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OFFICE OF THE DEPUTY DIRECTOR GENERAL, NSSO (FOD), JAMMU Certificate under section 203 of the Income-Tax Act 1961 for tax deducted at sources from income chargeable under the head “Salaries” NAME AND ADDRESS OF THE EMPLOYER OFFICE OF THE DEPUTY DIRECTOR GENERAL, NSSO(FOD), 266, REHARI COLONY, BEHIND SBI ATM, JAMMU-180005 SUNIL CHAKU SUPERINTENDING OFFICER AMRN10130B PAN/GIR NO. : AAZPC3102G TDS circle where annual statement under section 206 is filed. PERIOD ASSESSMENT YEAR FROM TO TDS Circle, Jammu 01/04/201 1 31/03/2012 2012-2013 DETAILS OF SALARY PAID, ANY OTHER INCOME AND TAX DEDUCTED 1. GROSS SALARY a) Salary as per provisions contained in sec.17 (1) 456082 b) Value of perquisites u/s 17 (20)(as per form) No.12 B (A) (wherever applicable) --- c) Profits in lieu of salary under section 17 (3) (as per form No. 12B (A), wherever applicable). --- TOTAL 456082 2. Less allowance to the extent exempt u/s 10 H.R.A RECEIPT --- P.M. DONATION --- T.P.T 9600 3. BALANCE (1 -2) 446482 4. Income chargeable under the “Head “ Salaries --- 5. Additional any Income reported by the ---

FORM 16 OF I-TAX

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Page 1: FORM 16 OF I-TAX

OFFICE OF THE DEPUTY DIRECTOR GENERAL, NSSO (FOD), JAMMU

Certificate under section 203 of the Income-Tax Act 1961 for tax deducted at sources from income chargeable under the head “Salaries”

NAME AND ADDRESS OF THE EMPLOYER

OFFICE OF THE DEPUTY DIRECTOR GENERAL,NSSO(FOD), 266, REHARI COLONY,BEHIND SBI ATM, JAMMU-180005

SUNIL CHAKUSUPERINTENDING OFFICER

AMRN10130B PAN/GIR NO. : AAZPC3102GTDS circle where annual statement under section 206 is filed.

PERIODASSESSMENT YEARFROM TO

TDS Circle, Jammu 01/04/2011 31/03/2012 2012-2013DETAILS OF SALARY PAID, ANY OTHER INCOME AND TAX DEDUCTED

1. GROSS SALARYa) Salary as per provisions contained in sec.17 (1) 456082b) Value of perquisites u/s 17 (20)(as per form) No.12 B (A) (wherever applicable)

---

c) Profits in lieu of salary under section 17 (3) (as per form No. 12B (A), wherever applicable).

---

TOTAL 4560822. Less allowance to the

extent exempt u/s 10H.R.A RECEIPT ---P.M. DONATION ---T.P.T 9600

3. BALANCE (1 -2) 4464824. Income chargeable under the “Head “ Salaries ---5. Additional any Income reported by the employee ---6. GROSS TOTAL INCOME 4464827. DEDUCTIONS UNDER VIAA PARTICULARS GROSS

AMOUNTQUALIFYING AMOUNT

DEDUCTIBLE AMOUNT

B - - - -C - - - -D - - - -E - - - -

TOTAL - - -

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8 Aggregate of deductible amount under chapter VIA ---9 Total Income 44648210 SAVINGS

PARTICULARS GROSS AMOUNT

QUALIFYING AMOUNT TAX REBATE/RELIEF

A G.P. FUND 84000 84000B CGEGIS 720 720C Postal Life Insurance 32040 32040D Life Insurance Corp. 20063 20063E ULIP (kotak Life Ins.) 10000 10000FGH

TOTAL 146823 146823 100000A) Under Section 88 B ---B) Under Section 88 C ---

11 Aggregate of tax rebates and savings rebates 10000012 Taxable Income 34648213 Tax on total Income 1664814 Education Cess @ 3% 49915 Total Tax 1714716 Tax already Paid 1714717 Balance Tax Payable/Refundable Tax -NIL-18 Less relief u/s 89 (i) (attach details), accounts, documents and other available records. ---

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

AMOUNT DATE OF PAYMENT NAME OF BANK AND BRANCH WHERE TAX IS DEPOSITED

17148 Pay bill for 2011-12 PAO, DOS, NEW DELHI.

I, Kishore Kumar working in the capacity of Director hereby certify that a sum of Rs.17147/= (Rupees Seventeen thousand one hundred forty seven only) has been deducted at source and paid to the credit of the Central Government. I further certify that the information given above is true and correct based on the book of accounts, documents and other available records.

Signature of the person Drawing & Disbursing officerPlace: - Jammu Full Name: - Kishore KumarDate: - 30/07/2012 Designation: - Director

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