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 paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. FMECAYA Last updated on 24-May-2024

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
ATOS GLOBAL IT SOLUTIONS AND SERVICES PRIVATE LIMITED
BUILDING NO. 3, 7TH FLOOR, GIGAPLEX SPECIAL ECONOMIC, IT
PLOT NO. 5, PANDURANGA RAO YERRA
AIROLI KNOWLEDGE PARK, NAVI MUMBAI - 400708 17-448, ENGLISH PALLEM STREET, MACHILIPATNAM,
Maharashtra KRISHNA DISTRICT - 521001 Andhra Pradesh
+(91)22-67333400
[email protected]
PAN of the Employee Reference No. provided by the
PAN of the Deductor TAN of the Deductor Employee/Specified senior Employer/Pension Payment order no. provided
citizen by the Employer (If available)

AAPCA2790R MUMA52105E AEXPY3272K

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2024-25 01-Apr-2023 31-Mar-2024
Building, Charni Road , Mumbai - 400002

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 QVKXCCKA 326056.00 13844.00 13844.00

Q2 QVMIAKJG 318465.00 23400.00 23400.00
Q3 QVODVFOD 372692.00 34727.00 34727.00
Q4 QVRXXPGC 316710.00 23592.00 23592.00
Total (Rs.) 1333923.00 95563.00 95563.00
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 0.00 - 04-05-2023 - F
2 6636.00 6910013 06-06-2023 20620 F
3 7208.00 6910013 06-07-2023 06880 F
4 7323.00 6910013 04-08-2023 Signature Not Verified
10534 F
Digitally signed by NILESH
SURYAKANT PISAL Page 1 of 2
Date: 2024.06.12 14:25:25 +05:30
 Certificate Number: FMECAYA TAN of Employer: MUMA52105E PAN of Employee: AEXPY3272K Assessment Year: 2024-25

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 8745.00 6910013 06-09-2023 23516 F

6 7332.00 6910013 05-10-2023 10796 F
7 15744.00 6910013 06-11-2023 20594 F
8 8569.00 6910013 05-12-2023 10497 F
9 10414.00 6910013 05-01-2024 20755 F
10 7490.00 6910013 06-02-2024 16904 F
11 6886.00 6910013 07-03-2024 04690 F
12 9216.00 6910013 18-04-2024 02417 F
Total (Rs.) 95563.00

Verification

I, NILESH SURYAKANT PISAL, son / daughter of SURYAKANT LAXMAN PISAL working in the capacity of MANAGER HR (designation) do hereby certify that a sum
of Rs. 95563.00 [Rs. Ninety Five Thousand Five Hundred and Sixty Three Only (in words)] has been deducted and a sum of Rs. 95563.00 [Rs. Ninety Five Thousand
Five Hundred and Sixty Three 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 NAVI MUMBAI

Date 08-Jun-2024 (Signature of person responsible for deduction of Tax)

Designation: MANAGER HR Full Name:NILESH SURYAKANT PISAL

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 NILESH
SURYAKANT PISAL Page 2 of 2
Date: 2024.06.12 14:25:25 +05:30
 FORM NO. 16
PART B
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. FMECAYA Last updated on 24-May-2024

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
ATOS GLOBAL IT SOLUTIONS AND SERVICES PRIVATE LIMITED
BUILDING NO. 3, 7TH FLOOR, GIGAPLEX SPECIAL ECONOMIC, IT
PLOT NO. 5, PANDURANGA RAO YERRA
AIROLI KNOWLEDGE PARK, NAVI MUMBAI - 400708 17-448, ENGLISH PALLEM STREET, MACHILIPATNAM,
Maharashtra KRISHNA DISTRICT - 521001 Andhra Pradesh
+(91)22-67333400
[email protected]
PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior citizen

AAPCA2790R MUMA52105E AEXPY3272K

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2024-25 01-Apr-2023 31-Mar-2024
Building, Charni Road , Mumbai - 400002

Annexure - I

Details of Salary Paid and any other income and tax deducted

A Yes
Whether opting out of taxation u/s 115BAC(1A)?
1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 1333923.00

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 1333923.00

(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) 162030.00

(f) Other special allowances under section 10(14) 0.00

Signature Not Verified

Page 1 of 4 Digitally signed by NILESH
SURYAKANT PISAL
Date: 2024.06.12 14:25:25 +05:30
Certificate Number: FMECAYA TAN of Employer: MUMA52105E PAN of Employee: AEXPY3272K Assessment Year: 2024-25

Amount of any other exemption under section 10

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

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

Total amount of exemption claimed under section 10

(i) 162030.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(f)+2(h)]

Total amount of salary received from current employer

3. 1171893.00
[1(d)-2(i)]
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] 1119493.00

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) 1119493.00

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

Deduction in respect of life insurance premia, contributions to

(a) 217714.00 150000.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) 0.00 0.00
under section 80CCC
Deduction in respect of contribution by taxpayer to pension
(c) 0.00 0.00
scheme under section 80CCD (1)

