list of forms and reports - · pdf filelist of forms and reports ... laxmi plaza andheri link...

List of Forms and Reports Pay slip One Pay slip per page

Two Pay slip per page

Pay slip with Tds Estimation Slip

Pay slip with Reimbursement Details

Salary Register One line Salary Register

Two line Salary Register

Wage Register

Disbursement Cash and Cheque Transfer Statement

Bank Transfer Statement

PF Reports PF form3A

PF Form 6A

PF Form 12A

PF 5

PF FORM 10

PF Reconciliation

PF CHALLAN

ESIC Reports ESIC Form 5

ESIC FORM 6

ESIC FORM 7

ESIC Register

ESIC Challan

P Tax Ptax Maharashtra

Ptax Challan

PTax Register

Loan Module Loan Ledger

Loan Balance

Leave Module Leave Register - Monthly

Leave Register -Annual

Others Salary Certificate

Arrears

Stop Salary Statement

Bonus

Bonus as per Payment Act

Salary Comparison Register

Gratuity Report

Full & Final Statement

MLWF

KLWF

HLWF

Appointment Letter

Increment Letter

Experience Letter

Analysis & MIS Component wise Register - Monthly

Monthly Payroll Analysis

Yearly Payroll Analysis

Annual Employee Salary Analysis

Annual Salary Component Analysis

Salary Increment Report

Cost to Company

Audit Trail Report

Salary Comparison Register

Pay -Sal Reconciliation

New left employee

Employee movement report

Dashboard

Exception Report Employee with incorrect Sr. Citizen Tds classification

Employee crossing 58 yrs

Reimbursement Reimbursement Report- Yearly

Reimbursement Report- Monthly

Reimbursement Payslip

Reimbursement Bank Letter

SalTds SalTds Challan 281

SalTds Form 16

SalTds Tds Estimation Slip

Investment Letter

Investment Detail Register

Annual Employee Salary

DEMO International Pvt. Ltd.

Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA, Ph No - 022-40557000

Payslip for the month of April-2012

EmpCode D0001 Name GANESH IYER : :

Branch MUMBAI Department FINANCE : :

Designation DIRECTOR PAN ANVPP0218D : :

Total Days 30.00 Paid Days 16.00 : :

Rate Monthly Monthly Deductions Earnings

BASIC Provident Fund 35000.00 18667.00 780.00

HOUSE RENT ALL TDS 17500.00 9334.00 1963.00

CONVEYANCE VOLUNTARY PF 1200.00 640.00 2240.00

CHILDREN EDUCATION ALL LOAN 200.00 107.00 10500.00

Net Pay in words :

Gross Deduction Gross Earning

13265.00 Net Amount

Thirteen Thousand Two Hundred Sixty Five Only

28748.00 53900.00 15483.00

For DEMO International Pvt. Ltd.

Authorised Signatory

This is computer generated payslip, hence required no signature













Net Pay in words :


13265.00 Net Amount


28748.00 53900.00 15483.00





EmpCode D0003 Name MUKESH POUL : :

Branch MUMBAI Department MARKETING : :

Designation SR. EXECUTIVE PAN ANVPP0217G : :




HOUSE RENT ALL Professional Tax 5000.00 5000.00 200.00


CHILDREN EDUCATION ALL 200.00 200.00

Net Pay in words :


14220.00 Net Amount

Fourteen Thousand Two Hundred Twenty Only

16400.00 16400.00 2180.00














Net Pay in words :


13265.00 Net Amount


28748.00 53900.00 15483.00


(Rs) (Rs) (Rs) (Rs) YearTo

date

Designation: PAN :

Estimated Total Exempt Taxable Total (Rs)

Part A

Actual Salary up to the month of April-2012 Financial Year -2011

Statement of Tax Calculation of GANESH IYER (D0001)

ANVPP0218D


DIRECTOR

a. Gross Salary 609901 18667 385000 403667 403667 Basic Salary 9334 192500 201834 201834 House Rent Allowance 107 2200 2307 2307 Children Education Allowance 640 13200 13840 9440 4400 Transport Allowance for Reaching Office

Total 28748 592900 621648 11747 609901

b. Deductions U/S 16: 0

c. Income Chargable Under the Head Salaries(a-b) 609901 609901

d. Any Other Income Reported: 0

e. Net Total Income: 609901 609901

f. Deduction Under Chapter VI-A: 115000 95420 PF 15000 L I P

100000 100000 Under Section 80C(Total) 15000 80D-Medical Insurance Premia

g. Total Income - Round Off: 494900 494900

h. Tax on Total Income : 31490 31490

i. Relief U/s 89: 0

j. Surcharge 0

k. Education Cess : 945 945

l. Tax Payable : 32435 32435

m. Tax Deduction already made upto April 2011 1963 1963

n.Tax Deductable/Refundable 30472 30472

April May June July August September October November December January February March

Part B

Statement of Actual Tax Deducted

Tax Deducted from Previous Employer:

Tax paid by the Employer:

1,963 3,132 2,734 0 0 0 0 0 0 0 0 0

0 0













Net Pay in words :


13265.00 Net Amount


28748.00 53900.00 15483.00


Balance Total for the year Claimed till last month Current Month Amt. Earnings

Reimbursement for the month of April-2012

533 LEAVE TRAVEL ALL 0 0 533 0 MEDICAL REIMBURSEMENT 667 0 667

Totals

Net Amount 667

667 0 1200 533

Demo International Pvt. Ltd. Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA

Salary Register for the month of April-2012

Net Amount

Total Dedns

TDS Others Others ESIC PTAX PF LOAN VERTIME CHLDALL CONV HRA BAS Name of Employee Pay Days Code

D e d u c t i o n s Total

Earnings E a r n i n g s

GANESH IYER 18667.00 9334.00 640.00 107.00 1963.00 10500.00

780.00 0.00 0.00 0.00 0.00 2240.00

28748.00 15483.00 D0001 16.00 13265.00 TEJSHREE BANDEKAR 8000.00 4000.00 1200.00 200.00 0.00 0.00 960.00 200.00 231.00 0.00 0.00 0.00 13400.00 1391.00 D0002 30.00 12009.00 MUKESH POUL 10000.00 5000.00 1200.00 200.00 0.00 0.00 780.00 200.00 0.00 0.00 0.00

1200.00 16400.00 2180.00 D0003 30.00 14220.00

NITIN CHAVANDE 8000.00 4000.00 1000.00 200.00 0.00 0.00 960.00 100.00 228.00 333.00 0.00 0.00 13533.00 1288.00 D0005 30.00 12245.00 SWAPNIL NIKAM 20000.00 10000.00 1000.00 200.00 1318.00 0.00 2400.00 200.00 0.00 0.00 0.00 0.00 31200.00 3918.00 D0006 30.00 27282.00 PRATISHTA GHANEKAR 10000.00 5000.00 1000.00 200.00 0.00 0.00 780.00 0.00 0.00 0.00 0.00

1200.00 16200.00 1980.00 D0007 30.00 14220.00

MILIND MOHITE 8000.00 4000.00 1000.00 200.00 0.00 0.00 960.00 0.00 228.00 0.00 0.00 0.00 13200.00 1188.00 D0008 30.00 12012.00

Total

*End of Report*

82667.00 41334.00 7040.00 1307.00 333.00 0.00 132681.00 3281.00 10500.00

7620.00 700.00 687.00 4640.00

27428.00 105253.00 7

Demo International Pvt. Ltd.

Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA Salary Register for the month of April-2012

HRA CONV CHLDALL OVERTIME LOAN PF PTAX ESIC Others

E a r n i n g s

TDS

D e d u c t i o n s Net Amount

BAS Others

Total Total Pay Days

--- ---

Emp Code Name

640 107 1963 10500 780 0 0 0 18667 0 9334 D0001 15483 13265 16.00 28748 GANESH IYER 2240

1200 200 0 0 960 200 231 0 8000 0 4000 D0002 1391 12009 30.00 13400 TEJSHREE BANDEKAR 0

1200 200 0 0 780 200 0 0 10000 0 5000 D0003 2180 14220 30.00 16400 MUKESH POUL 1200

1000 200 0 0 960 100 228 333 8000 0 4000 D0005 1288 12245 30.00 13533 NITIN CHAVANDE 0

1000 200 1318 0 2400 200 0 0 20000 0 10000 D0006 3918 27282 30.00 31200 SWAPNIL NIKAM 0

1000 200 0 0 780 0 0 0 10000 0 5000 D0007 1980 14220 30.00 16200 PRATISHTA GHANEKAR 1200

1000 200 0 0 960 0 228 0 8000 0 4000 D0008 1188 12012 30.00 13200 MILIND MOHITE 0

27428 Total 7 4640 687 700 7620 10500 3281 333 1307 7040 41334 82667 105253 132681

*End of Report*

14/02/2012 Page No. 1 14/02/2012

{See Rule 27(1)} Form II

Wage Register

April-2012 Demo International Pvt. Ltd. For the month of : Name of the Principal Employer: Name of Establishment:

Emp Code Employee Name Designation

Date of Joining Date of payment of wages

Signature or thumb

impression of

Employees Pays Days

Earnings Deduction

BAS CONV HRA OVERTIME CHLDALL Others Others ESIC PTAX PF LOAN TDS Total Total Leave earned during month

Availed during the month

Balance at the end of month

Net Amount

18667 9334 640 107 0 0 0 0 0 0 0

1963 10500 780 0 0 0 0 0 0 0 0 0

16.00 15/04/2011 DIRECTOR GANESH IYER

15483 28748 9.75 13.75 4.00 0 2240 13265 0 0 0

D0001

8000 4000 1200 200 0 0 0 0 0 0 0

0 0 960 200 231 0 0 0 0 0 0 0

30.00 01/04/2010 EXECUTIVE TEJSHREE BANDEKAR

1391 13400 13.75 1.75 0.00 0 0 12009 0 0 0

D0002

10000 5000 1200 200 0 0 0 0 0 0 0

0 0 780 200 0 0 0 0 0 0 0 0

30.00 01/04/1996 SR. EXECUTIVE MUKESH POUL

2180 16400 13.75 1.75 0.00 0 1200 14220 0 0 0

D0003

8000 4000 1000 200 333 0 0 0 0 0 0

0 0 960 100 228 0 0 0 0 0 0 0

30.00 01/04/2000 EXECUTIVE NITIN CHAVANDE

1288 13533 13.75 1.75 0.00 0 0 12245 0 0 0

D0005

20000 10000 1000 200 0 0 0 0 0 0 0

1318 0 2400 200 0 0 0 0 0 0 0 0

30.00 01/04/2000 MANAGER SWAPNIL NIKAM

3918 31200 12.75 1.75 1.00 0 0 27282 0 0 0

D0006

10000 5000 1000 200 0 0 0 0 0 0 0

0 0 780 0 0 0 0 0 0 0 0 0

30.00 01/04/2011 SR. EXECUTIVE PRATISHTA

GHANEKAR

1980 16200 11.75 13.75 2.00 0 1200 14220 0 0 0

D0007


Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA

List of Employees to be paid by Cheque for the Period: April-2012

Code Employee Name Net Pay Sr. No.

