ઇન્કમટેક્ષ ગણતરી માટેનો...

VANDE MATRAM

I WELCOME YOU IN THIS I.T. PROGRAMME

General Information for Calculation & Submission of I.T. formsData to be filled in cell with YELLOW colour only in "INFO1", sheet.cc .gOMcc XL8GF 5L/F ;[,DF\ H~ZL 0[8FGL V[g8=L SZMP In one worksheet you can enter 250 entries with regular pay.But if any change inbetween than make individual worksheet in that case.

V[S H JS"XL8DF\ V[SL ;FY[ Z5_ jIlSTGF 0[8F T{IFZ Y. XS[ K[P5Z\T] HM SM.G[ 5|DMXG S[ prRTZ 5UFZ S[ VgI SM. ,FE D/TF JrR[YL SM. O[ZOFZ SZJFGM YTM CMI TM T[G[ DF8[ V,UYL JS"XL8 EZJLP

From Cell No. F1 to IU1, CODE No. 1 to 250 is given. In each column, fill data of each person and than in cell No. D1 give CODE and print all necessary forms of that person.

;[, G\AZ F1 to IU1, ! YL Z5_ G\AZ GF SM0 VF5[,F K[P VF NZ[S SM0GL GLR[ pEL SM,DDF\ 0[8F V[g8=L SZLG[ ;[, G\AZ D1 DF\ H[ T[GM SM0 VF5JFYL H[GM SM0 VF5[, CX[ T[GF NZ[S OMD"G]\ 5|Lg8L\U SZL XSFX[P

For printing of INCO, INCOTAX-P,FORM-16 and SAHAJ etc , select papersize as per your requirement and than adjust it.

INCO, INCOTAX-P,FORM-16 and SAHAJ JU[Z[GF 5|Lg8L\U DF8[ TDFZL H~lZIFT D]HA ;[8L\U SZMP

INFORMATION

of 40

GENERAL INFORMATION 11 Surname V8S VALIYA2 First Name 5MTFG]\ GFD ROHITKUMAR3 Father's Name l5TFG]\ GFD KARSANDAS4 Grand Father's Name NFNFG]\ GFD RAMJIBHAI

5 Designation CMNMP SUPERVISOR INSTRUCTOR

6 Flat/Door/Block No 2-MARUTINAGAR

8 Road/Street/Post Office AIRPORT ROAD

9 Area/Locality RAJKOT

10 Town/City/District XC[Z q Ò<,FG]\ GFD RAJKOT

11 State ZFHIG]\ GFD GUJARAT

12 Pin code 5LGSM0 36000113 E Mail Address . D[, V[0=[;

13 Residential Telephone No.

13 Mobile No. DMAF., G\AZ 9426438678

13 G

14 Sex Male

15 Birth date HgD TFZLBP 22-01-1957

16

17 Name of the Bank State Bank of India

18 MICR Code of the Bank 360002005

19 Address of the Bank JAGNATH PLOT

20 Type of Account A[\SDF\ BFTFGM 5|SFZP SAVING

21 Account Number A[\SGF BFTFGF G\AZP 3073185439122 Details of Credit Card : S|[0L8 SF0"GL lJUTP 23 Credit Card Number : S|[0L8 SF0"GF G\AZP

24 Issued by :

25 5FG G\AZP AAWPV4274D

26 Head of Office ( first ) PRINCIPAL

27 Name of Office ( first )

28 Address of Office ( first ) BHAVNAGAR ROAD,RAJKOT

29 City of Office ( first ) RAJKOT

30 Pin code 5LGSM0 360003

31 PAN NO.of Officer ( first )

32 TAN NO.:- (of Office) ( first )

33 Head of Office ( second )

34 Name of Office ( second )

35 Address of Office ( first )

36 City of Office ( second )

37 Pin code 5LGSM0

38 PAN NO.of Officer ( second )

39

40 Name of Drawing Officer RAVAL P L

41 RAVAL P L

42 Designation of Drawing Officer PRINCIPAL

43 4/30/2012

36 No

37 0.00

38 No

INFORMATION ABOUT INCOME ( FROM PAY)

39 Band Pay of March-2012 15570

40 Grade Pay of March-2012 2800

41

March/2012 58

April/2012 65

May/2012 65

June/2012 65

July/2012 65

August/2012 65

September/2012 65

October/2012 72

November/2012 72

December/2012 72

January/2013 72

February/2013 72

42 Rate of Special Pay 0

43 20

44 Medical Allowance D[0LS, EyYFGM NZP 100

44 Medical Allowance (Oct-12 ) 300

45 Washing Allowance 0

46 Vehicle Allowance (T.A.) 400

46 800

47 City Allowance 240

48 0

1 ST D.A. CALCULATION

49A 3858

49B 0

49C 3858

49D 0

2 ND D.A. CALCULATION

50A 3975

50B 0

50C 3975

49D 0

Other Arears if any give detail below

51A 24587

51B 0

51C 0

51D 0

51E 24587

49D 0

52 Bonus 0

53 0

54 0

55 Leave Surrendar 0

56 L.T.C.( if actually enjoyed) 0

INFORMATION ABOUT INCOME ( FROM OTHER SOURCES)

57 Bank Intrest 3769

58 N.S.C. Interest ( Series-8) 0

59 N.S.S.( Scheme-1987) 0

60 0

61 Income from Minor Children ;ULZ AF/SGL VFJSP 0

62 Jivansuraksha Pension Fund 0

O,[8 q a,MS G\AZ q DSFGZM0 q X[ZL q 5M:8G]\ GFDV[ZLIF q ,MSF,L8LG]\ GFD

ZC[9F6GM 8[,LOMG G\AZ s V[;P0LP8LP SM0 ;FY[ f

Employer Category (Write "G"" for Govt. Employee, "P" for semi government employee and "O" for Other employee, whichever applicable )

GMSZLIFTGL S[8[UZL4 ;ZSFZL4 HFC[Z ;FC; S[ VgI H[ ,FU] 50T]\ CMI T[ 5;\N SZMP

D[, S[ OLD[, DF\YL ,FU] 50T]\ ,BMP

Telephone No. with STD No. / Mobile No.

V[;P8LP0LP G\AZ ;FY[ OMG G\AZ VYJF DMAF., G\AZPH[ A[\SDF\ BFT] CMI T[ A[\SG]\ GFDPH[ A[\SDF\ BFT] CMI T[ A[\SGF V[DVF.;LVFZ SM0H[ A[\SDF\ BFT] CMI T[ A[\SG]\ ;ZGFD]\\P

S|[0L8 SF0" .:I] SZGFZGL lJUT

Parmanant Account No. (PAN No.)

SR[ZL q BFTFGF J0FGM CMNMP s 5C[,L SR[ZL f

SR[ZL q BFTFG]\ GFDP s 5C[,L SR[ZL f

INDUSTRIAL TRAINING INSTITUTE

SR[ZL q BFTFG]\ ;ZGFD]P s 5C[,L SR[ZL fSR[ZL q BFT]\ HIF VFJ[, K[ T[ UFD S[ ;L8LP s 5C[,L SR[ZL f

SR[ZLGF VlWSFZL GF 5FG G\AZ s 5C[,L SR[ZL f

SR[ZLGF 5FG q 8L0LV[; G\AZ VYJF SR[ZLGF 8FG G\AZ P s 5C[,L SR[ZL f

SR[ZL q BFTFGF J0FGM CMNMP s ALÒ SR[ZL f

SR[ZL q BFTFG]\ GFDP s ALÒ SR[ZL fSR[ZL q BFTFG]\ ;ZGFD]P s ALÒ SR[ZL fSR[ZL q BFT]\ HIF VFJ[, K[ T[ UFD S[ ;L8LP s ALÒ SR[ZL f

SR[ZLGF VlWSFZL GF 5FG G\AZ s ALÒ SR[ZL f

TAN NO.:- (of Office) ( second )

SR[ZLGF 5FG q 8L0LV[; G\AZ VYJF SR[ZLGF 8FG G\AZ P s ALÒ SR[ZL f

SR[ZLGF p5F0 VlWSFZLG]\ GFD

Name of Drawing Officer's father

SR[ZLGF p5F0 VlWSFZLGF l5TFG]\ GFD

SR[ZLGF p5F0 VlWSFZLGM CMNM

Date Of Issuing of Form No. 16OMD" G\AZ .:I] SIF"GL TFZLB

Are you P.H.? Than write here YES

VF5 XFZLZLS ZLT[ BM0 BF\56 WZFJTL jIlST s5LPV[RPf KM m TM VlC V\U|[ÒDF\ cI;c ,BMP

Special Deduction for P.H. ( upto Rs. 50000/-)

XFZLZLS ZLT[ BM0 BF\56 WZFJTL jIlSTG[ D/T]\ :5[P0L0SXG s~FP 5____qv GL DIF"NFDF\fP

If you are Senior Citizen than,write "YES" here,(If you are 65 year old on 31-3-2011)

HM TD[ ;LGLIZ ;L8LhG CM TM VCL V\U|[ÒDF\ I; ,BMPsTFP#!v_#vZ_!! ;]WLDF\ &5 JQF"GL p\DZf

DFR"vZ_!Z GM A[g0 5[ VCL ,BMPDFR"vZ_!Z GM U|[0 5[ VCL ,BMP

Rate of D.A. ( % , Percentage) Monthwise

VCL AFH]GF SMQ8SD\F\ 0LPV[PGF 8SF s@f 5|lT

DF;GF ,BM\P

:5[XLI, 5UFZ D/TM CMI TM T[GM NZP

H.R.A. %, 30 OR 20 OR 10 OR 0 (If living in Qtr.)

3ZEF0FGM NZ H[D S[ #_4 Z_4 !_ VYJF _ sX}gIfsNZ[S V\U|[ÒDF\f

D[0LS, EyYFGM NZP sVMS8MAZvZ_!Z YL fWM,F. E\yY] D/T]\ CMI TM T[GM NZPJFCG EyYFGM NZP s 8LPV[Pf

Vehicle Allowance (T.A.) (Oct-12)

JFCG EyYFGM NZP s 8LPV[Pf sVMS8MAZvZ_!Z YL f;L8L V[,Fpg; D/T]\ CMI TM T[GM NZP

Any Other OR Special allowance if any

TDG[ NZ DF;[ D/TF :5[xI, S[ VgI EyYFGL ZSD VlC ,BMP

Amount of D.A. Arrears (Total from First 6 Month )

5|YD K DF; NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDP

Amount deducted of "Proffetional Tax" from First D.A. Arrears

5|YD K DF; NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDDF\YL jIJ;FIJ[ZFGL YI[, S5FTP

Amount Paid in Cash from First D.A. Arrears

5|YD K DF; NZdIFG JQF" NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDDF\YL S[XDF\ R]SJFI[, ZSDP

Amount credited to "GPF" from First D.A. Arrears

5|YD K DF; NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDDF\YL ÒP5LPV[OPDF\ HDF SZJF5F+ ZSDP

Amount of D.A. Arrears (Total from Second 6 Month )

ALHF K DF; NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDP

Amount deducted of "Proffetional Tax" from Second D.A. Arrears

ALHF K DF; NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDDF\YL jIJ;FIJ[ZFGL YI[, S5FTP

Amount Paid in Cash from Second D.A. Arrears

ALHF K DF; NZdIFG JQF" NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDDF\YL S[XDF\ R]SJFI[, ZSDP

Amount credited to "GPF" from Second D.A. Arrears

ALHF K DF; NZdIFG D/[, DM\3JFZL E\yYFGF TOFJTGL ZSDDF\YL ÒP5LPV[OPDF\ HDF SZJF5F+ ZSDP

Other Arrears (Total of all other Arrears)

JQF" NZdIFG D//, VgI V[ZLI;" q TOFJTGM ;ZJF/M VCL ,BM\P

Amount deducted of "Proffetional Tax" from Other Arrears (Total of all other Arrears)

JQF" NZdIFG D/[, VgI V[ZLI;" q TOFJTGL ZSDDF\YL jIJ;FIJ[ZFGL YI[, S5FTP

Amount deducted of "Group Insurance" from Other Arrears (Total of all other Arrears)

JQF" NZdIFG D/[, VgI V[ZLI;" q TOFJTGL ZSDDF\YL ;ZSFZL lJDFGL GL YI[, S5FTP

Amount deducted of "Income Tax" from Other Arrears (Total of all other Arrears)

