kotaka form16 41970

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FORM NO.16

[See rule 31(1)(a)]

PART B (Annexure)

Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary

Name and address of the Employer Name and Designation of the Employee

KOTAK MAHINDRA BANK LIMITED

36-38 A NARIMAN BHAVAN

227, NARIMAN POINT, MUMBAI - 400021.

Miss. SRIPRIYA N T

SENIOR MANAGER

PAN of the Deductor TAN of the Deductor PAN of the Employee Employee Reference No.

AAACK4409J MUMK01323A ADOPT8945J 41970

CIT (TDS) Assessment Year Period With the Employer

From To

CIT (TDS) INCOME TAX - TDS

K. G. MITTAL HOSPITAL BUILDING, CHARNI ROAD, MUMBAI - 400002

2015-2016 01-Apr-2014 31-Mar-2015

Details of Salary paid and any other income and tax deducted

Amount in Rs. Amount in Rs. Amount in Rs.

1 Gross Salary

a. Salary as per provisions contained in sec.17(1) 903230.00

b. Value of perquisites U/S 17(2) (as per Form No.12BA) 1853.00

c. Profits in lieu of salary U/S 17(3) (as per Form No.12BA) 0.00

d. Total 905083.00

2 Less: Allowance to the extent exempt U/S 10

Allowance Rs.

TRANSPORT EXEMPTION 9600.00

9600.00

3 Balance (1-2) 895483.00

4 Deductions:

a. Entertainment Allowance 0.00

a. Tax on Employment 2400.00

5 Aggregate of 4(a) and (b) 2400.00

6 Income chargeable under the head 'salaries' (3-5) 893083.00

7 Add: Any other income reported by the employee

Income Rs.

Income / Loss from House Property (Sec 24) 0.00

Income from Other Sources 0.00

0.00

8 Gross total income (6+7) 893083.00

9 Deductions under Chapter VI-A

(A) sections 80C, 80CCC and 80CCD Gross Amount Deductible Amount

a. Section 80C

PROVIDENT FUND 39426.00

39426.00 39426.00

b. Section 80CCC 0.00 0.00

c. Section 80CCD(1) 0.00 0.00

Aggregate amount deductible under sections 80C, 80CCC and 80CCD(1)

shall not exceed one lakh fifty thousand rupees.

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TAN of Employer: MUMK01323A PAN of Employee: ADOPT8945J Assessment Year: 2015-2016

(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A. Gross Amount Qualifying Amount Deductible Amount

Section 80CCD(2) 0.00 0.00 0.00

Section 80CCG 0.00 0.00 0.00

Section 80D 4800.00 4800.00 4800.00

Section 80DD 0.00 0.00 0.00

Section 80DDB 0.00 0.00 0.00

Section 80E 0.00 0.00 0.00

Section 80EE 0.00 0.00 0.00

Section 80G 0.00 0.00 0.00

Section 80GG 0.00 0.00 0.00

Section 80TTA 0.00 0.00 0.00

Section 80U 0.00 0.00 0.00

10 Aggregate of deductible amount under Chapter VI-A 44226.00

11 Total Income (8-10) 848857.00

12 Tax on total income 94772.00

13 Surcharge (on tax computed at S. No. 12) 0.00

14 Education cess @ 3% (on tax computed at S. No. 12 + S. No 13) 2843.00

15 Tax Payable (12+13+14) 97615.00

16 Less: Relief under section 89 (attach details) 0.0017 Tax payable (15-16) 97615.00

Verification

I Mr. Nitin R. Vaidya, son / daughter of Mr. Ramesh Ramchandra Vaidya working in the capacity of Sr Vice President do hereby certify that a sum of Rs. 97615.00

(Rupees Ninety Seven Thousand Six Hundred And Fifteen Only) 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 accounts, documents, TDS statements, TDS deposited and other available records.

Place : MUMBAI

Signature of Person Responsible for Deduction of TaxDate : 31-May-2015

Designation : Sr Vice President Full Name : Mr. Nitin R. Vaidya

NOTE : THIS FORM16 HAS BEEN DIGITALLY SIGNED IN ACCORDANCE WITH CIRCULAR NO. 2/2007 DATED 21-05-2007 ISSUED BY THE CENTRAL

BOARD OF DIRECT TAXES AND SHALL BE TREATED AS A CERTIFICATE ISSUED IN ACCORDANCE WITH RULE 31 OF THE INCOME TAX RULES,

1962.

Digitally Signed By VAIDYA NITIN (KOTAK

MAHINDRA BANK LIMITED)

Date : 31-May-2015

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ANNEXURE TO FORM 16

2014-2015

COM NAME : KOTAK MAHINDRA BANK LIMITED

EMP NAME : Miss. SRIPRIYA N T

SALARY AS PER PROVISIONS CONTAINED IN SECTION 17(1) Amount in Rs.

ADVANCE AGAINST LTA 18000.00

BASIC 328540.00

HOUSE RENT ALLOW. 164270.00

MEDICAL TAXABLE 996.00

PROFESSIONAL ALLOWANCE 228521.00

SALES INCENTIVE 152103.00

TRANSPORT ALLOWANCE 10800.00

TOTAL 903230.00

Place : MUMBAI


Designation : Sr Vice President Full Name : Mr. Nitin R. Vaidya

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FORM NO. 12BA

[See rule 26A(2)(b)]

Statement Showing particular of perquisities, other fringe benefits or amenities and profits in lieu of salary with value thereof

(1) Name of the Employer KOTAK MAHINDRA BANK LIMITED

36-38 A NARIMAN BHAVAN

227, NARIMAN POINT, MUMBAI - 400021

(2) TAN MUMK01323A

(3) TDS Assessment Range of the employer COMMISSIONER OF INCOME TAX(TDS) MUMBAI

(4) Name, designation and PAN of employee Miss. SRIPRIYA N T

SENIOR MANAGERADOPT8945J

(5) Is the employee a director or a person with substantial interest in

the company (Where the employer is a company)

No

(6) Income under the head Salaries of the employee (Other than

from Perquisities)

903230.00

(7) Financial Year 2014-2015

(8) Valuation of Perquisities

S No Nature of Perquisite

(See rule 3)

Value of Perquisite

as per rules (Rs.)

Amount, if any

Recovered from the

employee (Rs.)

Amount of perquisite

chargeable to tax

col.(3)- col.(4) (Rs.)

(1) (2) (3) (4) (5)

1 Accomodation 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 1853.00 0.00 1853.00

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 (non-qualified options) 0.00 0.00 0.00

17 Other benefits or amenities 0.00 0.00 0.00

18 Total value of perquisites 1853.00 0.00 1853.00

19 Total value of profits in lieu of salary as per 17(3) 0.00 0.00 0.00

(9) Details of Tax

(a) Tax Deducted from salary of the employee under section 192(1) 97615.00

(b) Tax paid by the employer on behalf of the employee under section 192(1A) 0.00

(c) Total Tax paid 97615.00

(d) Date of payment into Government Treasury : (See Form No 16)

DECLARATION BY EMPLOYER

I Mr. Nitin R. Vaidya, son / daughter of Mr. Ramesh Ramchandra Vaidya working as Sr Vice President do hereby declare on behalf of KOTAK MAHINDRA

BANK LIMITED that the information given above is based on the books of accounts, 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.

Place : MUMBAI


Designation: Sr Vice President Full Name:Mr. Nitin R. Vaidya

kotaka form16 41970

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