D0005 12,245.00 NITIN CHAVANDE 1

D0006 27,282.00 SWAPNIL NIKAM 2

D0007 14,220.00 PRATISHTA GHANEKAR 3

D0008 12,012.00 MILIND MOHITE 4

Total amount to be p aid by Cheque : 65,759.00

Page No. 1 15/02/2012


HDFC Bank Ltd. Date: 07/05/2012

Andheri

Dear Sirs,

Ref: Salary for the month: April-2012

Kindly credit the following Savings Bank A/C with you, with the individual amounts shown against them

and debit our account with you / Our cheque number 012548 dated 07/05/2012 for the total amount is enclosed.

Sr. No. Amount Employee Name Account No Emp. Code

GANESH IYER 00008654012301 D0001 13,265.00 1 TEJSHREE BANDEKAR 00008654012302 D0002 12,009.00 2 MUKESH POUL 00008654012303 D0003 14,220.00 3 NITIN CHAVANDE 00008654012305 D0005 12,245.00 4 SWAPNIL NIKAM 00008654012306 D0006 27,282.00 5 PRATISHTA GHANEKAR 008600005748625 D0007 14,220.00 6 MILIND MOHITE 008621578736696 D0008 12,012.00 7

Total: 105,253.00

For



Page No. 1

Form 3A(Revised) (For Unexempted establishments only)

The Employees' Provident Fund Scheme,1952(Para 35 & 42) and The Employees' Pension Scheme,1995 (Para 19)

1.P.F. Account No 2. Name /Surname (in Block Letters )

3. Father's/Husband's Name (in Block Letters)

4. Name and Address of the Factory/ Establishment

5. Statutory rate of P.F Contribution 6. Voluntary higher rate of employee's contribution, if any

GANESH IYER


CONTRIBUTION CARD FOR CURRENCY PERIOD FROM 1st April 2012 To 31st March 2013

12 %

:

:

:

:

Contribution A/C. No. 1st APRIL 2012 To 31st MARCH 2013


123456

MH/1234/1

10640

Month Amount of Wages E.P.F Refund of Adv

No of days/period of non contributing service (if any)

Remarks

Worker's Share Employer's Share

1 2 3

E.P.F difference between 12% & 8.33% (if any)

Pension Fund contribution 8.33%

4(a) 4(b) 5 6 7

6500 541 239 May 14 3020 35000 541 3659 June 0 8400 35000 541 3659 July 0 8400

0 0 0 August 0 0 0 0 0 September 0 0 0 0 0 October 0 0 0 0 0 November 0 0 0 0 0 December 0 0 0 0 0 January 0 0 0 0 0 February 0 0 0 0 0 February

Paid in March

0 0

1623 7557 19820 76500 Total

(2) In respect of those who are not members of the Pension Fund the employers share of contribution to the EPF will be 8.33% or12% as the case may be and is to be under column 4(a).

Certified that the total amount of contributions (both shares) indicated in this Card i,e. Rs.29,000.00 has already been remitted in full in E.P.F A/c No1 and Pension Fund A/c. No 10 (vide note below)

Date

Signature of the employer with office seal

Certified that the difference between the total of the contribution shown under Cols. 3 and 4(a) and 4(b) of the table and that arrived at on the total wages shown in column 2 at the prescribed rate is solely due to rounding off of contributions to the nearest rupee under the rules.

Note: (1) In respect of the form 3A sent to the Regional Office during the course of the currency period for the purpose of final settlement of the accounts of the member, who has left service, details of date and reasons for leaving service should be furnished under col. 7(a) and (b)

10 9 8 7 6 5 4 3 2 1

Rate of higher

voluntary contribution

(if any)

Refund of advances

Remarks Amount of Workers

contributions deducted from

the wages

Wages, Retaining allowance(if any) & D.A. including cash value of food concession paid during the currency

period

Account Number

Name of the Member (In block letters)

Sr. No. E.P.F. differences

between 12% & 8.33%

Pension fund 8.33%

Employer's Contribution

Code No of the Establishment

123456

Laxmi Industrial Est , Mumbai - 400069

Laxmi Plaza, Andheri Link Road

DEMO International Pvt. Ltd. Name and address of the establishment

Statutory rate of contribution No of members voluntarily contributing at higher rate

% 12 2

Form 6A (Revised) (For unexempted Establishment Only)

THE EMPLOYEES PROVIDENT FUND SCHEME, 1952 [PARA 43] And

THE EMPLOYEES PENSION SCHEME, 1995 [PARA 20(4)]

Annual statement of contribution for the currency period from 1st April 2012 To 31st March 2013

1 9180 7557 1623 MH/1234/1 76500 GANESH IYER 10640 J.. 15/04/2012

2 1115 467 648 MH/1234/2 9290 TEJSHREE BANDEKAR 0 L.. 05/05/2012

3 2340 717 1623 MH/1234/3 19500 MUKESH POUL 4200

4 1858 860 998 MH/1234/4 15484 ANAGHA SAWANT 0 J.. 15/05/2012

5 2876 1253 1623 MH/1234/5 23966 NITIN CHAVANDE 0

6 7200 5577 1623 MH/1234/6 60000 SWAPNIL NIKAM 0

8138 16431 24569 204740 14840

1 Page No

E.D.L.I Contribution A/c No .21

Sr No Month Amount Remitted

EPF Contribution including refund of advance A/c No.1

Pension Fund Contribution A/c No.10

Admn Charges A/c No. 2

E.D.L.I Admn Charges

A/c No .22

Aggregate Contribution of

Cols 5.6.7

(Rs) (Rs) (Rs) (Rs) (Rs) (Rs)

RECONCILATION OF REMITTANCES

April 1 12495.00 May 2 15200.00 2705.00 163.00 539.00 3.00 20651.00 June 3 23272.00 2621.00 157.00 819.00 3.00 22694.00 July 4 25506.00 2812.00 169.00 894.00 3.00

63978.00 Total 9.00 2252.00 489.00 8138.00 55840.00

(1) Total No of contribution cards enclosed (Form 3-A Revised)

(2) Certified that Form 3-A, duly completed of all the members listed in this statement are enclosed, except those already sent during the course of the currency period for the final settlement, of the concerned member's account vide "Remarks" furnished against the names of the respective members above.

Signature of the Employer ( with Office Seal)

2 Page No

Form 12 A (Revised) Only for Un-Exempted Establishments

DEMO International Pvt. Ltd. 01 Establishment status EMLOYEE'S PENSION SCHEME [PARA 20(4)]

Name and address of the establishment EMPLOYEE'S PROVIDENT FUND AND MISC ACT 1952

12 %

Group Code 400069 Laxmi Industrial Est, Mumbai Laxmi Plaza, Andheri Link Road

Statutory rate of contribution

Statement of contribution for the month of May 2011

Code No of Establishment

Currency period From 1st APRIL 2012 To 31ST MARCH 2013

Particulars Amount of contribution Payable

Recovered from the workers

Payable by the employer

Amount of contribution remitted

Worker's Share

Date of remittance (enclose triplicate copies of challan)

Amount of administrative

charges remitted

Amount of administrative

charges due

Employer's Share

3 4

E.P.F A/c No.

Pension fund A/c No

D.L.I A/c No.

Wages on which

contributions are payable

980 17290

NIL

NIL NIL

6987

3703

222

980

5 6 7 1

2

4 4

07/06/2011

07/06/2011

07/06/2011

NIL NIL

NIL

89081

44484

44484

17290 6987

3703

222

Total No.of Employees

(a) Contract (b) Rest (c) Total

NIL

Name & address of the bank in which the amount is remitted

HDFC Andheri

7 7

No.of Subscribers as per last month

No.of Subscribers (Vide Form 5)

(Net) Total no of Subscribers

EPF Pension Fund E.D.L.I.

1

7

1

7 7

1

0 0 0 No of Subscribers left service (Vide form 10)

Details of Subscribers

8 8 8

Signature of the employer with official(Seal)

AND THE EMPLOYEES' PENSION SCHEME, 1995 [Para 20(4)]

THE EMPLOYEES PROVIDENT FUND SCHEME, 1952 [PARA 36(2)(a)]

Return Of Employees qualifying for membership of the Employee's Provident Fund, Employee's Pension Fund & Employee's Deposit Linked Insurance Fund for the first Time

during the month of April-2012 [To be sent to the commissioner with Form 2 (EPF & EPS)]

Name and address of the establishment

Sr. No. Account Number

Name of the Employee (in block letters)

Father's Name ( or Husband's name in

case of married woman)

Date of Birth

Sex Date of joining the Fund

1 2 3 4 5 6 7


Laxmi Plaza, Andheri Link Road

Laxmi Industrial Est , Mumbai - 400069

Code No. of Factory/Estt.:123456

Form 5

Date period of previous service as

on the date of joining the

Fund(enclose Scheme Certificate

if applicable

Remarks

8 9

1 Male GANESH IYER MH/1234/1 Ashok 01/04/1973 15/04/2012

2 Female PRATISHTA GHANEKAR MH/1234/7 Prakash 01/10/1977 01/04/2012

Date Signature of the Employer or other authorised officer/Stamp of the Factory/Establishment

15/02/2012

Page No. 1


EMPLOYEES PROVIDENT FUND ORGANISATION

Group No :

Code No :

Laxmi Industrial Est ' Mumbai - 400069 Laxmi Plaza, Andheri Link Road DEMO International Pvt. Ltd.

