FORM NO.

16
[See rule 31(1)(a)]

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

Certificate No. FXGRRQA Last updated on 02-Jul-2021

Name and address of the Employer Name and address of the Employee
MAERSK GLOBAL SERVICE CENTRES (INDIA) PRIVATE LIMITED
12TH FLOOR, EMPIRE TOWER, OFF THANE BELAPUR ROAD,
VILLAGE - ELTHAN, AIROLI, NAVI MUMBAI - 400708 ANAUAM GAZIKHAN
Maharashtra TYPE 111/8, KENDRIYA VIDYALAYA 9 BRD, AHMEDNAGAR
+(91)22-39270233 ROAD, CHANDANAGAR, PUNE - 411014 Maharashtra
[Link]@[Link]

Employee Reference No.

PAN of the Employee
PAN of the Deductor TAN of the Deductor provided by the Employer
(If available)

AADCM7786M PNEM27192E BKKPG4946A

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
4th Floor, .A. Wing, PMT Commercial Complex, Shankar Sheth 2021-22 01-Apr-2020 10-Nov-2020
Road , Swargate, Pune - 411037

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Receipt Numbers of original

Amount of tax deposited / remitted
quarterly statements of TDS Amount of tax deducted
Quarter(s) Amount paid/credited (Rs.)
under sub-section (3) of (Rs.)
Section 200

Q1 QUBRPLIE 150096.00 0.00 0.00

Q2 QUDDRTLF 128391.00 0.00 0.00
Q3 QUGMUVLB 113167.00 0.00 0.00
Total (Rs.) 391654.00 0.00 0.00
I. DETAILS 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 Identification Number (BIN)

Tax Deposited in respect of the
Sl. No. deductee Date of transfer voucher Status of matching
Receipt Numbers of Form DDO serial number in Form no.
(Rs.) (dd/mm/yyyy) with Form no. 24G
No. 24G 24G

Total (Rs.)
II. 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 of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 0.00 - 06-05-2020 - F
2 0.00 - 04-06-2020 - F
3 0.00 - 06-07-2020 - F
4 0.00 - 05-08-2020 - F
5 0.00 - 04-09-2020 - F

Page 1 of 2
 Certificate Number: FXGRRQA TAN of Employer: PNEM27192E PAN of Employee: BKKPG4946A Assessment Year: 2021-22

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

6 0.00 - 06-10-2020 - F
7 0.00 - 06-11-2020 - F
8 0.00 - 05-12-2020 - F
Total (Rs.) 0.00

Verification

I, AMIT MANHARLAL MEHTA, son / daughter of MANHARLAL J MEHTA working in the capacity of MANAGER PAYROLL AND BENEFITS (designation) do hereby
certify that a sum of Rs. 0.00 [Rs. Zero Only (in words)] has been deducted and a sum of Rs. 0.00 [Rs. Zero Only] has been 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.

Signature Not Verified

Place Thane Digitally signed by AMIT MANHARLAL MEHTA
Date: 2021.07.06 [Link] IST
Reason:
Location: Thane

Date 04-Jul-2021 (Signature of person responsible for deduction of Tax)

Designation: MANAGER PAYROLL AND BENEFITS Full Name:AMIT MANHARLAL MEHTA

Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No.16 pertaining to the period for which such
assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Legend used in Form 16

* Status of matching with OLTAS

Legend Description Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
U Unmatched
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
P Provisional
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
F Final mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
O Overbooked amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

Page 2 of 2
 FORM NO. 16
PART B
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary

Certificate No. FXGRRQA Last updated on 02-Jul-2021

Name and address of the Employer Name and address of the Employee
MAERSK GLOBAL SERVICE CENTRES (INDIA) PRIVATE LIMITED
12TH FLOOR, EMPIRE TOWER, OFF THANE BELAPUR ROAD,
VILLAGE - ELTHAN, AIROLI, NAVI MUMBAI - 400708 ANAUAM GAZIKHAN
Maharashtra TYPE 111/8, KENDRIYA VIDYALAYA 9 BRD, AHMEDNAGAR
+(91)22-39270233 ROAD, CHANDANAGAR, PUNE - 411014 Maharashtra
[Link]@[Link]

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

AADCM7786M PNEM27192E BKKPG4946A

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
4th Floor, .A. Wing, PMT Commercial Complex, Shankar Sheth 2021-22 01-Apr-2020 10-Nov-2020
Road , Swargate, Pune - 411037

Details of Salary Paid and any other income and tax deducted

Whether opting for taxation u/s 115BAC No

1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 391654.00

Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 391654.00

(e) Reported total amount of salary received from other employer(s) 0.00

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

(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 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 56106.00
(10AA)

(e) House rent allowance under section 10(13A) 0.00

Page 1 of 4
Certificate Number: FXGRRQA TAN of Employer: PNEM27192E PAN of Employee: BKKPG4946A Assessment Year: 2021-22

Amount of any other exemption under section 10

(f) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

(g) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10

(h) 56106.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]

Total amount of salary received from current employer

3. 335548.00
[1(d)-2(h)]
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) 50000.00

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

(c) Tax on employment under section 16(iii) 1600.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 51600.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 283948.00

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

Total amount of other income reported by the employee

8. 0.00
[7(a)+7(b)]
9. Gross total income (6+8) 283948.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

(a) 14488.00 14488.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00 0.00

Deduction in respect of contribution by taxpayer to pension

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

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 14488.00 14488.00

Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00 0.00

Page 2 of 4
 Certificate Number: FXGRRQA TAN of Employer: PNEM27192E PAN of Employee: BKKPG4946A Assessment Year: 2021-22

