FORM NO.

16 [See rule 31(1)(a)] Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source from income chargeable under the head "Salaries" Name and address of the Employer FORTECH SOFT INDIA PVT LTD 6-3-569/1, Surana House Somajiguda, Hyderabad-83 PAN/GIR No. AABCF2003Q TDS Circle where Annual return /Statement under Section 206 is to be filed Name and designation of the Employee Mr.Kodur Shiva Kumar Associate Technical Consultant TAN HYDF00693A Period PAN/GIR No. BKSPK 5012 M Assessment Year

From To TDS Range 14(3),Hyderabad 01.04.2011 31.03.2012 2012 DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED Rs. Rs. Rs. Rs. 1. Gross Salary a) Salary as per provisions contained in sec. 17 (1) 300,000 b) Value of prequisites u/s 17(2) ( as per Form No. 12BA, wherever applicable) c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, wherever applicable) d) Total 300,000 2. Less: Allowance to the extent exempt under section 10 74,000 3. Balance (1-2) 226,000 4. Deductions : (a) Standard deduction (b) Entertainment allowance (c) Tax on Employment 2,400.00 5. Aggregate of 4 (a) to ( c ) 2,400 6. Income chargeable under the head Salaries (3-5) 7. Add: Any other income reported by the employee * 8. Gross total income (6+7) 9. Deductions under Chapter VI-A Gross Qualifying Deductible Amount Amount Amount ( a ) 80 C ( b ) 80 D ( c ) 80 G (d) 10. Aggregate of deductible amounts under Chapter VI-A 11. Total income (8-10) 12. Tax on total income 13. Rebate and relief under Chapter VIII I. Under section 88 (Please specify) Gross Qualifying Tax Rebate/ Amount Amount Relief ( a ) Provident Fund - Current Employer ( b ) Provident Fund - Previous Employer ( c ) Public Provident Fund ( d ) LIC ( e ) NSC ( f ) Repayment of housing loan ( g ) Infrastructure Investments (ICICI / IDBI) ( h ) Total [(a) to (g)] -

2013

223,600 223,600

223,600 223,600

II. Under section 88A (Please specify) (a ) ICICI Prudencial (b ) (c ) Total [(a) to (b)] II. (a) Under Section 88B (b).Under Section 88C ('c).Under Section 88D 14. Aggregate of tax rebates and relief at 13 above [I(h)+II ( c)+IIA+III] 15. Tax payable inclusive of Education cess @3%(12-14) 16. Less : Tax deducted at source Total Tax Deducted at Source 17. refundable (15-16)

Rs. Gross Amount

Rs. Qualifying Amount

Rs.

Rs.

223,600 3,360 3,360

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT NAME OF BANK AND BRANCH WHERE TAX DEPOSITED AMOUNT DATE OF PAYMENT

3,360 State Bank of India, Parishram Bhavan Total 3,360

12/4/2012

I, V.Nalinidhar, s/o V.H.Shastri working in the capacity of Manager do hereby certify that a sum of Rs.3360/-[Rupees Three Thousand Three Hundred Sixty only] has been deducted and paid to the credit of the Central Government. I further certify that the information given above is true and correct based on the books of accounts, documents and other available records.

Signature of the person responsible for deduction of tax

Place : Hyderabad Date : 10/05/2012

Full Name: V.Nalinidhar Designation: Manager-Finance