Remarks Reason for leaving Date of leaving service

Father's / Husband's Name

Name of Member (In block letters)

Account Number

Sr No

Name and address of the establishment

Part-'B' Details of employees leaving service

RETURN OF MEMBERS LEAVING SERVICE FOR THE MONTH OF May-2012

THE EMPLOYEES PROVIDENT FUND SCHEME, 1952 [PARA 36(2)(a)(b)]

Form 10

Month : May-2012

123456

1 2 3 4 5 6 7

1 MH/1234/2 TEJSHREE BANDEKAR Sanjay 05/05/2012

2 MH/1234/6 SWAPNIL NIKAM Vinod 15/05/2012

(Also fill in Part'B')

Date

Please state whether the member is(a) retaining according to para 69(1)(a) or (b)of the scheme:(c) leaving india for parmenent settlement abroad (d) retrenched ; (e) ordinarily dismissed for serious and wilful misconduct ;(f) discharged; (g) resigning from or leaving service; (h)taking up employment else where(the name and address of the new employer should be stated);)i) dead (1) A request for deduction from the account of a member dismissed for serious and willful misconduct should be reported in the following certificate Certified that the member mentioned at serial no.________ Shri _________________________ was dismissed for serious and willful misconduct I recommended that the employer's contribution for ____________________ should be forfieted from his account in the fund A copy of the order of dismissal is enclosed (2) Certified that the member mentioned at serial no ______ Shri __________________________ was paid/not paid retrenchment compensation of Rs.________ under the Industrial Dispute Act, 1947

Page No. 1 Signature of the Employer or other authorised officer/Stamp of the Factory/Establishment



P.F / F.P.F / D.L.I Statement for the month of April-2012

EmpCode Name PFAccNo PFWages PFAmount PF Amount EPS Amount

Employer Employee EDLI Max Limit PF Admin

Charges DLI Admin

Charges

EDLI

.50 .010 EPS Wages

1.10 Sr.No.

VPFAmount

D0001 GANESH IYER 6500.00 239.00 541.00 32.50 71.50 .65 6500.00 6500 780.00 1 MH/1234/1 2240.00 D0002 TEJSHREE BANDEKAR 8000.00 419.00 541.00 32.50 88.00 .65 6500.00 6500 960.00 2 MH/1234/2 0.00 D0003 MUKESH POUL 6500.00 239.00 541.00 32.50 71.50 .65 6500.00 6500 780.00 3 MH/1234/3 1200.00 D0005 NITIN CHAVANDE 8000.00 419.00 541.00 32.50 88.00 .65 6500.00 6500 960.00 4 MH/1234/5 0.00 D0006 SWAPNIL NIKAM 20000.00 1859.00 541.00 32.50 220.00 .65 6500.00 6500 2400.00 5 MH/1234/6 0.00 D0007 PRATISHTA GHANEKAR 6500.00 239.00 541.00 32.50 71.50 .65 6500.00 6500 780.00 6 MH/1234/7 1200.00 D0008 MILIND MOHITE 8000.00 419.00 541.00 32.50 88.00 .65 6500.00 6500 960.00 7 MH/1234/8 0.00

63500 3833 3787 Grand Total: 228 699 5

* End of Report*

45500 45500 7620 4640

Page No. 1 15/02/2012

COMBINED CHALLAN - A/C. NO. 1,2,10,21 & 22 STATE BANK OF INDIA

EMPLOYEE'S PROVIDENT FUND ORGANISATION

Original

(USE SEPRATE CHALLAN FOR EACH MONTH)

ESTABLISHMENT CODE NO: 123456

ACCOUNT GROUP NO MH/1234/

DUES FOR THE MONTH OF :

Employers Share

Employee Share

Total No. of Subscribers

Total Wages Due

DATE OF PAYMENT

A/c1 { { {

A/c10 { { {

{ { { A/c21

M M Y Y Y Y

0 4 2 0 1 2

2 0 1 2 0 4

D D M M Y Y Y Y

7 7

PAID BY CHEQUE/CASH : CHEQUE

0 7 0 5 2 0 1 2

7

ADDRESS

NAME OF THE DEPOSITER.. SIGNATURE OF THE DEPOSITOR

NAME OF THE BANK :

(FOR BANK USE ONLY) Amount Received Rs. For Cheques Only

Date of

Presentation Date of

Realisation:.... Branch Name

Branch Code

No. CHEQUE NO...:

(TO BE FILLED IN BY EMPLOYER)

NAME OF ESTABLISHMENT....DEMO International Pvt. Ltd.

Ganesh Iyer

Date : 07/05/2012 235489


HDFC

EMPLOYER'S SHARES OF CONT

EMPLOYEE'S SHARE OF CONT ADM.CHARGES

INSP CHARGES

PENAL DAMAGES MISC PAYMENT

TOTAL

Amount in word ...

16,093 699 3,787 228 5 20,812

7,848 12,260

704

( Rupees Twenty Thousand Eight Hundred Twelve Only)

1.

2.

3.

4.

5.

6.

S.NO PARTICULARS A/C.NO.1 A/C.NO.2 A/C.NO.10 A/C.NO.21 TOTAL A/C NO.22

PART -01

......AMOUNT(In Rupees)...........

3,833

12,260

3,787

699

228

5

45,500 45,500 63,500

Employer's Code No :

REG. Form 5

Name of Branch Office

*Due Dates:- 12th May/11th November*

ESIC/1234 Laxmi Industrial Est

Employers Share Rs. 4516

Employees' Share Rs. 1664

I furnish below the details of the Employer's and Employee's share of Contributions in respect of the under mentioned insured persons. I hereby declare that the return includes each & every employee, employed directly or through an immediate employer in or in connection with the work of the Factory/Establishment or any other work connected with the administration of the factory/establishment or purchase of raw material, sale or distribution of finished products etc. to whom the ESI Act, 1948 applies, in the Contribution period to which this return relates and that the contributions in respect of Employer's and Employee's share have been correctly paid in accordance with the Provisions of the Act and regulations.

Contribution Period From 01/04/2012 To 30/09/2012

DEMO International Pvt. Ltd. Name & Address of the Factory Establishment-

(Regulation - 26)

RETURN OF CONTRIBUTIONS

EMPLOYEES' STATE INSURANCE CORPORATION

Particulars of the Principal employer(s)

a) Name :

b) Designation :

c) Residential Address :

Total Contribution Rs 6180

Details of Challans:-


Month Name of the Bank & Branch Amount (Rs) Date of Challan Sl. No.

Apr-2011 07/05/2012 2,550.00 1 HDFC Bank Ltd.-Andheri

May-2011 07/06/2012 1,647.00 2 HDFC Bank Ltd.-Andheri

Jun-2011 07/07/2012 1,983.00 3 HDFC Bank Ltd.-Andheri

Total amount paid: Rs. 6,180.00

I declare that,

All the records and registers have been maintained as per provisions contained in ESI Act, rules and regulations framed therein.

(a)

(b)

(c)

During the period of Return Nos. of Declaration forms have been submitted.

During the above period - Nos. .TIC's have been received.

During the above period - Nos. .PIC's have been received.

During the above period - Nos. PIC's have been distributed amongst the eligible IPs.

During the above period - Accidents have been reported to the concerned branch office. During the period of --- Nos. of employees directly employed by us have been covered and a total wages of Rs. /- have been paid to such employees.

During the period - -----no. of employees employed through immediate employer have been covered and a total wages of Rs. ----- --have been paid to such employees. During the period - -----no. of employees employed through immediate employer have not been covered and a total wages of Rs. ----- --have been paid to such employees.

(d)

(e)

(f)

(g)

(h)

(i)

(j)

During the period - Nos. have been directly employed by us have not been covered and the total wages of Rs. --- ------ have been paid to such employees.

Following components of wages have been taken into consideration for the purpose of payment of contribution: (k)

BASIC 1 CONVEYANCE 2 HOUSE RENT ALL 3

Following components of wages have not been taken into consideration for the purpose of payment of Contribution. (l)

(1)

(2) (3)

The above mentioned information is based on records and any information if found incorrect will render me liable for presecution under provisions of ESI Act and action for recovery of contribution due along-with interest and damages as per provisions of the ESI Act.

(With Rubber Stamp)

Date :

Mumbai Place : Signature & Designation of the Employer

CERTIFICATE BY CHARTERED ACCOUNTANT. (To be submitted in case of employers employing 40 or more employees)

CERTIFIED that I have Verified the above return from the records & registers of M/SDEMO International Pvt. Ltd., Laxmi Plaza Andheri

Link Road Laxmi Industrial Est Mumbai - 400069 MAHARASHTRA. and found it to be correct.

Signature and Seal of Chartered Accountant. with Membership No.

IMPORTANT INSTRUCTIONS :

If any I.P. is appointed for the first time and/or leaves the service during the Contribution Period indicate "A" ....................(date) and/or L .............(date ) in the remarks column (No.8)

(i)

Please indicate Insurance Number in chronological (ascending) order.

Figure in columns 4,5 & 6 shalll be in respect of the Wage Periods ended during the Contribution Period.

(vii)

Invariably strike totals of columns 4,5 & 6 of the return.

No overwritings shall be made. Any corrections, If made, should be signed by the Employer.

Every page of this return should bear full signature and rubber stamp of the Employer.

Daily Wages in Col.7 of the return shall be calculated by dividing figures in Col.5 by figures in Col.4 to two decimal places.

Information to be given in "Remarks Columns (No. 9)"

(ii)

(iii)

(iv)

(v)

(vi)

For * CP ending 31st March, due date is 12th May

For * CP ending 30th September, due date is 11th November

EMPLOYEES' STATE INSURANCE CORPORATION

Employer's Name and Address

Employer's Code No. Period from 01/04/2012 to 30/09/2012



ESIC/1234

Insurance Number Sr.NO

Name of insured person

No of Days for which

wages Paid

Total amount of Wages Paid

Employee's contributio

n deducted

Whether still continues working

Average Daily's

Wages 5/4 Remarks *

1 2 3 4 5 6 7 8 9

001200345 MILIND MOHITE 91.00 39919.00 699.00 Yes 1 438.67

002547863 TEJSHREE BANDEKAR

35.00 15329.00 268.00 No L...05/05/2012 2 437.97

302145845 NITIN CHAVANDE 91.00 39798.00 697.00 Yes 3 437.34

217 95046 1664 1,314 Total

Date of appointment and leaving the job may be given in remarks column.

Signature of the Employer

(FOR OFFICIAL USE)

1. 1. Entitlement position marked. 2. Total of Col.5 of Return checked and found correct/incorrect amount is indicated. 2.

3. 3. Checked the amount of Employers/Employee's contribution paid which is in order/observation memo enclosed.

Counter signature

Branch Officer U.D.C.

Head clerk

ESIC/1234

201204

201209 To :

From : Contribution Period

c) Residential Address

a) Name b)Designation

PARTICULARS OF THE PRINCIPAL EMPLOYERS:-

Mumbai,400069

Laxmi Industrial Est

Laxmi Plaza,Andheri Link Road DEMO International Pvt. Ltd.

Name and Address of the Factory or Establishment:

(Return of Contribution) Regulation 26 FORM No-6

Employees' State Insurance Corporation

Name of Local Office .................................. Employer's Code No.

IN QUADRUPLICATE

I Furnish Below the Details of the employer's and employee's share of contribution in respect of the undermentioned Insured Person.

I hearby declare That the return includes every employee, employed directly or through an immediate employer or in connection with the work of the factory/establishment or any work connected with the administration of the factory/establishement or purchase of raw materials, sales or distrubution of finished product etc.,to thom the contribution period to which this return relates , applies and that the contribution in repect of employer's and employee's share have have been correctly paid in accordance with the provision of the Act and Regulation relating to the payment of contribution vide challans detailed below :- Total Contribution amounting to Rs......... 6180 Comprising of Rs... 4516 Employer's share and Rs ........1664 as Employee's share (Total of col6 of the return) paid as under :

Challan Dated for Rs. 1 2,550.00 07-05-2012



Place

Date

Signature

Designation

6,180.00 Total Rs.

Important Instructions

1. If any I.P is appointed for the first time and/or leaves service during the contribution period, indicate "A.............(Date and/or "L..............(Dte)", in the remark column (No.8)

2. Please indicate Insurance Numbers in chronological (ascending) order. 3. Figures in Columns 4,5 & 6 shall be in respect of wage periods ended duiring the contribution period. 4. Invariably strike totals of Columns of 4,5 & 6 of the return 5. No over-writing shall be made. Any corrections should be signed by the employer 6. Every page of this return should bear full signature & rubber stamp of the employer. 7. "Daily Wages" in Col.7 of the return shall be calculated by dividing figures in Col. 5 by figures in Col. 4 to two decimal Places.

