form no. 16arsacs.in/pdf/form 16-q1.pdfform no. 16a [see rule 31(1)(b)] certificate under section...

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FORM NO. 16A [See rule 31(1)(b)] Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source Name and address of the deductor PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROL SOCIETY DIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYA BHAWAN TILAK, MARG C SCHEME, JAIPUR - 302005 Rajasthan [email protected] Name and address of the deductee AHAMED HUSSAIN ZAARIF 19 E, NEAR KRISHNA DAIRY, OLD BAPUNAGAR, BHILWARA - 311001 Rajasthan PAN of the deductor AAAAR8583J TAN of the deductor JPRP00711E PAN of the deductee AAAPZ4125F Assessment Year 2019-20 CIT (TDS) The Commissioner of Income Tax (TDS) New Central Revenue Building, Statue Circle, Janpath Jaipur - 302005 Period From 01-Apr-2018 To 30-Jun-2018 Summary of payment Amount paid/ credited Nature of payment** Date of payment/ credit (dd/mm/yyyy) Sl. No. Deductee Reference No. provided by the Deductor (if any) 26632.00 194J 16-04-2018 1 5200000000 17041.00 194J 07-05-2018 2 5200000000 48025.00 194J 30-05-2018 3 5200000000 48025.00 194J 22-06-2018 4 5200000000 Total (Rs.) 139723.00 Summary of tax deducted at source in respect of Deductee Quarter Receipt Numbers of Original Quarterly Statements of TDS Under sub-section (3) of Section 200 Amount of Tax Deducted in respect of Deductee Amount of Tax Deposited / Remitted in respect of Deductee Q1 QTEOMDGE 13973.00 13973.00 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) Sl. No. Tax deposited in respect of deductee (Rs.) Book Identification Number (BIN) Receipt Numbers of Form No. 24G DDO serial number in Form No. 24G Date of Transfer voucher (dd/mm/yyyy) Status of Matching with Form No. 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) Sl. No. Tax deposited in respect of the deductee (Rs.) Challan Identification Number (CIN) BSR Code of the Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number Status of matching with OLTAS* 1 2663.00 6910333 23-04-2018 02082 F 2 1704.00 6910333 09-05-2018 02149 F 3 4803.00 6910333 01-06-2018 02233 F 4 4803.00 6910333 28-06-2018 02488 F GWSZLKA Certificate No. Last updated on 13-Aug-2018 Page 1 of 2

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  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    AHAMED HUSSAIN ZAARIF19 E, NEAR KRISHNA DAIRY,OLD BAPUNAGAR, BHILWARA - 311001 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AAAPZ4125F

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    26632.00 194J 16-04-20181 5200000000

    17041.00 194J 07-05-20182 5200000000

    48025.00 194J 30-05-20183 5200000000

    48025.00 194J 22-06-20184 5200000000

    Total (Rs.) 139723.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 13973.00 13973.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 2663.00 6910333 23-04-2018 02082 F

    2 1704.00 6910333 09-05-2018 02149 F

    3 4803.00 6910333 01-06-2018 02233 F

    4 4803.00 6910333 28-06-2018 02488 F

    GWSZLKACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZLKA TAN of Deductor: JPRP00711E PAN of Deductee: AAAPZ4125F Assessment Year: 2019-20

    Total (Rs.) 13973.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 13973.00 [Rs.

    Thirteen Thousand Nine Hundred and Seventy Three Only (in words)] has been deducted and a sum of Rs. 13973.00 [Rs. Thirteen Thousand Nine Hundred and

    Seventy Three 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    LACHHMAN HARCHANDANI9/47,GANJ - 305001 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AACPH9101P

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    12774.00 194J 07-05-20181 5740000000

    36000.00 194J 30-05-20182 5740000000

    36000.00 194J 22-06-20183 5740000000

    Total (Rs.) 84774.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 8477.00 8477.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 1277.00 6910333 09-05-2018 02149 F

    2 3600.00 6910333 01-06-2018 02233 F

    3 3600.00 6910333 28-06-2018 02488 F

    Total (Rs.) 8477.00

    GWSZLBACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZLBA TAN of Deductor: JPRP00711E PAN of Deductee: AACPH9101P Assessment Year: 2019-20

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 8477.00 [Rs. Eight

    Thousand Four Hundred and Seventy Seven Only (in words)] has been deducted and a sum of Rs. 8477.00 [Rs. Eight Thousand Four Hundred and Seventy Seven