JQF" NZdIFG D/[, VgI V[ZLI;" q TOFJTGL ZSDDF\YL VFJSJ[ZFGL YI[, S5FTP

Amount Paid in Cash from Other Arrears (Total of all other Arrears)

JQF" NZdIFG D/[, VgI V[ZLI;" q TOFJTGL ZSDDF\YL S[XDF\ R]SJFI[, ZSDP

Amount credited to "GPF" from ALL . Arrears

JQF" NZdIFG D/[, VgI V[ZLI;" q TOFJTGL ZSDDF\YL S5FT AFN ÒP5LPV[OPDF\ HDF SZFJJF5F+ ZSDP

AMG; D/T]\ CMI TM T[GL ZSDP

Amount of Bonus Credited to G.P.F. (If any)

D/[, AMG; 5{SLGL ÒP5LPV[OPDF\ HDF SZJF5F+ ZSDP

Remunration(Total of all Remunrations)

5ZL1FF S[ VgI SM. JWFZFGL SFDULZL ;AA DC[GTF6]\ D/[, CMI TM T[GM S], ;ZJF/MP

ZHF ZMS0 EyY]\ ,LW[, CMI TM T[GL ZSDP

ZHF 5|JF; ZFCTGL H[ ZSD D/[, CMI T[s HM BZ[BZ 5|JF; SZ[, CMI VG[ D/[, CMI TM HfP

A[\SG]\ jIFH D/[, CMI TM T[GL ZSDP

VUFpGF JQFM"DF\ ZFQ8=LI ART 5+MDF\ ZMSF6 SZ[, CMI TM T[GF D/JF5F+ jIFHGL U6TZL SZL T[GL S], ZSDP

V[GPV[;PV[;Ps:SLDv!)(*fGL D/[, ZSDP

N.S.S. Interest ( Scheme-1992)

V[GPV[;PV[;Ps:SLDv!))ZfG]\ D/[, jIFH

ÒJGWFZF 5[gXG O\0DF\YL 5M,L;L ;Zg0ZGL D/[, ZSDP

B29

VNN.R9: IF tranfer from one place to another during one financial year, fill both first and second informatin regarding head of office, otherwise fill in first only. V[S GF6FSLI JQF" NZdIFG V[S :Y/[YL ALHF :Y/[ AN,LGF lS:;FDF\ SR[ZL q BFTFGF J0FGL lJUT A\G[DF\ EZM4 HM AN,L G Y. CMI TM OST V[SDF\ EZMP

INFORMATION

of 40

63 0

64 L.I.C. Jivandhara 0

65 L.I.C. Jivanakshay 0

66 E.L.S.S. 0

67 Tution Income 0

68 Any other Income 0

INFORMATION ABOUT INVESTMENT

G.P.F. deducted per monthMar-12 5000

Apr-12 5000

May-12 5000

Jun-12 5000

Jul-12 5000

Aug-12 5000

Sep-12 5000

Oct-12 5000

Nov-12 5000

Dec-12 5000

Jan-13 15000

Feb-13 15000

Incom-tax deducted per monthMar-12 1200

Apr-12 1200

May-12 1200

Jun-12 1200

Jul-12 1200

Aug-12 1200

Sep-12 1200

Oct-12 1200

Nov-12 1200

Dec-12 1200

Jan-13 2500

Feb-13 2013

Summary of tax deducted at sourceQuarter 1

Quarter 2

Quarter 3

Quarter 4

69 0

70 0

71 0

72 0

73 A Medi Claim Primium 0

73 B No

73 C 0

74 0

75 0

76 0

77 0

78 0

79 P.P.F. 0

80 L.I.C. Primium 6774

81 P.L.I. Primium 0

82 Group Insurance 100

83 Investment done in U.L.I.P. 0

84 0

85 N.S.C. ( Series-8) 0

86 0

87 H.B.A.Principal 0

88 N.S.S. (Scheme-1992) 0

89 L.I.C. JIivandhara Premium 0

90 L.I.C. Jivanakshay Premium 0

92 0

93 0

94 0

95 18000

96 Other investment if any 0

0

97 Relief Under section 89 0

SOME OTHER DETAILS AND CALCULATIONS

Details for ANNEXURE - A of form no. 16

AN

NE

XU

RE

- A

Mar-12

Apr-12

May-12

Jun-12

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

AN

NE

XU

RE

- A

Mar-12

Apr-12

May-12

Jun-12

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

AN

NE

XU

RE

- A

Mar-12

Apr-12

May-12

Jun-12

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

Details for ANNEXURE - B of form no. 16

Challan Identification Number (CIN)

AN

NE

XU

RE

- B 0

0

0

0

0

AN

NE

XU

RE

- B

AN

NE

XU

RE

- B

Contribution of Central Government to New Employee join in new Pension Scheme of Central Government after 01-01-2004 and join in .

_!v_!vZ__$ 5KL S[gã ;ZSFZGF SD"RFZL TZLS[ HM0FI[, CMI VG[ GJL 5[gXG IMHGFDF\ H[ S5FT YTL CMI T[DF\ S[gã ;ZSFZ ãFZF pD[ZJFDF\ VFJ[, OF/FGL ZSDP

V[,PVF.P;LP ÒJGWFZFGL D/[, ZSDPV[,PVF.P;LP ÒJGV1FIGL D/[, ZSDP.PV[,PV[;PV[;PGL D/[, ZSDP8I]XGGL VFJSGL D/[, ZSDPVgI SM. ;ZSFZL VFJSGL D/[, ZSDP

In the table given beside , enter the amount of G.P.F.

deducted per month.

AFH]DF\ VF5[,F SMQ8SDF\ 5|lT DF;GL ÒP5LPV[OPGL

S5FTGL ZSD NXF"JMP

In the table given beside , enter the amount of Incometax

deducted per month.

AFH]DF\ VF5[,F SMQ8SDF\ 5|lT DF;GL VFJS J[ZFGL

S5FT ZSD NXF"JMP

Acknowledgement no. of all Quarterly statement of TDS

under sub-section (3) of section 200

VCL NZ +6 DF;[ ;[SXG s#fGF ;[SXG Z__ V\TU"T

VMOL; ãFZF EZJFDF\ VFJ[,

8LP0LPV[;PGF :8[8D[g8GF 5CM\R G\AZ

House Rent Actually paid (Yearly)

EF0FGF DSFGDF\ ZC[TF CMI TM R}SJ[, S], JFlQF"S EF0FGL ZSDP

H.B.A. Interest as per Rule 24(2),100% Upto Rs.30,000/-, (Loan Senction before 1-4-99) and after 1-4-99,100 % Upto Rs. 1,50,000/- (Enter as per condition )

DSFG 5[XULGL ,MGG]\ JQF" NZdIFG EZ[, jIFHGL ZSD sTFP_!q_$q!))) 5C[,FGL CMI TM ~FP #____qv VG[ TFP_!q_$q!))) 5KLGL CMI TM ~FP !5____qv ;]WL !__ @ f

Investment in Jivansuraksha Pension Fund

ÒJGWFZF 5[gXG O\0DF\ SZ[, ZMSF6P

Investment any Pension Scheme of Central Government ( Concerned with new employee employed after 01-01-2004)

S[gã ;ZSFZGL SM.56 5[gXG :SLDDF\ SZ[, ZMSF6P s _!v_!vZ__$ 5KL ;ZSFZL GMSZLDF\ GJL :SLD C[9/ NFB, YI[, SD"RFZLVM DF8[ GL f

JQF" NZdIFG D[0L S,[DDF\ SZ[, S], ZMSF6P

If parents are Senior Citizen than,write "YES" here,

HM TDFZF DFTFl5TF ;LGLIZ ;L8LhG CMI TM VCL V\U|[ÒDF\ I; ,BMP

Medi Claim Primium for parents

JQF" NZdIFG D[0L S,[D DFTF l5TF DF8[ SZ[, S], ZMSF6P

Medical Expenses done for P.H. Dipendable Person

JQF" NZdIFG lJS,F\U VFlzT DF8[ SZ[, TALAL BR"GL ZSDP

Medical Expenses done for Dangerous Deases like Cancer (pto limit Rs. 40000/- )

JQF" NZdIFG S[g;Z H[JF U\ELZ ZMUM DF8[ SZ[, TALAL BR" s~FP $____qvGL DIF"NFDF\fP

Intrest of loan taken for Higher Education

GF6FSLI ;\\:YF S[ DFgI WDF"NF ;BFJTL ;\:YF 5F;[YL prRTZ S[/J6LGF C[T];Z ,LW[, ,MGGF jIFHGL SZ[, R]SJ6LGL ZSD

Deduction under Section 80-G for C.M. Fund,P.M.Fund

JQF" NZdIFG ;[SXG (_vÒ C[9/ ;LPV[DP S[ 5LPV[DP O\0DF\ VF5[, NFGGM S], ;ZJF/FGL ZSDP

Deduction under Section 80-G otherthan C.M. Fund,P.M.Fund (other donation)

JQF" NZdIFG ;[SXG (_vÒ C[9/ ;LPV[DP S[ 5LPV[DP O\0DF\ VF5[, NFG l;JFIGL VgI ;\:YFG[ VF5[, NFGGL S], ZSDPJQF" NZdIFG 5LP5LPV[OPDF\ SZ[, S], ZMSF6P

JQF" NZdIFG ÒJG JLDFs V[,PVF.P;LPfDF\ SZ[, S], ZMSF6GL ZSDP

JQF" NZdIFG5M:8, ÒJG JLDF DF\ SZ[, S], ZMSF6GL ZSDP

5UFZDF\YL S5FT YTF U|]5 .g:I]Zg;GF 5|lTDF;GF NZGL ZSDP

JQF" NZdIFG I]PV[,PVF.P5LPDF\ SZ[, S], ZMSF6GL ZSDP

Post office CTD ( 10 OR 15 Year )

JQF" NZdIFG 5MQ8 VMOL;GL ;LP8LP0LPDF\ SZ[, S], ZMSF6GL ZSDP

JQF" NZdIFG ZFQ8=LI ART 5+M sV[GPV[;P;LPf DF\ SZ[, S], ZMSF6GL ZSDP

N.S.C. Interest as reinvestment( Series-8)

VUFpGF JQFM"DF\ ZFQ8=LI ART 5+MDF\ ZMSF6 SZ[, CMI TM T[GF D/JF5F+ jIFH 5{SLGL 5]Go ZMSF6DF\ U6TZL SZJF5F+ ZSDP

DSFG 5[XUL ,LW[, CMI TM T[GL JQF" NZdIFG EZ[, D}/ sS],f ZSDP

JQF" NZdIFG V[GPV[;PV[;P GL !))ZGL :SLDDF\ SZ[, S], ZMSF6GL ZSDP

JQF" NZdIFG V[,PVF.P;LPGL ÒJGWFZF :SLDDF\ SZ[, S], ZMSF6GL ZSDP

JQF" NZdIFG V[,PVF.P;LPGL ÒJGV1FI :SLDDF\ SZ[, S], ZMSF6GL ZSDP

Investment in units of E.L.S.S.(Limit upto Rs. 10000/-)

JQF" NZdIFG .PV[,PV[;PV[;PGF I]GL8DF\ SZ[, S], ZMSF6GL ZSDP

Investment in Share or Debenture of Infrastructure, Power or Teli Communication Company

.gO|F:8=SRZ4 5FJZ S[ 8[,L SMdI]GLS[XGGF X[Z S[ 0LA[gRZDF\ SZ[, S], ZMSF6GL ZSDP

Investment in Home Loan Ssheme

JQF" NZdIFG CMD ,MG :SLDDF\ SZ[, S], ZMSF6GL ZSDP

Children's tution fee for one child or two Children

JQF" NZdIFG V[S S[ A[ AF/S DF8[ EZ[, lX1F6 OLGL ZSDP

JQF" NZdIFG VgI SM. ZMSF6 SZ[, CMI TM T[GL S], ZMSF6GL ZSDP

Rajiv Gandhi Saving Investment in Infrastructure bond notified by central government

S[gã ;ZSFZ ãFZF GM8LOF. SZJFDF\ VFJ[, ZFÒJ UF\WL ;[JL\U .Gj[:8d[G8 GF .g[O|F:8=SRZ AMg0DF\ ZMSF6P;[SXG () C[9/ D/JF5F+ K]8KF8GL lJUT

