TDS TRACES

Centralived Procesing Cell| TDS Reconciliation Analysis and Correction Enabling System Government of India
Income Tax Department
FORM NO. 16
See rule 31(0Ma))

PART A
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at souree on salary paid to an employee under section 192 or pension/in terest income
of specified senior eitizen under section 194P

Certificate No. REPVPQA Last updated on 05-Jun-2022

Name and address of the Employer/Specified Rank Name and address of the Employee/Specified seníor citizen

SRI SIVANI EDUCATIONAL SOCIETY

2-1-116, SRI SIVANI EDUCATIONAL SO, PALAKONDA ROAD,
SRIKAKULAM, SRIKAKULAM DISTRICT 532001 JAYANTHI RAO MADINNA
Andhra Pradesh VARAM RESIDENCY, PALAKONDA ROAD, SRIKAKULAM,
91 )8942-0000231 106 SRIKAKULAM -532001 Andhra Pradesh
srisivaniofifice@gmail.com

PAN of the Deductor TAN of the Deductor

PAN ofthe
Employee/Specified senior
Employee Reference No. provided by the
Employer/Pension Payment order no. provided
citizen by the Empluyer (If available)

PANNOTREod VPNS04419c BKWPM5754J

cIT (TDS) Assessment Year Period with the Employer

The Commissioner of Income Tax (TDs) From To

Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard, 2022-23 01-Apr-2021 31-Mar-2022
Hyderabad-500004

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

Receipt Numbers of original

quarterly statements of TDS Amount of tax deposited / remitted
Quarterts) Amount of tax deducted
Amount paid/credited (Rs.)
under sub-section (3) of (Rs.)
Section 200

4 QUXAMAWwC S6000.00
30412.00 30412.00
Total (Rs) 56000.06 30412.00 30412.00
L DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BO0K ADJUSTMENT
(The deductor to provide payment wise details of ax deducted and deposited with respect to the deductee)

Book Identificatton Number (BIN)

Tar Deposited in respect of the
. No. deductee Date of transfer voucher Status of matching
Receipt Numbers of Form DDO serial number in Form no.
(Rs.) (dd/mm/yyyy) with Form no. 24G
No. 24G 24G

Total (Ra)

L. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Tax Deposited in respect of the Challan Identifcation Number (CIN)

SL No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matehing with
Branch (dd/mm/yyyy) OLTAS
30412.00 0014431 07-04-2022 01972
Total (Rs.)
30412.00
Verification

1, BALABHASKARRAQ JARAJAPU, svn / daughter of RAJARAO JARAJAPU working in the capacity of PRINCIPAL (designatlon) do hereby certify that a sum of|
Ra.30412.00 [Rs. Thirty Thousand Four Hundrsd and Iwelye Only (in werds)] has been deducted and a sum of Rs. 30412.00 [Rs. Thiriy Thousand Four Huadred and
TwceOabyl has beea deposlted to the eredit of the Central Goverament. I further certity that the informatlon glven above ls true, complete and correct and ts|
based on the books of account, documents, TDS statements, TDS deposited and other available records.

Page I of 2
 n ber: REPVPQA
TAN of Employer: VPNSe4419C Assessment Year: 2022-23
PAN of Employee BKWPMS754J

SRIKAKULAM DIST
ate
08-Jul-2022 (Signatureqf person pesponsible for
deduction of Tax)

Designation: PRINCIPAL
Full Name:BALABHPiNARAJAPU
Notes: SRI SIVANI COLLEGE OF ENGINEERING
.Part B Chilakapalem Jn., SRIKAKULAM
(Annexure) of the certificate in Form No.16 shall be issucd by
the employer. March of the financial year shall contain
the details
onc employer during the year, Part 'A' of the cerificate in Form No.16 issued for the quarter ending 31st on

of Lax deducted
of lax
and depositedunder
deducted an for all the quarters of the
financial year.the cach in Form No. 16 pertaining to the period for which
such
ATo
nloued
a
e nan onc
with cach of the cmploycrs. cmployer during
Part B (Anncxurc) year, employers shall issue Part A of the certificate
of the
of t h e certificate in Form No. 16 may be issued by cach o f thc cmploycrs or the last cmployc ae u

. l0 uplate PAN details in Income Tax Department datlabase, apply for PAN change request' through NSDL or UTTTSt.