Page No. 1

Insurance Number Sr.NO Name of insured

person No of Days for

which wages

Total amount of Wages Paid

Employee's contributio

n deducted

Dispensary Average Daily's

Wages 5/4 Remarks

1 2 3 4 5 6 7 7(A) 8

Form No 6 Cont....

1 001200345 MILIND MOHITE 91.00 39919.00 699.00 438.67

2 002547863 TEJSHREE BANDEKAR

35.00 15329.00 268.00 L...05/05/2012 437.97

3 302145845 NITIN CHAVANDE 91.00 39798.00 697.00 437.34

217 95046 1664 1314 Total

*End of Report*

Page No. 2

(R E G U L A T I O N 3 2)

Form 7

Contribution period from April 2012 to September 2012 Company Name : Address :

DEMO International Pvt. Ltd. Laxmi Plaza Andheri Link Road Laxmi Industrial Est ,Mumbai

Insur- ance No.

Name of Insured Person Designation

If appointed during the

cont. period date

of appnt.

No. of days for which

wages paid/ payable

Employe e's

Share of Cont.

Emplo yee's

Share of Cont.

Employe e's Share of Cont. Sr.

No.

Total amount

of wages

payable / paid

No. of days for which wages

paid/pay able

Total amount of wages payable / paid

Total amount of

wages payable /

paid

Total No of Days of contribu

tion period for

which wages paid/

payable

Total amount of

wages payable / paid in

the Contibut

ion Period

Total Employe

e's Contributi on in the period

Daily Wages

April May June

July August September

No. of days for which wages paid/

payable

001200345

MILIND MOHITE EXECUTIVE 30.00 13000.00 228.00 31.00 13169.00 230.00 30.00 13750.00 241.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

91.00 39919.00 699.00 1 438.67

002547863

TEJSHREE BANDEKAR

EXECUTIVE 30.00 13200.00 231.00 0.00 0.00 0.00 5.00 2129.00 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

35.00 15329.00 268.00 2 437.97

302145845

NITIN CHAVANDE

EXECUTIVE 30.00 13000.00 228.00 29.00 12161.00 213.00 32.00 14637.00 256.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

91.00 39798.00 697.00 3 437.34



Name of the Employee ESICWages

ESIC Salary Report

For the month of April-2012

Employees Cont. Employers Cont. ESIC Acc. No. Sr.No. Paid Days.

TEJSHREE BANDEKAR 13200.00 627 231.00 002547863 1 30 NITIN CHAVANDE 13000.00 618 228.00 302145845 2 30 MILIND MOHITE 13000.00 618 228.00 001200345 3 30

39200.00 Total 687.00 1863

*End of Report*

Page No. 1

E.S.I.C Original

CHALLAN NO.

EMPLOYEES STATE INSURANCE FUND ACCOUNT NO :-1 PAY-IN-SLIP FOR CONTRIBUTION

STATE BANK OF INDIA 07/05/2012 DATED Station

PARTICULARS OF CASH / CHEQUE NO. Amount in Rs.

Total :-

2550.00

2550.00

Paid in to the credit of the Employees' State Insurance Fund Account No.1 RS.2,550.00 (Rupees. Two Thousand Five Hundred Fifty Only)

in Cash /by Cheque (on realization) for payment of contribution as per details given below under the Employee's State Insurance Act,1948 for the month of April-2011

DEPOSITED BY Employer's Code No.

CHEQUE ESIC/1234

125012

Name and address of Factory/Establishment


No. of Employees Total Wages

Employees Contribution Rs.

Employers Contribution Rs.

Total @ 6.5 %

3

1863.00

687.00

:- :-

:-

:-

:-


2550.00

39200.00

A C K N O W L E D G E M E N T

( To be filled by depositor )

Received Payment with Cash/Cheque/Draft No . 125012 dated 07/05/2011 for Rs. 2,550.00 (Rupees. Two Thousand Five Hundred Fifty Only)

Drawn on HDFC Bank Ltd. (Bank) in favour of Employees' State Insurance Fund Account No.1

Sl. No. in Bank's Scroll

( For Use in Bank )

Dated :-

Authorised Signatory of the receiving Bank

07/05/2012

CHALLAN

MTR - 6

(See Rule 11, 11C, 11E and 20 of the Professions Tax Rules, 1975) ACCOUNT HEAD:- 00280012

GRN Form-ID (1) III (2) IIIB (3) VIII (Select the applicable one)

Department Department of Sales Tax

Date:-

Type of Payment

(1) RC

(2) EC

(Select the applicable one)

Professions Tax Act. 1975 Payee Details

Location

Period

From To

PT (RC/ EC) Number (TIN)

Full Name of the Tax Payer

Account Head Details Amount in Rs, Code Amount of Tax

Interest Amount

Penalty Amount

Composition Money Fine

Fees

Advance Payment Total

1

2

3 4 5 6 7

Remarks if any:-

Amount in Words:-

Signature of Person who has made paymen

FOR BANKS / TREASURY

Payment Details Name of Bank

Name of Branch

For use in Receiving Bank Bank CIN. Date Time Scroll No.

400

01/04/2012 30/04/2012

0012547830


Mumbai

400

CHALLAN

MTR - 6




Date:-

Type of Payment

(1) RC

(2) EC



Location

Period

From To




Interest Amount

Penalty Amount


Fees


1

2

3 4 5 6 7

Remarks if any:-

Amount in Words:-




Name of Branch

For use in Receiving Bank

Bank CIN. Date Time Scroll No.

400

01/04/2012 30/04/2012

0012547830


Mumbai

400

CHALLAN

MTR - 6




Date:-

Type of Payment

(1) RC

(2) EC



Location

Period

From To




Interest Amount

Penalty Amount


Fees


1

2

3 4 5 6 7

Remarks if any:-

Amount in Words:-




Name of Branch

For use in Receiving Bank

Bank CIN. Date Time Scroll No.

400

01/04/2012 30/04/2012

0012547830


Mumbai

400

FOR TREASURY PART-I PART-II PART-III FOR PROFESSION TAX OFFICER FOR TAX PAYER

Four Hundred only Four Hundred only Four Hundred only

Professional Tax Annual Returns

Form 5 (See Rule 11)

Return of tax payable by employer under sub-section (1) Section 6 of Karnataka Tax on Professions, Trades, Cailing Employement Act ,1976.

1. Return of Tax payable for the year ending on :

2. Name of the Employer :

3. Address :

4. Registration Certificate No : Date :

5. Tax paid during the year is as under :

Sl.No Month Tax Deducted Tax Paid Balance Tax Paid Under Challan No. & Date

1 2 3 4 5 6 1 April

2 May

3 June

4 July

5 August

6 September

7 October

8 November

9 December 10 January

11 February

12 March

6. Total Tax payable for the year ending

7. Tax paid as per monthly statement

8. Balance tax paid under challan No. Dated Not Applicable I certify that all the employees who are liable to pay the tax in my employment during the period of return have been covered by the foregoing particulars. I also certify that the necessary revision in the amount of tax deductable from the salary or wages of the employees on account of variation in the salary or wages earned by them has been made where necessary. I Shri Ganesh Iyer Director solemnly declare that the above statements are true to the best of my knowledge and belief.

Place :

Date :

Signature : (Employer)

Status : Company

(For Office use only) The return is accepted on verification

Tax Assessed

Tax Assessed

Tax Assessed

Assessing Authority

Note : Where the return is not acceptable, separate order of assessment should be passed

Rs

Rs

Rs

800

800

31/03/2013 DEMO International Pvt. Ltd.

400 200 200

400 200 200

Mumbai

0012547830

Laxmi Plaza Laxmi Industrial Est Mumbai Andheri Link Road -400069

DEMO International Pvt. Ltd. Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA

Empcode Name Amount Sr. No. PTax Salary

PTax Register for the month of April-2012

TEJSHREE BANDEKAR D0002 1 13200 200.00 MUKESH POUL D0003 2 16200 200.00 NITIN CHAVANDE D0005 3 13333 100.00 SWAPNIL NIKAM D0006 4 31000 200.00 PRATISHTA GHANEKAR D0007 5 16000 0.00 MILIND MOHITE D0008 6 13000 0.00

700.00

1 17/02/2012 Page No.

Loan Ledger

As at 28/02/2013

GANESH IYER D0001 Employee Code Employee Name

2012-2013

LOA

N

No. of Installment 10 100,000 Loan Amt

01/05/2012 Recovery date 01/05/2012 Disbursement date

0.00 10.00 Actual Interest Rate

Allowable Interest Rate % %

Loan Name Remark Closing (A-B-E)

Auto Recovery (D) (B+C)

Manual Recovery (Principal) (E)

Interest (C) Principal (B) Opening (A) Period

LOAN

10,833 10,000 833 0 90,000 May, 2012 100,000 10,833 10,000 833 0 80,000 June, 2012 90,000 10,833 10,000 833 0 70,000 July, 2012 80,000 10,833 10,000 833 0 60,000 August, 2012 70,000 10,833 10,000 833 0 50,000 September, 2012 60,000 10,833 10,000 833 0 40,000 October 2012 50,000 10,833 10,000 833 0 30,000 November, 2012 40,000 10,833 10,000 833 5,000 15,000 Extra Loan Recovery of Rs. 5000 December, 2012 30,000 10,833 10,000 833 0 5,000 January, 2013 15,000 5,833 5,000 833 0 0 February, 2013 5,000

Loan Balance Report For the month of June-2012


Loan Name Employee Name Balance Loan Amount Employee Code

LOAN GANESH IYER LOAN 90000.00 120000.00 D0001

MUKESH POUL LOAN 135000.00 150000.00 D0003

225000.00 Sub Total LOAN 270000.00

Total 225000.00 270000.00

1 Page No.



Empcode Name Sr. No. Op. Bal

Leave Register for the month of April-2012

Leave Name Credit Debit Balance Encash

GANESH IYER D0001 1 0.000 1.750 0.000 1.750 Paid Leave 0.000 GANESH IYER D0001 2 0.000 12.000 4.000 8.000 Casual Leave 0.000 TEJSHREE BANDEKAR D0002 3 0.000 1.750 0.000 1.750 Paid Leave 0.000 TEJSHREE BANDEKAR D0002 4 12.000 0.000 0.000 12.000 Casual Leave 0.000 MUKESH POUL D0003 5 0.000 1.750 0.000 1.750 Paid Leave 0.000 MUKESH POUL D0003 6 12.000 0.000 0.000 12.000 Casual Leave 0.000 NITIN CHAVANDE D0005 7 0.000 1.750 0.000 1.750 Paid Leave 0.000 NITIN CHAVANDE D0005 8 12.000 0.000 0.000 12.000 Casual Leave 0.000 SWAPNIL NIKAM D0006 9 0.000 1.750 0.000 1.750 Paid Leave 0.000 SWAPNIL NIKAM D0006 10 12.000 0.000 1.000 11.000 Casual Leave 0.000 PRATISHTA GHANEKAR D0007 11 0.000 1.750 0.000 1.750 Paid Leave 0.000 PRATISHTA GHANEKAR D0007 12 0.000 12.000 2.000 10.000 Casual Leave 0.000 MILIND MOHITE D0008 13 0.000 1.750 0.000 1.750 Paid Leave 0.000 MILIND MOHITE D0008 14 12.000 0.000 2.000 10.000 Casual Leave 0.000

