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8o'9mff..Ut ol
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;• J,- T- Det,ert....nt

I
~
FORMN0.16
;;
! [See rule 31(1)(a)J

i PART A
Certificate under Sedfon 203 or the Income-tu Act, 1961 ror tax deducted at source on 11Jary paid to an employee under ledfon 192 or pemlont1ntenat Income
or speclfled senior citizen under sectton 194P
Lut updated on 24-Jun-2024
I
l
Certificate No. UNQKNKA
Name and addre11 of the Employee/Specified senior citizen
I Name and address or the Employer/Specified Bank

I SAFDARJANG HOSPITAL
A/C SEcnON. SAFDARJANG HOSPITAL, AURBINDO MARG -
110023 DEEPAK KUMAR MEENA
Delhi
DHAN1 CHOKDJYA CHHARERA. DAUSA - 303505 Rajuthan
+(91)11-25291791
ASHOK201060@[Link]

PAN of the Employee Reference No. provkled by the

PAN of the Deductor TAN of the Deductor Employee/Speclfted senior Employer/Pemk>n Payment order no. provided
citizen by the Employer (If avaHable)

PANNOTREQD DELS27223A GBGPM8875N

CIT(TDS) Aaes.9me~t Year"'-.., Period with the Employer

i'

J
I • i
\ . From To
The Commissioner of Income Tax (fD~) "' " .~

Aayakar Bhawan, District Centre, 6th Floor Room no 610, Hall no. 01-Apr-2023 31-Mar-2024
2024-25
4 , Luxmi Nagar, Delhi - 110092 \
~
,'\ "¥
' . .'\ ,l ··,r
Summary of amount paJd/credited •~ tax deiducted at source thereon In respect of the employee

Receipt Numben of oriatnaJ

.. f h
~mount of tax deduded
Amount of tax deposited/ remitted
quarterly statements of TDS
fI .
i ,
Amount paid/credited (lb.)
Qaarter(s)
under sub-section (3) of <Rs,>

'
Section 200

QI QVKVMDCB 503408.00 31200.00 31200.00

Q2 QVMVIOCD 372963.00 . 46800.00 46800.00

Q3 QVOWBUEA 391341.00' 46800.00 46800.00

Q4 QVQ01WVD 261642.00 26906.00 26906.00

?','9,-f,t,IJ:·.~ "''""J.1,y;z'j,/,~
1529354.00 151706.00 151706.08
Total (Rs.) i,.~./;,~..:.: ,,,., \..;, ., <'..'ffflt •••

L DET~ 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 ldendftcatlon Number (BIN)

Tu Depoaited ln respect of tbe
SL No. deductee Date of transfer voucher Status of matdua
Recelpt Numbers of Form D00 serial number In Form no. (dcllma'yyyy) with Form ao. 24G
(Rs.)
No.24G 24G

I 0.00 0005295 00004 30-04-2023 F

2 15600.00 1005296 00007 31-05-2023 F

3 15600.00 0009912 00002 30-06-2023 F

4 15600.00 5013895 00002 31-07-2023 F
s 15600.00 6026469 00003 31-08-2023 F
6 15600.00 5026470 00006 ~09-2023 F
7 15600.00 4038768 00005 31-10-2023 F
8 15600.00 5038769 00002 30-11-2023 F
9 15600.00 2042881 00004 31-12-2023 F
10 15600.00 5055565 00003 31-01-2024 F
II 11306.00 l057683 00010 29-02-2024 F

Page I of2
 - ------

,u,eamtat Year:2024-25
Catlnaite Number: UNQKNKA TAN or Employer1 DELS27223A PAN or Employte: GBGPM8875N

Total (Rs.) 151706.00

IL 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 or the
SL No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Cballan Serial Number Status of matcblng with
Branch (dd/mm/yyyy) OLTAS•
Total (Rs.)

Verification

I, ABREY SINGH, son/ daughter or MJR SINGH working in the capacity ot ACCOUNTS OFFICER (designation) do hereby certU'y that a sum or Rs. l5l7Q6,QQ [R.s.
ilAl
L1kb Fifty One Thouund Seven Hundred ■pd s11 Only (In words)) bu been deducted and a sum or Rs. 151706,00 {Rs. One L■kh Fifty One Thou11nd Seven 8° nd red
and S11 OnM has been deposited lo the credit or the Central Government. I rurther certlry that the Information riven above is true, complete and correct and Is
b■1ed on tbe books or account, documents, TDS statements, TDS depo1lted and other avallable records.

