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. MHETSNI

Last updated on

Name and address of the Employer

08-Jun-2015

Name and address of the Employee

QUATRRO GLOBAL SERVICES PRIVATE LIMITED

Basement, 24, C- Block,Community Centre,
Janak Puri, NEW DELHI - 110058
Delhi
+(91)-4561000
Venkat.Mani@quatrro.com

SAURABH ANAND
R2-359-C, STREET NO 16-B, DEEN PUR DURGA VIHAR PH 1,
MAZAFGARH - 110043 Delhi

PAN of the Deductor

TAN of the Deductor

AAFCA4469B

DELQ00425F

PAN of the Employee

Employee Reference No.

provided by the Employer
(If available)

AUJPA4491L

CIT (TDS)

Assessment Year

The Commissioner of Income Tax (TDS)

Aayakar Bhawan, District Centre, 6th Floor Room no 610, Hall no.
4 , Luxmi Nagar, Delhi - 110092

2015-16

Period with the Employer

From

To

01-Apr-2014

31-Mar-2015

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

Quarter(s)

Receipt Numbers of original

quarterly statements of TDS
under sub-section (3) of
Section 200

Q1

QQSOLATD

Q2
Q4

Amount of tax deposited / remitted

(Rs.)

Amount of tax deducted

(Rs.)

Amount paid/credited

72090.00

636.00

636.00

QQVXLESE

26321.00

667.00

667.00

QRFSTASC

254023.00

0.00

0.00

352434.00

1303.00

1303.00

Total (Rs.)

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)
Book Identification Number (BIN)
Sl. No.

Tax Deposited in respect of the

deductee
(Rs.)

Receipt Numbers of Form

No. 24G

DDO serial number in Form no.

24G

Date of transfer voucher Status of matching

(dd/mm/yyyy)
with Form no. 24G

Total (Rs.)
II. 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)

Sl. No.

Tax Deposited in respect of the

deductee
(Rs.)

Challan Identification Number (CIN)

BSR Code of the Bank
Branch

Date on which Tax deposited Challan Serial Number

(dd/mm/yyyy)

Status of matching with

OLTAS*

255.00

0510308

06-06-2014

16120

381.00

0510308

07-07-2014

13878

667.00

0510308

05-08-2014

04041

0.00

05-02-2015

Total (Rs.)

1303.00

Signature Not Verified

Digitally signed by SUNDARAM
Page 1 of 2
VENKATASUBRAMANIAN
Date: 2015.06.11 19:54:00 +05:30

Certificate Number: MHETSNI

TAN of Employer: DELQ00425F

PAN of Employee: AUJPA4491L

Assessment Year: 2015-16

Verification
I, SUNDARAM VENKATASUBRAMANIAN, son / daughter of RAMANATHAN SUNDARAM working in the capacity of GENERAL MANAGER (designation) do hereby
certify that a sum of Rs. 1303.00 [Rs. One Thousand Three Hundred and Three Only (in words)] has been deducted and a sum of Rs. 1303.00 [Rs. One Thousand
Three Hundred and Three Only] has been 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

NEW DELHI

Date

09-Jun-2015

Designation: GENERAL MANAGER

(Signature of person responsible for deduction of Tax)

Full Name:SUNDARAM VENKATASUBRAMANIAN

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
Legend

Description

Definition

Unmatched

Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
details in bank match with details of deposit in TDS / TCS statement

Provisional

Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
verification of payment details submitted by Pay and Accounts Officer (PAO)

Final

In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)

Overbooked

Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

Signature Not Verified

Digitally signed by SUNDARAM
Page 2 of 2
VENKATASUBRAMANIAN
Date: 2015.06.11 19:54:01 +05:30

EMP CODE: QUA05242

S.No: 455

FORM NO. 16
[See Rule (31)(1) (a)]
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary
Certificate No. QuatBP1415-QUA05242
Last updated on 9 Jun 2015
Name and address of the Employer
Name and designation of the Employee
QUATRRO GLOBAL SERVICES PRIVATE LIMITED
BASEMENT 24,C-BLOCK,
SAURABH ANAND
COMMUNITY CENTRE JANAK PURI
SR. SOLUTION ENGINEER
DELHI, NEW DELHI - 110058
Employee Reference No.
PAN of the Deductor
TAN of the Deductor
PAN of the Employee
provided by the Employer
(If available)
AAFCA4469B
DELQ00425F
AUJPA4491L
QUA05242
Assessment Year
Period
CIT (TDS)
From
To
Address: TDS Ward - 49(5), Aayakar Bhawan, 4th Floor, Hall No 2, Distt
Centre, Laxmi Nagar
2015-2016
01 Apr 2014
31 Mar 2015
City: DELHI
Pin Code: 110092
PART B (Annexure)

Details of Salary paid and any other income and tax deducted
1. Gross Salary
(a) Salary as per provisions contained in Sec 17(1)

Rs. 352434.00

(b) Value of perquisites Under Section 17(2)

(as Per Form No.12 BA, whenever applicable)

Rs. 0.00

(c) Profits in lieu of salary Under Section 17(3)

(as per Form No.12BA, wherever applicable)