1 Page No.


Leave Report for the period 01/04/2012 to 31/03/2013

Employee : Name : D0001 GANESH IYER

Leave Type APR MAR FEB JAN DEC NOV OCT SEP AUG JULY JUN MAY

Casual Leave

12.00 20.00 21.00 22.00 23.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 Opening Balance

12.00 2.00 2.00 2.00 5.00 5.00 0.00 0.00 0.00 0.00 0.00 0.00 Credited

4.00 1.00 1.00 1.00 1.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00 Availed

20.00 21.00 22.00 23.00 27.00 28.00 0.00 0.00 0.00 0.00 0.00 0.00 Closing Balance

Paid Leave

10.00 10.75 12.00 12.75 13.50 15.50 0.00 0.00 0.00 0.00 0.00 0.00 Opening Balance

1.75 1.75 1.75 1.75 4.00 5.00 0.00 0.00 0.00 0.00 0.00 0.00 Credited

1.00 0.50 1.00 1.00 2.00 2.00 0.00 0.00 0.00 0.00 0.00 0.00 Availed

10.75 12.00 12.75 13.50 15.50 18.50 0.00 0.00 0.00 0.00 0.00 0.00 Closing Balance

Demo International Pvt. Ltd. Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA, Ph No - 022-40557000

TO WHOMSOVER IT MAY CONCERN

This is to certify that Mr GANESH IYER has been working with the company since 15/04/2012 .His present designation is DIRECTOR

His monthly salary is as follows:

Payment Head Amount(Rs.)

BASIC 35,000.00

CHILDREN EDUCATION ALL 200.00

CONVEYANCE 1,200.00

HOUSE RENT ALL 17,500.00

53,900.00

For Demo International Pv. Ltd.

Authorised signatory


Auto Arrear calculation for the month of June 2012

Employee Name /

Employee Code Period New Amount Old Amount Arrear

MUKESH POUL

D0003

@PF

-780 -780 0 April 2012

-780 -780 0 May 2012

-1560 -1560 0 BAS

15000 10000 5000 April 2012

15000 10000 5000 May 2012

30000 20000 10000 HRA

7500 5000 2500 April 2012

7500 5000 2500 May 2012

15000 10000 5000

43440 28440 15000 Total

Manual Arrear calculation for the month of June 2012

Period Arrear New Amount Employee Name

PRATISHTA GHANEKAR

@PfDed

June 2012 -360 -360

-360 -360

@PFSal

June 2012 -3000 -3000

-3000 -3000

ZBAS

June 2012 3000 3000

3000 3000

ZHRA

June 2012 1500 1500

1500 1500

1140 1140

1 Page No.



EmpCode Name of the Employee NetPay

Stop Salary statement for the month of November-2012

Sr.No Reason 1 D0001 GANESH IYER 43,589.00 Hold the salary and will release in December

month

2 D0003 MUKESH POUL 16,836.00 Hold the salary and will release in December month

3 D0004 ANAGHA SAWANT 14,850.00 Hold the salary and will release in December month

4 D0005 NITIN CHAVANDE 12,589.00 Hold the salary and will release in December month

1

Salary Upto the Month of June-2012

Bonus Salary Report

Code Name Processed

Salary Grade Salary Rate Amount

GANESH IYER 35000 1,750 5.00 35000 D0001

MUKESH POUL 15000 750 5.00 15000 D0003

ANAGHA SAWANT 10000 500 5.00 10000 D0004

NITIN CHAVANDE 8500 452 5.00 9048 D0005

SWAPNIL NIKAM 20000 1,000 5.00 20000 D0006

PRATISHTA GHANEKAR 10000 500 5.00 10000 D0007

MILIND MOHITE 8500 425 5.00 8500 D0008

107548 107000 Total 5377

1 Page No

Salary from the Month of June 2012 to June 2012

Bonus as per Payment of Bonus Act Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA, Ph No - 022-40557000

Code Name Bonus Calculated Salary Bonus Salary Rate Months

D0004 10000 3500 292 8.33 ANAGHA SAWANT 1

D0005 8500 3500 292 8.33 NITIN CHAVANDE 1

D0007 10000 3500 292 8.33 PRATISHTA GHANEKAR 1

D0008 8500 3500 292 8.33 MILIND MOHITE 1

Total 1166 14000

1 Page No


Empcode Name Sr. No.

Salary comparison register between May-2012 and April-2012

April-2012 May-2012 Difference Component GANESH IYER 35,000.00 D0001 1 18,667.00 16,333.00 BAS GANESH IYER 200.00 D0001 2 107.00 93.00 CHLDALL GANESH IYER 1,200.00 D0001 3 640.00 560.00 CONV GANESH IYER 17,500.00 D0001 4 9,334.00 8,166.00 HRA GANESH IYER 3,132.00 D0001 6 1,963.00 1,169.00 TDS GANESH IYER 4,200.00 D0001 7 2,240.00 1,960.00 VPF GANESH IYER 4,200.00 D0001 8 780.00 3,420.00 SalPf

75,932.00 44,231.00 31,701.00

1 15/02/2012


Empcode Name Amount

Sr. No.

Gratuity Calculation Report till the month June 2012

Join Date Date of Calc

Years Completed Gratuity calculation on

MUKESH POUL D0003 1 01/04/1996 30/06/2011 15 129808 15000 NITIN CHAVANDE D0005 2 01/04/2000 30/06/2011 11 53942 8500 SWAPNIL NIKAM D0006 3 01/04/2000 30/06/2011 11 126923 20000 MILIND MOHITE D0008 4 01/04/2000 30/06/2011 11 53942 8500

364615

1 15/02/2012 Page No.



Full and Final Settlement Report upto the month of June-2012

EmpCode D0002 Name TEJSHREE BANDEKAR : :

Branch MUMBAI Department SUPPORT : :

Designation EXECUTIVE PAN ANVPP0219C : :


1. Settlement Date

2. Total no of days payable

3. Leave Encashable days 1.8

30/06/2012

5

:

:

:

Earnings Deductions Monthly Monthly Rate

8000.00 155.00 BASIC Provident Fund 1290.00 4000.00 37.00 HOUSE RENT ALL E.S.I.C 645.00 1200.00 774.00 CONVEYANCE NOTICE PAY 194.00 200.00 CHILDREN EDUCATION ALL 32.00

Net Pay in words :


1195.00 Net Amount

One Thousand One Hundred Ninety Five Only

2161.00 13400.00 966.00


Maharashtra Labour Welfare Board Hutatma Babu Genu, Mumbai Girni Kamgar Kreeda Bhavan, Senapati Bapat Marg,Elphinstone, Mumbai - 400 013. Phone : 4227758, 4306717, 4360738

EmplyerName

1. Name & Address of the Establishment

2. Name of the Employer.

3. Class of the Establishment (i.e. whether factory, motor ominibus services, motor transport undertaking or commercial establishment, a shop, a residential hotel, restaurant, eating house, theatre or other place of amusement or public entertainment. )

4. Total number of employees whose names stood on the establishment register as on 30th June 2011

a. Manager

b. Employees working in supervisory capacity drawing wages exceeding 3,500/- p.m. ( please refer NOTE 2 above )

Employee drawing wages upto & inclusive of Rs. 3,000/- p.m. EEC @ Rs. 6.00 per employees ERC @ Rs.18.00 per Employee. Employees drawing wages exceeding Rs. 3000/- p.m. EEC @ Rs. 12.00 per employee & ERC @ Rs. 36.00 per employee.

5. Total of (a) to (c) above

6. Mode of Payment : ( please specify No. & date of cheque/ draft / money order/cash against this item. )

E.E.C. Rs.

E.R.C Rs.

Penal Int.

Total Rs.

June

Dec

June

Dec

0 0

NOTE : 1) This form-cum -return is requried to be submitted by every employer along with the payment of Employees' & Employer's Six monthly contribution made by him in respect of all employees whose names stand on the register of his establishment as on 30th June / 31st December as per the provisions of Section 6BB of the Bombay Labour Welfare Fund Act, 1953. 2) Section 2 (2) (b) of Bombay Labour Welfare Fund Act, 1953 "Supervisor" means who, being employed in a supervisory capacity, draws wages exceeding Three Thousand Five Hundred rupees per mensem or exercise, either by the nature of the duties attached to the office, or by reason of the powers vested in him , functions mainly of a managerial nature. 3) EEC = Employee's contribution, ERC = Employer's contribution.

( Vide Rule 3-A )

Establishment Code No.

C

for office use only

Certified that the information / particulars furnished above is/are true to the best of my knowledge & belief. IMPORTANT

0 0

1

6

6 18

72 216

0

0

24

288

0

0

312

1) Cheque /DD should be drawn to each Estt, Code Number seperately & in favour of Maharashtra Labour Welfare Fund. 2) Cash payment will be accepted from 10.30 a.m. to 3.00 p.m 3) Code no of the Establishment alloted to you should be quoted at the appropriate place in this form. 4) DD should be payable at BOMBAY only.5) Please write the Establishment code number on the back side of the cheque / DD Signature with name & designation of the

Form A-1 Cum Return

No. Of Employees

234 7 78

DEMO International Pvt. Ltd. Laxmi Plaza, Andheri Link Road Laxmi Industrial Est , Mumbai - 400069

NIL NIL NIL NIL

NIL NIL NIL NIL

Authority filing this form-cum-return

Mr. Prakash

EmplyerName

E.E.C LWF Sal Name EmpCode E.R.C

List of employees with Details

Designation Sr.No

D0001 12 36 35000 GANESH IYER DIRECTOR 1

D0002 6 18 1290 TEJSHREE BANDEKAR EXECUTIVE 2

D0003 12 36 15000 MUKESH POUL SR. EXECUTIVE 3

D0004 12 36 10000 ANAGHA SAWANT SR. EXECUTIVE 4

D0005 12 36 9048 NITIN CHAVANDE EXECUTIVE 5

D0007 12 36 10000 PRATISHTA GHANEKAR SR. EXECUTIVE 6

D0008 12 36 8500 MILIND MOHITE EXECUTIVE 7 Total Amount 78 234

312 Grand Total

Sir,

Sub :- Contribution for the year __________ Regarding

I am here with submitting the details as below, under per Section 7A read with rule 3A of Karnataka Labour Welfare Fund Act 1965,& Rules 1968, Est/Registration No.................................................. (Mention This number while corresponding)

Yours faithfully

TO. Date:

The Welfare Commissioner Karnataka Labour Wefare Board Karmika Kalyana Bhavana 48, 2nd, floor Mathikere Main Road Yashvanthapura (Near R T O Office) Bangalore-560022.

17/02/2012

2012-2013

Mr. Prakash ( Employer)

Name & Address of the Establishment

Name of the Employer.