    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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    HUSSAIN BUX USTA1 KA 7, PAWANPURI,BIKANER - 334001 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AACPU5000A

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    12774.00 194J 07-05-20181 6190000000

    36000.00 194J 30-05-20182 6190000000

    36000.00 194J 22-06-20183 6190000000

    Total (Rs.) 84774.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 8477.00 8477.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 1277.00 6910333 09-05-2018 02149 F

    2 3600.00 6910333 01-06-2018 02233 F

    3 3600.00 6910333 28-06-2018 02488 F

    Total (Rs.) 8477.00

    GWSZLLACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZLLA TAN of Deductor: JPRP00711E PAN of Deductee: AACPU5000A Assessment Year: 2019-20

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 8477.00 [Rs. Eight

    Thousand Four Hundred and Seventy Seven Only (in words)] has been deducted and a sum of Rs. 8477.00 [Rs. Eight Thousand Four Hundred and Seventy Seven

    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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    GX SOLUTIONS INDIA PRIVATE LIMITEDC/O RAMPAL, DEVKHERI TANKAWAS, VIA SAWAR,KEKRI, AJMER - 305004 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AAGCG1325F

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    36682.00 194C 13-06-20181 5800000000

    197129.00 194C 13-06-20182 5800000000

    Total (Rs.) 233811.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 4677.00 4677.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 734.00 6910333 19-06-2018 02195 F

    2 3943.00 6910333 19-06-2018 02194 F

    Total (Rs.) 4677.00

    GWSZHFACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZHFA TAN of Deductor: JPRP00711E PAN of Deductee: AAGCG1325F Assessment Year: 2019-20

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 4677.00 [Rs. Four

    Thousand Six Hundred and Seventy Seven Only (in words)] has been deducted and a sum of Rs. 4677.00 [Rs. Four Thousand Six Hundred and Seventy Seven 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    SHAIKH IMRAN MOHD QURESHISUGAR MEEL COLONY,K PATAN, BUNDI - 323601 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AANPQ6268P

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    8826.00 194C 16-04-20181 1800000000

    16215.00 194C 23-04-20182 1800000000

    16215.00 194C 30-05-20183 1800000000

    16215.00 194J 20-06-20184 1800000000

    Total (Rs.) 57471.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 2034.00 2034.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 88.00 6910333 23-04-2018 02086 F

    2 162.00 6910333 24-04-2018 02172 F

    3 162.00 6910333 01-06-2018 02210 F

    4 1622.00 6910333 28-06-2018 02495 F

    GWSTHUACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSTHUA TAN of Deductor: JPRP00711E PAN of Deductee: AANPQ6268P Assessment Year: 2019-20

    Total (Rs.) 2034.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 2034.00 [Rs. Two

    Thousand and Thirty Four Only (in words)] has been deducted and a sum of Rs. 2034.00 [Rs. Two Thousand and Thirty Four 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    JAMSHED QASMIQASMI MANZIL, QAFLA BAZAR, NEAR SABZI MANDI,TONK - 304001 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AANPQ6749B

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    8090.00 194C 03-05-20181 3220000000

    6362.00 194C 07-05-20182 3220000000

    17930.00 194J 30-05-20183 3220000000

    17930.00 194J 20-06-20184 3220000000

    Total (Rs.) 50312.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 3731.00 3731.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 81.00 6910333 08-05-2018 02304 F

    2 64.00 6910333 09-05-2018 02154 F

    3 1793.00 6910333 01-06-2018 02237 F

    4 1793.00 6910333 28-06-2018 02492 F

    GWSXAQACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSXAQA TAN of Deductor: JPRP00711E PAN of Deductee: AANPQ6749B Assessment Year: 2019-20

    Total (Rs.) 3731.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 3731.00 [Rs. Three

    Thousand Seven Hundred and Thirty One Only (in words)] has been deducted and a sum of Rs. 3731.00 [Rs. Three Thousand Seven Hundred and Thirty One 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    SUMITRA BOHRAKABUTROON KA CHOWK,JODHPUR Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AAZPB0263D

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    13200.00 194C 03-05-20181 2360000000

    22481.00 194C 07-05-20182 2360000000

    22481.00 194J 30-05-20183 2360000000

    22481.00 194J 20-06-20184 2360000000

    Total (Rs.) 80643.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 4853.00 4853.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 132.00 6910333 08-05-2018 02304 F