Place NEWDELlfl

Date 24-Jun-2024 (Signature of person respooslbJe tor deduction of Tax)

Designation: ACCOUNTS OFFICER Fu.U Name:ABHEY SINGH

I'-

Notes:
l. Part 8 (Anncxure) of the certlficale lo Form No.16 shaU be issued by the employer.
2. ff an aascsaee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 Issued for the [Link] eodlns on 31st March of the financial year shall contain
lbe details
of Ill deducted and deposited for 11U !he quanen of the financial year. • I
3. ff an usessce is employed uoder more than one employer during the year, each of the employen shall issu.c Pan A of tho certificate In form No. I 6 pertaining to the period
for which such
[Link] was employed with each of the employers. Part 8 (Anoexure) •or the certificate in Form No. 1-6 may'be issued by,each of the employera or the lut employer 8l the option
of the assessee.
4. To update PAN delllllB in Income Tax Department database, apply fol'. 'PAN change request' through NSDL or UTITSL

Lqcnd Pied in Form 16

• Status of matcb1ng with OLTAS
Le end OD DelloJtton
Deductors have not deposited tues or have furnished lncoaect particulan of tax payment. final credit wiU be reflected only when payment
u Uoma1ehed
details in bank match wilh details of deposit in TDS /TCS s~temeot , ~ •
p Provisional tax credit is effected only for TDSJTF5 S1,a1emcots filed b'y_Oovemment deductors. •p• status will be cbaoscd ro [Link] (F) on
Provisional
verification of payment [Link] submitted by [Link] Accounts Officer (PAOr
In case of non-government deducrors, payment detai/J of'IDS / TCS dei>9slted In bllllk by deductor have matched with the payment details
F Fmal mentioned in the TDS / TCS statement filed by the ~uctors. In cue of, government deductors, details of TDS / TCS booked In Govemmeor
account have been verified by Pay & Accounts Officer (PAO) ,,,
Payment [Link], ofTDS I TCS deposited in bank by deducro~ have njatched with delllils mentioned In !he TDS / TCS statement bur the
0 Overbooked amount Is over claimed in the sr.1emen1. Final (F) credit wlU be !llflecred only when deducror reduces claimed amount ia the statement or
makes new payment for excess amount claimed lo the sUJtcmeot

DOCllment oonHled by ABHEY

SINGH <UkedlanClli [Link]>,
Digitally s· ne
SINGH
Oat&: 202 .
1ST
Pqe2 of2
 iTD S
On1rali,ed Proce"ing Cell
TRA CES
TDS Reconcil iation Analysis and Correctio n Enabling System
I--
Gowmmen c fll India

- FORM NO. 16
i..t:■- T- Departme nt -

f- -
PART B
at 1ource on 11lary paid to 1n employee under section 192 or ~nslon/l
nternt Income
rtificate under stttion 103 of thl' Income- tu Act, 1961 for tu deducted
ohpttlfle d senior cltt~en under 1ectton 194P -
J-- -UNQKNKA L11t ■pd1ted on 24-Jun-2024
ertiftcate
' No. -- -
Name and addres1 of the Employee/Specified senior citizen
Name and addms of thl' Kmplol•er/Spectned Bank
'
SAFDARJANG HOSPITAL
-
I A/C SECTION. SAFDARJANG HOSPITA L, AURBIN DO MARG
DEEPAK KUMAR MEENA
/ I 10023 DHANI CHOKDI Y A CHHARE RA, DA USA - 303505 Rajasthan
Delhi
+(91) I I -2529179 I
ASHOK201060@[Link]

TAN of the Deductor PAN of the E•ployee /Speclfle d 1e11lor citizen

PAN oftlte Ded■ctor

DELS27223A GBGPM8 875N

PANNOTREQD

A11es1ment Year Perled with the Employer

CIT (TDS)
From To
The Commiss ioner of Income Tax (TDS)
2024-25 01-Apr-2 023 3 I -Mar-202 4
Aayakar Bbawan, District Centre, 6th Floor Room no 610, Hall no.
4 , [Link] Nagar, Delhi - I 10092
I Annexure - I

Details of Salary Paid and any other income and tax deducted -
No
A Whether opting out of taxation u/s l 15BAC(lA)? f

Rs. Rs.
I. Gross Salary /
I
I

1529355.00
Salary as per provisions contained in section 17(1)
f
(a)
a

Value of perquisites under section 17(2) (as per Form No. 12BA, ~
0.00
(b) /
l wherever applicable) .,
I
(c)
Profits in lieu of salary under section 17(3) (as per Form No.
12B~ wherever applicable) -\.