Write Detail information about RECEIPT Number of from no. 24 G. in the table beside monthwise { for form No. 16 ( Details of Tax

Deducted and Deposited into Central Government Account . )}

AFH]GF SMQ8SDF\ NZ[S DF;JF.h OMD" G\AZ Z$ Ò GF 5CM\R G\AZ ,BJF s OMD" G\AZ !& DF8[ VF

lJUT EZJL H~ZL K[Pf

Write Detail information about DDO Sequence Number in the Book

Adjustment Mini Statement in the table beside monthwise { for form No. 16 ( Details of Tax Deducted

and Deposited into Central Government Account . )}

AFH]GF SMQ8SDF\ NZ[S DF;JF.h DLGL :8[8D[g8DF\

VF5[, A]SGF 0LP0LPVMP ;LSJg; G\AZ ,BJF s OMD" G\AZ !& DF8[ VF lJUT EZJL H~ZL

K[Pf

Write Detail information about Date on which tax Deposited in the

table beside monthwise { for form No. 16 ( Details of Tax Deducted


AFH]GF SMQ8SDF\ NZ[S DF;JF.h VFJSJ[ZM

S[gã ;ZSFZDF\ EIF"GL TFZLB ,BJL s OMD" G\AZ !& DF8[ VF lJUT EZJL

H~ZL K[Pf

Write Detail information about Tax Deposited in respect on of the employee (Rs.) in the table beside monthwise { for form No. 16

( Details of Tax Deducted and Deposited into Central Government Account . )}

AFH]GF SMQ8SDF\ NZ[S A[\SDF\ VFJSJ[ZM EIF" CMI T[ ZSD ,BJL s OMD" G\AZ !& DF8[ VF lJUT

EZJL H~ZL K[PfWrite Detail information about BSR Code of the Bank Branch in

the table beside monthwise { for form No. 16 ( Details of Tax Deducted and Deposited into Central Government Account . )}AFH]GF SMQ8SDF\ H[ A[\SDF\ VFJSJ[ZM EIF" CMI

T[ A[\SGL XFBFGF ALPV[;PVFZP SM0 ,BJF s OMD" G\AZ !& DF8[ VF lJUT EZJL H~ZL

K[PfWrite Detail information about Date on which tax Deposited in the table beside monthwise { for form No. 16 ( Details of Tax Deducted


INFORMATION

of 40

AN

NE

XU

RE

- B

AN

NE

XU

RE

- B

Details of income from House Property

100 Address of property 1

101 Town / City 1

102 State 1

103 PIN code 1 5LGSM0

104 No

105 Name of Tenant 1

106 PAN of Tenant (optional ) 1

107 0

108

109 Tax paid to local authorities. 1

3 IT OFFICE WARD - 3

110 OFFICE OF INCOMETAX

111 RACE COURCE ROAD

112 MUMBAI

113 400012

AFH]GF SMQ8SDF\ NZ[S DF;JF.h A[\SDF\ H[ TFZLB[ VFJSJ[ZM EIM" CMI T[ TFZLB ,BJL s

OMD" G\AZ !& DF8[ VF lJUT EZJL H~ZL K[Pf

Write Detail information about Challan Serial Number in the table beside monthwise { for form No. 16 ( Details of Tax Deducted and

Deposited into Central Government Account . )}

AFH]GF SMQ8SDF\ NZ[S DF;JF.h A[\SDF\ VFJSJ[ZM

EIM" CMI T[ R,6GF ;LZLI, G\AZ ,BJF s OMD" G\AZ !& DF8[ VF lJUT EZJL H~ZL K[Pf

DSFG q 5|M58L" G]\ ;ZGFD]\DSFG q 5|M58L" G]\ UFDDSFG q 5|M58L" H[ ZFHIDF\ CMI T[ ZFHIG]\ GFD

If let out ? Than write here YES 1

HM DSFG q 5|M58L" EF0[ VF5[, CMI TM VCL V\U|[ÒDF\ cI;c ,BMP

HM DSFG q 5|M58L" EF0[ VF5[, CMI TM VCL EF0[ ZFBGFZG]\ GFD ,BMP

HM DSFG q 5|M58L" EF0[ VF5[, CMI TM VCL EF0[ ZFBGFZGF 5FG G\AZ ,BMP

Annual letable value / rent received or receivable ( Higher if let out for whole of the year, lower if let out for part of the year. ) 1

HM DSFG q 5|M58L" EF0[ VF5[, CMI TM VCL JFlQF"S EF0FGL VFJS ,BMP

The amount of rent which cannot be realized 1

Write Ward No.of Incomtax Office here where you submitt Income Tax Return .

VlC H[ .gSD 8[1F VMOL;DF\ ZM8G" EZJFG]\ YT] CMI T[GF JM0" G\AZ ,BJF

Name of Incomtax Office here where you submitt Income Tax Return .

VlC H[ .gSD 8[1F VMOL;DF\ ZM8G" EZJFG]\ YT] CMI T[G]\ GFD ,BJ]\P

Write Address of Incomtax Office where you submitt Income Tax Return .

VlC H[ .gSD 8[1F VMOL;DF\ ZM8G" EZJFG]\ YT] CMI T[G]\ ;ZGFD]\ ,BJ]\P

Write Name of City of Incomtax Office where you submitt Income Tax Return .

VlC H[ .gSD 8[1F VMOL;DF\ ZM8G" EZJFG]\ YT] CMI T[ UFD q XC[ZG]\ GFD ,BJ]\P

Write Pin Code of City of Incomtax Office where you submitt Income Tax Return .

VlC H[ .gSD 8[1F VMOL;DF\ ZM8G" EZJFG]\ YT] CMI T[ UFD q XC[ZGF 5LG SM0 G\AZ ,BJFP

VALIYA ROHITKUMAR KARSANDASINDUSTRIAL TRAINING INSTITUTE

RAJKOT

D. A. Calculation First

Rate of D.A. 1/1/2012 to 31/06/2012

Period Band Pay N.P.P.A. Total of 2 & 3

1 2 3 4 5

Jan-12 Yes 15570 2800 0 18370

Feb-12 Yes 15570 2800 0 18370

Mar-12 Yes 15570 2800 0 18370

Apr-12 No 15570 2800 0 18370

May-12 No 15570 2800 0 18370

Jun-12 No 15570 2800 0 18370

93420 16800 0 110220

In D.A. Arrears Calculation, first select "Yes" or "No" for concerned month.Also select "GPF" or "Cash" whichever applicable.

DM\3JFZL EyYFGL TOFJTGL ZSDGL U6TZL DF8[ H[ T[ DlCGFDF\ U6TZL SZJFGL CMI T[DF\ V\U|[ÒDF\ cc I; cc S[ cc GM c tYF TOFJTGL

ZSD H[ T[ DlCGFDF\ ccÒ5LV[Occ DF\ S[ ccZMS0cc DF\ U6TZL SZJFGL CMI T[ 5|DF6[ 5;\NUL SZMP

To be Calculate ?

"YES" or "NO"

Grade Pay

D. A. Calculation Second

Rate of D.A. 7/1/2012 to 12/31/2012

Period Band Pay N.P.P.A. Total of 2 & 3

1 2 3 4 5

Jul-12 Yes 16130 2800 0 18930

Aug-12 Yes 16130 2800 0 18930

Sep-12 Yes 16130 2800 0 18930

Oct-12 No 16130 2800 0 18930

Nov-12 No 16130 2800 0 18930

Dec-12 No 16130 2800 0 18930

96780 16800 0 113580

YesNo

To be Calculate ?

"YES" or "NO"

Grade Pay

VALIYA ROHITKUMAR KARSANDASINDUSTRIAL TRAINING INSTITUTE

RAJKOT

D. A. Calculation First

New 65 Old 58

D.A To be pay D.A paid

6 7 8 9 10

11941 10655 1286 Cash 0 1286

11941 10655 1286 Cash 0 1286

11941 10655 1286 Cash 0 1286

0 0 0 Cash 0 0

0 0 0 GPF 0 0

0 0 0 GPF 0 0

35823 31965 3858 0 3858

In D.A. Arrears Calculation, first select "Yes" or "No" for concerned month.Also select "GPF" or "Cash" whichever applicable.

DM\3JFZL EyYFGL TOFJTGL ZSDGL U6TZL DF8[ H[ T[ DlCGFDF\ U6TZL SZJFGL CMI T[DF\ V\U|[ÒDF\ cc I; cc S[ cc GM c tYF TOFJTGL

ZSD H[ T[ DlCGFDF\ ccÒ5LV[Occ DF\ S[ ccZMS0cc DF\ U6TZL SZJFGL CMI T[ 5|DF6[ 5;\NUL SZMP

Diff to be pay

"GPF" or "Cash"

Amount in

G.P.F.

Amount in Cash

D. A. Calculation Second

New 72 Old 65

D.A To be pay D.A paid

6 7 8 9 10

13630 12305 1325 Cash 0 1325

13630 12305 1325 Cash 0 1325

13630 12305 1325 Cash 0 1325

0 0 0 Cash 0 0

0 0 0 Cash 0 0

0 0 0 Cash 0 0

40890 36915 3975 0 3975

GPF Cash

Diff to be pay

"GPF" or "Cash"

Amount in

G.P.F.

Amount in Cash

INDUSTRIAL TRAINING INSTITUTE, RAJKOT

INCOME YEAR :- 2012-2013 ASSESSMENT YEAR:- 2013-2014

NAME:- VALIYA ROHITKUMAR KARSANDAS DESIGNATION :- SUPERVISOR INSTRUCTOR

Sr.No. Description Basic Pay Grade Pay N.P.P.A. Total Sp. Pay D.A. H.R.A. M.A. W.A. T.A. C.L.A Total P.T. G.I. G.P.F. I.T.DED

1 Mar-2012 Pay 15570.00 2800.00 0.00 18370.00 0.00 10655.00 3674.00 100.00 0.00 400.00 240.00 0.00 33439.00 200.00 100.00 5000.00 1200.00

2 Apr-2012 Pay 15570.00 2800.00 0.00 18370.00 0.00 11941.00 3674.00 100.00 0.00 400.00 240.00 0.00 34725.00 200.00 100.00 5000.00 1200.00

3 May-2012 Pay 15570.00 2800.00 0.00 18370.00 0.00 11941.00 3674.00 100.00 0.00 400.00 240.00 0.00 34725.00 200.00 100.00 5000.00 1200.00

4 Jun-2012 Pay 15570.00 2800.00 0.00 18370.00 0.00 11941.00 3674.00 100.00 0.00 400.00 240.00 0.00 34725.00 200.00 100.00 5000.00 1200.00

5 Jul-2012 Pay 16130.00 2800.00 0.00 18930.00 0.00 12305.00 3786.00 100.00 0.00 400.00 240.00 0.00 35761.00 200.00 100.00 5000.00 1200.00

6 Aug-2012 Pay 16130.00 2800.00 0.00 18930.00 0.00 12305.00 3786.00 100.00 0.00 400.00 240.00 0.00 35761.00 200.00 100.00 5000.00 1200.00

7 Sep-2012 Pay 16130.00 2800.00 0.00 18930.00 0.00 12305.00 3786.00 100.00 0.00 400.00 240.00 0.00 35761.00 200.00 100.00 5000.00 1200.00

8 Oct-2012 Pay 16130.00 2800.00 0.00 18930.00 0.00 13630.00 3786.00 300.00 0.00 800.00 240.00 0.00 37686.00 200.00 100.00 5000.00 1200.00

9 Nov-2012 Pay 16130.00 2800.00 0.00 18930.00 0.00 13630.00 3786.00 300.00 0.00 800.00 240.00 0.00 37686.00 200.00 100.00 5000.00 1200.00

10 Dec-2012 Pay 16130.00 2800.00 0.00 18930.00 0.00 13630.00 3786.00 300.00 0.00 800.00 240.00 0.00 37686.00 200.00 100.00 5000.00 1200.00

11 Jan-2013 Pay 16130.00 2800.00 0.00 18930.00 0.00 13630.00 3786.00 300.00 0.00 800.00 240.00 0.00 37686.00 200.00 100.00 15000.00 2500.00

