FORM 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
Name and address of the Employer SRIDHAR
ADWIKA INSTITUTE OF NURSING CHIKKA BOOVAHALLI,
NO.32 HMR LAYOUT 80FT ROAD JNANAJYOTHINAGAR T NARSIPURA
BANGALORE - 560056 MYSORE

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

AAHTA0453C KEVPS4643A
Assessment Year Period
From To
2024-25
01.04.2023 31.03.2024

Amount of tax Amount of tax

Receipt Numbers of original statements of TDS under
Quarter deducted in respect of deposited/remitted in
sub-section (3) of section 200
the employee respect of the employee

Quarter 1
Quarter 2
Quarter 3
Quarter 4
Total - -
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) 216,000 216,000
(b) Value of perquisites u/s 17(2) (as per Form No.
12BB, wherever applicable) -
(c) Profits in lieu of salary under section 17(3)(as
per Form No. 12BB, wherever applicable -
(d) Total

2. Less: Allowance to the extent exempt U/s 10

Allowance Rs.
HRA RECEIVED - - -
RENT PAID EXCESS OF 10% -
40% SALARY -

3. Balance (1-2) 216,000

4. Deductions :
(a) Entertainment allowance
(b) Tax on employment -
(c) Standard deduction 50,000
5. Aggregate of 4(a) and (b) 50,000
6. Income chargebale under the head 'Salaries' (3-5) - 50,000

7. Add: Any other income reported by the employee

Income Rs.

8. Gross Total income (6+7) 166,000

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9. Deductions under Chapter VI A
(A) sections 80C, 80CCC and 80CCD

(a) Section 80 C Gross Amount Deductible Amount

(i) LIC and Tution Fees - -
(ii) -
(iii) -
(iv) -
(v) -
(vi) -
(vii) -
(viii) Infra Bonds
(b) section 80 CCC -
(c) section 80 CCD National pension scheeme - -
-
Note: 1. Aggregate amount deductible under section 80 C -
shall not exceed one lakh rupees.

2. Aggregate amount deductible under the three sections, i.e.

80C,80CCC,80CCD shall not exceed one lakh rupees.
-

(B) other sections (e.g. 80E,80G etc.) under Chapter VI Gross Amount Qualifying Amount Deductible Amount

(i) section-80D-Medical Expenses - - -

(ii) section-80E-interest on education loan - - -
(iii) section
(iv) section
(v) section

10. Aggregate of deductible amount under Chapter VI A -

11. Total Income (8-10) -

12. Tax on total income -
13. Education cess @ 4% (on tax computed at S.No. 12) -
14. Tax Payable (12+13) -
15. Less: Rebate -
16. Tax Payable (14-15) NIL
Verification

I, MANJESH NAIK working in the capacity of LACTURER (designation) do hereby certify that a sum of Rs. NIL [Rs. NIL (in Words) 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 books of account, documents, TDS statements, TDS deposited and other available records.

Place BANGALORE

Date

Signature of person responsible for deduction of tax

DIRECTOR Full Name: