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
Page 1 of 1

Name and Address of the Employer Name and Rank of the Employee
PAO(GREF)PUNE HQ 14 BRTF L0140000 5 GS164200 SKT SATISH KUMAR CHOUHAN
PAN of the Deductor TAN of the Deductor PAN of the Employee
PNEP09676C AHHPC7944B
CIT(TDS) Address Assessment Year Period
PAO GREF,PUNE 2021-2022 01/04/2020 TO 31/03/2021
Summary of Tax deducted at Source
Quarter Receipt Numbers of original statements of Amount of tax deducted Amount of tax deducted/remitted
TDS under sub-section(3) of section 200 in respect of the employee in respect of the employee
Quarter 1 FXHJBINP 0 0
Quarter 2 FXIOOMYD 0 0
Quarter 3 FXIQMQMY 0 0
Quarter 4 FXIXEZQW 31562 31562
Total 31562 31562
PART-B
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
` ` ` `
1. Gross Salary 681610
2. Less Allowance to the extent exempt under Section 10 13200
3. BALANCE (1 - 2) 668410
4. DEDUCTIONS :
a. Interest payable on loan u/s 24 : 0
5. Aggregate of 4 ( a to b ) 0
6. Income chargeable under the Head 'SALARIES' (3 - 5) 668410
7. Add: Any other income reported by the employee 0
8. GROSS TOTAL INCOME (6 + 7) 668410
9. DEDUCTIONS UNDER CHAPTER VI-A GROSS AMT QUAL AMT QUAL AMT DEDUCT AMT
a) Qualified under Sec.80C 27920 27920 27920
b) Qualified for 100% deduction 1250 1250 1250
c) Qualified for 50% deduction 0 0 0
d) Qualified under Sec.80DD 0 0 0
e) Qualified under Sec.80U 0 0 0
10. Aggregate of deductible amount under Chapter VI-A 29170
11. Total Income (8 - 10) Rounded 589240
12. TAX ON TOTAL INCOME 30348
13. Education Cess @ 3% (on tax computed at Sl.No.12) 1214
14. Less: Relief under Section 89(attch Details) 0
15. Tax Payable (12 + 13)-14 31562
16. Less: Tax Deducted at Source 31562
17. TAX PAYABLE/REFUNDABLE (15 - 16) 0
VERIFICATION
I, CHANDRIKA PRASAD, son/daughter of RAMKISAN SAO working in the capacity of AAO do hereby
certify that a sum of Rs. 31562 (in words) Rupees Thirty One Thousand Five Hundred Sixty Two only. has been
deducted and deposited to the credit of Central Government. I further certify that the above information is true,
complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and
other available records.

Note : ED CESS @ 2% AND SEC AND HIGHER ED CESS @ 1% CHARGED ON INCTAX (Rounded off to next higher rupee
separately)

Place : PUNE Signature of the person responsible for deduction of tax

Date : 11/06/2021 Full Name CHANDRIKA PRASAD
Designation AAO