FORM16

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. ALEERDA Last updated on 18-Jun-2019
Name and address of the Employer Name and address of the Employee
SAPIENT CONSULTING PRIVATE LIMITED

104, ASHOKA ESTATE, 24 BARAKHAMBA ROAD,
MADHAVI ATMAKURI
NEW DELHI - 110001
12-52, SEETHA NAGARAM, JAGGAMPETA, EAST GODAVARI -
Delhi
533435 Andhra Pradesh
+(91)-4167263
payroll-india@sapient.com
Employee Reference No.

PAN of the Employee
PAN of the Deductor TAN of the Deductor provided by the Employer
(If available)
AANCS5402J DELS40035C AYSPA3660L
CIT (TDS) Assessment Year Period with the Employer
From To
The Commissioner of Income Tax (TDS)
Aayakar Bhawan, District Centre, 6th Floor Room no 610, Hall no. 2019-20 01-Apr-2018 31-Mar-2019
4 , Luxmi Nagar, Delhi - 110092
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 QTDOAQIG 108818.00 12027.00 12027.00

Q2 QTGWYHIE 219999.00 121.00 121.00
Q3 QTJUHMOG 188610.00 37.00 37.00
Q4 QTOCIKCB 102142.00 0.00 0.00
Total (Rs.) 619569.00 12185.00 12185.00
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)

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 12027.00 6910333 05-07-2018 10570 F

2 42.00 6910333 07-08-2018 30314 F
3 40.00 6910333 07-09-2018 28157 F
4 39.00 6910333 06-10-2018 17100 F
Digitally Signed By Deepak Kumar Das
(Personal)
Date : 03-Jul-2019 Page 1 of 2
Certificate Number: ALEERDA TAN of Employer: DELS40035C PAN of Employee: AYSPA3660L Assessment Year: 2019-20
Challan Identification Number (CIN)

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 37.00 6910333 05-11-2018 19363 F

6 0.00 - 05-01-2019 - F
7 0.00 - 29-04-2019 - F
Total (Rs.) 12185.00
Verification
I, DEEPAK KUMAR DAS, son / daughter of DHANANJOY DAS working in the capacity of SENIOR MANAGER PAYROLL (designation) do hereby certify that a sum of
Rs. 12185.00 [Rs. Twelve Thousand One Hundred and Eighty Five Only (in words)] has been deducted and a sum of Rs. 12185.00 [Rs. Twelve Thousand One
Hundred and Eighty Five 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 26-Jun-2019 (Signature of person responsible for deduction of Tax)
Designation: SENIOR MANAGER PAYROLL Full Name:DEEPAK KUMAR DAS
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

(Personal)
Date : 03-Jul-2019 Page 2 of 2
FORM NO. 16
PART B

MADHAVI ATMAKURI
NEW DELHI - 110001
Delhi
+(91)-4167263
PAN of the Deductor TAN of the Deductor PAN of the Employee
From To
Details of Salary Paid and any other income and tax deducted Rs. Rs.
1. Gross Salary
(a) Salary as per provisions contained in section 17(1) 102142.00
Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 102142.00
(e) 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
(b) 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 10

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

Page 1 of 4 (Personal)
Date : 03-Jul-2019
Amount of any other exemption under section 10

[Note: Break-up to be prepared by employee and issued to
(f)
the employee, where applicable , before furnishing of Part B
to the employee]
(g) Total amount of any other exemption under section 10 0.00
Total amount of exemption claimed under section 10 [2(a)+2(b)

(h) 0.00
+2(c)+2(d)+2(e)+2(g)]
3. Total amount of salary received from current employer [1(d)-2(h)] 102142.00
4. Less: Deductions under section 16

(a) Standard deduction under section 16(ia) 40000.00
(b) Entertainment allowance under section 16(ii) 0.00
(c) Tax on employment under section 16(iii) 200.00
5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 40200.00
6. Income chargeable under the head "Salaries" [(3+1(e)-5] 61942.00
7. Add: Any other income reported by the employee under as per section 192 (2B)
Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS
(b) Income under the head Other Sources offered for TDS 0.00
Total amount of other income reported by the employee [7(a)+7

8. 0.00
(b)]
9. Gross total income (6+8) 61942.00
10. Deductions under Chapter VI-A
Deduction in respect of life insurance premia, contributions to

(a) 4290.00
provident fund etc. under section 80C
Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00
Deduction in respect of contribution by taxpayer to pension

(c) scheme under section 80CCD (1) 0.00
(d) Total deduction under section 80C, 80CCC and 80CCD(1) 4290.00
Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00

Date : 03-Jul-2019
Deduction in respect of contribution by Employer to pension

(f) scheme under section 80CCD (2) 0.00
Deduction in respect of health insurance premia under section

(g) 0.00
80D
Deduction in respect of interest on loan taken for higher

(h) education 0.00
under section 80E
Total Deduction in respect of donations to certain funds,
(i) 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00
under section 80TTA
Amount deductible under any other provision(s) of Chapter VI-A

