01441217/CKNPR9411D RUPINI RAVICHANDRAN

Annexure to Form 16 Part B

2(f). Break up for 'Amount of any other exemption under section 10' to be filled in the table below

Particular's of Amount of any other exemption under section 10' INR

10(k). Break up for 'Amount deductible under any other provision(s) of Chapter VI-A ' to be filled in the table below

Particular's of amount deductible under any other provision(s) of Chapter VI-A Gross Amount Qualifying Amount Deductible Amount

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

Date 10.06.2020 Full Name: CAWASI JOKHI

01441217/CKNPR9411D RUPINI RAVICHANDRAN

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 :

TATA CONSULTANCY SERVICES LTD., 8th Flr, Nirmal Bldg, Nariman PointMumbai-400021, Maharashtra
2) TAN: MUMT11446B
3) TDS Assessment Range of the employer :
, , , ,
4) Name, designation and PAN of employee :
Mr/Ms: RUPINI RAVICHANDRAN, Desig.:Asst.Systems Engineer, Emp #:01441217, PAN:CKNPR9411D
5) Is the employee a director or a person with :
substantial interest in the company (where the
employer is a company)
6) Income under the head "Salaries" of the employee : 288660.00
(other than from perquisites)
7) Financial year : 2019-2020
8) Valuation of Perquisites

S.No Nature of perquisites Value of perquisite Amount, if any, recovered Amount of perquisite
(see rule 3) as per rules(INR) from the employee(INR) chargeable to tax(INR)
(1) (2) (3) (4) Col(3)-Col(4) (5)
1 Accommodation 0.00 0.00 0.00
2 Cars/Other automotive 0.00 0.00 0.00
Sweeper , gardener , watchman or
3 0.00 0.00 0.00
personal attendant
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
0.00 0.00 0.00
/amenity/service/privilege

16 Stock options ( non-qualified options ) 0.00 0.00 0.00

17 Other benefits or amenities 0.00 0.00 0.00
18 Total value of perquisites 0.00 0.00 0.00
19 Total value of Profits in lieu of salary
0.00 0.00 0.00
as per section 17 (3)

Details of tax
(a) Tax deducted from salary of the employee under section 192(1) 0.00
(b) Tax paid by employer on behalf of the employee under section 192(1A) 0.00
(c) Total tax paid 0.00
(d) Date of payment into Government treasury
DECLARATION BY EMPLOYER
I, CAWASI JOKHI Son/daughter of BAHADUR JOKHI working as ASSISTANT GENERAL MANAGER (designation ) do hereby declare on
behalf of TATA CONSULTANCY SERVICES LTD. ( name of the employer ) 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.
Digitally Signed By CAWASI BAHADUR JOKHI
(TATA CONSULTANCY SERVICES LIMITED)
Date : 23-Jun-2020 Signature of person responsible
for deduction of tax
Place : MUMBAI Full Name:CAWASI JOKHI
Date : 10.06.2020 Designation:ASSISTANT GENERAL MANAGER
01441217/CKNPR9411D RUPINI RAVICHANDRAN

Annexure to Form No.16

Name: RUPINI RAVICHANDRAN Emp No.: 01441217

Particulars Amount(INR)

Emoluments paid

Basic Salary 140400.00

House Rent Allowance 68160.00

Leave Travel Allowance 11700.00

Food Coupons 6000.00

Night Shift Allowance 6480.00

Personal Allowance 58620.00

Variable Allowance 37600.00

City Allowance 12200.00

Perquisites

Gross emoluments 341160.00

Income from other sources

Income
Total income from other sources 0.00

Exemptions u/s 10

Allowance
Total Exemption 0.00

Date: 10.06.2020 Full Name: CAWASI JOKHI

Place:MUMBAI Designation: ASSISTANT GENERAL MANAGER