Total number of workers whose names stand in The establishment registers as on 31 st December 2011

Employees' contribution at the rate of Rs. 6/per employee

STATEMENT OF EMPLOYER & EMPLOYEEE'S CONTRIBUTION TO BE SENT BY THE EMPLOYER BY 15TH JANUARY

(Rule 3-A )

(Signature of the employer & company seal)

DEMO International Pvt. Ltd. Laxmi Plaza, Andheri Link Road Laxmi Industrial Est , Mumbai - 400069

2012

SI. No.

Particulars

Employers' contribution at the rate of Rs. 12/per employee

Total of items 4 and 5

Whether the contribution is sent by Cheque, Banker's cheque, Crossed Demand Draft Money Order in favour of

Welfare Commissioner, Bangalore.

Place :

Date

:

1

2

3

4

5

6

7

Mr. Prakash

6

36

72

108

DD/Cheque No. Dated Bank Name Amount Rs. 108

(Rupees One Hundred Eight only.)

: :

: :

FORM-D

KARNATAKA LABOUR WELFARE FUND

Performa for Contribution Details

(a) Name of the establishment with complete Address

(b) If contractor , please specify the name and address of Principle Employer (Estableshment) also

(c) Circle No. of area labour inspector/Labour Inspector(Welfare) in which circle in estableshment is situated.

(d) Whether the estableshment covered under the following Act: (Please tick whichever is applicable)

(i) Factory Act, 1948 (ii) Shops and Commercial Act, 1958 (iii) Industrial Dispute Act, 1947 (iv) Any other Act (Please specify the name of the Act)

Name of the Establishment :

Under Section 9-A of Punjab Labour Welfare Fund Act,1965

Annual Labour Welfare Return from




01/2012 to 12/2012

S.No. Name of Worker/ Employee

Father's/Husband's Name of Worker/

Employee

Designation of worker/

Employee

Token No.(if any)

Date of

Joining

Date of

Relieving

Employee Contribution Monthwise

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Total Employee's

Share

Total Employer's

Share

Total Amount

Remarks

Page 1 of 1

1 GANESH IYER DIRECTOR 15/04/2011 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

2 MUKESH POUL SR. EXECUTIVE 01/04/1996 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

3 ANAGHA SAWANT SR. EXECUTIVE 15/05/2011 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

4 NITIN CHAVANDE EXECUTIVE 01/04/2000 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

5 SWAPNIL NIKAM MANAGER 01/04/2000 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

6 PRATISHTA GHANEKAR SR. EXECUTIVE 01/04/2011 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

7 MILIND MOHITE EXECUTIVE 01/04/2000 10 10 10 10 10 10 10 10 10 10 10 10 120 240 360

8 PRITI SHETYE EXECUTIVE 15/04/2000 0 0 0 10 10 0 0 0 0 0 0 0 20 40 60 15/05/2012

Total C/F 860 1720 2580



To,

GANESH IYER

B10, Sai Prasad

Telli galli

Andheri (E)

Mumbai-400059

APPOINTMENT LETTER

Dear Mr. / Ms GANESH IYER,

1. We have pleasure to welcome you into the family of Demo International Pvt. Ltd..

2. Your designation will be SR. EXECUTIVE and you will be reporting to MUMBAI

3. The terms and conditions, which form the basis of this employment relationship, are as under.

Commencement

4. Your appointment takes effect from 15/04/2012. Initially you will be on probation of a period of six

months, which can be increased by the Company as its discretion. After the successful completion of

probation period, you may be confirmed in the employment.

Salary

5. Your Gross Annual Compensation package covering all benefits extended by the Company will be Rs

300000/- (Rupees Three Lacs Only).

6. Confidentiality of Salary Information: You are required to strictly maintain the secrecy of the terms of your

salary and ensure that you do not divulge or communicate in any manner, any information regarding your

remuneration/terms of employment, to any other employee of the Company. In the similar way, when

deputed to work/interact at the client site, you are expected to maintain full confidentiality regarding your

salary packages, and are expected not to discuss or disclose the same to any member of the client staff.

7. Deductions and Tax Liabilities: The CTC is gross remuneration and Tax liabilities viz., Income Tax,

Profession Tax etc., will be deducted from the CTC as per laws and rules applicable and will be governed

by the tax laws of the country as applicable from time to time.

Please sign the duplicate copy of this appointment letter and return to us as your acceptance of the appointment

and terms/conditions contained herein.

We wish you a long, productive and satisfying career at Demo International Pvt. Ltd.

For Demo International Pvt. Ltd..

Authorized Signatory

Page No. 1



Increment Letter

Dear GANESH IYER, Consequent to the review of your performance during the period of 01/04/2011 to 31/03/2012, we have pleasure in informing you that, w.e.f 01/04/2012 your salary is being increased as follows: Break up of Salary Salary Head Existing Revised Basic 10000 15000 HRA 2000 5000 The other terms and conditions of your appointment remain unchanged. We look forward to your valuable contributions and wish you all the very best for a rewarding career with the organization. Please sign the duplicate copy of this letter as a token of acceptance of the same. For, Demo International Pvt. Ltd. Name: Designation: Regards,

Page No. 1



To whomsoever it may concern

This is to certify that Mr. / Mrs. PRITI SHETYE worked at Demo International Pvt. Ltd. as a EXECUTIVE from 15/04/2000 to 15/05/2012. During this Period, he was found to be hard working and sincere. He showed good Application of mind in solving complex support issues. His behavior towards his seniors and colleagues was good. He is being relieved of his duties from 15/05/2012. He is leaving on his own will for better prospects. Demo International Pvt. Ltd.

Executive Director Place: Dated: 21/03/2013

Page No. 1


Empcode Name Amount Sr. No.

One component register for BASIC for the month of April-2012

GANESH IYER 18,667.00 D0001 1 TEJSHREE BANDEKAR 8,000.00 D0002 2 MUKESH POUL 10,000.00 D0003 3 NITIN CHAVANDE 8,000.00 D0005 4 SWAPNIL NIKAM 20,000.00 D0006 5 PRATISHTA GHANEKAR 10,000.00 D0007 6 MILIND MOHITE 8,000.00 D0008 7

82,667.00

1 15/02/2012 Page No.



Name of the Component Deduction

Salary summary for the month of April-2012

Earning Employer cost

82667 BASIC

41334 HOUSE RENT ALL

7040 CONVEYANCE

1307 CHILDREN EDUCATION ALL

333 OVERTIME ALL TDS 3281 VOLUNTARY PF 4640 LOAN 10500 ESIC 687 PF 7620 PTax 700 PF: Employers Contribution 3,833 EPS: Employers Contribution 3,787 DLI 228 PF: Admin Charges 699 DLI: Admin Charges 5 ESIC: Employers Contribution 1,863

132681 27428

Net Pay 105253

Total

7 Count of Employees

1 15/02/2012



Yearly Salary Summary for the period 01/04/2012 to 31/03/2013

MAR FEB JAN DEC NOV OCT SEP AUG JUL JUN MAY APR Components

Earning

82667 96081 88838 87000 87000 87000 87000 87000 87000 0 0 0 BASIC 41334 48040 44419 43500 43500 43500 43500 43500 43500 0 0 0 HOUSE RENT ALL 7040 6883 6659 6400 6400 6400 6400 6400 6400 0 0 0 CONVEYANCE 1307 1297 1245 1200 1200 1200 1200 1200 1200 0 0 0 CHILDREN EDUCATION ALL 333 0 354 0 0 0 0 0 0 0 0 0 OVERTIME ALL

0 0 13000 0 0 0 0 0 0 0 0 0 Arrear for BAS 0 0 6500 0 0 0 0 0 0 0 0 0 Arrear for HRA

Total 132681 152301 161015 138100 138100 138100 138100 138100 138100 0 0 0

Deduction

3281 4450 3197 3197 3197 3197 3197 3197 3197 0 0 0 TDS 4640 6600 7200 7200 7200 7200 7200 7200 7200 0 0 0 VOLUNTARY PF

10500 18500 18500 18500 18500 18500 18500 18500 18500 0 0 0 LOAN 0 0 774 0 0 0 0 0 0 0 0 0 NOTICE PAY

700 580 450 450 450 450 450 450 450 0 0 0 PTax 7620 10690 9581 9000 9000 9000 9000 9000 9000 0 0 0 PF 687 443 534 482 482 482 482 482 482 0 0 0 ESIC

Total 27428 41263 40236 38829 38829 38829 38829 38829 38829 0 0 0

105253 111038 120779 99271 99271 99271 99271 99271 99271 0 0 0 NetPay


Wage Structure Report for the period 01/04/2012 to 31/03/2013

D0001 Employee : Name : GANESH IYER

Payment Head APR MAY JUN JULY AUG OCT NOV SEP DEC JAN FEB MAR NET Amount

BASIC 105000.00 35000.00 0.00 0.00 0.00 35000.00 35000.00 0.00 0.00 0.00 0.00 0.00 0.00

CHILDREN EDUCATION A 600.00 200.00 0.00 0.00 0.00 200.00 200.00 0.00 0.00 0.00 0.00 0.00 0.00

CONVEYANCE 3600.00 1200.00 0.00 0.00 0.00 1200.00 1200.00 0.00 0.00 0.00 0.00 0.00 0.00

HOUSE RENT ALL 52500.00 17500.00 0.00 0.00 0.00 17500.00 17500.00 0.00 0.00 0.00 0.00 0.00 0.00

Gross Earnings 161700.00 53900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53900.00 53900.00

Provident Fund 9180.00 780.00 0.00 0.00 0.00 4200.00 4200.00 0.00 0.00 0.00 0.00 0.00 0.00

LOAN 31500.00 10500.00 0.00 0.00 0.00 10500.00 10500.00 0.00 0.00 0.00 0.00 0.00 0.00

TDS 7829.00 1963.00 0.00 0.00 0.00 3132.00 2734.00 0.00 0.00 0.00 0.00 0.00 0.00

VOLUNTARY PF 10640.00 2240.00 0.00 0.00 0.00 4200.00 4200.00 0.00 0.00 0.00 0.00 0.00 0.00

Gross Deductions 59149.00 15483.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21634.00 22032.00

NET Amount

38417.00 31868.00 32266.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102551.00


Wage Structure Report for the period 01/04/2012 to 31/03/2013

D0001 GANESH IYER Employee : Name :

Other Details NET Amount MAR FEB JAN DEC NOV OCT SEP AUG JULY JUN MAY APR

Total Days

91.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 31.00 30.00

Paid Days 77.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 31.00 16.00



OCT SEP AUG JULY JUN MAY APR Name Emp Co Sr No. Total MAR FEB JAN Dec NOV

Yearly Register for BASIC

18667 35000 35000 88667 D0001 GANESH IYER 1

8000 1290 9290 D0002 TEJSHREE BANDEKAR 2

10000 10000 15000 35000 D0003 MUKESH POUL 3

5484 10000 15484 D0004 ANAGHA SAWANT 4

8000 7484 9048 24532 D0005 NITIN CHAVANDE 5

20000 20000 20000 60000 D0006 SWAPNIL NIKAM 6

10000 10000 10000 30000 D0007 PRATISHTA GHANEKAR 7

8000 8113 8500 24613 D0008 MILIND MOHITE 8

*End of Report*

Page No. 1


Salary increment Report for the period 01/04/2012 to 31/03/2013

EmpCode & Name Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Components Year

