AMAR CHITRA KATHA PRIVATE LIMITED

5017-5020, Fifth Floor,

1AEROCITY NIBR Corporate Park
Andheri-Kurla Road, Safed Pool Shivaji Nagar Jarimari Sakinaka, Mumbai 400072

Form 16
Form 16 Details:

Employee Name : Sandeep Verma

Employee Number : 614

Employee PAN : AWIPV0967H
Employee Designation : Assistant Manager Accounts
Financial Year : 2023 - 2024
Assessment Year : 2024 - 2025

Form No. 16 enclosed : YES

Form No. 12BA enclosed : YES

Taxable Income : 494,002.00
Tax Deducted : 0.00

Signature Details:
This form has been signed and certified using a Digital Signature Certificate as specified under section 119 of the income-tax Act, 1961. (Please refer
Circular No.2/2007, dated 21-5-2007).
The Digital Signature of the signatory has been affixed in the box provided below. To see the details and validate the signature, you should click on the
box.

.
Caution: Please do not attempt to modify / tamper with your Form16. Any alternation will render the same invalid.
 PART B Verification Form
Employee Name PAN No. of the Employee
Sandeep Verma - 614 AWIPV0967H
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross Salary
(a) Salary as per provisions contained in section 17(1) Rs. 774,730.00
BASIC 251,214.00
HRA 125,607.00
OTHER ALLOWANCE 176,731.00
BONUS 11,627.00
OTHER EARNINGS 13,698.00
LTA 146,353.00
Variable Pay 49,500.00
(b) Value of perquisites under section 17(2) (as per Form No.12BA, Rs. 0.00
wherever applicable)
(c) Profits in lieu of salary under section 17(3) (as per Form No.12BA, Rs. 0.00
wherever applicable)
(d) Total Rs. 774,730.00
(e) Reported total amount of salary received from other employer(s) Rs. 0.00
2. Less : Allowance to the extent exempt under section 10
(e) House rent allowance under section 10(13A) Rs. 70,878.00
(f) Amount of any other exemption under section 10
(g) Total amount of any other exemption under section 10 Rs. 0.00
(h) Total amount of exemption claimed under section 10 Rs. 70,878.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]
3. Total amount of salary received from current employer [1(d)-2(h)] Rs. 703,852.00
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) Rs. 50,000.00
(b) Entertainment allowance under section 16(ii) Rs. 0.00
(c) Tax on employment under section 16(iii) Rs. 2,500.00
5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] Rs. 52,500.00
6. Income chargeable under the head "Salaries" [(3+1(e)-5] Rs. 651,352.00
7. Add: Any other income reported by the employee under as per section 192 (2B)
(a) Income (or admissible loss) from house property reported by Rs. 0.00
employee offered for TDS
(b) Income under the head Other Sources offered for TDS Rs. 0.00

8. Total amount of other income reported by the employee Rs. 0.00

[7(a)+7(b)]
9. Gross total income (6 + 8) Rs. 651,352.00
10. Deductions under Chapter VI-A
Gross Amount Deductible Amount
(a) Deduction in respect of life insurance premia, contributions to Rs. 102,350.00 Rs. 102,350.00
provident fund etc. under section 80C
(b) Deduction in respect of contribution to certain pension funds under Rs. 0.00 Rs. 0.00
section 80CCC
(c) Deduction in respect of contribution by taxpayer to pension scheme Rs. 0.00 Rs. 0.00
under section 80CCD (1)
(d) Total deduction under section 80C, 80CCC and 80CCD(1) Rs. 102,350.00 Rs. 102,350.00
(e) Deductions in respect of amount paid/deposited to notified pension Rs. 0.00 Rs. 0.00
scheme under section 80CCD (1B)
(f) Deduction in respect of contribution by Employer to pension scheme Rs. 0.00 Rs. 0.00
under section 80CCD (2)
(g) Deduction in respect of health insurance premia under section 80D Rs. 60,700.00 Rs. 55,000.00
(h) Deduction in respect of interest on loan taken for higher education under Rs. 0.00 Rs. 0.00
section 80E
Gross Amount Qualifying Amount Deductible Amount
(i) Total Deduction in respect of donations to certain funds, charitable Rs. 0.00 Rs. 0.00 Rs. 0.00
institutions, etc. under section 80G
(j) Deduction in respect of interest on deposits in savings account under Rs. 0.00 Rs. 0.00 Rs. 0.00
section 80TTA
 (k) Amount deductible under any other provision(s) of Chapter VI-A
(l) Total of amount deductible under any other provision(s) of Chapter VI-A Rs. Rs. Rs.
11. Aggregate of deductible amount under Chapter VI-A Rs. 157,350.00
[10(a)+10(b)+10(c)+10(d)+10(e)+10(f)+10(g)+10(h)+10(i)
10(j)+10(l)]
12. Total taxable income (9 - 11) Rs. 494,002.00
13. Tax on total income Rs. 12,200.00
14. Rebate under section 87A, if applicable Rs. 12,200.00
15. Surcharge, wherever applicable Rs. 0.00
16. Health and education cess Rs. 0.00
17. Tax payable (13+15+16-14) Rs. 0.00
18. Less: Relief under section 89 (attach details) Rs. 0.00
19. Net Tax payable (17-18) Rs. 0.00

Verification
I, Sambhav Satra , son/daughter of Nitin Shah working in the capacity of Sr. Manager - Finance & Accounts (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:
Date:
Mumbai
04-Jul-2024
.
(Signature of the person responsible for deduction of tax)
Full Name: Sambhav Satra
 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 thereof

1) Name and address of the employer : AMAR CHITRA KATHA PRIVATE LIMITED
5017-5020, Fifth Floor,
1AEROCITY NIBR Corporate Park
Andheri-Kurla Road, Safed Pool Shivaji Nagar Jarimari Sakinaka,
Mumbai 400072
2) TAN : MUMI06575C
3) TDS assessment range of the employer : Mumbai
4) Name, designation and PAN of employee : Sandeep Verma - 614
Assistant Manager Accounts
AWIPV0967H
5) Is the employee a director or a person with substantial interest in the company : No
(where the employer is a company)
6) Income under the head "SALARIES" of the employee (other than from perquisites) : 774,730.00
7) Financial year : 2023 - 2024
8) Valuation of perquisites

Sl Nature of perquisite Value of Amount, if any Amount of perquisite

No (see rule 3) perquisite as per recovered from chargeable to tax
rules (Rs.) the employee (Rs.) (3) - (4) (Rs.)
(1) (2) (3) (4) (5)
1 Accommodation 0.00 0.00 0.00
2 Cars/Other automotive 0.00 0.00 0.00
3 Sweeper, gardener, watchman or 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 any other benefit/amenity/service/privilege 0.00 0.00 0.00
16 Stock options allotted /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 the 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 0.00 0.00 0.00
fund 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 u/s 192(1) : 0.00

(b) Tax paid by employer on behalf of the employee u/s 192(1A) : 0.00
(c) Total tax paid : 0.00
(d) Date of payment into Government treasury :
DECLARATION BY EMPLOYER
I, Sambhav Satra , son/daughter of Nitin Shah working in the capacity of Sr. Manager - Finance & Accounts do hereby declare on behalf of AMAR CHITRA
KATHA 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 thereunder and that such information is true and correct.

. Signature of the person responsible for deduction of tax

Place: Mumbai Full Name: Sambhav Satra

Date: 04-Jul-2024 Designation: Sr. Manager - Finance & Accounts