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. FTGHYLL Last updated on 04-Jun-2018

Name and address of the Employer Name and address of the Employee

STEEL AUTHORITY OF INDIA LIMITED

Ispat Bhawan, Durgapur Steel Plant, Durgapur 3 - 713203 RAKESH KUMAR
West Bengal 15/11, VIVEKANANDA ROAD, A ZONE DURGAPUR, BURDWAN -
+(91)343-2574344 713204 West Bengal
[email protected]

Employee Reference No.

PAN of the Employee
PAN of the Deductor TAN of the Deductor provided by the Employer
(If available)

AAACS7062F CALS13071C AQLPK9881A

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
2018-19 01-Apr-2017 31-Mar-2018
7th Floor, Middleton Row Kolkata - 700071

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 FXFBXWJH 326066.00 40670.00 40670.00

Q2 FXFFBAEG 333503.00 42981.00 42981.00
Q3 QSVANKKE 349049.00 46638.00 46638.00
Q4 FXGOLXFF 349314.00 49095.00 49095.00
Total (Rs.) 1357932.00 179384.00 179384.00
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)

Tax Deposited in respect of the
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 13768.00 0013283 07-05-2017 01229 F

2 13450.00 0011352 07-06-2017 23868 F
3 13452.00 0004329 07-07-2017 20860 F
4 13453.00 0011352 07-08-2017 08973 F

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 Certificate Number: FTGHYLL TAN of Employer: CALS13071C PAN of Employee: AQLPK9881A Assessment Year: 2018-19

Challan Identification Number (CIN)

Tax Deposited in respect of the
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 14763.00 0011352 07-09-2017 21192 F

6 14765.00 0011352 07-10-2017 20966 F
7 14767.00 0013283 07-11-2017 28433 F
8 15934.00 0011352 07-12-2017 29992 F
9 15937.00 0013283 07-01-2018 00062 F
10 15941.00 0004329 07-02-2018 37346 F
11 16302.00 0013283 07-03-2018 18620 F
12 14658.00 0014431 30-04-2018 06641 F
13 2194.00 0011349 19-05-2018 01019 F
Total (Rs.) 179384.00

Verification

I, TAPAS KUMAR PAL, son / daughter of RAKHAHARI PAL working in the capacity of DEPUTY MANAGER (designation) do hereby certify that a sum of
Rs. 179384.00 [Rs. One Lakh Seventy Nine Thousand Three Hundred and Eighty Four Only (in words)] has been deducted and a sum of Rs. 179384.00 [Rs. One Lakh
Seventy Nine Thousand Three Hundred and Eighty Four 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 Durgapur

Date 07-Jun-2018 (Signature of person responsible for deduction of Tax)

Designation: DEPUTY MANAGER Full Name:TAPAS KUMAR PAL

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

Signature Not Verified

Digitally signed by TAPAS
KUMAR PAL
Date: 2018.06.07 18:00:32
IST
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