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FORM NO. 16

[See rulc .] l ( I )(a) l

PART A

Certilicate uuder Scction 203 ofthe I[come-ttx Act, l96l lbr tax tleducted tt source on salary

( ertiilcrtt \o. I, 1{t(LTl Lxst updnted 0n l3-lun-2015

\rnre and address of thc Implo1'er Nlnre and xddress ol thc Enrplolce

DISTRICT INSPECTOR OF SCHOOLS SECONDAI].Y EDUCA ION

BURDWAN.0, EDU.BUILDING,,COURl'COMPOUND. BURDWAN - 713]OIWest Bengai+(91)-266235 1

di sse.bd n(a)gnra i l.com

APAITNA HAL CHOSHVI I,I- C'HAKCoPAL. JAITAC I{AN,I. JAN,IALPUR. I,]U IIDWAN .

7l 23.j8 We si Ucngrl

PA\ ol the Dcductor '[ A\ ol lhc DeductorPAN ot the Enrplovec

Employee Referencc No.

providcd by the Employer(lf available)

PANNO'IRTJQD C'ALD0.149(rC' ABCPH2873R

CIT (TDS) Asscssnrent Ycar Period with the Employer

'[ he Comrnissioncr of lncome 'l ar (TDS)

7th Floor. N4itldleton Ro\\'Kolkal.r - 7000712015-t6

l-rom

0l-Aptr2014

To

I l-M:r-20 I 5

Sumrnary of amount paid/creditcd and tax dcdu{ ted at s0rrrce thereon in respect ofthe employee

Quarter(s)

Ileceipt \ilmbers of originrlquarterly strtcnlents of'l DS

undcr sub-section (3) ofSection 200

Anrount paid/creditedArnount ol tflr'( deducted

(lts.)

Anrount ol ta\ deposited / rcmittcd(Rs.)

Qr QQTQWHPCi r 57248.00 4000.00 4000.00

Q2 QQYNZPEB 404 88.00 I 000.00 1 f)00.00

ol QRBSUBTB 3.00 0.00 0.00

Q1 QRCiQOHFE 421 15.00 l4 I 0.00 t4 I 0.00

Total (Rs.) 239854.00 6410.00 6410.00

I. DEl'AIT,S O}'TAX DEDUCTED AND DEPOSITED IN'tHE C]IjN'I'ItAI, COYT.]R\i\'IEN'T ACCOUN'I"'tIIROUGH BOOK ADJUST'}'IEN"T

(The dcductor lo proricli: payment u,ise delails oflar deducted md dcposiletl rvilh respecl to the dealuctee)

Sl. N0.

Book Idcntilication Number (BIN)ucl)oslrcu rn rcspcc

deductee(Rs.)

l{cccipt \umbcrs ol ForrnNo. 24G

t)DO scrial urrnrbcr in l'orrn no.

21G

Datc ol transl'er Youchcr(dd/nrnr/1 y'yy)

Status of matchingwith Form no.24G

I I 000.00 500 l,+07 00()06 l0-i1.1-20 1.1 F

1 t000.(x) 3001716 0000 1 3r-05-2014 F

3 I 000.00 3001716 0000 1 lt-05-20t4 F

4 1000.00 000665-1 001)25 30-06-20 I 4 F

5 I 000.00 2t)1108'7 00099 .l l -0?-201 .1 F

6 0.00 401261 6 00062 3l-i0-2014 F

1 0.00 6035 8,10 00082 30-l i-20r4 F

8 0.00 0039ri62 00038 3I-l2-201.t F

9 14 r0.00 30,s8891 00003 -r I -01-201 5 F

Total (Rs.) 6410.00

II. DETAILS OF TAX DEDUCI'ED AND DEPOSITED IN T'HE CEN'| RAL GOVERNMEN'T ACCOI-]NT THROUGH CHALLAN

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