D0001 - GANESH IYER 2012-2013

BAS 35,000.00 0.00 0.00 37,742.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

HRA 17,500.00 0.00 0.00 18,871.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

CONV 1,200.00 0.00 0.00 1,200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

CHLDALL 200.00 0.00 0.00 200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

D0003 - MUKESH POUL 2012-2013

BAS 15,000.00 18,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

HRA 7,500.00 9,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

CONV 1,200.00 1,200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

CHLDALL 200.00 200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00



Empcode Name Amount

CTC Report Upto the Period December-2012

Component

GANESH IYER D0001 BASIC 298,667.00 HOUSE RENT ALL 149,334.00 CONVEYANCE 10,240.00 CHILDREN EDUCATION ALL 1,707.00 OVERTIME ALL BONUS Arrear for BAS Arrear for HRA PfCont 29,511.00 FPFCont 4,869.00 DliCont 292.50 PfAdmn Charges 3,151.50 Dli Admn Charges 5.85 ESIC Deduction ESIC Contribution MED 10,667.00 LTA 8,533.00

516,977.85 MUKESH POUL D0003 BASIC 125,000.00

HOUSE RENT ALL 62,500.00 CONVEYANCE 10,800.00 CHILDREN EDUCATION ALL 1,800.00 OVERTIME ALL BONUS Arrear for BAS 10,000.00 Arrear for HRA 5,000.00 PfCont 2,151.00 FPFCont 4,869.00 DliCont 292.50 PfAdmn Charges 643.50 Dli Admn Charges 5.85 ESIC Deduction ESIC Contribution MED 11,250.00 LTA 9,000.00

243,311.85

760,289.70

1 Page No.


Code Head Calculated ProRata Definition

FORMULA - AUDIT TRAIL REPORT FOR PAYSLIP/NON PAYSLIP COMPONENTS

Active Formula Updated UserID Estimation Consider Tds

BASIC Y N 01/04/2011 11:52:14 Y BAS Y Y

Basic Salary N N 01/04/2011 11:51:49 Y Y

BASIC N N 22/11/2004 3:23:28 Y Y

N N 22/11/2004 3:21:56 Y N

N N 24/10/2000 11:17:50 N Y N

BONUS Y N 01/04/2011 2:30:41 N BONUS N Y

CHILDREN EDUCATION ALL Y N 01/04/2011 11:52:24 Y CHLDALL Y Y

Children Education Allownac N N 01/04/2011 11:51:36 Y Y

CONVEYANCE Y Y 01/04/2011 11:57:51 Y CONV If({$Branch}="MUM",1200,1000) Y Y

N N 01/04/2011 11:52:31 Y Y

N N 01/04/2011 11:51:57 Y Y

N N 01/04/2011 11:50:02 Y Y

HOUSE RENT ALL Y Y 01/04/2011 3:02:41 N HRA {BAS}*50% Y Y

N Y 01/04/2011 12:32:07 {BAS}*50% Y Y

N Y 01/04/2011 11:58:37 Y {BAS}*50 Y Y

N N 01/04/2011 11:52:38 Y Y

House Rent Allowance N N 01/04/2011 11:49:49 Y Y

LOAN Y N 01/04/2011 11:50:49 N LOAN N N

LEAVE TRAVEL ALL Y N 01/04/2011 2:31:23 Y LTA Y Y

MEDICAL REIMBURSEMENT Y N 01/04/2011 2:31:04 Y MED Y Y

1 Page No. Page No.

DEMO International Pvt. Ltd Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA

Empcode Name Sr. No.

Salary comparison register between May-2012 and April-2013

April-2011 May-2011 Difference Component GANESH IYER 35,000.00 D0001 1 18,667.00 16,333.00 BAS GANESH IYER 200.00 D0001 2 107.00 93.00 CHLDALL GANESH IYER 1,200.00 D0001 3 640.00 560.00 CONV GANESH IYER 17,500.00 D0001 4 9,334.00 8,166.00 HRA GANESH IYER 3,132.00 D0001 6 1,963.00 1,169.00 TDS GANESH IYER 4,200.00 D0001 7 2,240.00 1,960.00 VPF GANESH IYER 4,200.00 D0001 8 780.00 3,420.00 SalPf

75,932.00 44,231.00 31,701.00

1

EmpCode Name PayPacCode PayAmount SalTdsCode SalAmount Difference

Reconciliation for the Month of June 2012


D0001 GANESH IYER BAS 35,000 Basic Salary 40,000 -5,000 HRA 17,500 House Rent Allowa 20,000 -2,500 PF 4,200 PF 8,400 -4,200

-11700 56700 68400 D0003 MUKESH POUL

BAS 25,000 Basic Salary 30,000 -5,000 HRA 12,500 House Rent Allowa 10,000 2,500 PF 780 PF 2,580 -1,800

-4300 38280 42580 Grand Total: -16000 110980 94980

*End of Report*

1 Page No

Demo International Pvt. Ltd. Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA, Ph No - 022-40557000

Employees Joining / Leaving During April-2012

Status Emp Code Emp Name Net Salary Joining Date

D0001 GANESH IYER 13,265.00 15/04/2012 New Employee

D0007 PRATISHTA GHANEKAR 14,220.00 01/04/2012 New Employee

Status EmpCode Emp Name Net Salary Leaving Date

D0002 TEJSHREE BANDEKAR 12,009.00 05/04/2012 Resigned

*End of Report*

Page No. 1



OCT SEP AUG JULY JUN MAY APR Name Emp Co Sr No. MAR FEB JAN Dec NOV

Movement Report Branch WiseFor F.Y. 2012-2013

1 MUM HYD MUM D0001 GANESH IYER 2 MUM MUM D0002 TEJSHREE BANDEKAR 3 MUM HYD HYD D0003 MUKESH POUL 4 HYD HYD D0004 ANAGHA SAWANT 5 HYD HYD HYD D0005 NITIN CHAVANDE 6 HYD HYD HYD D0006 SWAPNIL NIKAM 7 DEL MUM HYD D0007 PRATISHTA GHANEKA 8 DEL DEL DEL D0008 MILIND MOHITE

Page No. 1


Code Name Sr No.

Branch Master

DEL DELHI 1 HYD HYDERBAD 2 MUM MUMBAI 3

Page No. 2


Employee Code Employee Name Present status Present Age

Employees with incorrect Senior Citizen TDS Classification

Date of Birth Sr. No.

D0001 GANESH IYER 62 < 60 01/04/1950 1

D0004 ANAGHA SAWANT 61 < 60 01/07/1951 2

D0005 NITIN CHAVANDE 63 < 60 01/08/1949 3

1 Page No.


Employee Code Employee Name Presant Age Date of Birth

Employees crossing 58 Years where EPS Applicability must be 'No' as on 30/04/2012

Sr. No.

D0001 GANESH IYER 01/04/1950 62 1

D0004 ANAGHA SAWANT 01/07/1951 62 2

D0005 NITIN CHAVANDE 01/08/1949 63 3

1 Page No.

EmpCode Name Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Taxable Amount Total Balance

DEMO International Pvt. Ltd. Reimbursement Statement

D0001 GANESH IYER

0 0 2000 1000 0 0 3500 0 0 0 0 0 0 8533 6500 2033 LEAVE TRAVEL ALL

667 1250 0 2500 1000 0 0 0 0 0 0 0 0 14417 5417 9000 MEDICAL REIMBURSEMENT

667 1250 2000 3500 1000 0 3500 0 0 0 0 0 0 22950 11917 11033

D0002 TEJSHREE BANDEKAR 1250 500 0 0 0 0 0 0 0 0 0 0 0 2500 1750 750 MEDICAL REIMBURSEMENT

1250 500 0 0 0 0 0 0 0 0 0 0 0 3500 1750 1750

D0003 MUKESH POUL

0 0 2000 2000 0 0 3000 0 0 0 0 0 0 9000 7000 2000 LEAVE TRAVEL ALL


1250 1000 2000 4750 1250 0 3000 0 0 0 0 0 0 24000 13250 10750

D0004 ANAGHA SAWANT


0 0 1500 1000 0 0 0 0 0 0 0 0 0 7548 2500 5048 LEAVE TRAVEL ALL

0 0 1500 4000 1436 0 0 0 0 0 0 0 0 20734 6936 13798

0 37331 33853 0 0 0 0 0 6500 0 3686 12250 5500 2750 3167 71184

1 17-02-2012


Amount Eligible

Previous Reimb.

Reimbursement Register For the Month of October 2012

Current Reimb.

Taxable Amount

Balance Amount

GANESH IYER Name: D0001 Emp Code :

2750 5417 0 0 MEDICAL REIMBURSEMENT 8167

33 3000 3500 0 LEAVE TRAVEL ALL 6533

8417 3500 0 2783 14700

TEJSHREE BANDEKAR Name: D0002 Emp Code :


1000 0 0 0 LEAVE TRAVEL ALL 1000

1750 0 0 1750 3500

MUKESH POUL Name: D0003 Emp Code :



10250 3000 0 2500 15750

ANAGHA SAWANT Name: D0004 Emp Code :



6936 0 0 5548 12484

12581 0 6500 27353 46434

DEMO International Pvt. Ltd. Laxmi Plaza Andheri Link Road Laxmi Industrial Est Mumbai 400069 MAHARASHTRA

Reimbursement for the month October-2012





Earnings Claimed amt for current month.

Claimed till last month Total upto the current month

Balance amt to claim

8167 MEDICAL REIMBURSEMENT 0 5417 2750

6533 LEAVE TRAVEL ALL 3500 3000 33

Totals

3500 Net Amount

3500 8417 14700 2783


Mumbai 400069 Laxmi Plaza ,Andheri Link Road ,Laxmi Industrial Est


Date: 15/06/2012 HDFC Bank Ltd. Andheri

Dear Sirs,

May 2012 Ref: Reimbursement for the month: Kindly credit the following Savings Bank A/C with you, with the amounts against them to our Account with you - A/c No 00008654012300

Amount Employee Name Account No Emp. Code

GANESH IYER 00008654012301 1250.00 D0001 TEJSHREE BANDEKAR 00008654012302 500.00 D0002 MUKESH POUL 00008654012303 1000.00 D0003 NITIN CHAVANDE 00008654012305 1100.00 D0005 SWAPNIL NIKAM 00008654012306 1250.00 D0006

Total: 5100.00

For



Page No. 1

* Important: Please see notes overleaf before

Signature of person making payment Date :


3217

0

266,Laxmi Plaza,Andheri Link Road,Laxmi Industrial Est,Mumbai - 400069,MAHARASHTRA


Tear Off

for the Assessment Year

SPACE FOR BANK SEAL

(Strike out whichever is not applicable)

/ (Name of the Bank and Branch)

drawn on

Three Thousand Two Hundred Eighty One Only Rs. (in words)

3,281/- For Rs. Cash/ Debit to A/c /Cheque No.