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 217714.00 150000.00

Deductions in respect of amount paid/deposited to notified

(e) 0.00 0.00
pension scheme under section 80CCD (1B)
Deduction in respect of contribution by Employer to pension
(f) 0.00 0.00
scheme under section 80CCD (2)
Deduction in respect of health insurance premia under section
(g) 73521.00 72556.00
80D

Signature Not Verified

Page 2 of 4 Digitally signed by NILESH
SURYAKANT PISAL
Date: 2024.06.12 14:25:25 +05:30
 Certificate Number: FMECAYA TAN of Employer: MUMA52105E PAN of Employee: AEXPY3272K Assessment Year: 2024-25

Deduction in respect of interest on loan taken for higher

(h) 0.00 0.00
education under section 80E
Deduction in respect of contribution by the employee to Agnipath
(i) 0.00 0.00
Scheme under section 80CCH
Deduction in respect of contribution by the Central Government
(j) 0.00 0.00
to Agnipath Scheme under section 80CCH
Gross Qualifying Deductible
Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(k) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(l) 0.00 0.00 0.00
under section 80TTA

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

(m) [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

(n) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 222556.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(k)+10(l)+10(n)]

12. Total taxable income (9-11) 896937.00

13. Tax on total income 91887.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 3676.00

17. Tax payable (13+15+16-14) 95563.00

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

19. Net tax payable (17-18) 95563.00

Verification
I, NILESH SURYAKANT PISAL, son/daughter of SURYAKANT LAXMAN PISAL .Working in the capacity of MANAGER HR
(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 NAVI MUMBAI (Signature of person responsible for deduction of tax)

Full
Date 08-Jun-2024 NILESH SURYAKANT PISAL
Name:

Signature Not Verified

Page 3 of 4 Digitally signed by NILESH
SURYAKANT PISAL
Date: 2024.06.12 14:25:25 +05:30
E M P C O D E : 50040176 TAN of Employer:MUMA52105E P A N o f E m p l o y e e : AEXPY3272K Assessment Year: 2024 - 2025

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 Gross Amount Qualifying Amount Deductible Amount
SI.No
exemption under section 10 R s. R s. Rs .

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 Gross Amount Qualifying Amount Deductible Amount
SI.No
any other provision(s) of Chapter VIA R s. R s. Rs .

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

Date 8 Jun 2024 Full Name : NILESH PISAL

Page 4 of 4

Signature Not Verified

Digitally signed by NILESH
SURYAKANT PISAL
Date: 2024.06.12 14:25:25 +05:30
 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 there of

1. Name and address of the Employer : ATOS GLOBAL IT SOLUTIONS AND SERVICES PRIVATE LIMITED
Mumbai BUILDING NO. 3, 7TH FLOOR GIGAPLEX SPECIAL ECONOMIC
IT PLOT NO. 5 AIROLI KNOWLEDGE PARK
NAVI MUMBAI, MAHARASHTRA - 400708

2. TAN : MUMA52105E

3. TDS Assessment Range of the Employer :

4. Name Designation and PAN of Employee : Panduranga Yerra , Consultant

AEXPY3272K

5. Is the employee a director or a person with : No

Substantial interest in the company (where the
employer is a company)

6. Income under the head 'Salaries' of the : 1171893.00

Employee:(other than from perquisites)

7. Financial year : 2023 - 2024

8. Valuation of Perquisites :

S. No. Name of perquisites (See rule 3) Value of perquisite Amount, if any, Amount of perquisite
as per rules(Rs.) recovered from the chargeable to tax
employee (Rs.) [Col(3)-Col(4)](Rs.)

(1) (2) (3) (4) (5)

1 CLA - Accomodation 0.00 0.00 0.00

2 Car Perquisite 0.00 0.00 0.00

3 Sweeper,Gardener,Watchman,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 Other Benefit/Amenity/Service/Privilege 0.00 0.00 0.00

16 Stock options allotted or transferred by employer being an eligible start-up referred to 0.00 0.00 0.00
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 17(2)(vii). 0.00 0.00 0.00

19 Annual accretion by way of interest, dividend etc. to the balance at the credit of fund 0.00 0.00 0.00
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 under sec. 192(1) Rs. 9 5 5 6 3 . 0 0

(b) Tax paid by employer on behalf of the employee under section 192(1A) Rs. 0 . 0 0

(c) Total tax paid Rs. 9 5 5 6 3 . 0 0

(d) Date of payment into Government treasury Various Dates as mentioned on Page 2 of the Form 16

DECLARATION BY EMPLOYER

I, NILESH PISAL, son/daughter of Suryakant Pisal working as Manager - HR do hereby declare on behalf of ATOS GLOBAL IT SOLUTIONS AND SERVICES 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 there under
and that such information is true and correct.

Place : NAVI MUMBAI Signature of the person responsible for deduction of tax
Date : 8 Jun 2024 Full Name : NILESH PISAL
Designation : Manager - HR

Signature Not Verified

Digitally signed by NILESH
SURYAKANT PISAL
Date: 2024.06.12 14:25:25 +05:30