12 Feb-2013 Pay 16130.00 2800.00 0.00 18930.00 0.00 13630.00 3786.00 300.00 0.00 800.00 240.00 0.00 37686.00 200.00 100.00 15000.00 2013.00

13 D.A. Arrears 1 3858.00 3858.00 0.00 0.00 0.00 0.00

14 D.A. Arrears 2 3975.00 3975.00 0.00 0.00 0.00 0.00

15 Other Arrears 24587.00 24587.00 0.00 0.00 0.00 0.00

16 Bonus 0.00 0.00 0.00

17 Remunretion 0.00 0.00

18 Leave Surrender 0.00 0.00

19 L.T.C. 0.00 0.00

20

TOTAL 191320.00 33600.00 0.00 224920.00 0.00 159376.00 44984.00 2200.00 0.00 6800.00 2880.00 24587.00 465747.00 2400.00 1200.00 80000.00 16513.00

ANY OTHER INCOME (ACCEPT SALARIES TO BE DECLARED SHOW HERE ( LIKE INTEREST,DIVIDEND, ETC)Bank Intrest 3769.00 L.I.C. Jivandhara 0.00

N.S.C. Interest ( Series-8) 0.00 L.I.C. Jivanakshay 0.00

N.S.S.( Scheme-1987) 0.00 E.L.S.S. 0.00

N.S.S. Interest ( Scheme-1992) 0.00 Tution Income 0.00

Income from Minor Children 0.00 Any other Income 0.00

Jivansuraksha Pension Fund 0.00 Income from House Property. 0.00

Contribution of Central Government 0.00

( VALIYA ROHITKUMAR KARSANDAS )

Total other Income 3769.00 GROSS INCOME 469516.00 SIGNATURE OF GOVT.SERVANT

Name of the Month

Other allowance

STATEMENT OF INCOME TAX

of 40

INDUSTRIAL TRAINING INSTITUTE, RAJKOT

INCOME YEAR : 2012-2013 ASSESSMENT YEAR : 2013-2014

NAME : VALIYA ROHITKUMAR KARSANDAS

DESIGNATION : SUPERVISOR INSTRUCTOR

PAN NO. : AAWPV4274D SEX : Male

Divison ( A ) Income from Salary :"(1) Gross income from salary : as per rule 17 Rs. 465747.00

"(2) Deduction of allowances under section (10)

(a) House rent allowance as per rule 10 (13-A)

Rs. 0.00

Rs. 0.00

10 % Amount of Basic + D.A. Than ( A - B )

( A ) Actual Paid H.R.A. Rs. 0.00

( B ) 10 % of ( Pay + D.A. ) Rs. 0.00

Rs. 0.00

Rs. 0.00

(b) Rs. 0.00

(c) Rs. 6800.00

(d) Total of (a)+(b)+(c) ( Allowances to be deducted Under Rule 10) Rs. 6800.00

"(3) Rs. 2400.00

"(4) Rs. 0.00

A Remaining Salary Income (Column : 1-2(d)-(3) Rs. 456547.00

Division ( B ) Income from other sources :"(1) Bank Intrest Rs. 3769.00

"(2) N.S.C. Interest ( Series-8) Rs. 0.00

"(3) N.S.S.( Scheme-1987) Rs. 0.00

"(4) N.S.S. Interest ( Scheme-1992) Rs. 0.00

"(5) Income from Minor Children Rs. 0.00

"(6) Jivansuraksha Pension Fund Rs. 0.00

"(7) Contribution of Central Government Rs. 0.00

"(8) L.I.C. Jivandhara Rs. 0.00

"(9) L.I.C. Jivanakshay Rs. 0.00

"(10) E.L.S.S. Rs. 0.00

"(11) Tution Income Rs. 0.00

"(12) Any other Income Rs. 0.00

"(13) Income from House Property. Rs. 0.00

"(14) Total Other Income [ Column (1) to (12) Rs. 3769.00

B Total gross income ( Salary + Other Income [ A + DIV. B( 14 )]) Rs. 460316.00

Division ( C ) deduction admissible from total gross incomeDescription Invesment Eligible

"(1) Rs. 0.00 Rs. 0.00

"(2) As per Rule 80-CCC. Jivansuraksha Pension Fund ( Limit Upto Rs. 100000.00) Rs. 0.00 Rs. 0.00

"(3) Rs. 0.00 Rs. 0.00

"(4) As per Rule 80-C ( Limit Upto Rs. 110000.00) but less of 80-CCC & 80-CCD

(i) General Provident Fund / Common Provident Fund . Rs. 80000.00

(ii) Public Provident Fund Rs. 0.00

(iii) Life Insurance Premium Rs. 6774.00

(iv) Postal Life Insurance Premium Rs. 0.00

(v) Group Insurance Rs. 1200.00

(vi) Investment in Unit Linked Iinsurance Plan (ULIP). Rs. 0.00

(vii) Post Office C.T.D. ( 10 Or 15 Year ) Rs. 0.00

(viii) National Saving Certificate ( Series - 8 ) Rs. 0.00

( i ) H.R.A. Actually paid as per Bill ( Annualy)

( ii ) If the amount actually paid as a rent is >

( iii ) 40 % of ( Pay + D.A. )

( iv ) Net elligible deduction of H.R.A.(Out of 1,2 OR 3 whichever is Minimum)

Under Rule 10(14)(i)Rule 2,BB(i),Dress WASHING ALLOWNCE Paid (100 %)

Under Rule 10(14)(ii)Rule 2,BB(ii)TRANS.ALLOWANCE,( 1->100 % Upto limit of Monthly Rs. 800/-) And ( 2->100 % Upto limit of Monthly Rs. 1600/- For P.H. Employee)

Deduction under rule As per Rule 16(3), PROFESSIONAL TAX ( 100 % )

Deduction under rule As per Rule 16(5), L.T.C.

LESS : H.B.A. Interest as per Rule 24(2), 100% Upto Rs.30,000/-,( If Loan senction before 1-4-99) and after 1-4-99, if House purchased or Completed Construction within three years of senctioin of loan, than 100 % Upto Rs. 1,50,000/-.

As per Rule 80-CCD. Investment in any Pension Scheme of Central Government ( Concerned with new employee employed after 01-01-2004)


of 40

(ix) National Saving Certificate Interest as Reinvestment Rs. 0.00

(x) House Building Advance Principal Rs. 0.00

(xi) National Saving Scheme (Scheme-1992) Rs. 0.00

(xii) L.I.C. Jivandhara Premium Rs. 0.00

(xiii) L.I.C. Jivanakshay Premium Rs. 0.00

(xiv) Investment in Equity Linked Saving Scheme Unit (ELSS) Rs. 0.00

(xv) Investment in Share or Debenture of Infrastructure,Power or Teli Communication Company. Rs. 0.00

(xvi) Investment in Home Loan Scheme Rs. 0.00

(xvii) Tution fee paid for children Rs. 18000.00

(xviii) Other elligible if any Rs. 0.00

Total of (i) TO (xviii) Rs. 105974.00

Description Invesment EligibleTotal of ( 80-C ) + ( 80-CCC ) + ( 80-CCD ) Rs. 105974.00

"(5) Net Deduction under section 80-CCE Rs. 100000.00

"(6) Rs. 0.00 Rs. 0.00

"(7) Rs. 0.00 Rs. 0.00

"(8) Under section 80-DD, Medical Expenses done for P.H. dipendable personal relative Rs. 0.00 Rs. 0.00

"(9) Rs.0.00

Rs. Err:504

"(10) Under section 80-E,Intrest of loan taken for higher Education for 7 year from starting Rs. 0.00 Rs. 0.00

"(11) Rs. 0.00 Rs. 0.00

"(12) Under section 80-G,Donation like C.M. Fund, P.M. Fund or other Donations Rs. 0.00 Rs. 0.00"(13) As Per Rule 80-U,Special Deduction to P.H. & Blind employee ( Upto Rs. 50,000/- ) Rs. 0.00 Rs. 0.00

"(14) Total of amount to be deducted of Division (C) [(1)+(5)+(6)+(7)+(8)+(9)+(10)+(11) Rs. Err:504

Less Income [ Division : B - Division : C(12) ] Rs. Err:504

Remaining Amount Rounded to Rs.10/- ( Ten) Rs. Err:504

DIivision : E Calculation of Income Tax

General Women Ciniyer Citizen Tax Amount Tax

"(1) Upto Rs. 2,00,000/- Upto Rs. 2,00,000/- Upto Rs. 2,50,000/- 0% Err:504 Rs. 0.00

"(2) 2,00,001 TO 5,00,000/- 2,00,001 TO 5,00,000/- 2,50,001 TO 5,00,000/- 10% Err:504 Rs. Err:504

"(3) 5,00,001 TO 10,00,000/- 5,00,001 TO 10,00,000/- 5,00,001 TO 10,00,000/- 20% Err:504 Rs. Err:504

"(4) 10,00,001/- to onward 10,00,001/- to onward 10,00,001/- to onward 30% Err:504 Rs. Err:504

Total amount of Tax : Rs. Err:504Adjustment of Income Tax

Amount of Income Tax Rs. Err:504

2 % education surcharge + 1 % SEC & HSEC surcharge Rs. Err:504

Less Relief Under section 89 0.00

Net amount of Income Tax Rs. Err:504

Total Income-Tax paid Rs. 16513.00

Income tax to be paid / refund Rs. Err:504

Certificate by employee

This is to certify that the information given in this statement is true and mistake less.

( VALIYA ROHITKUMAR KARSANDAS )

Signature of Govt. Servant

Certificate by office

Under section 80-D, Mediclaim Premium ( Upto Rs. 15,000.00, but Rs.20,000.00 for ceniyor citizen )

Under section 80-D, Mediclaim Premium for parents ( Upto Rs. 15,000.00 but Rs.20,000.00 If they are ceniyor citizen)

Under section 80-DDB,Medical Expense done for Dangerous deases like Cancer (Upto Rs. 40000.00). If the person is senior citizen, than upto Rs. 60000.00.

Under section 80-CCG, Rajiv Gandhi Saving Investment in Infrastructure bond notified by central government

This is to certify that the information given in this statement compared with office record as well as documents presented by employee and found correct.

Signature and seal of Head of Office


of 40

"FORM-16" of 40

FORM NO.:-16[See Rule 31(1)(a)]

PART-A

Certificate under Section 203 of the Income-Tax act,1961 for the tax deducted at source on "SALARIES".

Name and Address of the Employer Name & Designation of the Employee

0 0 VALIYA ROHITKUMAR KARSANDAS

0 SUPERVISOR INSTRUCTOR

0 0 INDUSTRIAL TRAINING INSTITUTE, RAJKOT

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

0 0 AAWPV4274D

CIT (TDS) Assessment Year PERIOD

AddressOFFICE OF INCOMETAX

2013-2014FROM TO

RACE COURCE ROAD4/1/2012 3/31/2013

City MUMBAI Pin Code 400012

Summary of tax deducted at source

Quarter

Quarter 1 0 3600.00 3600.00

Quarter 2 0 3600.00 3600.00

Quarter 3 0 3600.00 3600.00

Quarter 4 0 5713.00 5713.00

PART-B ( Refer Note 1 )

Details of salary paid and any other income and tax deducted.

1 Gross Salary Rs.

(a) Salary as per provisions contained in section 17(1) Rs. 465747.00

(b) Value of perquisites under section 17(2) ( as per Form No. 12BB, whereever applicable Rs.

(c) Profits in lieu of salary under section 17(3) ( as per Form No. 12BB, whereever applicable Rs.

(d) Total Rs. 465747.00

2 Less Allowances to the extent exempt under section 10,

House rent allowance Rs. 0.00

Washing allowance Rs. 0.00

Transport allowance Rs. 6800.00 Rs. 6800.00

3 Balance (1-2) Rs. 458947.00

4 Deductions :-

(a)Entertainment allowance Rs.

(b)Tax on Employment Rs. 2400.00

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

6 Income chargeble under the head "salaries"(3-5) Rs. 456547.00

7 ADD : Any other income reported by the employee

Income Rs.

Intrest 3769.00

0.00 Rs. 3769.00

8 Gross Total Income(6+7) Rs. 460316.00

9 Deduction under Chapter VI-A Rs. Gross Amount Rs. Deductible Amount

(A) Section 80C,80CCC and 80CCD Rs.

(a) Section-80 C Rs.

