited

of the person responsible for deduction of tax

Signed Document)
: Bulusu S Murthy

8,79,983.00 5,550.00
1,37,143.00

8,85,533.00
1,37,143.00
7,48,390.00

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Janardhana Rao Duddukuri/10299804/5

me tax return filing. You can now file the return at the click of
his Form 16 to efile@taxspanner.com to prepare your return.
is optional and this service is chargeable by the service

le your return online