Form 12 BA

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11756769/NPPPS0960L Subham Singh

Annexure to Form 16 Part B


2(f). Break up for 'Amount of any other exemption under section 10' to be filled in the table below

Particular's of Amount of any other exemption under section 10' INR

10(k). Break up for 'Amount deductible under any other provision(s) of Chapter VI-A ' to be filled in the table below

Particular's of amount deductible under any other provision(s) of Chapter VI-A Gross Amount Qualifying Amount Deductible Amount

Place CHENNAI (Signature of person responsible for deduction of tax)

Date 12.06.2023 Full Name: KAZHIYUR VARADACHARI


Signature SRIDHARAN
Not Verified
Digitally signed by Kazhiyur
Varadachari Sridharan
Date: 2023.06.21 10:23:17
IST
11756769/NPPPS0960L Subham Singh
FORM No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisities, other fringe
benefits or amenities and profits in lieu of salary with value thereof
EIT Services India Pvt Ltd,HP Avenue, 39/40, Electronic City,,Hosur Road,
1. Name and address of employer : Bengaluru,560100,Karnataka
2. TAN : BLRD02712D
3. TDS Assessment Range of the employer : Salary Circle,,,,
4. Name, designation and Permanent Account Number or
Aadhaar Number of employee
: Subham Singh,Senior Assistant Service,40049127,NPPPS0960L

5. Is the employee a director or a person with substantial interest


in the company(where the employer is a company) : N

6. Income under the head “Salaries” of the employee


(other than from perquisites)
: 215265.11

7. Financial year : 2022-2023


8. Valuation of Perquisites :

Amount of perquisite
Amount, if any, recovered
S. Value of perquisite as per chargeable to tax
Nature of perquisites (see rule 3) from the employee
No. (Rs.) Col. (3) - Col(4)
(Rs.)
(Rs.)
(1) (2) (3) (4) (5)
1. Accommodation 0.00 0.00 0.00
2. Cars/Other automotive 0.00 0.00 0.00
Sweeper, gardener, watchman or
3. 0.00 0.00 0.00
personal attendant
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 employees 0.00 0.00 0.00
14. Transfer of assets to 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 allotted or transferred by employer being
0.00 0.00 0.00
an eligible start-up referred to in section 80-IAC.
17. Stock options (non-qualified options) other than ESOP in
0.00 0.00 0.00
col 16 above.
18. Contribution by employer to fund and scheme taxable
under section 17(2)(vii). 0.00 0.00 0.00

19. Annual accretion by way of interest, dividend etc. to the


balance at the credit of fund and scheme referred to in 0.00 0.00 0.00
section 17(2)(vii) and taxable under section 17(2)(viia).

20. Other benefits or amenities 0.00 0.00 0.00


21. Total value of perquisites 0.00 0.00 0.00
22. Total value of profits in lieu of salary as per section 17(3) 0.00 0.00 0.00

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

DECLARATION BY EMPLOYER
I, KAZHIYUR VARADACHARI SRIDHARAN Son/daughter of VARADACHARI MANNAR KAZHIYUR working as ASSOCIATE DIRECTOR
(designation ) do hereby declare on behalf of EIT Services India Pvt Ltd ( name of the employer ) 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 Not Verified
Signature of person responsible
Digitallyfor deduction
signed of tax
by Kazhiyur
Place : CHENNAI Varadachari Sridharan
Full Name:KAZHIYUR VARADACHARI SRIDHARAN
Date : 12.06.2023 Date: 2023.06.21 10:23:17
Designation:ASSOCIATE DIRECTOR
IST

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