( i ) Rs. 0.00

( ii ) Rs. 0.00

( iii ) Section 80 C Rs. 105974.00 Rs. 100000.00

Note:1 Aggregate amount deductible under Section 80 C shall not be exceed One Lakh rupees.

Note:2 Aggregate amount deductible under the three Section i.e.80 C, 80CCC and Section 80 CCD shall not be exceed One Lakh rupees.

Recipt Numbers of original statement of TDS under sub-section (3) of section 200

Amount of tax deduction in respect of the employee

Amount of tax deposited remitted in respect of the employee

"FORM-16" of 40

( B ) Other Section ( e.g. 80 E, 80 G etc) under chapter VI-A Gross Amount Qulifting Amount Deductible Amount

( i ) Section - 80 D Rs. 0.00 Rs. 0.00 Rs. 0.00

( ii ) Section - 80 DD Rs. 0.00 Rs. 0.00 Rs. 0.00

( iii ) Section - 80 DDB Rs. 0.00 Rs. Err:504 Rs. Err:504

( iv ) Section 80-E Rs. 0.00 Rs. 0.00 Rs. 0.00

( v ) Section-80-G Rs. 0.00 Rs. 0.00 Rs. 0.00

( vi ) Section-80-U Rs. 0.00 Rs. 0.00 Rs. 0.00

( vii ) Section 24 ( 2 ) HBA intrest Rs. 0.00 Rs. 0.00 Rs. 0.00

( viii ) Section 80 CCG Rs. 0.00 Rs. 0.00 Rs. 0.00

10 Aggregate of deductible amount under chapter VI-A Rs. Err:504

11 Total Income (8-10) Rs. Err:504

Remaining Amount Rounded to Rs.10/- ( Ten) Rs. Err:504

12 Tax on Total Income Rs. Err:504

13 Education cess @ 3 % ( on tax computed at S.No.12) Rs. Err:504

14 Tax Payable ( 12 + 13 ) Rs. Err:504

15 Less Relief Under Section 89 (attach details) Rs. 0.00

16 Tax Payable (14-15) Rs. Err:504

VerificationI RAVAL P L RAVAL P L Working in the

capacity of PRINCIPAL (designation ) do hereby certify that a sum of Rs. 16513.00

Sixteen Thousand,Five HundredThirteen ( in words ) ] has been deducted and deposited to the credit of the

Place : 0Dated: 4/30/2012 Signature of the person responsible for deduction of Tax.

Designation : PRINCIPAL (RAVAL P L RAVAL P L)

ANNEXURE - A

Details of Tax Deducted and Deposited in the Central Government Account through book entry.

( The Employer to provide payment wise details of tax Deducted and Deposited withrespect to the employee ).

Book Identification number (BIN)

Receipt numbers of form no. 24 G Date on which tax Deposited

1 1200.00

2 1200.00

3 1200.00

4 1200.00

5 1200.00

6 1200.00

7 1200.00

8 1200.00

9 1200.00

10 1200.00

11 2500.00

12 2013.00

13

15 1 In the column for TDS, give total amount for TDS,Surcherge ( if applicable) and education cess.

ANNEXURE - B

Details of Tax Deducted and Deposited in the Central Government Account through Challan.

( The Employer to provide payment wise details of tax Deducted and Deposited withrespect to the employee ).

Challan Identification Number (CIN)

BSR Code of the Bank Branch Date on which tax Deposited Challan Serial Number

1 0

2 0

3 0

4 0

5 0

Note : 1 In the column for TDS, give total amount for TDS,Surcherge ( if applicable) and education cess.

son / daughter of

[ Rs 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 statement, TDS deposited and other available records.

Sr. No.

Tax Deposited in respect on of the employee (Rs.) DDO Sequence Number in the

Book Adjustment Mini Statement

Sr. No.

Tax Deposited in respect on of the employee (Rs.)

S122013-14 ITR-1, PAGE 1

ITR - 1 SAHAJ INDIAN INDIVIDUAL INCOME INCOME TAX RETURN

A1 FIRST NAME A2 MIDDAL NAME

R O H I T K U M A R K A R S A N D A S

A3 LAST NAME A4 PARMANENT A/C. No.

V A L I Y A A A W P V 4 2 7 4 D

A5 SEX A6 DATE OF BIRTH A7 INCOME TAX WARD/CIRCLEME

Ö MALE FEMALE ######################## IT OFFICE WARD - 3

A8 FLAT/DOOR/BUILDING A9 ROAD/STREET

2 - M A R U T I N A G A R A I R P O R T R O A D

A10 AREA/LOCALITY A11 TOWN/CITY/DISTRICT

R A J K O T R A J K O T

A12 STATE A13 PINCODE

G U J A R A T

A14 EMAIL ADDRESS

0

A15 RESIDENTIAL PHONE NO. WITH STD COC\DE A16 MOBILE NO.

0 9 4 2 6 4 3 8 6 7 8 A17 Fill One Ö Government. PSU Others

A18 ### Tax refundable### Tax Payable### Non Tax Bal. A19 Ö Resident Non Resident Resi. but not Ordinarly

A20 Ö bfre due date-139(1) 142(1) 148 153A/153C

A21

Recept Number of Original Return Date of Filling Original Return

B1 Income from Salary/Pension u B1 0 0 0 0 0 0 4 5 6 5 4 7Ensure to fill "Sch TDS1" Given in Page 2 6 If showing loss mark the negative in bracket at left

B2 Income from One House Prorerty u B2 ( - ) 0 0 0 0 0 0 0 0 0 0 0 0

B3 Income from other sources u B3 ( + ) 0 0 0 0 0 0 0 0 3 7 6 9Ensure to fill "Sch TDS2" Given in Page 2

B4 Gross Total Income (B-1+B2+B3) u B4 ( ) 0 0 0 0 0 0 4 6 0 3 1 6

( Refer to Instruction for limits on amount as per Tax Act )

C1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

to ################## 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

C13 0 0 0 0 0 0

C14 Total TCS Deduction ( Add items C1 to C3 ) u C14 ####################################

C15 Taxable Total Income ( B4-C14 ) u C15 ( ) ####################################

FOR OFFICE USE ONLY

Ú STAMP RECEIPT NO HERE

AY 2013-14

¡¡¡¡¡¡

¡

¡¡¡¡¡¡¡¡¡

¡ Fill one4 Fill one4

¡ Fill only one filled4 After due date139(4)4 Rvsd-139(5)res to notice4

¡ if revised4 and4

¡¡ PART-B -GROSS TOTAL INCOME Whole-Rupee (@) only¡¡¡ Noteð

¡¡¡¡ Noteð

¡¡¡ PART-C -DEDUCTIONS AND TAXABLE TOTAL INCOME¡¡ 4C1 4C2 4C3

¡¡ 4C4 4C5 4C6

¡¡ 4C7 4C8 4C9

¡¡ 4C10 4C11 4C12

¡¡ 4C13

¡

¡

SEAL, DATE AND SIGNATURE OF RECEIVING OFFICIAL

80CCD

80DD

80G

80GGC

80CCC

80D

80E

80GGA

80C

80CCF

80DDB

80GG

80U]

80CCD

80DD

80G

80GGC

80CCC

80D

80E

80GGA

80C

80CCF

80DDB

80GG

80U]

G70PERMANENT ACCOUNT NUMBER 2013-14 ITR-1, PAGE 2

A A W P V 4 2 7 4 D

(Refer to Instruction for limits on amount as per Tax Act)

D1 D3Tax Payable On Total Income(C15) Secondary & Higher Education Cess Tax Payable On Total Income( C15 )

############################## ############################## ##############################

D4 D6Relief u/s 89 Reliief u/s 90/91 Balance Tax After Relief ( D3-D4-D5 )

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ##############################

D7 D9Total Interest u/s 234A/234/B234C Total Tax and Interest (D6+D7) Tax Advance Tax Paid

0 0 0 0 0 0 0 0 0 0 ############################## 0 0 0 0 0 0 0 0 0 0Total Self Assessment Tax Paid Total TDS Deducted Tax Pripaid Taxes ( D9+D10+D11)

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 5 1 3 0 0 0 0 0 1 6 5 1 3Tax Payable CD8-D12, if D8>12) Refund ( D12-D8, if D12>D8 )

############################## ##############################

Bank Account Detaails ( Mandatory in all acses irrespective of refund due or not)

Account No. 3 0 7 3 1 8 5 4 3 9 1 MICR CODE 3 6 0 0 0 2 0 0 5

P Saving P deposited into bank A/C.

Exempt income only for reporting purpose (From Dividends, Agricultural Income < Rs.5000/-

VERIFICATION

I, RAVAL P L Son / Daughter of RAVAL P L solemnly declare that to the best my knowladge

and belief, the information given in the return ts correct and complete and the amount of total income and other particulars shown there in are truly stateed and are in

accordance with the provisions of the Income-tax Act.1967. in respect of income chargeable to Income-tax for the previous year relevant to the Assessment Year 2013-14

RAJKOT 3 0 0 4 2 0 1 2

If the return has been prepare by a tax Rerturn Prdeparer (TRP) give further details as bellow

Name of the TRP TRP PIN [ 10 Digit ] Amount to be paid to TRP TRP Signature

4 4

BSR CODE (col.i) DATE OF DEPOSIT (col.ii) CHALLAN NO (col.iii) TAX PAID (col.iV)

R1 u 0 0 0 0 0 0 0 0

R2 u 0 0 0 0 0 0 0 0

R3 u u u u 0 0 0 0 0 0 0 0

R4 u u u u 0 0 0 0 0 0 0 0

R5 u u u u 0 0 0 0 0 0 0 0

(1) Enter the totals of Advance Tax Sell Assessment Tax in D9 and D10 (2) Continue in Supplementary IT if you cannot fill within Sch IT

TAN (col.i) NAME OF THE EMPLOYER (col.ii) INCOME UN. SALARY (col.iii) TAX DEDUCTED (col.iV)

S1 4 0 4 4 0 0 4 5 6 5 4 7 4 0 0 0 1 6 5 1 3

S2 4 0 4 0 0 0 4 4

S3 4 4 4 4

(1) Enter the totals column (iv) of Sch TDS1 and Sch TDS2 in D11 (2) Continue in Supplementary Schedule TDS1 if you cannot fill within Sch TDS1

TAN (col.i) NAME OF THE DEDUCTOR (col.ii) TAX DEDUCTED (col.iii) AMT OUT OF(iii) CLMD YERA(col.iv)

T1 4 4 4 4

T2 4 4 4 4

T3 4 4 4 4

T4 4 4 4 4

¡ PART-D -DEDUCTIONS AND TAXABLE TOTAL INCOME¡¡ 4D1 4D2 4D3

¡¡ 4D4 4D5 4D6

¡¡ 4D7 4D8 4D9

¡ D10 D12¡ 4D10 4D11 4D12

¡ D13 D14¡ 4D13 4D14

¡

ITR - 1 SAHAJ

¡ 4D15 4D16

¡ 4D17 Type Of Account4 Current4 4D18 Fill Only One: Refund by4 Cheque or4

¡ 4D19

¡

¡¡¡¡

SIGN HEREÚ¡ Place4 Date4

¡¡

¡

¡ Sch IT -DETAILS OF ADVANCE TAX AND SELF ASSESSMENT TAX PAYMENTS¡¡

¡

¡

¡

¡

¡ Noteð

¡ Sch IT -DETAILS OF TAX DEDCTED AT SOURCE FROM SALARY [As per Form 16 issued by Employer(s)]

¡

¡ PRINCIPAL INDUSTRIAL TRAINING INSTITUTE RAJKOT

¡

¡¡ Noteð

¡ Sch IT -DETAILS OF TAX DEDCTED AT SOURCE FROM INCOME OTHER THAN SALARY [As Form 16A by Deductor(s)]

¡¡

¡

¡

(1) Enter the totals column (iv) of Sch TDS1 and Sch TDS2 in D11 (2) Continue in Supplementary Schedule TDS2 if you cannot fill within Sch TDS2 Noteð

ITR - V ACNOWLEDGEMENT AY 20 13-14

Received with tanks from VALIYA ROHITKUMAR KARSANDAS a return of income in

Ö 1(SAHAJ)

A1 FIRST NAME A2 MIDDAL NAME

R O H I T K U M A R K A R S A N D A S

A3 LAST NAME A4 PARMANENT A/C. No.

