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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 from Income chargeable under the head ''Salaries''
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Name and address of the employerName & Address of the employee
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PAN No.of the DeductorTAN No.of the Deductor PAN No.of the Employee
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Acknowledgement Nos.of all Quarterly statements of
TDS under sub-section(3) of section 200 as provided
by TIN Facilitation Center of NSDL Web-site.		PERIODASSESSMENT
YEAR
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QuarterReceipt Number.Amt.Paid /
credited		2026-27
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Q104/1/20256/30/2025
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Q207/1/20259/30/2025
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Q3010/1/202512/31/2025
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Q401/1/20263/31/2026
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Total Amount Credited0
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 -:DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN:-
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Sr
No. 		Surcharge
Rs.		Deposited
Tax (TDS)		BSR Code
of the Bank		Bank Name
and Branch		Date on which
Tax Deposited
(dd/mm/yyyy)		Transfer Vouch.
Challan
Identification No
18
10
19
20
20
30
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40
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50
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60
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70
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80
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90
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100
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110
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120
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 Total Rs0
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VERIFICATION
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I son of working in the capacity of Head (designation)
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do hereby certify that a sum of Rs
0in the word Rs.
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has been deducted at source and paid to the credit of the Central Government.
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I further certify that the information given above is true and correct based on the books of account ,
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documents, TDS statement ,TDS Deposited and other available records.
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Signature of the person responsible for deduction of tax
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Place:
Full Name:
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Date:
Designation:
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See section 15 and 17 and rule 3 Furnish separate details of value of the perquisites and profits in liue of or in addition to salary or wages.
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P.T.O.on Pg 2
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FORM NO.16PART : B
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1. Gross Salary
Rs.Rs.
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(a) Salary as per provisions contained in
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section 17(1)…………………………………
0 As per Sheet
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(b) Value of perquisites under section 17(2)
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(as per Form No 12BA wherever applicable)
Rs. Nil
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(c ) Profits in lied of salary under section17(3)
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(as per Form No 12BA wherever applicable)
Rs. Nil
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Total……………………………………
0
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Total Amount of Gross salary
0.00
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2 .Less:Allowance to the extent exempt U/S 10
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1. Leave Travel Concession 10(5)
0 100%
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2. House Rent allowance 10 (13 A)
0 As per Rules
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3. Dis Abled Emp Transport Allow 10 (14)
0 38400/
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Total……………………………………
0 0
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Exempt Amt.under various section
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1. Death cum retirement gratuity 10(10)
100%
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2. Commuted value of pension 10(10 A)
100%
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3. Leave salary encashment 10(10 AA)
100%
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4. Life Ins plan maturity amt 10 (10 D)
100%
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5. P.F.Final payment amt 10 (12)
100%
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Total……………………………………
0
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3 . Total Amount of Gross salary (1-2)
0.00
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4. DEDUCTIONS: Under section 16
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(a) standard deduction U/S 16(ia)
50000 50000/75000
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(b) Entertainment allowance U/S 16(ii)
0As per Rules
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(c) Profesonal Tax U/S 16 ( iii )
0 As per Rules
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Total……………………………………
50000 50000
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5. INCOME CHARGEABLE UNDER
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THE HEAD "SALARIES" (3-4)……………
-50000.00
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6. ADD.:Anyother income reported by the employee as per sec 192
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1 .Income from house property
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2 .Income from Others
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3 Interest of Saving Bank A/C ………….
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4 Medical reambursment
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5 Interest on FIX Deposit Amt.
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Total……………………………………
0
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7. GROSS TOTAL INCOME (5+6)………….
-50000.00
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8. DEDUCTIONS UNDER CHAPTER VI-A :
GROSSDEDUCTIBLE
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AMOUNTAMOUNT
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(A) GPF,CPF,PPF,LIPP,CEF,HBLP etc U/S 80C
0 150000/
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(B) Contribution by Employer in NPS 80CCD(2)
0 100%
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(C) Agniveer copurs scheme U/S 80CCH(2)
0 100%
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(D) Deposit by Emp in NPS Vatsaly 80CCD(1B)
0 50000/
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(E) Health Insurance Premium U/S 80D
0 25000/
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(F) Interest of education loan U/S 80E
0 100%
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(G) Donation to charitable Inst. U/S 80G
0 As per Rules
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(H) Interest on deposite in saving A/C U/S 80TTA
0 10000/
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(I) Divyang Employee's Special Relief U/S 80 U
0 As per Rules
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(J) Interest on HBL Rules 24(2)
0 200000/
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(K) Interest on Electrical vehicle loan U/S 80EEB
0 150000/
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(L) Expense on Medical Reimbersment U/S 17(2)
0 As per Rules
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(M) Lent out Property Interest on HBL Rules 24(2)
NA
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9. Aggregate of deductible amt. above (A to M)
0