(k)
to the employee]
Total of amount deductible under any other provision(s) of

(l) 0.00
Chapter VI-A
Aggregate of deductible amount under Chapter VI-A [10(d)+10
11. (e)+10(f)+10(g)+10(h)+10(i) 4290.00
10(j)+10(l)]
12. Total taxable income (9-11) 57652.00
13. Tax on total income 0.00
14. Rebate under section 87A, if applicable 0.00
15. Surcharge, wherever applicable 0.00
16. Health and education cess 0.00
17. Tax payable (13+15+16-14) 0.00
18. Less: Relief under section 89 (attach details) 0.00
19. Net tax payable (17-18) 0.00
Verification
I, DEEPAK KUMAR DAS, son/daughter of DHANANJOY DAS .Working in the capacity of SENIOR MANAGER PAYROLL
(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.
NEW DELHI (Signature of person responsible for deduction of

Place
tax)
Full
Date 26-Jun-2019 DEEPAK KUMAR DAS
Name:

Date : 03-Jul-2019
2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Amount of any other exemption
Sl. under section 1o Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.
10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Amount deductible under any
Sl. other provision(s) of Chapter Gross Amount Qualifying Amount Deductible Amount
No. VIA
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

Place
tax)
Full
Name:

Date : 03-Jul-2019
FORM NO. 16
PART B

MADHAVI ATMAKURI
NEW DELHI - 110001
Delhi
+(91)-4167263
PAN of the Deductor TAN of the Deductor PAN of the Employee
From To
Details of Salary Paid and any other income and tax deducted Rs. Rs.
1. Gross Salary
(a) Salary as per provisions contained in section 17(1) 517427.00
Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 517427.00
(e) 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
(b) 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 10

(d) 25385.00
(10AA)
(e) House rent allowance under section 10(13A) 66570.00

Date : 03-Jul-2019
Amount of any other exemption under section 10

(f)
to the employee]
(g) Total amount of any other exemption under section 10 0.00
Total amount of exemption claimed under section 10 [2(a)+2(b)

(h) 91955.00
+2(c)+2(d)+2(e)+2(g)]
3. Total amount of salary received from current employer [1(d)-2(h)] 425472.00
4. Less: Deductions under section 16

(a) Standard deduction under section 16(ia) 40000.00
(b) Entertainment allowance under section 16(ii) 0.00
(c) Tax on employment under section 16(iii) 1200.00
5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 41200.00
6. Income chargeable under the head "Salaries" [(3+1(e)-5] 384272.00
7. Add: Any other income reported by the employee under as per section 192 (2B)
Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS
(b) Income under the head Other Sources offered for TDS 0.00
Total amount of other income reported by the employee [7(a)+7

8. 0.00
(b)]
9. Gross total income (6+8) 384272.00
10. Deductions under Chapter VI-A
Deduction in respect of life insurance premia, contributions to

(a) 20666.00
provident fund etc. under section 80C
Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00
Deduction in respect of contribution by taxpayer to pension

(c) scheme under section 80CCD (1) 0.00
(d) Total deduction under section 80C, 80CCC and 80CCD(1) 20666.00
Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00

Date : 03-Jul-2019
Deduction in respect of contribution by Employer to pension

(f) scheme under section 80CCD (2) 0.00
Deduction in respect of health insurance premia under section

(g) 0.00
80D
Deduction in respect of interest on loan taken for higher

(h) education 0.00
under section 80E
Total Deduction in respect of donations to certain funds,
(i) 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00
under section 80TTA
Amount deductible under any other provision(s) of Chapter VI-A

(k)
to the employee]
Total of amount deductible under any other provision(s) of

(l) 0.00
Chapter VI-A
Aggregate of deductible amount under Chapter VI-A [10(d)+10
11. (e)+10(f)+10(g)+10(h)+10(i) 20666.00
10(j)+10(l)]
12. Total taxable income (9-11) 363606.00
13. Tax on total income 5681.00
14. Rebate under section 87A, if applicable 0.00
15. Surcharge, wherever applicable 0.00
16. Health and education cess 227.00
17. Tax payable (13+15+16-14) 5908.00
18. Less: Relief under section 89 (attach details) 0.00
19. Net tax payable (17-18) 5908.00
Verification
I, DEEPAK KUMAR DAS, son/daughter of DHANANJOY DAS .Working in the capacity of SENIOR MANAGER PAYROLL
(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
tax)
Full
Name:

Date : 03-Jul-2019
2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Amount of any other exemption
Sl. under section 1o Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.
10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Amount deductible under any
Sl. other provision(s) of Chapter Gross Amount Qualifying Amount Deductible Amount
No. VIA
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

Place
tax)
Full
Name:

Date : 03-Jul-2019
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 employer Sapient Consulting Private Limited
104 Ashoka Estate
24 Barakhamba Road
New Delhi - 110001
(2)TAN DELS40035C
(3)TDS Assessment Range of the employer: TDS Circle - New Delhi
(4)Name designation and PAN of employee Atmakuri Madhavi,Senior Associate Qa L1,AYSPA3660L
(5)Is the employee a director or a person with : No
substantial interest in the company
(where the employer is a company)
(6)Income under the head "Salaries" of the employee:(other than from 102142
perquisites):
(7)Financial Year 2018-2019
(8)Valuation of Perquisites
S.No Nature of perquisite Value of Amount if any Amount Of

perquisite recovered from perquisite
(see rule 3) as the chargeable of tax
per employee (Rs.) (Rs.)[col.(3)-
rule(Rs.) col.(4)]
(1) (2) (3) (4) (5)
1 Accommodation 0.00 0.00 0.00
2 Cars/Other Automotive 0.00 0.00 0.00
3 Sweeper, gardener, watchman or personal attendant 0.00 0.00 0.00
4 Gas, electricity, water 0.00 0.00 0.00
5 Interest free or concessional loans 0.00 0.00 0.00
6 Holiday expenses 0.00 0.00 0.00
7 Free or concessional travel 0.00 0.00 0.00
8 Free meals 0.00 0.00 0.00
9 Free education 0.00 0.00 0.00
10 Gifts, vouchers etc 0.00 0.00 0.00
11 Credit card expenses 0.00 0.00 0.00
12 Club expenses 0.00 0.00 0.00
13 Use of movable assets by employee 0.00 0.00 0.00
14 Transfer of assets by employees 0.00 0.00 0.00
15 Value of any other benefit /amenity/service/privilege 0.00 0.00 0.00
16 Stock Options(non-qualified option) 0.00 0.00 0.00
17 Other benefits or amenities 0.00 0.00 0.00
18 Total value of perquisites 0.00 0.00 0.00
19 Total value of Profits in lieu of salary as per section 17(3) 0.00 0.00 0.00
(9) Details of tax
(a)Tax deducted from salary of the employee under section 192(1) 0.00
(b)Tax paid by employer on behalf of the employee under section 192(1A) 0.00
(c)Total tax paid 0.00
(d)Date of payment into Government treasury As per Form 16
DECLARATION BY EMPLOYER
I, DEEPAK KUMAR DAS s/o DHANANJOY DAS working as SENIOR MANAGER PAYROLL (designation) do hereby declare on behalf of
SAPEINT CONSULTING PVT LTD 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 thereunder and that such
information is true and correct.
-----------------------------------------------
Signature of the person responsible for
deduction of Tax
Place NEW DELHI Full Name DEEPAK KUMAR DAS
Date 26-06-2019 Designation SENIOR MANAGER PAYROLL

(Personal)
Date : 03-Jul-2019

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FORM NO.

Certificate No. ALEERDA Last updated on 18-Jun-2019

SAPIENT CONSULTING PRIVATE LIMITED

Employee Reference No.

AANCS5402J DELS40035C AYSPA3660L

CIT (TDS) Assessment Year Period with the Employer

Receipt Numbers of original

Q1 QTDOAQIG 108818.00 12027.00 12027.00

Book Identification Number (BIN)

Challan Identification Number (CIN)

1 12027.00 6910333 05-07-2018 10570 F

Challan Identification Number (CIN)

5 37.00 6910333 05-11-2018 19363 F

Place NEW DELHI

Date 26-Jun-2019 (Signature of person responsible for deduction of Tax)

Designation: SENIOR MANAGER PAYROLL Full Name:DEEPAK KUMAR DAS

Legend used in Form 16

* Status of matching with OLTAS

Digitally Signed By Deepak Kumar Das

Certificate No. ALEERDA Last updated on 18-Jun-2019

SAPIENT CONSULTING PRIVATE LIMITED

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

AANCS5402J DELS40035C AYSPA3660L

CIT (TDS) Assessment Year Period with the Employer

(a) Salary as per provisions contained in section 17(1) 102142.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) 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 10

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

Digitally Signed By Deepak Kumar Das

Amount of any other exemption under section 10

(g) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10 [2(a)+2(b)

3. Total amount of salary received from current employer [1(d)-2(h)] 102142.00

4. Less: Deductions under section 16

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 200.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 40200.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 61942.00

Income (or admissible loss) from house property reported by

Total amount of other income reported by the employee [7(a)+7

Deduction in respect of life insurance premia, contributions to

Deduction in respect of contribution to certain pension funds

Deduction in respect of contribution by taxpayer to pension

Deductions in respect of amount paid/deposited to notified

Digitally Signed By Deepak Kumar Das

Deduction in respect of contribution by Employer to pension

Deduction in respect of health insurance premia under section

Deduction in respect of interest on loan taken for higher

Amount deductible under any other provision(s) of Chapter VI-A

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

12. Total taxable income (9-11) 57652.00

13. Tax on total income 0.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 0.00

17. Tax payable (13+15+16-14) 0.00