    2 225.00 6910333 09-05-2018 02154 F

    3 2248.00 6910333 01-06-2018 02237 F

    4 2248.00 6910333 28-06-2018 02492 F

    GWSTZKACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSTZKA TAN of Deductor: JPRP00711E PAN of Deductee: AAZPB0263D Assessment Year: 2019-20

    Total (Rs.) 4853.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 4853.00 [Rs. Four

    Thousand Eight Hundred and Fifty Three Only (in words)] has been deducted and a sum of Rs. 4853.00 [Rs. Four Thousand Eight Hundred and Fifty Three 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    SATYA DEO BARETH69/50,MANSAROVER, JAIPUR - 302020 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    AAZPB9588K

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    45000.00 194J 18-05-20181 6990000000

    Total (Rs.) 45000.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 4500.00 4500.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 4500.00 6910333 22-05-2018 02023 F

    Total (Rs.) 4500.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 4500.00 [Rs. Four

    Thousand Five Hundred Only (in words)] has been deducted and a sum of Rs. 4500.00 [Rs. Four Thousand Five Hundred 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.

    Verification

    GWAFPFACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWAFPFA TAN of Deductor: JPRP00711E PAN of Deductee: AAZPB9588K Assessment Year: 2019-20

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    KISHANKUMAR SINGH UDAWAT137, OPP EDUCATION OFFICE, MAIN MANDIA ROAD PALI,PALI MARWAR - 306401 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    ABAPU3656M

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    13974.00 194C 16-04-20181 1380000000

    6287.00 194C 07-05-20182 1380000000

    17717.00 194C 30-05-20183 1380000000

    Total (Rs.) 37978.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 380.00 380.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 140.00 6910333 23-04-2018 02085 F

    2 63.00 6910333 09-05-2018 02150 F

    3 177.00 6910333 01-06-2018 02234 F

    Total (Rs.) 380.00

    GWSZWCACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZWCA TAN of Deductor: JPRP00711E PAN of Deductee: ABAPU3656M Assessment Year: 2019-20

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 380.00 [Rs. Three

    Hundred and Eighty Only (in words)] has been deducted and a sum of Rs. 380.00 [Rs. Three Hundred and Eighty 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    MADAN LAL ARORAVE 370, JN VYAS COLONY,BIKANER - 334004 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    ABCPA6156A

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    28307.00 194J 16-04-20181 5400000000

    21174.00 194J 07-05-20182 5400000000

    59673.00 194J 30-05-20183 5400000000

    59673.00 194J 22-06-20184 5400000000

    Total (Rs.) 168827.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 16882.00 16882.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 2831.00 6910333 23-04-2018 02082 F

    2 2117.00 6910333 09-05-2018 02149 F

    3 5967.00 6910333 01-06-2018 02233 F

    4 5967.00 6910333 28-06-2018 02488 F

    GWSZLPACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZLPA TAN of Deductor: JPRP00711E PAN of Deductee: ABCPA6156A Assessment Year: 2019-20

    Total (Rs.) 16882.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 16882.00 [Rs.

    Sixteen Thousand Eight Hundred and Eighty Two Only (in words)] has been deducted and a sum of Rs. 16882.00 [Rs. Sixteen Thousand Eight Hundred and Eighty

    Two 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.

    Verification

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

    Page 2 of 2

  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    A-1 PINKCITY TOURS AND TRAVELSNG/SS/21 NEHRU PLACE, TONK ROAD,JAIPUR - 302015 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    ABFFA0788D

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    81621.00 194C 31-05-20181 6440000000

    Total (Rs.) 81621.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 1632.00 1632.00

    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)

    Sl. No.Tax deposited in respect of

    deductee (Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form No.24G

    Date of Transfervoucher (dd/mm/yyyy)

    Status of Matchingwith Form No. 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)

    Sl. No.Tax deposited in respect of the

    deductee (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 1632.00 6910333 06-06-2018 02929 F

    Total (Rs.) 1632.00

    I, VIDYADHAR BURDAK, son / daughter of BHAGIRATH SINGH working in the capacity of AAO (designation) do hereby certify that a sum of Rs. 1632.00 [Rs. One

    Thousand Six Hundred and Thirty Two Only (in words)] has been deducted and a sum of Rs. 1632.00 [Rs. One Thousand Six Hundred and Thirty Two 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.

