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. FHBMNCA Last updated on 07-Jun-2021

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

EIT SERVICES INDIA PRIVATE LIMITED

39/40, HP AVENUE, HOSUR ROAD,
AVULANNA GARI RADHA
ELECTRONICS CITY-2, BANGALORE - 600045
NO 1671, THIPPASAMDRA, 9TH MAIN H CROSS, HAL IIND
Karnataka
STAGE, BANGALORE - 560075 Karnataka
+(91)44-22628080
[email protected]

Employee Reference No.

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

AAACD4078L BLRD02712D CFHPR4505K

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 59, H.M.T. Bhawan, 4th Floor, Bellary Road , 2021-22 01-Apr-2020 31-Mar-2021
Ganganagar, Bangalore - 560032

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 QUASETRD 159886.00 6380.00 6380.00

Q2 QUDFJCJB 166289.00 7624.00 7624.00
Q3 QUFFKHTF 156067.00 5408.00 5408.00
Q4 QUJPFIKG 177661.00 9688.00 9688.00
Total (Rs.) 659903.00 29100.00 29100.00
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 2082.00 6910333 07-05-2020 59275 F

2 2586.00 6910333 05-06-2020 25129 F
3 1712.00 6910333 07-07-2020 23671 F
4 2331.00 6910333 07-08-2020 38924 F
Signature Not Verified
Signed By:Kazhiyur Varadachari
Sridharan Page 1 of 2
Signing Date:03.07.2021 10:48
 Certificate Number: FHBMNCA TAN of Employer: BLRD02712D PAN of Employee: CFHPR4505K Assessment Year: 2021-22

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 2301.00 6910333 07-09-2020 85129 F

6 2992.00 6910333 07-10-2020 14326 F
7 1208.00 6910333 06-11-2020 15637 F
8 2992.00 6390340 05-12-2020 05345 F
9 1208.00 6390340 06-01-2021 26034 F
10 1208.00 6390340 05-02-2021 06576 F
11 3150.00 6390340 04-03-2021 23056 F
12 5330.00 6390340 25-03-2021 12097 F
Total (Rs.) 29100.00

Verification

I, KAZHIYUR VARADACHARI SRIDHARAN, son / daughter of VARADACHARI MANNAR KAZHIYUR working in the capacity of FINANCE MANAGER (designation) do
hereby certify that a sum of Rs. 29100.00 [Rs. Twenty Nine Thousand One Hundred Only (in words)] has been deducted and a sum of Rs. 29100.00 [Rs. Twenty Nine
Thousand One Hundred 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 BANGALORE

Date 14-Jun-2021 (Signature of person responsible for deduction of Tax)

Designation: FINANCE MANAGER Full Name:KAZHIYUR VARADACHARI SRIDHARAN

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

Signed By:Kazhiyur Varadachari
Sridharan Page 2 of 2
Signing Date:03.07.2021 10:48
 FORM NO. 16
PART B
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary

Certificate No. FHBMNCA Last updated on 07-Jun-2021

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

EIT SERVICES INDIA PRIVATE LIMITED

39/40, HP AVENUE, HOSUR ROAD,
AVULANNA GARI RADHA
ELECTRONICS CITY-2, BANGALORE - 600045
NO 1671, THIPPASAMDRA, 9TH MAIN H CROSS, HAL IIND
Karnataka
STAGE, BANGALORE - 560075 Karnataka
+(91)44-22628080
[email protected]

PAN of the Deductor TAN of the Deductor PAN of the Employee

AAACD4078L BLRD02712D CFHPR4505K

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 59, H.M.T. Bhawan, 4th Floor, Bellary Road , 2021-22 01-Apr-2020 31-Mar-2021
Ganganagar, Bangalore - 560032

Details of Salary Paid and any other income and tax deducted

Whether opting for taxation u/s 115BAC No

1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 659903.00

Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 659903.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commuted value of pension under section 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 0.00
(10AA)

(e) House rent allowance under section 10(13A) 0.00

Page 1 of 4
Signature Not Verified
Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
Certificate Number: FHBMNCA TAN of Employer: BLRD02712D PAN of Employee: CFHPR4505K Assessment Year: 2021-22

Amount of any other exemption under section 10

(f) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

(g) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10

(h) 0.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]

Total amount of salary received from current employer

3. 659903.00
[1(d)-2(h)]
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) 50000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 2400.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 52400.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 607503.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS

(b) Income under the head Other Sources offered for TDS 0.00

Total amount of other income reported by the employee

8. 0.00
[7(a)+7(b)]
9. Gross total income (6+8) 607503.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

(a) 30106.00 30106.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00 0.00

Deduction in respect of contribution by taxpayer to pension

(c) scheme under section 80CCD (1) 0.00 0.00

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 30106.00 30106.00

Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00 0.00

Page 2 of 4
Signature Not Verified
Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
 Certificate Number: FHBMNCA TAN of Employer: BLRD02712D PAN of Employee: CFHPR4505K Assessment Year: 2021-22

Deduction in respect of contribution by Employer to pension

(f) scheme under section 80CCD (2) 0.00 0.00

Deduction in respect of health insurance premia under section

(g) 0.00 0.00
80D

Deduction in respect of interest on loan taken for higher

(h) education under section 80E 0.00 0.00

Gross Qualifying Deductible

Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(i) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00 0.00 0.00
under section 80TTA

Amount Deductible under any other provision (s) of Chapter VI-A

(k) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

Total of amount deductible under any other provision(s) of

(l) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 30106.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(l)]

12. Total taxable income (9-11) 577397.00

13. Tax on total income 27980.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 1119.00

17. Tax payable (13+15+16-14) 29099.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 29099.00

Verification
I, KAZHIYUR VARADACHARI SRIDHARAN, son/daughter of VARADACHARI MANNAR KAZHIYUR .Working in the
capacity of FINANCE MANAGER (Designation) do hereby certify that the information given above is true, complete and correct and
is based on the books of account, documents, TDS statements, and other available records.

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

Full
Date 15-Jun-2021 KAZHIYUR VARADACHARI SRIDHARAN
Name:

Page 3 of 4
Signature Not Verified
Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
 Certificate Number: FHBMNCA TAN of Employer: BLRD02712D PAN of Employee: CFHPR4505K Assessment Year: 2021-22

2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Particular's of Amount for any other
Sl. exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Particular's of Amount deductible under
Sl. any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

BANGALORE (Signature of person responsible for deduction of

Place
tax)
Full
Date 15-Jun-2021 KAZHIYUR VARADACHARI SRIDHARAN
Name:

Page 4 of 4
Signature Not Verified
Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
Certificate No. FHBMNCA EMPID:11549616

Form No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisites,other fringe benefits or amenities and profits in lieu of salary with value thereof

1. Name and address of the employer: EIT SERVICES INDIA PRIVATE LIMITED
Digital Park, Plot No.39-40 Konappana Agrahara, Electronics City
Hosur Road, Bangalore - 560100 KARNATAKA INDIA
2. TAN BLRD02712D
3. TDS Assessment Range of the employer:
4. Name, designation and Permanent Account Number or Aadhaar AVULANNA GARI RADHA, Professional 2 Database Administrator,
Number of employee: CFHPR4505K
5. Is the employee a director or a person with substantial interest No
in the company (where the employer is a company):
6. Income under the head 'Salaries' of the employee (other than 607,503.00
from perquisites):
7. Financial Year: 2020-2021
8. Valuation of Perquisites:

SL. Nature of perquisites(see rule 3) Value of Amount,if any Amount of

No. perquisite as per recovered from perquisite
rules (Rs.) employee (Rs.) chargeable to tax
Col(3)-Col(4) (Rs.)
(1) (2) (3) (4) (5)
1 Accommodation 0.00 0.00 0.00
2 Cars/Other automotive 0.00 0.00 0.00
3 Sweeper, gardener, watchman or personal Attendant 0.00 0.00 0.00
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 an eligible start-up 0.00 0.00 0.00
referred to in section 80-IAC
17 Stock options (non-qualified options) other than ESOP in col 16 above 0.00 0.00 0.00
18 Contribution by employer to fund and scheme taxable under section 0.00 0.00 0.00
17(2)(vii)
19 Annual accretion by way of interest, dividend etc. to the balance at the credit 0.00 0.00 0.00
of fund and scheme referred to in 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

9. Details of Tax.
a)Tax deducted from salary of the employee u/s 192(1) 29,100.00
b)Tax paid by employer on behalf of the employee u/s 192(1A) 0.00
c)Total Tax Paid 29,100.00
d)Date of payment into Government treasury Various dates as mentioned on Part A of the Form 16

DECLARATION BY THE EMPLOYER

I, KAZHIYUR VARADACHARI SRIDHARAN, Son of VARADACHARI MANNAR KAZHIYUR working as FINANCE

MANAGER do hereby declare on behalf of EIT SERVICES INDIA PRIVATE LIMITED 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.