Lsgend used in Form 16

Status ofmatching wlth OLTAS
Definitfon
Legend Deseription have furnished incorect particulars of tax payment.
Final credit will be retlected only when payment
Deductors have not deposited taxes or
U Unmatched
dctails in bank natch with details of deposit in TDS/TCS starement_ status will be changed to Final (F) on

Provisional tax credit is cffected only for TDS TcS Statements filed by Government decuctors."P"
P Provisional
verification of payment details submited by Pay and Accounts Otticer (PAO) with thec payment details
details of TCS TDS/ deposited in bank by deductor have matched
of non-government deductors, payment Government
In case

filed by the deductors. In case

of government deductors, details of TDs/ TCS bookcd in
F Final menioned in the TDS/ TCS stalement
(PAO0)
account have been venficd by Pay && Accounts Oficer details meationed in the TDS/ TCS
stalement but the

TCS deposited in bank by deductor have matched with

Payment delails of TDS/ credit will be retlected only when deductor redhuces claimed
amount in the statement
or

the statement Final (F)

amount is over claimed in
Overbooked in the statement
makes new payment for excess amount claimed

Page 2 of 2
 TDS Ceniralued TRACES
hocesing Cell TDS Reconciliation Analysis and Correction Enabling system Government of India
Income Tax Department
FORM NO. 16
PART B
ECLon 203
of the Income-tnx Act, 1961 for tax deducted at source on
salary paid to an employee under section 192 0r

Certificate No. REPVPQA of specified senior eitizen under sectlon 194P peublon
Last updated on 05-Jun-2022
Name and address of
the
SRI SIVANI
Employer/Specifled Bank Name and address of the
Employee/Specified senior citizen
EDUCATIONAL SOCIETY
2-1-116, SRI SIVANI
EDUCATIONAL SO, PALAKONDA ROAD,
SRIKAKULAM, SRIKAKULAM DISTRICT -532001 JAYANTHI RAO MADINA
Andhra Pradesh
VARAM RESIDENCY, PALAKONDA ROAD, SRIKAKULAM,
+(91)8942-0000231 106 SRIKAKULAM -532001 Andhra Pradesh
srisivanioffice@gmail.com
PAN of the Deductor
TAN of the Deductor PAN of the Employee/Specified senior eltizen

PANNOTREQD VPNS04419c
BKWPMS754
CIT (TDS)
Assessment Year Period with the Employer

The Commissioner of Income Tax (TDS) From To

Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard,
2022-23
Hyderabad -500004 01-Apr-2021 31-Mar-2022

Annexure - I
Details of Salary Paid and any other income and tax deducted
Whether opting for taxation ws 115BAC
No
aROSS 6/20S2ed
Gross Salary
CovD DEDULZIO SStobs o| Rs. Rs.

(a) Salary as per provisions contained in section 17(1)

636099.00
b)
Valuc of perquisites under section 17(2) (as per Form No. 12BA,
wherever applicable) 0.00
Profits in lieu of salary under section 17(3) (as
(c) per Form No.
12BA,wherever applicable) 0.00
(d) Total
636099.00
(c) Reported total amount of salary received from other employer(s)
0.00
2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5)

0.00

(6) Death-cum-retirement gratuity under section 10(10)

0.00

(c) Commuted value of pension under section

10(10A) 0.00

Cash equivalent of leave salary encashment under section

(d) 10
(10AA) 0.00
(e) House rent allowance under section
10(13A) 0.00

Page 1 of 4
 mber: REPVPQA
TAN of
Employer: VPNS04419C
PAN of Employee: BKWTM5754J
Assessment Year: 2022-23

Amount of any
()
INote: Break-up to beother exemption under section
provide at the bottom offilled
this
and signed by 10
employer in the table
form
(g) Total amount of
any other
exemption under section 10
0.00
(h) Total amount of
exemption claimcd under section 10
[2(a)+2(b)+2(c)+2(d)+2(¢)+2(g)] 0.00
3. Total amount of
salary received from current employer
[(d)-2(h)]
4. Less: Deductions under 636099.00
section 16
(a) Standard deduction under section
16(ia)
50000.00
(b) Entertainment allowance under section
16(ii)
(c)
0.00
Tax on
employment under section 16(iii)
2400.00
Total amount
of deductions under section 16 [4(a+4(b)+4(¢)]
52400.00
. Income chargeable under the head "Salaries" [(3+1(¢)-5]
7.
583699.00
Add: Any other income
reported by the employee under as per section 192 (2B)
Income (or admissible loss) from house
(a) property reported by
employee offered for TDS 0.00