~ '\
II~/"'-
_//,.
0.00

1529355.00
I

(d) Total ... I

I
~

"'
0.001
(e) Reported total amount of salary received from other employer(s)
I

2. Less: Allowances to the extent exempt under section 10 I

0.00
(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 I 0( I 0A)
-- '-

(d) Cash equivalent of leave salary encashment under section I 0 0.00

(IOAA) ---
---
0.00
(e) House rent allowance under section I0( 13A)
~ ~--~
0.00
(t) Other special allowances under section IO( 14)
- --

Page 1 of 3
 Ctt1lnr111~ Nttmbcr; UlliQh:NKA TAN or Empluytn l>[I.-S27223A J•AN or Employee:; GBGPM887SN A»tttm,nf Vur: 1024-U
-
~~
-----
rii
Amount of any other exemption under section 1 0
I
(g)
(Note: Break-up to be prepared by employer and issued to the
" <'
employee, where applicable, before furnishing of Part B to the
employee) "'
"'

(h) Total amount of any other exemption under section 1O 0.00

Total amount of exemption claimed under section 10

(i) 0.00
[2(a)+2(b )+2(c)+2(d)+2(e)+2(f)+2(b)]

Total amount of salary received from current employer

3. 1529355.00
[l(d)-2(i)]
4. Less: Deductions under section 16
(a) Standard deduction under section l 6(ia) 50000.00

(b) Entertainment allowance under section 16(ii) 0.00

I
(c) Tax on employment under section 16(iii) 0.00 j
!
i
5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 50000.00 i
6. Income chargeable under the head "Salaries" [(3+l(e)-5] 1479355.00
.
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
I

Total amount of oth·er income reported by the employee

8. 0.00
[7(a)+7(b)] ·,
'
9. Gross total income (6+8) / 1479355.00
.....

10. Deductions under Chapter VI-A

~ I Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

(a) 0.00 0.00
provident fund etc. under section 80C '

Deduction in respect of contribution to certain pension funds

(b) 0.00 0.00
under section 80CCC I

Deduction in respect of contribution by taxpayer to pension

(c) 0.00 0.00
1 scheme under section 80CCD ( 1)

(d) Total deduction under section 80C, 80CCC and 80CCD(l) 0.00 0.00
ti
Deductions in respect of amount paid/deposited to notified
r (e)
pension scheme under section 80CCD (1B)
0.00 0.00

Deduction in respect of contribution by Employer to pension

(f) 0.00 0.00
scheme under section 80CCD (2)

I
I
-

I
(g) II
80D
~
. -
Deduction in respect of health insurance premia under section
~
0.00 0.00
I

Page 2 of 3
 l'AN of 11 11111l11yce·' GIIGPMHH75N ,\anunurol Ycori 2024-M
TAN uf 1-:m11luym U~IA'i27223J\
- --- - - -- - r
,I -
Deduction in respect of interest on loan taken for higher 0.00 0.00
115 education under section SOE -- - - -~---
,
Deduction in respect of contribution by the employee to Agnipath 0.00 0.00
(i) i
Scheme under section 80CCH
Deduction in respect of contribution by the Central Government 0.00 0.00
(j)
to Agnipath Scheme under section 80CCH
Gross Qualifying Deductible
Amount Amount Amount

Total Deduction in respect of donations to certain funds, 0.00 0.00 0.00

(k)
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account 0.00 0.00 0.00
(I)
under section 80TTA
I
Amount Deductib le under any other provisio n (s) of Chapter VI-A
l
! (m)
[Note: Break-up to be prepare d by employe r and issued to the
employe e, where applicab le , before furnishing of Part B to the
I employee)

Total of amount deductible under any other provision(s) of 0.00 0.00 0.00
(n)
I Chapter VI-A

Aggregate of deductible amount under Chapter VI-A 0.00

11.
[1 O(d)+ I 0(e)+ I O(t)+ 1O(g)+ 1O(h)+ I O(i)+ I O(j)+ 1O(k)+10(1)+ I O(n)]

1479355.00
12. Total taxable income (9-11)
145871.00
13. Tax on total income ,_,,.-'

0.00
14. Rebate under section 87A, if applicable I • I
- .1:
'
15. Surcharge, whereve r applicable \ I
0.00

16. Health and education cess \_ '

;'
../
/'
5835.00

~ ·, I
,

151706.00
17. Tax payable (13+15+16-14) -
~

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

\
\ '
/ 0.00

I
151706.00
19. Net tax payable (17-18)

Verification

I, ABHEY SINGH. son/daughter of MTR SINGH .Working in the capacity of

ACCOUNTS OFFICER (Designation) do hereby
on the books of account, documents, TDS statements,
certify that the information given above is true, complete and correct and is based
and other available records.

Place NEW DELHI (Signature of person responsible for deduction of tax)

Full ABHEY SINGH
Date 24-Jun-2024 Name:

Document oortlfied by ABHEY

SINGH <oekadlan6S [Link]>.

Digitally s
SINGH