V A L I Y A A A W P V 4 2 7 4 D

A5 SEX A6 DATE OF BIRTH A7 INCOME TAX WARD/CIRCLEME

Ö MALE FEMALE ######################## IT OFFICE WARD - 3

A8 FLAT/DOOR/BUILDING A9 ROAD/STREET

2 - M A R U T I N A G A R A I R P O R T R O A D

A10 AREA/LOCALITY A11 TOWN/CITY/DISTRICT

R A J K O T R A J K O T

A12 STATE A13 PINCODE

G U J A R A T

A14 Ö bfr. due date-139(1) 142(1) 148 153A/153C

6 if showing loss, mark the negative sign in bracket at left

B1 Gross Total Income u B1 0 0 0 0 0 0 0 4 5 6 5 4 7

B2 Deduction Under Chapter VI-A u B2 ####################################

B3 Total Income u B3 0 ####################################

B4 Current Loss if any u B4 0

B5 Net Tax Payable u B5 0 0 ##############################

B6 Interest Payable u B6 0 0 0 0 0 0 0 0 0 0 0 0

B7 Total Tax and Interest Payable u B7 0 0 ##############################

B8 Total Advance Tax Paid u B8 0 0 0 0 0 0 0 0 0 0 0 0

B9 Total Self Assessment Tax Paid u B9 0 0 0 0 0 0 0 0 0 0 0 0

B10 Total TDS Deducted u B10 0 0 0 0 0 0 0 1 6 5 1 3

B11 Total TCS Deducted u B11

B12 Total Prepaid Taxes (B8+B9+B10+B11) u B12 0 0 0 0 0 0 0 1 6 5 1 3

B13 Total Payable (B7-B12, IF B7>B12) u B13 0 0 ##############################

B14 Refund (B12-B7, if B12>B7) u B14 0 0 ##############################

FOR OFFICE USE ONLY

Ú STAMP RECEIPT NO HERE

¡¡ TR No. u u�2 �3 4S(SUGAM)u� 4 u� 5u� 6 for assesment year 2011-12, having the folloving Particulars

¡

¡

¡

¡

¡

¡

¡

¡

¡

¡

¡

¡

¡ Fill only one filled4 After due date139(4)4 Rvsd-139(5)res to notice4

¡ COMPUTATION OF INCOME AND TAX RETURN Whole-Rupee (@ ) only

¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡


FOR

MINDIAN INCOME TAX RETURN Assessment Year

2 0 1 3 - 1 4

(Please see Rule 12 of the Income-tax Rules,1962)(Also see attached instructions)

PE

RS

ON

AL

IN

FO

RM

AT

ION

First name Middle name Last name PAN

VALIYA ROHITKUMAR KARSANDAS A A W P V 4 2 7 4 D

Flat/Door/Block No Name Of Premises/Building/Village

2-MARUTINAGAR 22-01-1957

Road/Street/Post Office Area/Locality Employer Category (Tick)

AIRPORT ROAD RAJKOT Ö Govt PSU Other

Town/City/District State Pin code Sex (Tick)

RAJKOT GUJARAT 3 6 0 0 0 1 Ö Male Female

Email Address (STD code)-Phone Number 0

FIL

ING

ST

AT

US

Designation of Assessing Officer (Ward/Circle) Return filed under Section - 1 1

[Please see instruction number-9(i)]

Whether original or Revised return? (Tick) Ö Original Revised

If revised, enter Receipt No and Date of filing original return DD/MM/YYYY

Residential Status (Tick) Ö Resident Non-Resident Resident but Not Ordinarily Resident

INC

OM

E &

DE

DU

CT

ION

S

1 Income chargeable under the Head ‘Salaries’ ( Salary / Pension ) 1 456547.00

2 Income chargeable under the Head ‘House Property' ( enter -ve sign in case of loss if any ) 2 0.00

3 Income chargeable under the Head ‘Other Sources’ ( enter -ve sign in case of loss if any ) 3 3769.00

3 Gross Total Income ( 1 + 2 + 3 ) 4 460316.00

5 Deductions under chapter VI A (Section)

a 80CCE 100000.00 e 80E 0.00 i 80GG 0.00

b 80D 0.00 f 80CCG 0.00 j 80GGA 0.00

c 80DD 0.00 g 80G 0.00 k 80GGC 0.00

d 80DDB Err:504 h 80U 0.00 l

6 Deductions ( Total of 5a to 5l ) 6 Err:504

7 Total Income ( 4-6m ) 7 Err:504

TA

X C

OM

PU

TA

TIO

N

8 Tax Payable on Total Income 8 Err:504

9 Secondary and Higher education cess on ( 8 ) 9 Err:504

10 Total Tax, Surcharge and Education Cess Payable ( 8 + 9 ) 10 Err:504

11 Relief under Section 89 11 0.00

12 Relief under Section 90/91 12 0.00

13 Balance Tax Payable (10-11-12) 13 Err:504

14 Interest Payable u / s 234A / 234B / 234 C 14 0.00

15 Total Tax and Interest Payable (13+14) 15 Err:504

Do not write or stamp in this area Seal and Signature of receiving official For Office Use Only

Receiiptt No Date

SARAL-II (ITR-

1)

[For Individuals having Income from Salary / Pension / Income from One House Property ( exluding loss brought forward from previous years ) /

Income from other Sources ( Excluding Winning from Lottery and Income From Race Horses)]

Date of Birth (DD/MM/YYYY)

TA

XE

S P

AID

16 Taxes Paid

a 16a 0.00b 16b 16513.00c 16c

17 Total Taxes Paid (16a+16b+16c) 17 16513.0018 16 Err:504

RE

FU

ND

19 17 Err:50420 Enter your bank account number (mandatory in case of refund) 3 0 7 3 1 8 5 4 3 9 1

21 Do you want your refund by Ö cheque, or deposited directly into your bank account? (tick as applicable)

22 Give additional details of your bank account

MICR Code 3 6 0 0 0 2 0 0 5 Type of Account (tick as applicable) Ö Savings Current

23 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

TD

S O

N S

AL

AR

Y

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

i460316 Err:504 Err:504 16513 Err:504

0ii

0, 0, 0 0 0

24 Details of Tax Deducted at Source other than salary

TD

S O

N I

NT

ER

ES

T

Amount paid / Credit Total tax deducted

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

i

ii

iii

Note Enter the totals of column (7) of 23 and column (7) of 24 in Sl No. 17 of TAXES PAID

25 Details of Advance Tax and Self Assessment Tax Payments

TA

X P

AY

ME

NT

S

Name of Bank & Branch BSR Code Amount (Rs)

i 0.00

ii 0.00

iii 0.00

iv 0.00

v 0.00

Note Enter the totals of Advance tax and Self Assessment tax in Sl No. 17 a and 15c of TAXES PAID

26

Sr. Code Amount (Rs) Sr. Code Amount (Rs) Sr. Code Amount (Rs)

A 001 D 004 G 007

B 002 E 005 H 008

C 003 F 006

27 27

VERIFICATION I, VALIYA ROHITKUMAR KARSANDAS son / daughter of VALIYA KARSANDAS RAMJIBHAI

2013-2014

Place RAJKOT Date Sign here -->

28 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:Identification No. of TRP Name of TRP Counter Signature of TRP

29 29

Advance Tax (from item 25)

TDS (column 7 of item 23 +column 7 of item 24)

Self Assessment Tax (from item 25)

Tax Payable (15-17) (Enter if 15 is greater than 17, else leave blank)

Refund (17-16) (enter if 17 is greater than 16, also give Bank Account details below)

Sr No.

Tax Deduction Account Number (TAN) of the Employer

Name and address of the Employer

Income chargeable under the head Salaries

Deduction under Chapter VI-A

Tax payable ( Incl. education

cess)

Total tax deducted

Tax payable /refundable

PRINCIPAL, INDUSTRIAL TRAINING INSTITUTE,

RAJKOT

Sr No.

Tax Deduction Account Number (TAN) of the Deductor

Name and address of the Deductor

Date of Payment /

Credit

Amount out of (6) claimed for this year

Sl No.

Date of Deposit (DD/MM/YYYY)

Serial Number of Challan

Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)

Exempt income any for reporting purposes ( from Dividend, Capital gains etc)

solemniy declare that to the best of my knowledge and belief, the information given in the return thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to the Assessment Year

If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

Government of India

INCOME TAX - DEPARTMENTACKNOWLEDGEMENT

Received with thanks fro VALIYA ROHITKUMAR KARSANDAS a return of income

and / or return of fridge benefits in Form No. SARAL - II for the assessment year 2013-2014 having the following particulars

PER

SON

AL

IN

FO

RM

AT

ION

Name PAN



2-MARUTINAGAR 0

Road/Street/Post Office Area/Locality

AIRPORT ROAD RAJKOT

Town/City/District State

RAJKOT GUJARAT

CO

MP

UT

AT

ION

OF

IN

CO

ME

AN

D T

AX

TH

ER

EO

N

1 Gross Total Income 1 460316.00

2 Deductions under chapter VI A (Section) 2 Err:504

3 Total Income 3 Err:504

4 Net tax payable 6 Err:504

5 Interest payable 7

6 Total tax and Interest payable 6 Err:504

7 Taxes Paid

a Advance Tax 7a 0.00

b TDS 7b 16513.00

c TCS 7c 0.00

d Self Assessment Tax 7d

d Total Taxex Paid (7a + 7b + 7c + 7d ) 7e 16513.00

8 Tax Payable ( 6 - 7d ) 8 Err:504

9 Refund ( 7e - 6 ) 9 Err:504

10 Value of Fridge benefits 10

11 Total Fridge benefit tax liability 11

12 Total interest payable 12

13 Total tax and Interest payable 13

14 Taxes Paid

a Advance Tax 14a

b Self Assessment Tax 14b

c Total Taxes Paid (14a+14b) 14c

15 Tax Payable (13-14c) 15

16 Refund (14c-13) 16

Receiiptt No Seal and Signature of receiving official

Date

CO

MP

UT

AT

ION

OF

FR

ING

E B

EN

EF

ITS

AN

D

TA

X T

HE

RE

ON

FOR

MITR-1

INDIAN INCOME TAX RETURN Assessment Year

[For Individuals having Income from Salary / Pension / Family Pension & Interest]2 0 1 3 - 1 4(Please see Rule 12 of the Income-tax Rules,1962)

(Also see attached instructions)

PE

RS

ON

AL

IN

FO

RM

AT

ION




2-MARUTINAGAR #REF! 22-01-1957

Road/Street/Post Office Area/Locality Employer Category (Tick)

AIRPORT ROAD RAJKOT Ö Govt PSU Other



Email Address (STD code)-Phone Number 0

FIL

ING

ST

AT

US





INC

OM

E &

DE

DU

CT

ION

S

1 Income chargeable under the Head ‘Salaries’ ( Salary / Pension ) 1 456547.00

2 Income chargeable under the Head ‘Other Sources’

a Family Pension 2a

b Interest 2b 3769.00

c Total ( 2a + 2b ) 2c 3769.00

3 Gross Total Income ( 1 + 2c ) 3 460316.00

4 Deductions under chapter VI A (Section)

a 80C 100000.00 e 80DD 0.00 i 80GG 0.00

b 80CCC 0.00 f 80DDB Err:504 j 80GGA 0.00

c 80CCD 0.00 g 80E 0.00 k 80GGC 0.00

d 80D 0.00 h 80G 0.00 l 80U 0.00

m Deductions ( Total of a to l ) 4m Err:504

5 Total Income ( 3-4m ) 5 Err:504

6 6

7 ‘Aggregate Income’ (5+6) 7 Err:504

TA

X C

OM

PU

TA

TIO

N

8 a Tax Payable on ‘Aggregate Income’ 8a Err:504

b Rebate in respect of Net Agricultural income 8b 0.00

9 a Tax Payable on Total Income ( 8a-8b ) 9a Err:504

b Surcharge on 9a 9b 0.00

c 9c Err:504

d Total Tax, Surcharge and Education Cess Payable ( 9a + 9b + 9c ) 9d Err:504

10 Relief under Section 89 10 0.00

11 Relief under Section 90/91 11 0.00

12 Balance Tax Payable (9d-10-11) 12 Err:504

Do not write or stamp in this area (Space for bar code) 13 a Interest Payable U/s 234A 13a

b Interest Payable U/s 234B 13b

c Interest Payable U/s 234C 13c

d 13d 0.00

14 14 Err:504

For Office Use Only Seal and Signature of receiving official

Receiiptt No

Date

Date of Birth (DD/MM/YYYY)