(b) Income under the head Other Sources offered

for TDS
0.00
Total amount of other income
B. reported by the employee
[7(a)+7(b)] 0.00
Gross total income (6+8)

10 Decductions under Chapter VI-A 583699.00

Gross Amount Deductible Amount
Deduction in respect of life insurance
(a) premia, contributions to
provident fund etc. under section 80C 0.00
0.00
Deduction in respect of contribution to certain
(b) under section 80CCC
pension funds
0.00 0.00
Deduction in respect of contribution by
taxpayer to pension
() scheme under section 80CCD (1)
0.00 0.00

(d) Total deduction under section 80C, 80CCC and

80CCD(1) 0.00 0.00
Deductions respect of amount paid/deposited
in to notified
pension scheme under section 80CCD (1B)
e)
0.00 0.00

Page 2 of 4
 mber: REPVPQA
TAN of
Empluyer: VPNSse4419C
PAN of
Employee: BKWPM5754J
Deduction in respect of contribution Assexament Year: 2022-23

scheme under section by Employer to

80CCD (2) pension
0.00 0.00

(g) Deduction in
respect of health insurance
80D premia under section
0.00 0.00
Deduction in respect of interest on
(h) loan taken for
education under section 80E higher
0.00 0.00

Gross Qualifying Deductible

Amount Amount Amount
Total Deduction in
) respect of donations to certain funds,
charitable institutions, etc. under section 80G 0.00 0.00 0.00

G) Deduction in respect of interest on deposits in

under section 80TTA
savings account
0.00 0.00 0.00

Amount Deductible under any other provision (s) of Chapter

(k)INote: Break-up to be filled and signed by employer in the VI-A
table|
provide at the bottom of this form]

Total of amount deductible under any other provision(s) of

() 0.00 0.00
Chapter VI-A 0.00

11.
Aggregate of deductible amount under Chapter VI1-A
0.00
[1od)+10(¢+10()+10(g)+10(h)+106i)+10g+10)]
12. Total taxable income (9-11)
583699.00
13. Tax on total incomec
29240.00
14 Rebate under section 87A, if applicable 0.00

I5. Surcharge, wherever applicable 0.00

16. Health and education cess 1170.00

17. Tax payable (13+15+16-14) 30410.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 30410.00

Verification
I, BALABHASKARRAOJARAJAPU, son/daughter of RAJARAOJARAJAPU.Working in the capacity of PRINCIPAL
(Designation) do hereby certify that the information given above is true, complete and correct and is based on the books of account,
documents, TDS statements, and other available records.

Place SRIKAKULAM DIST (Signature of personreonsiblefor deduction of tax)

Full
Date 08-Jul-2022
Name BALABHSKaNcPARAJAPU
SRI SIVANI COLLEGE OF ENGINEERIN
Chilakapalem Jn., SRiKAKULAM
Page 3 of 4
 umber: REPVPQA TANof Employer: VPNSA4419C
PAN of
Empluyee: BKWPMS7S4J Assessment Year: 2022-13

Break up for Amount of any other

Particular's of Amount for any exemption under section 10' to be filled in the table
other below
No. exemption under section 10
Gross Amount
Rs. Qualifying Amount Deductible Amount
Rs. Rs. Rs.

O.

1OK). Break up for "Amount deductible under any other provision(s) of

Particular's of Amount deductible under Chapter VIA 'to be filled in the table below
SI. any other provision(s) of
No.
Chapter VIA Gross Amount Qualifying Amount Deductible Amount
Rs. Rs. Rs.
Rs.

5.
6.

Place SRIKAKULAM DIST (Signature of person responsible for deduction of

tax)
Full
Date 08-Jul-2022
Name: BALABHASPRRNIPALJAPU
SRTSIVANcOttEGE OF ENGINEERING
Chilakapalem Jn., SRIKAKULAM

Page 4 of 4