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
Page 1 3

Employer - PAO CODE Name and Rank of the Employee

55 NAGENDRA NISHAD
PAN of the Deductor TAN of the Deductor PAN of the Employee
AKGPD4716L PNEP12976F ALHPN3075C
CIT(TDS) Address Assessment Year / Tax Option Period
AAYKAR BHAWAN, 12 SADHU VASWANI 2025-2026 / NEW 01/04/2024 TO 31/03/2025
SQUARE, PUNE 411001
Summary of Tax deducted at Source
Quarter Receipt Numbers of original statements of Amount of tax deducted Amount of tax deducted/remitted
TDS under sub-section(3) of section 200 in respect of the employee in respect of the employee
Quarter 1 770000262575644 26425 26425
Quarter 2 637413770241024 28337 28337
Quarter 3 770000283231804 39849 39849
Quarter 4 944043340240425 24135 24135
Total 118746 118746
PART-B
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
` ` ` `
1. Gross Salary 1445894
2. Standard Deduction 75000
3. Less Allowance to the extent exempt under Section 10 0
4. BALANCE (1 - 2) 1370894
5. DEDUCTIONS :
a. Interest payable on loan u/s 24 : 0
6. Aggregate of 5 ( a to b ) 0
7. Income chargeable under the Head 'SALARIES' (3 - 5) 1370894
8. Add: Any other income reported by the employee * 0
9. GROSS TOTAL INCOME (6 + 7) 1370894
10. DEDUCTIONS UNDER CHAPTER VI-A GROSS AMT QUAL AMT QUAL AMT DEDUCT AMT
a) Qualified under Sec.80C 0 0 0
b) Qualified for 100% deduction 0 0 0
c) Qualified for 50% deduction 0 0 0
d) Qualified under Sec.80DD 0 0 0
e) Qualified under Sec.80U 0 0 0
11. Aggregate of deductible amount under Chapter VI-A 0
12. Total Income (8 - 10) Rounded 1370890
13. TAX ON TOTAL INCOME 114178
14. Health & Education Cess @4% (on tax computed at Sl.No.12) 4568
15. Tax Payable (12 + 13) 118746
16. Less: Relief under Section 89(attach Details) 0
17. Less : Tax Deducted 118746
18. TAX PAYABLE/REFUNDABLE (15 - 16) 0

**
VERIFICATION
 BREAK UP OF TAXABLE EMOLUMENTS FINANCIAL YEARWISE Page 2 3
Note : Health and Education Cess @4% Charged On Income Tax (Rounded off to next higher rupee)

I, ARUN DEEP, son/daughter of ARJUNA PRAJAPATI working in the capacity of AAO do hereby certify
that a sum of Rs. 118746 (in words) Rupees One Lakh Eighteen Thousand Seven Hundred Forty Six only has
been deducted and deposited to the credit of Central Government. I further certify that the above information is
true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited
and other available records.

Note * : Sl.No.8 above Other Income includes taxable interest accrued on Fund Subscription above 500000 Rupees

Place : PUNE Signature of the person responsible for deduction of tax

Date : 02/06/2025 Full Name ARUN DEEP
Designation AAO
 BREAK UP OF TAXABLE EMOLUMENTS FINANCIAL YEARWISE Page 3 3

Employer - PAO Code Name and Rank of the Employee

55 NAGENDRA NISHAD
For the financial year from 01/03/2017 to 28/02/2018 = 16668.0
For the financial year from 01/03/2018 to 28/02/2019 = 24695.0
For the financial year from 01/03/2019 to 29/02/2020 = 24695.0
For the financial year from 01/03/2020 to 28/02/2021 = 24695.0
For the financial year from 01/03/2021 to 28/02/2022 = 24695.0
For the financial year from 01/03/2022 to 28/02/2023 = 24695.0
For the financial year from 01/03/2023 to 29/02/2024 = 114732.0
For the financial year from 01/03/2024 to 28/02/2025 = 1191019.0
Total taxable emoluments 1445894.0