Freedom Does Not Mean License , but the Wisdom to Choose What Is Right for Oneself.

FORM NO. 16AA
[ See third provision to rule 12(1)(b) and rule 31(1)(a) ] "NON-ORIGINAL"

Certificate for tax deducted at source from income chargeable under the head "Salaries"-cum-Return of Income
For an individual, resident in India, wherea) his total income includes income chargeable to income-tax under the head 'Salaries'; b) the income from salaries before allowing deductions under section 16 of the Income-tax Act, 1961 does not exceed rupees one lakh sixty thousand; c) his total income does not include income chargeable to income-tax under the head 'Profits and gains of business or profession' or 'Capital gains' or agricultural income; and d) he is not in receipt of any other income from which tax had been deducted at source by any person other than the employer. Name and address of the Employer Name and designation of the Employee Mr/Ms: Jaikumar Nandkumar Chelani Desig.: Assistant Emp #:00576328

PAN/GIR NO. AAACS8577K

TAN MUMS63193E

PAN/GIR NO. AGPPC2737D

TDS Circle where Annual Return/Statement under Section 206 is to be filed From 01.04.2009

Period To 31.03.2010

Assessment year 2010-2011

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross salary (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 Form No.12BA, wherever applicable ) (d) Total Rs. 0.00 Rs. 104945.39 Rs. 0.00 Rs. 104945.39

2. Less: Allowance to the extent exempt under section 10 3. Balance(1-2) 4. DEDUCTIONS Under Section 16: a) Standard Deduction b) Entertainment allowance c) Tax on Employment 5. Aggregate of 4 (a to c) 6. INCOME CHARGEABLE UNDER THE HEAD "SALARIES"(3-5) 7. Add: Any other Income reported by the employee a) Income under the head 'Income from house property' b) Income under the head 'Income from other sources' c) Total of (a) + (b) above 8. GROSS TOTAL INCOME (6+7) 9. DEDUCTIONS...