Received from

TAN

(To be filled up by tax payer) Taxpayers Counterfoil

(Name of the Bank and Branch)

Drawn on

Dated Paid in Cash/ Debit to A/c /Cheque No.

UNITS TENS HUNDREDS THOUSANDS LACS CRORES

Total (in words)

SPACE FOR BANK SEAL

YY MM DD

Debit to A/c / Cheque credited on

FOR USE IN RECEIVING BANK

Total

Penalty / Others

Interest

Surcharge

Income Tax

Amount (in Rs. Only) DETAILS OF PAYMENTS

Code * 9 2 B Type of Payment

Complete Address with City & State

Full Name

Assessment Year

Tax Deduction Account No. (T.A.N.)

281

ITNS

CHALLAN NO.

NON-COMPANY DEDUCTEES (0021)

COMPANY DEDUCTEES (0020)

TAX DEDUCTED / COLLECTED AT SOURCE FROM

Tax Applicable (Tick One) *

Single Copy (to be sent to the ZAO) filling up the challan.

T.D.S. TAX CHALLAN [200]

Nil Nil Three Two Eight One

, H

, H

Code * 9 2 B

Education Cess 64

0

0

Designed by TdsPac: www.tdspac.com

2013 - 14

MUMF03333Y

MUMF03333Y

2013 - 14

Companies Non-Companies

3281

400069 Pin 02240557000 Tel. No.

TDS/TCS Regular Assesment (Raised by I.T. Deptt.) (400)

(200) TDS/TCS Payable by TaxPayer

on account of Tax Deducted at Source(TDS) /Tax collected at Source(TCS) from

17/02/2012

1 Challan No in SalTds

000000

000000

(See rule 31(1)(a))

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

Emp Code D0001 FORM NO. 16

To From Assessment Year

TAN of the Deductor PAN of the Employee PAN of the Deductor

Name and designation of the Employee Name and address of the Employer

GANESH IYER DIRECTOR

ANVPP0218D

621,648

1. Gross Salary

Summary of tax deducted at source 15/04/2012 31/03/2013

Mumbai - 400069 Laxmi Industrial Est Andheri Link Road 266 Laxmi Plaza DEMO International Pvt. Ltd.

ANVCC0217P MUMF03333Y

2013 - 2014

Rs. Rs. Rs. (a) Salary as per provisions contained in sec.17(1) (b) Value of perquisites u/s 17(2) ( as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary under section 17(3) ( as per Form No. 12BB, wherever applicable) (d) Total

621,648 0

0

11,747

Period

Receipt Numbers of original statements of TDS under sub-section (3) of section 200. Quarter Amount of tax deducted

in respect of the employee

Quarter 1

Quarter 2 Quarter 3 Quarter 4 001245210365897

001425784103256 236474580234574

001254785231254

Amount of tax deposited/remitted in respect

of the employee

PART B(Refer Note 1)

Details of Salary paid and any other income and tax deducted

2. Less: Allowance to the extent exempt u/s 10

Rs.

CIT(TDS)

3. Balance (1-2) 609,901 4. Deductions:

-

Total

7,829

8,202 5,468 8,202

7,829

8,202 5,468 8,202

29,701 29,701

(b) Tax on employment 0 (a) Entertainment allowance 0

5. Aggregate of 4 (a) and (b) 6. Income chargeable under the head 'salaries' (3-5) 7. Add : Any other income reported by the employee

a) Loss from House Property b) Total of Others

8. Gross total Income (6 + 7) 9. Deductions under Chapter VI-A

0 609,901

0 0 0

609,901

Deductible Amount

Gross Amount

Section 80C, 80CCC and 80CCD (A) Section 80C (a)

(i) PF 95,420 (ii) L I P 15,000 (iii) (iv) (v) (vi) (Vii) (Viii) 0

100,000 110,420 Section 80CCC (b) 0 0

(c) Section 80CCD 1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees 2. Aggregate amount deductible under the three sections, i.e., 80C, 80CCC and 80CCD, shall not exceed one lakh rupees

Note :

Section (ii) 20,000 20,000 20,000 80CCG- Rajiv Gandhi Equity Scheme Section (i) 15,000 15,000 15,000 80D-Medical Insurance Premia

Deductible Amount

Qualifying Amount

Gross Amount Other Sections (for e.g., 80E, 80G etc) under Chapter VI-A (B)

GANESH IYER Employee Name : D0001 Emp Code

135,000 11. Total Income (8 - 10) 474,900 12. Tax on total income 29,490

10. Aggregate of deductible amount under Chapter VI-A

13. Education Cess @ 3% (on tax computed at S. No. 12) 885 14 Tax Payable (12+13) 30,375

16. Tax Payable (14-15) 15. Less: Relief under section 89 (attach details) 0

30,375

Verification

I, Ganesh Iyer , Son/Daughter of Dattatreyan working in the capacity of Director (designation) do hereby certify that the a sum of [Rs. 26967 (Rupees Twenty Six Thousand Nine Hundred Sixty Seven Only (in words))] 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 account, documents, TDS statements, TDS deposited and other available records.

Place :

Designation : Full Name :

Signature of the person responsible for deduction of tax Date : 31/05/2013

Mumbai

Director Ganesh Iyer


(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)

DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN

ANNEXURE-B

Challan Serial Number

Date on which tax deposited

(dd/mm/yyyy) BSR Code of the Bank

Branch

Challan Identification Number (CIN) Tax Deposited in respect of the employee (Rs.) S. No.

GANESH IYER Employee Name : D0001 Emp Code

12548 01/04/2012 1234567 1963 1

23100 01/06/2012 1234567 3132 2

23658 01/07/2012 1234567 2734 3

32548 01/08/2012 1234567 2734 4

24577 07/09/2012 1234567 2734 5

02547 07/10/2012 1234567 2734 6

02248 07/11/2012 1234567 2734 7

25555 07/01/2013 1234567 2734 8

10236 04/02/2013 1234567 2734 9

23410 29/02/2013 1234567 2734 10

26967 Total

GANESH IYER

DETAILS OF SALARY AND ALLOWANCES EXEMPT UNDER SECTION 10

Assessment Year

Gross Amt TaxFree Amt Taxable Amt

Annexure to Form 16

Employee Name

Period from 15/04/2011 To 31/03/2012

2012 - 2013

Basic Salary 0 403667 403667

Children Education Allowance 2307 0 2307

Transport Allowance for Reaching Off 9440 4400 13840

House Rent Allowance 0 201834 201834

Total 11747 609901 621648


Statement of Tax Calculation of GANESH IYER (D0001)

Financial Year 2012-2013 Actual Salary up to the month of March - 2013

Part A

(Rs) Total Taxable Exempt Total Estimated

PAN : ANVPP0218D Designation: DIRECTOR

YearTo date (Rs) (Rs) (Rs) (Rs) (Rs)

a. Gross Salary 609,901

Basic Salary 403667 403667 403667

House Rent Allowance 201834 201834 201834

Children Education Allowance 2307 2307 2307

Transport Allowance for Reaching Office 13840 13840 9440 4400

621648 621648 11747 609901 Total

b. Deductions U/S 16: 0

c. Income Chargable Under the Head Salaries(a-b) 609,901

d. Any Other Income Reported: 0

e. Net Total Income: 609,901

f. Deduction Under Chapter VI-A: 135,000

PF 95420

L I P 15000

Under Section 80C(Total) 100000 100000

80D-Medical Insurance Premia 15000

80CCG-Rajiv Gandhi Equity Scheme 20000

g. Total Income - Round Off: 474,900

h. Tax on Total Income : 29,490

i. Relief U/s 89: 0

j. Surcharge 0

k. Education Cess : 885

l. Tax Payable : 30,375

m. Tax Deduction already made upto 32,435

n.Tax Deductable/Refundable -2,060

1,963 3,132 2,734 2,734 2,734 2,734 2,734 2,734 2,734 2,734 2,734 2,734

April May June July August September October November December January February March

Part B

Statement of Actual Tax Deducted

Tax Deducted from Previous Employer:

Tax paid by the Employer: 0

0


Dear GANESH IYER

We draw your attention to the initial Income Tax Declaration Form submitted to us. We would like to inform you that till date we have received only the following Investment proofs.

D0001 Emp #

Description Investment Amt Submitted

L I P 15,000 No

80D-Medical Insurance Premia 15,000 No

80CCG-Rajiv Gandhi Equity Sch 20,000 No

You are requested to submit the required proofs to Account office by 15/12/2012 , failing which

the Income tax will be recomputed and tax will be deducted accordingly.




Employee Code Amount Details of Investment Name

Investment proof submitted

Submitted Balance GANESH IYER D0001

15000 0 15000 80D-Medical Insurance Premia 20000 0 20000 80E-Interest paid on such Loans 20000 10000 10000 80CCG-Rajiv Gandhi Equity Sch

15000 15000 0 L I P MUKESH POUL D0003

35000 35000 0 80D-Medical Insurance Premia 15000 15000 0 80E-Interest paid on such Loans 20000 0 20000 80CCG-Rajiv Gandhi Equity Sch

B

Designation DIRECTOR Gender Date of Joining M 15/04/2012 D0001 Employee Code


Employee Name GANESH IYER

Salary Component APR

MAY

JUN

JULY AUG

SEP

OCT

NOV

DEC

JAN

FEB MAR

Total 403667 Basic Salary 18667 35000 35000 35000 35000 35000 35000 35000 35000 35000 35000 35000

Bonus 0 0 0 0 0 0 0 0 0 0 0 0 2307 Children Education Allowance 107 200 200 200 200 200 200 200 200 200 200 200

201834 House Rent Allowance 9334 17500 17500 17500 17500 17500 17500 17500 17500 17500 17500 17500 Leave Travel Concession 0 0 0 0 0 0 0 0 0 0 0 0 Over Time 0 0 0 0 0 0 0 0 0 0 0 0 Professional Tax Payable 0 0 0 0 0 0 0 0 0 0 0 0

13840 Transport Allowance for Reaching Office 640 1200 1200 1200 1200 1200 1200 1200 1200 1200 1200 1200

Total 28748 53900 53900 53900 53900 53900 53900 53900 53900 53900 53900 53900 621648

Deductions

Investments

Investment Details Amount

PF 95,420.00 80CCG- Rajiv Gandhi Equity Scheme 20,000.00 80D-Medical Insurance Premia 15,000.00 80E-Interest paid on such Loans 20,000.00 L I P 15,000.00

165,420.00 Total Investments

DATE TDSAmt

1963 30/04/2012 1963 3132 31/05/2012 3132 2734 30/06/2012 2734 2734 31/07/2012 2734 2734 31/08/2012 2734 2734 30/09/2012 2734 2734 31/10/2012 2734 2734 30/11/2012 2734 2734 31/12/2012 2734 2734 31/01/2013 2734 2734 29/02/2013 2734 2734 31/03/2013 2734

Total 32435

1

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