FORM NO.

16A
[See rule 31(1)(b)]

Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source

Certificate No. MPJVOTA Last updated on 16-Sep-2024

Name and address of the deductor Name and address of the deductee

NEBLIO TECHNOLOGIES PRIVATE LIMITED

3rd Floor, Prudential Building, Central Avenue,
SONU KUMAR
Hiranandani, Powai, Mumbai - 400076
01/01, NAMAPUR, BARAGAON,
Maharashtra
VARANASI - 221204 Uttar Pradesh
[email protected]

PAN of the deductor TAN of the deductor PAN of the deductee

AAFCN9191H MUMN25146C MAQPK0958P

CIT (TDS) Assessment Year Period

The Commissioner of Income Tax (TDS) From To

Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2025-26
Building, Charni Road , Mumbai - 400002 01-Apr-2024 30-Jun-2024

Summary of payment

Deductee Reference No. Date of payment/ credit

Sl. No. Amount paid/ credited Nature of payment** provided by the Deductor (if (dd/mm/yyyy)
any)
1 2136.64 194S 06-05-2024
2 189.20 194S 12-05-2024
3 566.00 194S 12-05-2024
4 296.14 194S 28-05-2024
5 100.23 194S 03-06-2024
6 147.80 194S 09-06-2024
7 100.17 194S 09-06-2024
8 101.51 194S 10-06-2024
9 497.11 194S 11-06-2024
10 100.27 194S 11-06-2024
11 409.05 194S 19-06-2024
Total (Rs.) 4644.12

Summary of tax deducted at source in respect of Deductee

Receipt Numbers of Original

Amount of Tax Deposited / Remitted in
Quarterly Statements of TDS Amount of Tax Deducted in respect of
Quarter respect of Deductee
Under sub-section (3) of Deductee
Section 200

Q1 QVTTEUOB 46.44 46.44

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
Sl. No. Date of Transfer Status of Matching
deductee (Rs.) Receipt Numbers of Form DDO serial number in Form No.
voucher (dd/mm/yyyy) with Form No. 24G
No. 24G 24G

Total
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)
Digitally signed by : DS NEBLIO TECHNOLOGIES PRIVATE L
Authorised
Challan Identification Number signatory : Sumit Gupta
(CIN)
Tax deposited in respect of the Location : Mumbai
Sl. No.
deductee (Rs.) Date on which tax deposited Reason : Form16A Status of matching with
BSR Code of the Bank Challan Serial Number
(dd/mm/yyyy) Signed on : Sat Oct 05 15:47 IST 2024OLTAS*
Branch

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 Certificate Number: MPJVOTA TAN of Deductor: MUMN25146C PAN of Deductee: MAQPK0958P Assessment Year: 2025-26

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.) Date on which tax deposited Status of matching with
BSR Code of the Bank Challan Serial Number
(dd/mm/yyyy) OLTAS*
Branch

1 21.37 0510043 07-06-2024 08190 F

2 1.89 0510043 07-06-2024 08190 F
3 5.66 0510043 07-06-2024 08190 F
4 2.96 0510043 07-06-2024 08190 F
5 1.00 0510002 06-07-2024 71204 F
6 1.48 0510002 06-07-2024 71204 F
7 1.00 0510002 06-07-2024 71204 F
8 1.02 0510002 06-07-2024 71204 F
9 4.97 0510002 06-07-2024 71204 F
10 1.00 0510002 06-07-2024 71204 F
11 4.09 0510002 06-07-2024 71204 F
Total 46.44

Verification

I, SUMIT GUPTA, son / daughter of SURENDRA KUMAR GUPTA working in the capacity of DIRECTOR (designation) do hereby certify that a
sum of Rs. 46.44 [Rs. Fourty Six Fourty Four paisa Only (in words)] has been deducted and a sum of Rs. 46.44 [Rs. Fourty Six Fourty Four
paisa 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 Mumbai

Date 05-Oct-2024 (Signature of person responsible for deduction of tax)

Full
Designation: DIRECTOR SUMIT GUPTA
Name:

Notes:
1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in
2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL
3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

Legend used in Form 16A

* 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
U Unmatched
only when payment 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
P Provisional
Final (F) on 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
F Final 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)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS
O Overbooked 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

Digitally signed by : DS NEBLIO TECHNOLOGIES PRIVATE L

Authorised signatory : Sumit Gupta
Location : Mumbai
Reason : Form16A
Signed on : Sat Oct 05 15:47 IST 2024

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 Certificate Number: MPJVOTA TAN of Deductor: MUMN25146C PAN of Deductee: MAQPK0958P Assessment Year: 2025-26

** Nature of

Section Description Section Description

193 Interest on Securities 195 Other sums payable to a non-resident
194 Dividends 196A Income in respect of units of non-residents
194A Interest other than 'Interest on securities' 196B Payments in respect of units to an offshore fund
194B Winning from lottery or crossword puzzle Income from foreign currency bonds or shares of Indian
196C
194BB Winning from horse race company payable to non-residents
194C Payments to contractors and sub-contractors 196D Income of foreign institutional investors from securities
194D Insurance commission 196DA Income of specified fund from securities
194E Payments to non-resident sportsmen or sports associations 206CA Collection at source from alcoholic liquor for human
194EE Payments in respect of deposits under National Savings 206CB Collection at source from timber obtained under forest lease
Payments on account of repurchase of units by Mutual Fund or Collection at source from timber obtained by any mode other
194F 206CC
Unit Trust of India than a forest lease
194G Commission, price, etc. on sale of lottery tickets Collection at source from any other forest produce (not being
206CD
194H Commission or brokerage tendu leaves)
194I Rent 206CE Collection at source from any scrap
194I(a) Payment of Rent for the use of any machinery or plant or Collection at source from contractors or licensee or lease
206CF
Payment of Rent for the use of land or building or land relating to parking lots
194I(b)
appurtenant or furniture or fittings Collection at source from contractors or licensee or lease
206CG
194J(a) Fees for technical services relating to toll plaza
194J(b) Fees for professional services or royalty etc Collection at source from contractors or licensee or lease
206CH
Income payable to a resident assessee in respect of units of a relating to mine or quarry
194K
specified mutual fund or of the units of the Unit Trust of India 206CI Collection at source from tendu Leaves
194LA Payment of compensation on acquisition of certain immovable 206CJ Collection at source from on sale of certain Minerals
194LB Income by way of Interest from Infrastructure Debt fund 206CK Collection at source on cash case of Bullion and Jewellery
Income by way of interest from specified company payable to 206CL Collection at source on sale of Motor vehicle
194LC
a non-resident Collection at source on sale in cash of any goods(other than
206CM
194LBA Certain income from units of a business trust bullion/jewelry)
194LBB Income in respect of units of investment fund Collection at source on providing of any services (other than
206CN
194LBC Income in respect of investment in securitization trust Ch-XVII-B)
194N Payments of certain amounts in cash
194NF Payments of certain amounts in cash to non-filers
Payment of certain sums by e-commerce operator to e-
194O
commerce participant
194P Deduction of tax in case of specified senior citizen
Deduction of tax at source on payment of certain sum for
194Q
purchase of goods

Digitally signed by : DS NEBLIO TECHNOLOGIES PRIVATE L

Authorised signatory : Sumit Gupta
Location : Mumbai
Reason : Form16A
Signed on : Sat Oct 05 15:47 IST 2024

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