    Verification

    GWSZBXACertificate No. Last updated on 13-Aug-2018

    Page 1 of 2

  • Certificate Number: GWSZBXA TAN of Deductor: JPRP00711E PAN of Deductee: ABFFA0788D Assessment Year: 2019-20

    Place

    Date (Signature of person responsible for deduction of tax)30-Jan-2019

    Jaipur

    AAODesignation: Full Name: VIDYADHAR BURDAK

    Notes:1. Form 16A contains the latest transaction reported by the deductor in the TDS / TCS Statement. For further details please view your 26AS for same AY on the website https://www.tdscpc.gov.in2. To update the PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL3. In items I and II, in column for tax deposited in repect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).

    Legend used in Form 16A

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    ** Nature of Payment

    Section Code Description193 Interest on Securities

    Section Code Description

    196D

    Collection at source from alcoholic liquor for human consumption

    Commission, price, etc. on sale of lottery tickets

    Other sums payable to a non-resident

    194I

    Income by way of interest from specified company payable to a non-resident

    Dividends

    194H

    Payments to non-resident sportsmen or sports associations

    206CK

    Winning from horse race

    194E

    194LC

    Collection at source from tendu Leaves

    Collection at source from contractors or licensee or lease relating to parkinglots

    Interest other than 'Interest on securities'

    194LB

    Payments on account of repurchase of units by Mutual Fund or Unit Trust ofIndia

    196C

    194A

    Payments to contractors and sub-contractors

    195

    194

    206CF

    206CI

    194BB

    Collection at source from timber obtained by any mode other than a forestlease

    Rent

    Collection at source from contractors or licensee or lease relating to toll plaza

    206CA

    Collection at source from timber obtained under forest lease206CB

    194B

    Income in respect of units of non-residents

    194LA

    194K

    Commission or brokerage

    194D

    Collection at source from on sale of certain Minerals

    194C

    194EE

    206CG

    Income payable to a resident assessee in respect of units of a specified mutualfund or of the units of the Unit Trust of India

    206CC

    Income by way of Interest from Infrastructure Debt fund

    Payments in respect of units to an offshore fund

    Insurance commission

    Winning from lottery or crossword puzzle

    206CJ

    Payments in respect of deposits under National Savings Scheme

    Fees for professional or technical services

    206CE

    206CD194G

    196B

    Payment of compensation on acquisition of certain immovable property

    194J Collection at source from contractors or licensee or lease relating to mine orquarry

    194F

    196A

    Collection at source on cash case of Bullion and Jewellery

    206CH

    Income from foreign currency bonds or shares of Indian company payable tonon-residents

    Collection at source from any scrap

    Income of foreign institutional investors from securities

    Collection at source from any other forest produce (not being tendu leaves)

    Payment of Rent for the use of any machinery or plant or equipment194I(a)

    Payment of Rent for the use of land or building or land appurtenant orfurniture or fittings

    194I(b)

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  • FORM NO. 16A[See rule 31(1)(b)]

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

    Name and address of the deductor

    PROJECT DIRECTOR RAJASTHAN STATE AIDS CONTROLSOCIETYDIRECTORATE OF MEDICAL, & HEALTH SERVICES, SWASTHYABHAWAN TILAK,MARG C SCHEME, JAIPUR - 302005Rajasthan

    [email protected]

    Name and address of the deductee

    RAVI GREGARY WILLIAMDOMES COMPOUND JAIPUR ROA, JAIPUR ROAD AJMER,AJMER - 305001 Rajasthan

    PAN of the deductor

    AAAAR8583J

    TAN of the deductor

    JPRP00711E

    PAN of the deductee

    ABNPW6991L

    Assessment Year

    2019-20

    CIT (TDS)

    The Commissioner of Income Tax (TDS)New Central Revenue Building, Statue Circle, Janpath Jaipur -

    302005

    Period

    From

    01-Apr-2018

    To

    30-Jun-2018

    Summary of payment

    Amount paid/ credited Nature of payment**Date of payment/ credit

    (dd/mm/yyyy)Sl. No.

    Deductee Reference No.provided by the Deductor (if

    any)

    10774.00 194C 16-04-20181 3900000000

    6233.00 194C 23-04-20182 3900000000

    17567.00 194C 30-05-20183 3900000000

    Total (Rs.) 34574.00

    Summary of tax deducted at source in respect of Deductee

    Quarter

    Receipt Numbers of OriginalQuarterly Statements of TDS

    Under sub-section (3) of Section200

    Amount of Tax Deducted in respect ofDeductee

    Amount of Tax Deposited / Remitted inrespect of Deductee

    Q1 QTEOMDGE 346.00 346.00

    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 dedu