If revised, enter Receipt No and Date of filing original return (DD/MM/YYYY)

Net Agricultural Income (Enter only if greater than Rs 5,000)

Education Cess,including secondary and higher education cess on ( 9a+9b )

Total Interest Payable (13a+13b+13c)

Total Tax and Interest Payable (12+13d)

TA

XE

S P

AID

15 Taxes Paid

a 15a 0.00b 15b 16513.00

c 15c

d Total Taxes Paid (15a+15b+15c) 15d 16513.0016 16 Err:504

RE

FU

ND

17 17 Err:50418 Enter your bank account number (mandatory in case of refund) 3 0 7 3 1 8 5 4 3 9 1


20 In case of direct deposit to your bank account give additional details


21 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

TD

S O

N S

AL

AR

Y

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

i460316 Err:504 Err:504 16513 Err:504

0

ii0, 0, 0 0

22 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]

TD

S O

N I

NT

ER

ES

T

Amount paid / Credit Total tax deposited

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

i

ii

iii

Note Enter the totals of column (7) of 21 and column (7) of 22 in Sl No. 15b of TAXES PAID

23 Details of Advance Tax and Self Assessment Tax Payments

TA

X P

AY

ME

NT

S Name of Bank & Branch BSR Code Amount (Rs)

i 0.00 0.00ii 0.00 0.00iii 0.00 0.00iv 0.00 0.00v 0.00 0.00Note Enter the totals of Advance tax and Self Assessment tax in Sl No. 15 a and 15c of TAXES PAID

24Sr. Code Amount (Rs) Sr. Code Amount (Rs) Sr. Code Amount (Rs)

a 001 d 004 g 007 b 002 e 005 h 008 c 003 f 006

25 25

VERIFICATION

I, VALIYA ROHITKUMAR KARSANDAS son / daughter of VALIYA KARSANDAS RAMJIBHAI

Assessment Year 2013-2014

Place RAJKOT Date Sign here -->

26 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:Identification No. of TRP Name of TRP Counter Signature of TRP

28

Advance Tax (from item 23)

TDS (column 7 of item 21 +column 7 of item 22)

Self Assessment Tax (from item 23)

Tax Payable (14-15d) (Enter if 14 is greater than 15d, else leave blank)

Refund (15d-14) (enter if 15d is greater than 14, also give Bank Account details below)

Sr No.




Deduction under Chapter

VI-A

Tax payable( Incl.

surch. and edu. cess)

Total tax deposited

Tax payable /refundable

PRINCIPAL, INDUSTRIAL TRAINING INSTITUTE,

RAJKOT

Sr No.



Date of Payment /

Credit

Amount out of (6)

claimed for this year

Sl No.



Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)

Tax-exempt interest income (for reporting purposes only)

solemniy declare that to the best of my knowledge and belief, the information given in the return thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to the

If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

Government of India


Received with thanks f VALIYA ROHITKUMAR KARSANDAS a return of income

and / or return of fridge benefits in Form No. ITR - 1 for the assessment year 2013-2014 having the following particulars

PER

SON

AL

IN

FOR

MA

TIO

N

Name PAN



2-MARUTINAGAR #REF!


AIRPORT ROAD RAJKOT


RAJKOT GUJARAT

CO

MP

UT

AT

ION

OF

IN

CO

ME

AN

D T

AX

TH

ER

EO

N





5 Interest payable 7 0.00


7 Taxes Paid


b TDS 7b 16513.00

c TCS 7c 0.00




9 Refund ( 7e - 6 ) 9 Err:504





14 Taxes Paid

a Advance Tax 14a




16 Refund (14c-13) 16


Date

CO

MP

UT

AT

ION

OF

FR

ING

E B

EN

EF

ITS

A

ND

TA

X T

HE

RE

ON

FO

RM

ITR-2INDIAN INCOME TAX RETURN Assessment Year

[For Individuals and HUFs not having Income from Bussiness or Profession]2 0 1 3 - 1 4(Please see Rule 12 of the Income-tax Rules,1962)

(Also see attached instructions)

Part A Gen GENERAL

PER

SON

AL

IN

FOR

MA

TIO

N



Flat/Door/Block No Name Of Premises/Building/Village Status ( Tick )

2-MARUTINAGAR #REF! Ö Individual HUF


AIRPORT ROAD RAJKOT 22-01-1957



Email Address (STD code)-Phone Number

0 Ö Govt PSU Other

FIL

ING

ST

AT

US





Whether this return is being filed by a representative assesseem ? ( tick ) Ö Yes Ö No

If yes, please furnish following information

( a ) Name of representative

( b ) Address of representative

( c ) Permanent Account Number ( PAN ) of the representative

Part B Part B - TI Computation of total income

TO

TA

L I

NC

OM

E

1 Salaries ( 6 of Schedule S ) 1 456547.00

2 Income from house property ( 3c of scedule HP ) ( enter nil if loss ) 2 0.00

3 Capital gains

a Short term

I Short - term ( u/s 111 A ( A5 of schedule CG ) 3ai 0.00

II Short - term ( others ) ( A6 of schedule CG ) 3aii 0.00

III Total Short - term ( 3ai + 3aii ) (A4 of schedule CG ) 3aiii 0.00

b Long term ( B5 of schedule CG ) ( enter nil if loss ) 3b 0.00

c Total capital gains ( 3aiii + 3b ) 3c 0.00

Do not write or stamp in this area (Space for bar code) For Office Use Only

Receiiptt No

Date

Seal and Signature of receiving official

Date of Birth (DD/MM/YYYY) ( in case of individual )

Employer Category ( if in empoyment ) (Tick)

If revised, enter Receipt No and Date of filing original return (DD/MM/YYYY)

4 Income from other sources

a from sources other than from owning race horses ( 3 of Schedule OS) 4a 3769.00b from owning race horses ( 4c of Schedule OS ) ( enter nil if loss) 4b 0.00c total ( a + b ) ( enter nil if 4c is a loss) 4c 3769.00

5 Total ( 1 + 2 + 3c + 4c ) 5 460316.006 Losses of current year set off against 5 ( total of 2vi and 3 vi of schedule CYLA ) 6 0.007 Balance after set off current year losses ( 5 - 6 ) ( also total of column of 4 of schedule CYLA ) 7 460316.008 Brought forward losses set off against 7 ( 2vi of shedule BFLA ) 8 0.009 Gross Total income ( 7 - 8 ) ( also 3vii of shedule BFLA ) 9 460316.0010 Deduction under chapter VI - A ( n of shedule VIA ) 10 Err:50411 Total income ( 9 - 10 ) 11 Err:50412 Net agricultural income / any other income for rate purpose ( 4 of schedule El ) 12 0.0013 Aggregate income ( 11 +- 12 ) 13 Err:50414 Losses of current year to be carried forward ( total of row xi of schedule CFL ) 14 0.00

Part B - TTI Computation of tax liability on total income

CO

MPU

TA

TIO

N O

F T

AX

LIA

BIL

ITY

1 Tax Payable on Total Income

a Tax at normal rates 1a Err:504b 1b

c Tax Payable on Total Income ( 1a + 1b ) 1c Err:5042 Surcharge on 1c 2 0.003 Education Cess, including secondary and higher education cess on ( 1c + 2 ) 3 Err:5044 Gross tax liability ( 1c + 2 + 3 ) 4 Err:5045 Tax relief

a Section 89 5a 0.00b Section 90 5b

c Section 91 5c d 5d 0.00

6 Net tax liability ( 4 - 5d ) 6 Err:5047 Interest payable

a For default in furnishing the return ( section 234A ) 7a b For default in payment of advance tax ( section 234B ) 7b

c For deferment of advance tax ( section 234AC ) 7c d 7d 0.00

8 Aggregate liability ( 6 + 7d ) 8 Err:504

TA

XE

S PA

ID

9 Taxes Paid

a 9a 0.00

b 9b 16513.00

c 9c d Total Taxes Paid ( 9a+9b+9c) 9d 16513.00

10 10 Err:504

RE

FUN

D

11 11 Err:504

12 Enter your bank account number (mandatory in case of refund) 3 0 7 3 1 8 5 4 3 9 1


14 In case of direct deposit to your bank account give additional details


VERIFICATION

I, VALIYA ROHITKUMAR KARSANDAS son / daughter of VALIYA KARSANDAS RAMJIBHAI

Assessment Year 2013-2014

Place Date Sign here -->

Tax at special rates ( 11 of schedule SI )

Total ( 5a + 5b + 5c )

Total Interest Payable ( 7a + 7b + 7c )

Advance Tax (from schedule - IT )

TDS (total of column 7 of schedule - TDS1 and column 7 of schedule - TDS-2)

Self Assessment Tax (from schedule-IT )

Amount Payable (Enter if 8 is greater than 9d, else enter 0 )

Refund ( if 9d is greater than 8, also give Bank Account details below)

solemniy declare that to the best of my knowledge and belief, the information given in the return and shedules thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provision of the Income-tax Act, 1961, in respect of income chargeble to Income-tax for the previous year relevent to the

15 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:

Identification No. of TRP Name of TRP Counter Signature of TRP

If TRP is entitled for any reimbursement from the Government, amount thereof 16

Schedule - S Details of income from salary

SAL

AR

IES

Name of Employer PAN of employer (optional )

PRINCIPAL 0

Address of employer Town / City State PIN code

INDUSTRIAL TRAINING INSTITUTE RAJKOT GUJARAT 3 6 0 0 0 3

1 Salary ( Excluding all allowanse, prequisites & profit in lieu of salary ) 1 456547.002 Allowances exempt under section 10 2 9200.003 Allowances not exempt 3

4 Value of perquisites 4

5 Profit in lieu of salary 5

6 Income chargeble under the Head "Salaries" ( 1+3+4+5 ) 6 456547.00

Schedule - HP

HP

US

E P

RO

PE

RT

Y

1

Address of property 1 Town / City State PIN code

Tick Ö if let out Name of Tenant PAN of Tenant (optional )

a 1a 0.00

b The amount of rent which cannot be realized 1b c Tax paid to local authorities. 1c d Total ( 1b + 1c ) 1d 0.00e Balance ( 1a - 1d ) 1e 0.00

f 30 % of 1e 1f 0.00g Interest payable on borrowed capital 1g 0.00h Total ( 1f + 1g ) 1h 0.00i Income from house property 1 ( 1e - 1h ) 1i 0.00

2Address of property 2 Town / City State PIN code

Tick Ö if let out Name of Tenant PAN of Tenant (optional )

a 2a

b The amount of rent which cannot be realized 2b

c Tax paid to local authorities. 2c

d Total ( 2b + 2c ) 2d

e Balance ( 2a - 2d ) 2e

f 30 % of 2e 2f

g Interest payable on borrowed capital 2g

h Total ( 2f + 2g ) 2h

i Income from house property 2 ( 2e - 2h ) 2i

3 Income under the head " Income from house property "

a Rent of earlier years realized under section 25 A / AA 3a

b Arrears of rent received during the year under section 25 B after deducting 30 % 3b

c Total ( 3a + 3b + 1i + 2i ) 3c 0.00NOTE > Please include the income of the specified person referred to in Schedule SPI while computing the income under this head.

