FORM NO.

16
[ See rule 31(1) (a) ] " ORIGINAL "
PART-A
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on Salary
Name and address of the employer Name and designation of the Employee
RELIANCE COMMUNICATIONS LIMITED Mr/Ms: Mr. Kamal Agrawal
H Block, 1st Floor,DAKC, Desig.: GENERAL MANAGER
Navi Mumbai 400710
Emp #: 20036982
Maharashtra
PAN of the Deductor TAN of the Deductor PAN of the Employee
AACCR7832C MUMR25035D AACPA1859K

CIT(TDS) Period
Assessment year
Address DCIT(TDS)CIRCLE-3
From To

City MUMBAI Pin code 400002 2011- 2012 01.04.2010 31.03.2011

Summary of tax deducted at Source
Receipt Numbers of original statements of TDS Amount of tax deducted Amount of tax deposited/remitted
Quarter under subsection(3) of section 200. in respect of the employee in respect of the employee
Quarter 1 JPDMSPEG 110085 110085
Quarter 2 BLAXXHVC 308380 308380
Quarter 3 ETGXXTOD 148410 148410
Quarter 4 ETGXDTAE 147141 147141

Total 714016 714016

PART B (Refer Note 1)

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED Rs. Rs. Rs.
1. Gross salary
a) Salary as per provisions contained in sec.17(1) 2808313
b) Value of perquisites under section 17(2) ( as per Form No.12BA, 203714
wherever applicable )

c) Profits in lieu of salary under section 17(3) ( as per 0

Form No.12BA wherever applicable )

d) Total 3012027

2. Less: Allowance to the extent exempt under section 10 92125

Allowance Rupees

LTA Exemption 92125

3. Balance(1-2) 2919902
3 A. Income from previous employer
0
4. Deductions:
(a) Entertainment allowance 0
(b) Tax on Employment 2500
5. Aggregate of 4(a) and (b) 2500
6. Income chargerable under the head 'salaries'(3-5) 2917402
7. Add: Any other Income reported by the employee 0

8. Gross total income (6+7) 2917402

9. Deductions under chapter VI-A Gross Amount Deductible Amount
A) sections 80C, 80CCC and 80CCD
a) section 80C
i) Employee Provident Fund 196194 100000
196194
20036982 Mr. Kamal Agrawal
(b) section 80CCC 0 0

(c) section 80CCD 0 0

Note : 1. Aggregate amount deductible under section 80C shall not exceed
one lakh rupees
2. Aggregate amount deductible under the three sections i.e 80C,
80CCC and 80CCD shall not exceed one lakh rupees

B) other sections (for e.g. 80E, 80G etc.) under chapter VIA
(a) 80CCF(01) 20000 20000

10. Aggregrate of deductible amount under Chapter VIA 120000

11. Total Income(8-10) 2797400

12. Tax on total income 693220

13. Education Cess @ 3% (on tax computed at S.No 12) 20796

14. Tax payable (12+13) 714016

15. Less: Relief under sec 89(attach details) 0

16. Tax Payable (14-15) 714016

Verification

I, SH.VIKRAM HOSKOTE son/daughter of DR.SADANANDA HOSKOTE working in the capacity of AUTHORISED SIGNATORY do hereby
certify that a sum of Rs 714,016 [ Rupees SEVEN LAKH FOURTEEN THOUSAND SIXTEEN ] has been deducted and 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 book of accounts , documents,
TDS statements, TDS deposited and other available records.

HOSKOTE VIKRAM Digitally signed by HOSKOTE VIKRAM SADANAND

DN: c=IN, o=Personal, postalCode=400058, st=MAHARASHTRA,
serialNumber=b0167ffa5ca44e57e01f4579abd7d50ed69dd223598d86469750300036cc1

Place:NAVI MUMBAI SADANAND

c2a, cn=HOSKOTE VIKRAM SADANAND
Reason: I attest to the accuracy and integrity of this document
Date: 2011.05.31 05:00:39 +05'30'

Date:26.05.2011
Signature of the person responsible for deduction of tax
Designation:AUTHORISED SIGNATORY
Full Name: SH.VIKRAM HOSKOTE
20036982 AACPA1859K Mr. Kamal Agrawal
ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT
THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)

