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. FERSPBL Last updated on 16-May-2018

Name and address of the Employer Name and address of the Employee

MCS SOLUTIONS PRIVATE LIMITED

2 52 88, 601 A, 6th Floor, Block A, MJR Magnifique,,
HARISH KUMAR
Nanakramguda X Roads, Gachibowli, Hyderaba - 500032
8-2-684/102/63, NBT NAGAR, ROAD NO 12, BANJARA HILLS,
Telangana
HYDERABAD - 500034 Andhra Pradesh

Employee Reference No.

PAN of the Employee
PAN of the Deductor TAN of the Deductor provided by the Employer
(If available)

AAICM4119M HYDM12113D BYLPK8279B

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard , 2018-19 01-Apr-2017 31-Mar-2018
Hyderabad - 500004

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

Receipt Numbers of original

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

Q1 QSMAHFBD 220196.00 12000.00 12000.00

Q2 QSPOMHQA 244662.00 12500.00 12500.00
Q3 QSSYYQQG 267162.00 16500.00 16500.00
Q4 QSZXLYVF 244662.00 13882.00 13882.00
Total (Rs.) 976682.00 54882.00 54882.00
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)

Tax Deposited in respect of the
Sl. 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 (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)

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 4000.00 6390340 07-05-2017 05012 F

2 4000.00 6390340 07-06-2017 35806 F
3 4000.00 6390340 07-07-2017 26139 F
4 4000.00 6390340 07-08-2017 16645 F

Page 1 of 2
 Certificate Number: FERSPBL TAN of Employer: HYDM12113D PAN of Employee: BYLPK8279B Assessment Year: 2018-19

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

5 4000.00 6390340 07-09-2017 47074 F

6 4500.00 6390340 07-10-2017 42167 F
7 5500.00 6390340 07-11-2017 43625 F
8 5500.00 6390340 07-12-2017 48298 F
9 5500.00 6390340 06-01-2018 43502 F
10 5500.00 6390340 24-02-2018 02248 F
11 4100.00 6390340 07-03-2018 25995 F
12 4282.00 6390340 07-04-2018 20197 F
Total (Rs.) 54882.00

Verification

I, ROLI VISHAL MANI, son / daughter of SHARAD KUMAR SRIIVASTAVA working in the capacity of DIRECTOR (designation) do hereby certify that a sum of
Rs. 54882.00 [Rs. Fifty Four Thousand Eight Hundred and Eighty Two Only (in words)] has been deducted and a sum of Rs. 54882.00 [Rs. Fifty Four Thousand Eight
Hundred and Eighty Two 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 HYDERABAD

Date 22-Jun-2018 (Signature of person responsible for deduction of Tax)

Designation: DIRECTOR Full Name:ROLI VISHAL MANI

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
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
U Unmatched
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
P Provisional
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
F Final 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)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
O Overbooked 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 ROLI
MANI
Date: 2018.06.22 12:45:33
IST
Page 2 of 2
Emp Code I0000122 Emp Name Harish Kumar

FORM NO. 16

PART A

Name and address of the Employer Name and designation of the Employee

MCS Solution Private Limited Harish Kumar

2 52 88 601 A, 6th Floor, Block A
SAP CRM Consultant
MJR Magnifique,
Nanakramguda X Roads
Gachibowli, Hyderaba - 500032

PAN of the Deductor TAN of the Deductor PAN of the Employee

AAICM4119M HYDM12113D BYLPK8279B
CIT(TDS) Assessment Year Period
The Commissioner of Incom From To
Room No. 411, Income Tax Guard, Hyderabad – 500004 2018 - 2019
10/04/2017 31/03/2018
.

PART B(Annexure)
Details of Salary paid and any other income and tax deducted

Rs. Rs. Rs. Rs.

1. Gross Salary
(a) Salary as per provisions contained in sec.17(1) 976,681

(b) Value of perquisites u/s 17(2) ( as per Form No. 0

12BA, wherever applicable)
(c) Profits in lieu of salary under section 17(3) ( as 0
per Form No. 12BB, wherever applicable)
(d) Total 976,681

2. Less: Allowance to the extent exempt u/s 10 245,823

3. Balance (1-2) 730,858

4. Deductions:

(a) Entertainment allowance 0

(b) Tax on employment 2,400

5. Aggregate of 4 (a) and (b) 2,400

6. Income chargeable under the head 'salaries' (3-5) 728,458

7. Add : Any other income reported by the employee

a) Loss from House Property 0

b) Total of Others 0 0
8. Gross total Income (6 + 7) 728,458

9. Deductions under Chapter VI-A

(A) Section 80C, 80CCC and 80CCD

Gross Deductible
(a) Section 80C
Amount Amount
(i) PF 21,600
(ii)
(iii)
(iv)
(v)
(vi)
(Vii)

(Viii) 0
21,600 21,600
Emp Code I0000122 Emp Name Harish Kumar
(b) Section 80CCC 0 0

(c) Section 80CCD 0 0

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

80CCC and 80CCD, shall not exceed one lakh fifty thousand
rupees
(B) Other Sections (for e.g., 80E, 80G etc) under Chapter VI-A Gross Amount Qualifying Deductible
Amount Amount
(i) Section 80D-Medical Insurance Premia 20,565 20,565 20,565
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(viii)
(viii)
(ix)
(x)

10. Aggregate of deductible amount under Chapter VI-A 42,165

11. Total Income (8 - 10) 686,290
12. Tax on total income 53,947
Surcharge 0
13. Education Cess @ 3% (on tax computed at S. No. 12) 1,618

14 Tax Payable (12+13) 55,565

15. Less: Relief under section 89 (attach details) 0
16. Tax Payable (14-15) 55,565

Verification

I, Roli Mani , Son/Daughter of SHARAD KUMAR SRIIVASTAVA working in the capacity of Director (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, TDS
deposited and other available records.

Place : Gachibowli, Hyderaba

Date : 30/04/2018
(Signature of the person responsible for deduction of tax)

Designation : Director Full Name : Roli Mani

Emp Code I0000122 Emp Name Harish Kumar

Annexure to Form 16
Details of Gross Total Income [Salary, Allowances, Perquisites & Income From other sources]

Employee Name Harish Kumar

Period from 10/04/2017 To 31/03/2018
Assessment Year 2018 - 2019

Gross Amt TaxFree Amt Taxable Amt

i. Salary (excluding all allowances, perquisites and profit in lieu of salary)

Basic Salary 499695 0 499695
Bonus 22500 0 22500
Leave Travel Concession 49971 0 49971
Total Salary 572166 0 572166
ii. Allowances
Food Coupons 27500 27500 0
House Rent Allowance 199882 184978 14904
Medical Allowance 14625 14625 0
Special Allowance 143788 0 143788
Transport Allowance for Reaching Office 18720 18720 0
Total Allowances 404515 245823 158692
Total 976681 245823 730858
iv Profits in lieu of salary 0
0
v Deduction u/s 16
Entertainment Allowance 0
Standard Deduction 0
Tax on Employment 2400
Total Deduction u/s 16 2400

1. Income chargeable under the Head ‘Salaries’ (i+ii+iii+iv-v) 728458

2. Income/ Loss chargeable under the head ‘House Property’ 0
3. Income from Other Sources 0
4. Gross Total Income (1+2+3) 728458