Rs. 0.00

(d) Total

Rs. 352434.00

2. Less: Allowance to the extent Exempt under Section 10

Allowance
CONV
HRA

9600.00
56713.00
Rs. 66313.00

3. Balance (1-2)

Rs. 66313.00
Rs. 286121.00

4. Deductions:
(a) Entertainment Allowance
(b) Tax on Employment

Rs. 0.00
Rs. 0.00

5. Aggregate of 4 (a) and (b)

Rs. 0.00

6. Income Chargeable under the head 'Salaries' (3-5)

Rs. 286121.00

7. Add: Any other Income reported by the employee

Rs. 0.00
8. Gross total income (6 + 7)

Rs. 286121.00

9. Deductions under Chapter VI-A

(A) Sections 80C, 80CCC and 80CCD
Gross amount
(a) Under 80C
(i) Provident Fund

Deductible amount

Rs. 16500.00
Rs. 16500.00

Rs. 16500.00

Note: 1.Aggregate amount deductible under sections 80C, 80CCC

and 80CCD(1), shall not exceed one lakh fifty thousand rupees.

Signature Not Verified

Digitally signed by SUNDARAM
VENKATASUBRAMANIAN
Date: 2015.06.11 19:54:01 +05:30

EMP CODE: QUA05242

S.No: 455

(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.
Gross amount

Qualifying amount

10. Aggregate of deductible amount under Chapter VI-A

Deductible amount
Rs. 16500.00

11. Total income (8-10)

Rs. 269621.00

12. Tax on Total income

Rs. 1962.10

13. Tax Rebate u/s 87a

Rs. 1962.10

14. Net Tax (12 - 13)

Rs. 0.00

15. Surcharge

Rs. 0.00

16. Education Cess @ 3% on (tax at S.No. 14 and 15)

Rs. 0.00

17. Tax payable (14 + 15 + 16)

Rs. 0.00

18. Relief under section 89 (attach details)

Rs. 0.00

19. Tax payable (17 -18)

Rs. 0.00

Verification
I, SUNDARAM VENKATASUBRAMANIAN son of RAMANATHAN SUNDARAM working in the capacity of GENERAL MANAGER 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

DELHI

Date

9 Jun 2015
(Signature of person responsible for deduction of tax)

Designation: GENERAL MANAGER

Full Name: SUNDARAM VENKATASUBRAMANIAN

Signature Not Verified

Digitally signed by SUNDARAM
VENKATASUBRAMANIAN
Date: 2015.06.11 19:54:02 +05:30

EMP CODE: QUA05242

S.No: 455

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.
3.
4.

TAN
TDS Assessment Range of the Employer
Name Designation and PAN of Employee

:
:
:

Is the employee a director or a person with

Substantial interest in the company (where the
employer is a company)
Income under the head 'Salaries' of the
Employee:(other than from perquisites)
Financial year
Valuation of Perquisites

SAURABH ANAND , SR. SOLUTION ENGINEER

AUJPA4491L
No

286121.00

:
:

2014 - 2015

5.

6.
7.
8.
S. No.

Name of perquisites (See rule 3)

QUATRRO GLOBAL SERVICES PRIVATE LIMITED

BASEMENT 24,C-BLOCK,
COMMUNITY CENTRE JANAK PURI
DELHI, NEW DELHI - 110058
DELQ00425F

Value of perquisite
as per rules(Rs.)

(1)
(2)
1
Car Perquisite
2
CLA - Accomodation
3
Excess Interest Credited
4
Free Education
5
Gas, Electricity, Water
6
Gifts, Vouchers etc
7
Interest free or concessional Loans
8
PF in excess of 12%
9
Remuneration paid on behalf of employee
10 Stock Options
11 Superannuation Perq
12 Sweeper,Gardener,Watchman,Personal Attendant
13 Transfer of assets to employees
14 Use of movable assets by employees
15 Value of Other Benefit/Amenity/Service/Privilege
16 Total value of perquisites
17 Total value of profits in lieu of salary as per section 17(3)
9. Details of tax (a) Tax deducted from salary of the employee under sec. 192(1)
(b) Tax paid by employer on behalf of the employee under section 192(1A)
(c) Total tax paid
(d) Date of payment into Government treasury

(3)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Amount, if any,
Amount of perquisite
recovered from the
chargeable to tax
employee (Rs.)
[Col(3)-Col(4)](Rs.)
(4)
(5)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00

0.00

0.00

0.00

0.00

0.00

Rs. 1303.00
Rs. 0.00
Rs. 1303.00
Various Dates as mentioned on Page 2 of the Form 16

DECLARATION BY EMPLOYER
I, SUNDARAM VENKATASUBRAMANIAN, son of RAMANATHAN SUNDARAM working as GENERAL MANAGER do hereby declare on behalf of QUATRRO GLOBAL
SERVICES PRIVATE 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 there under and that such information
is true and correct.

Place :
Date :

DELHI
9 Jun 2015

Signature of the person responsible for deduction of tax

Full Name :
SUNDARAM VENKATASUBRAMANIAN
Designation:
GENERAL MANAGER

Signature Not Verified

Digitally signed by SUNDARAM
VENKATASUBRAMANIAN
Date: 2015.06.11 19:54:03 +05:30