Schedule - CG Capital Gains

CA

PIT

AL

GA

INS

A Short term capital gains

1 From assets in case of non-resident to which first proviso to section 48 applicable 1

2 From other assets

a Full value of consideration 2a

b Deduction under section 48

i Cost of acquisition bi

ii Cost of Improvement bii

iii Expenditure of transfer biii

Details of income from House Property ( Please refer to instructions. )

Annual letable value / rent received or receivable ( Higher if let out for whole of the year, lower if let out for part of the year. )

Annual letable value / rent received or receivable ( Higher if let out for whole of the year, lower if let out for part of the year. )

CA

PIT

AL

GA

INS

iv Total ( i +ii + iii ) biv

c Balance ( 2a - biv ) 2c

d 2d

e Exemption under section 54B/54D 2e

f Short term capital gain ( 2c - 2d - 2e ) 2f

3 Amount deemed to be short term capital gains under section 54B/54D/54EC/54ED/54G/54GA A3

4 Total short term capital gain ( 1 + 2f + A3 ) A4

5 Short term capital gain under section 111A included in 4 A5

6 Short term capital gain other than referred to in secion 111A (A4 - A5 ) A6

CA

PIT

AL

GA

INS

B Long term capital gains

1 Assets in case of non-resident to which first proviso to section 48 applicable 1

2 Other assets where proviso to section 112 (1) not applicable

a Full value consideration 2a


i Cost of acquisition after indexation bi

ii Cost of Improvement after indexation bii

iii Expenditure on transfer biii

iv Total ( bi +bii + biii ) biv


d 2d

e Net balance ( 2c - 2d ) 2e

3 Other assets where proviso to section 112 (1) is applicable

a Full value consideration 3a


i Cost of acquisition without indexation bi

ii Cost of Improvement without indexation bii

iii Expenditure on transfer biii

iv Total ( bi +bii + biii ) biv


d Exemption under sections 54/54B/54D/54EC/54F 3d

e Net balance ( 3c - 3d ) 3e

4 Amount deemed to be long term capital gains under section 54/54B/54D/54EC/54ED/54F B4

5 B5

C C

D Information about actual / receipt of capital gain

Date

1 Long - term

2 Short - term

NOTE > Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head.

Schedule - OS Income from other sources

OT

HE

R S

OU

RC

ES

1 Income

a Dividends, Gross 1a 0.00

b Interest Gross 1b 3769.00

c Rental income from machinery, plants, buildings, 1c

d 1d 0.00

e Total ( 1a + 1b + 1c + 1d ) 1e 3769.00

f Deduction under section 57 :-

i Expenses fi

ii Depreciation fii

iii Total fiii 0.00

g Balance ( 1e - fiii ) 1g 3769.00

2 Winning from lotteries, crossword puzzles, races, etc. 2

3 3 3769.00

4 Income from owning and maintaining race horses.

a Receipts 4a

b Deduction under section 57 in relation to ( 4 ) :- 4b

c Balance ( 4a - 4b ) 4c 0

5 5 3769.00

NOTE > Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head.

Loss if any, to be ignored under section 94(7) or 94(8) ( enter positive values only. )

Exemption under sections 54/54B/54D/54EC/54F/54G/54GA

Total long term capital gain 1 + 2e [ (enter 2e as nil if loss) + 3e (enter 3e as nil if loss)+ 4 )]

Income chargeable under the head " CAPITAL GAINS " ( A4 + B5 ) (enter B5 as nil, if loss)

Upto 15/9 ( i )

16/9 to 15/12 ( ii )

16/12 to 15/3 ( iii )

16/3 to 31/3 ( iv )

Other, Gross ( excluding income from owning race horses )

Income from other sources ( other than owning race horses ) ( 1g + 2 ) (enter 1g as nil, if loss)

Income chargeable under the head " Income from other sources" ( 3 + 4c ) (enter 4c as nil if loss and take 4c loss figure to schedule CFL)

Schedule - CYLA Details of Income after Set off of current year losses.

CU

RR

EN

T Y

EA

R L

OSS

AD

JUST

ME

NT

Sr.No. Head / Sources of Income

1 2 3 4=1-2-3

Lose to be adjusted

i Salaries 456547.00 0.00 456547.00

ii House Property

iii Short term capital gain

iv Long term capital gain

v

vi Total loss set off 0.00

vii Loss remaining after set-off out of 2 & 3

Schedule - BFLA Details of Income after Set off of Brought Forward losses of earlier years.

BR

OU

GH

T F

OR

WA

RD

LO

SS A

DJU

STM

EN

T

Sr.No. Head / Sources of Income Brought forward loss set off

1 2 3

i Salaries

ii House Property

iii Short term capital gain

iv Long term capital gain

v

vi Total of brought forward loss set off

vii Current year's income remaining after set-off Total ( i3 + ii3 + iii3 + iv3 + v3 )

Schedule - CFL Details of Losses to be carried Forward to future years.

CA

RR

Y F

OR

WA

RD

OF

LO

SS

Sr.No. Assessment year House property loss Short term capital loss

i 2000-01

ii 2001-02

iii 2002-03

iv 2003-04

v 2004-05

vi 2005-06

vii 2006-07

viii 2007-08

ix Total of earliar year losses

xxi 2008-09 ( Current year losses )

xii

Schedule - VIA Deductions under chapter VI A (Section)

TO

TA

L D

ED

UC

TIO

NS

a 80C 100000.00 h 80G 0.00b 80CCC 0.00 i 80GG

c 80CCD 0.00 j 80GGA

d 80D 0.00 k 80GGC

e 80DD 0.00 l 80RRB

f 80DDB Err:504 m 80U 0.00g 80E 0.00n Total deductions ( total a toi m ) n Err:504

Income of current year ( Fill this column only if income is zero or positive )

House property loss of the current year set off

Other sources loss ( other than loss from race horses ) of the current year set off

Current year's Income remaining after set off

Total loss ( 3c of Schedule - HP )

Total loss ( 3 of Schedule - OS )

Other sources ( including profit from owning race horses )

Income after set off, if any, of current year's losses as per 4 of schedule CYLA

Current year's Income remaining after set off

Other sources ( including profit from owning race horses )

Data of filing (DD/MM/YYYY)

Long term capital loss

Other sources loss ( from owning race horses )

Adjustment of above losses in Schedule BFLA

Total loss Carried Foraward to future years

Schedule - SPISr.No. Name of person PAN of person (optional) Relationship Nature of Income Amount(Rs.)

1

2

3

Schedule - SI

SPE

CIA

L R

AT

E

Ö Section code Ö

1 6

2 7

3 8

4 9

5 10

11 Total ( 1ii to 10 ii )

Schedule - EI Details of Exempt Income ( Income not to be included in Total Income )

EX

EM

PT I

NC

OM

E 1 Interest income 1

2 Dividend income 2

3 Long term capital gains from transaction on which Securities Transaction Tax is paid 3

4 Neat Agriculture income / any other income for rate purpose 4

5 Others, including exempt income of minor children 5

6 Total ( 1 + 2 + 3 + 4 + 5 ) 6

Schedule - AIRSI Code of transaction Ö Amount ( Rs. ) SI Code of transaction Ö Amount ( Rs. )

1 001 5 005

2 002 6 006

3 003 7 007

4 004 8 008

Schedule - IT Details of Advance Tax and Self Assessment Tax Payments of Income - tax.

TA

X P

AY

ME

NT

S Name of Bank & Branch BSR Code Amount (Rs)

i 0.00 0.00ii 0.00 0.00iii 0.00 0.00iv 0.00 0.00v 0.00 0.00

NOTE > Enter the totals of Advance tax and Self Assessment tax in Sl No. 9a and 9c of Part-B TTI.

Schedule - TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

TD

S O

N S

AL

AR

Y

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

460316 Err:504 Err:504 16513 Err:504

ii

0, 0, 0 0 0 0

Schedule - TDS2 Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor(s)]

TD

S O

N O

TH

ER

IN

CO

ME

Amount paid / Credit

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

i

ii

NOTE > Enter the total of column (7) of Schedule TDS-1 and column (7) of Schedule-TDS-2 in 9 (b) of Part B - TTI.

Income of specified persons(spouse, minor child etc) includable of the assessee ( income of the minor child to be included after Rs. 1,500 per child)

Income chargeble to Income tax at special rates [ Please see instruction No.9(iii) for section code and rate of tax]

Sr.No.

Section code

Special rate ( % )

Income i

Tax thereon ii

Sr.No.

Special rate ( % )

Income i

Tax thereon ii

Other Information (transactions reported through Annual Information Return) [ Please see instruction No.9(ii) for code ]

Sl No.



Sr No.




Deduction under

Chapter VI-A

Tax payable( Incl. surch.

and edu. cess)

Total tax

deposited

Tax payable

/refundable

PRINCIPAL, INDUSTRIAL

TRAINING INSTITUTE, RAJKOT

Sr No.



Date of Payment /

Credit

Total tax deposited

Amount out of (6)

claimed for this year

Government of India


Received with thanks f VALIYA ROHITKUMAR KARSANDAS a return of income

and / or return of fridge benefits in Form N ITR - 2 for the assessment year 2013-2014 having the following particulars

PER

SON

AL

IN

FOR

MA

TIO

N

Name PAN



2-MARUTINAGAR #REF!


AIRPORT ROAD RAJKOT


RAJKOT GUJARAT

CO

MPU

TA

TIO

N O

F IN

CO

ME

AN

D T

AX

TH

ER

EO

N





5 Interest payable 7 0.00


7 Taxes Paid


b TDS 7b 16513.00

c TCS 7c




9 Refund ( 7e - 6 ) 9 Err:504





14 Taxes Paid

a Advance Tax 14a




16 Refund (14c-13) 16


Date

CO

MP

UT

AT

ION

OF

FR

ING

E B

EN

EF

ITS

A

ND

TA

X T

HE

RE

ON

08-5-1989 TO 31-12-1998 A A1

01-01-1999 TO 14-01-2000 B A2

15-01-2000 TO 28-02-2001 C A3

01-03-2001 TO 28-02-2002 D A4

01-03-2002 TO 28-02-2003 E A5

01-03-2003 TO ONWARDS F A6

B4

C3

D2

E1

;DH]TL ov TFP !5q_*q!)() GF ZMH BZLN SZ[, ~FP !____qvGL lS\DTGF V[GPV[;P;LP G]\ K99F JQF"G]\ jIFH U6J]\ K[P TM VF TFZLB TFP_(q_5q!)() YL TFP#!q!Zq!))( JrR[ VFJ[ K[PT[GL ;FD[ SM0 ccV[cc VF5[, K[P TM 5L/F S,ZGF ;[,DF\ ccV[cc ;FY[ ccKcc ,BMPU|[ S,ZGF ;[,DF\ ~FP !____qv ,BMP 5ZL6FD[ HF\A,L S,ZGF ;[,DF\ V[GPV[;P;LP H[ T[ JQF"GL jIFHGL ZSD ~FPZZ$_qv D/X[P VF ZLT[ H]NF H]NF S], !_ V[GPV[;P;LPGF jIFHGL U6TZL V[SL ;FY[ SZLG[ jIFHGL S], ZSD GLR[ VF5[, 5M58L S,ZGF ;[,DF\ D/X[P

10000.00 1240.00 12.4

10000.00 1390.00 13.9

15000.00 2340.00 23.4

20000.00 3500.00 35

25000.00 4925.00 49.25

30000.00 6720.00 67.2

35000.00 5789.00

40000.00 5600.00

45000.00 4801.50

50000.00 4600.00

40905.50

;DH]TL ov TFP !5q_*q!)() GF ZMH BZLN SZ[, ~FP !____qvGL lS\DTGF V[GPV[;P;LP G]\ K99F JQF"G]\ jIFH U6J]\ K[P TM VF TFZLB TFP_(q_5q!)() YL TFP#!q!Zq!))( JrR[ VFJ[ K[PT[GL ;FD[ SM0 ccV[cc VF5[, K[P TM 5L/F S,ZGF ;[,DF\ ccV[cc ;FY[ ccKcc ,BMPU|[ S,ZGF ;[,DF\ ~FP !____qv ,BMP 5ZL6FD[ HF\A,L S,ZGF ;[,DF\ V[GPV[;P;LP H[ T[ JQF"GL jIFHGL ZSD ~FPZZ$_qv D/X[P VF ZLT[ H]NF H]NF S], !_ V[GPV[;P;LPGF jIFHGL U6TZL V[SL ;FY[ SZLG[ jIFHGL S], ZSD GLR[ VF5[, 5M58L S,ZGF ;[,DF\ D/X[P

A1 124.00A2 139.00A3 156.00A4 175.00A5 197.00A6 224.00B1 118.30B2 132.30B3 148.00B4 165.40B5 185.10B6 206.90C1 113.00C2 125.80

C3 140.00C4 155.80C5 173.50C6 193.10D1 97.20D2 106.70D3 117.10D4 128.50D5 141.00D6 154.70E1 92.00E2 100.50E3 109.70E4 119.80E5 130.90E6 142.90F1 81.60F2 88.30F3 95.50F4 103.30F5 111.70F6 120.80

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