Deduction in respect of contribution by Employer to pension

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

Deduction in respect of health insurance premia under section

(g) 0.00 0.00
80D

Deduction in respect of interest on loan taken for higher

(h) education under section 80E 0.00 0.00

Gross Qualifying Deductible

Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(i) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00 0.00 0.00
under section 80TTA

Amount Deductible under any other provision (s) of Chapter VI-A

(k) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

Total of amount deductible under any other provision(s) of

(l) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 14488.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(l)]

12. Total taxable income (9-11) 269460.00

13. Tax on total income 973.00

14. Rebate under section 87A, if applicable 973.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 0.00

17. Tax payable (13+15+16-14) 0.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 0.00

Verification
I, AMIT MANHARLAL MEHTA, son/daughter of MANHARLAL J MEHTA .Working in the capacity of MANAGER
PAYROLL AND BENEFITS (Designation) do hereby certify that the information given above is true, complete and correct and is
based on the books of account, documents, TDS statements, and other available records.
Signature Not Verified

Digitally signed by AMIT MANHARLAL MEHTA

Date: 2021.07.06 [Link] IST
Reason:
Location: Thane
Place Thane (Signature of person responsible for deduction of tax)
Full
Date 04-Jul-2021 AMIT MANHARLAL MEHTA
Name:

Page 3 of 4
 Certificate Number: FXGRRQA TAN of Employer: PNEM27192E PAN of Employee: BKKPG4946A Assessment Year: 2021-22

2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Particular's of Amount for any other
Sl. exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Particular's of Amount deductible under
Sl. any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

Signature Not Verified

Digitally signed by AMIT MANHARLAL MEHTA

Date: 2021.07.06 [Link] IST
Reason:
Location: Thane

Thane (Signature of person responsible for deduction of

Place
tax)
Full
Date 04-Jul-2021 AMIT MANHARLAL MEHTA
Name:

Page 4 of 4
 Annexure B
Employee Name PAN No. of the Employee
Anauam Gazikhan - 80014487 BKKPG4946A

2. (f) Break up for 'Amount of any other exemption under section 10' to be filled in the table below
Amount of any other
Sl.
exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1 LEAVE ENCASHMENT 56,106.00 56,106.00 56,106.00
EXEMPTION

10(k). Break up for 'Amount deductible under any other provision(s) of Chapter VIA' to be filled in the table below
Amount deductible under any
Sl. other provision(s) of Chapter
No. VIA Gross Amount Qualifying Amount Deductible Amount
Rs. Rs. Rs. Rs.

Signature Not Verified

Place:
Date:
Thane
05-Jul-2021
.
Digitally signed by AMIT MANHARLAL MEHTA
Date: 2021.07.06 [Link] IST
Reason:
Location: Thane
(Signature of the person responsible for deduction of tax)
Full Name: AMIT MANHARLAL MEHTA
 FORM NO.12BA
{See Rule 26A(2) (b)}
Statement showing particulars of perquisites, other fringe benefits or amenities and profits in lieu of salary with value thereof

1) Name and address of the employer : MAERSK GLOBAL SERVICE CENTRES (INDIA) PRIVATE
LIMITED
Unit No. NB1201,
SB 1202 and SB 1202, 12th Floor, Empire Tower, Village Elthan, Airoli,
Off. Thane Belapur Road,
Navi Mumbai 400 708
2) TAN : PNEM27192E
3) TDS assessment range of the employer : MUMBAI
4) Name, designation and PAN of employee : Mr Anauam Gazikhan - 80014487
Analyst, FNA
BKKPG4946A
5) Is the employee a director or a person with substantial interest in the company : No
(where the employer is a company)
6) Income under the head "SALARIES" of the employee (other than from perquisites) : 391,654.00
7) Financial year : 2020 - 2021
8) Valuation of perquisites

Sl Nature of perquisite Value of Amount, if any Amount of perquisite

No (see rule 3) perquisite as per recovered from chargeable to tax
rules (Rs.) the employee (Rs.) (3) - (4) (Rs.)
(1) (2) (3) (4) (5)
1 Accommodation 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 0.00 0.00 0.00
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 allotted /transferred by employer being an eligible start-up referred to 0.00 0.00 0.00
in section 80-IAC.
17 Stock options (non-qualified options) other than ESOP 0.00 0.00 0.00
18 Contribution by the employer to fund and scheme taxable under section 17(2)(vii). 0.00 0.00 0.00
19 Annual accretion by way of interest, dividend, etc. to the balance at the credit of 0.00 0.00 0.00
fund and scheme referred to in section 17(2)(vii) and taxable under section 17(2)
(viia).
20 Other benefits or amenities 0.00 0.00 0.00
21 Total value of perquisites 0.00 0.00 0.00
22 Total value of profits in lieu of salary as per section 17(3) 0.00 0.00 0.00
9) Details of tax:
(a) Tax deducted from salary of the employee u/s 192(1) : 0.00

(b) Tax paid by employer on behalf of the employee u/s 192(1A) : 0.00
(c) Total tax paid : 0.00
(d) Date of payment into Government treasury :
DECLARATION BY EMPLOYER
I, AMIT MANHARLAL MEHTA , son/daughter of MANHARLAL J MEHTA working as MANAGER PAYROLL AND BENEFITS do hereby declare on behalf of
MAERSK GLOBAL SERVICE CENTRES (INDIA) PRIVATE LIMITED that the information given above is based on the books of account, 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.

Signature Not Verified

.
Digitally signed by AMIT MANHARLAL MEHTA
Date: 2021.07.06 [Link] IST
Reason:
Location: Thane
Signature of the person responsible for deduction of tax

Place: Thane Full Name: AMIT MANHARLAL MEHTA

Date: 05-Jul-2021 Designation: MANAGER PAYROLL AND BENEFITS