Place BANGALORE

Date 15-Jun-2021 (Signature of person responsible for deduction of tax)

Designation : FINANCE MANAGER Full Name : KAZHIYUR VARADACHARI SRIDHARAN

Signature Not Verified

Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
Page 1 of 1 (Form 12BA)
Certificate No. FHBMNCA EMPID:11549616

Annexure to Form No.16 Part B

Details of Salary Paid and any other income and tax deducted
A Whether opting for taxation u/s 115BAC? NO

1. Gross Salary Rs. Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 659,903.00

(b) Value of perquisites u/s 17(2) (as per Form No.12BA,wherever 0.00
applicable)
(c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, 0.00
wherever applicable)
(d) Total 659,903.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00
(c) Commuted value of pension under section 10(10A) 0.00
(d) Cash equivalent of leave salary encashment under section 10(10AA) 0.00
(e) House rent allowance under section 10(13A) 0.00
(f) Amount of any other exemption under section 10
(g) Total amount of any other exemption under section 10 0.00
(h) Total amount of exemption claimed under section 10 0.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]
3. Total amount of salary received from current employer [1(d)-2(h)] 659,903.00

4. Less: Deductions under section 16

(a) Standard deduction under section 16(ia) 50,000.00

(b) Tax on employment under section 16(iii) 2,400.00

5. Total amount of deductions under section 16 [4(a)+4(b)] 52,400.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 607,503.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

(a) Income (or admissible loss) from house property reported by employee 0.00
offered for TDS
(b) Income under the head Other Sources offered for TDS 0.00
8. Total amount of other income reported by the employee [7(a)+7(b)] 0.00

9. Gross total income (6+8) 607,503.00

10. Deductions under Chapter VI-A

Gross Amount Deductible Amount

(a) Deduction in respect of life insurance premia, contributions to provident 30,106.00 30,106.00
fund etc. under section 80C
(b) Deduction in respect of contribution to certain pension funds under 0.00 0.00
section 80CCC
(c) Deduction in respect of contribution by taxpayer to pension scheme 0.00 0.00
under section 80CCD (1)
(d) Total deduction under section 80C, 80CCC and 80CCD(1) 30,106.00 30,106.00

Signature Not Verified

Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
Page 1 of 2 (Annexure to Form 16 – Part B)
Certificate No. FHBMNCA EMPID:11549616
(e) Deductions in respect of amount paid/deposited to notified pension 0.00 0.00
scheme under section 80CCD (1B)
(f) Deduction in respect of contribution by Employer to pension scheme 0.00 0.00
under section 80CCD (2)
(g) Deduction in respect of health insurance premia under section 80D 0.00 0.00

(h) Deduction in respect of interest on loan taken for higher education under 0.00 0.00
section 80E
Gross Amount Qualifying Amount Deductible Amount

(i) Total Deduction in respect of donations to certain funds, charitable 0.00 0.00 0.00
institutions, etc. under section 80G
(j) Deduction in respect of interest on deposits in savings account under 0.00 0.00 0.00
section 80TTA
(k) Amount deductible under any other provision(s) of Chapter VI-A

(l) Total of amount deductible under any other provision(s) of Chapter VI-A 0.00 0.00 0.00

11. Aggregate of deductible amount under Chapter VI-A 30,106.00

[10(d)+10(e)+10(f)+10(g)+10(h)+10(i) 10(j)+10(l)]
12. Total taxable income (9-11) 577,400.00

13. Tax on total income 27,980.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 1,119.00

17. Tax payable (13+15+16-14) 29,100.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 29,100.00

Verification
I, KAZHIYUR VARADACHARI SRIDHARAN, Son of VARADACHARI MANNAR KAZHIYUR working in the capacity of FINANCE MANAGER do
hereby certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements,
and other available records.

Place BANGALORE

Date 15-Jun-2021 (Signature of person responsible for deduction of tax)

Designation : FINANCE MANAGER Full Name : KAZHIYUR VARADACHARI SRIDHARAN

Signature Not Verified

Signed By:Kazhiyur Varadachari
Sridharan
Signing Date:03.07.2021 10:48
Page 2 of 2 (Annexure to Form 16 – Part B)