Tax Deposited in respect

S. No Challan Identification number (CIN)
of the employee (Rs.)
BSR Code of the Bank Date on which tax Challan Serial Number
Branch deposited
(dd/mm/yyyy)

001 36695 0510308 07.05.2010 02833

002 36695 0510308 07.06.2010 01207

003 36695 0510308 07.07.2010 00387

004 35885 0510308 06.08.2010 00586

005 35885 0510308 07.09.2010 00512

006 236610 0510308 07.10.2010 01339

007 50294 0510308 08.11.2010 00183

008 49058 0510308 07.12.2010 00769

009 49058 0510308 07.01.2011 02011

010 51118 0510308 07.02.2011 00340

011 47997 0510308 07.03.2011 01892

012 48026 0510308 07.04.2011 00594

Total 714016
 FORM No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisities, other fringe
benefits or amenities and profits in lieu of salary with value thereof
1) Name and address of employer :
RELIANCE COMMUNICATIONS LIMITED, H Block, 1st Floor,DAKC,Navi Mumbai-400710, Maharashtra
2) TAN: MUMR25035D
3) TDS Assesment Range of the employer :
DCIT(TDS)CIRCLE-3, , MUMBAI, 400002, Maharashtra
4) Name, designation and PAN of employee :
Mr/Ms: Mr. Kamal Agrawal, Desig.:GENERAL MANAGER, Emp #:20036982, PAN:AACPA1859K
5) Is the employee a director or a person with substantial interest in
the company (where the employer is a company) : No

6) Income under the head "Salaries" of the employee : 2716188

(other than from perquisites)
7) Financial year : 2010-2011
8) Valuation of Perquisites

S.No Nature of perquisite Value of perquisite Amount, if any recovered Amount of perquisite
(see rule 3) as per rules(Rs.) from the employee(Rs.) chargeable to tax(Rs.)
(1) (2) (3) (4) Col(3)-Col(4) (5)
1 Accommodation 203714 0 203714
2 Cars/Other automotive 0 0 0
Sweeper , gardener , watchman or
3 0 0 0
personal attendant
4 Gas , electricity , water 0 0 0
5 Interest free or concessional loans 0 0 0
6 Holiday expenses 0 0 0
7 Free or concessional Travel 0 0 0

8 Free meals 0 0 0

9 Free Education 0 0 0
10 Gifts,vouchers etc. 0 0 0
11 Credit card expenses 0 0 0
12 Club expenses 0 0 0
13 Use of movable assets by employees 0 0 0
14 Transfer of assets to employees 0 0 0
15 Value of any other benefit
0 0 0
/amenity/service/privilege

16 Stock options ( non-qualified options ) 0 0 0

17 Other benefits or amenities 0 0 0
18 Total value of perquisites 203714 0 203714
19 Total value of Profits in lieu of salary
0 0 0
as per 17 (3)

9. Details of tax, -
(a) Tax deducted from salary of the employee under section 192(1) 714016
(b) Tax paid by employer on behalf of the employee under section 192(1A) 0
(bb) Tax paid by previous employer 0
(c) Total tax paid 714016
(d) Date of payment into Government treasury *
* Refer to Annexure - B of form 16 under Details of tax deducted and deposited into Central Government Account.

DECLARATION BY EMPLOYER
I, SH.VIKRAM HOSKOTE Son/daughter of DR.SADANANDA HOSKOTE working as AUTHORISED SIGNATORY (designation ) do
hereby declare on behalf of RELIANCE COMMUNICATIONS 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. HOSKOTE VIKRAM Digitally signed by HOSKOTE VIKRAM SADANAND
DN: c=IN, o=Personal, postalCode=400058, st=MAHARASHTRA,
serialNumber=b0167ffa5ca44e57e01f4579abd7d50ed69dd223598d864697503
00036cc1c2a, cn=HOSKOTE VIKRAM SADANAND
SADANAND Reason: I attest to the accuracy and integrity of this document
Date: 2011.05.31 05:00:53 +05'30'

Place : NAVI MUMBAI Signature of the person responsible for deduction of tax
Date : 26.05.2011 This form is digitally signed