NAME PAN NO Roll No

M SHYAMASUNDAR ABAPS0200K

0 Apr-11 May-11 Jun-11 BP 0.00 0.00 0.00 DA 0.00 0.00 0.00 HRA 0.00 0.00 0.00 Conv 0.00 0.00 0.00 PPA 0.00 0.00 0.00 Swo A/B 0.00 0.00 0.00 FPA 0.00 0.00 0.00 PQA 0.00 0.00 0.00 Gr All 0.00 0.00 0.00 SCA 0.00 0.00 0.00 Others 0.00 0.00 0.00 Total 0.00 0.00 0.00 Pf/Vcpf 0.00 0.00 0.00 SHL 0.00 0.00 0.00 LIC-SSS 0.00 0.00 0.00 P tax 0.00 0.00 0.00 IT 0.00 0.00 0.00 ADDITIONS: Perquisite Value 0.00 Half Yearly Allowance 0.00 Leave Fare Encashment 0.00 Leave Encashment 0.00 Arrears / O T 0.00 Incentive/Exgratia 0.00 NSC Interest 0.00 Other Income 0.00 NSC Interest Calculation Period Face Val Int Rate Interest 2010-11 0 8.16 0.00 2009-10 0 8.83 0.00 2008-09 0 9.55 0.00 2007-08 0 10.33 0.00 2006-07 0 11.17 0.00 2005-06 0 12.08 0.00 0.00

HRA Exemption No Non-Metro If yes annual rent paid 0.00 House Property Self Occupied If let out Annual Rent Recd & 0.00 Municipal taxes paid Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DEDUCTIONS: FORM 12 C u/s 80C[2] Annual Rent Recd Life Insurance Premium 0.00 (-) Municipal Taxes PPF 0.00 ULIP/LICMF 0.00 (-) 30% Repairs NSC 0.00 (-) H Loan Interest Housing Loan Repayment 0.00 Tution Fees 0.00 H R A Exemption Shares/Deb CBDT 0.00 [a] Actual Hra Tax Saver Deposit 0.00 [b] Infra Structure Bond 80CCF 0.00 [c] 80 D Med Ins Premium 0.00 [d] 80 DD Med Treat to Dep 0.00 Least of the above 80 E Int opn Edl Loan 0.00 80 G Donations 0.00 80 U Handicapped 0.00 0

Senior Citizen Housing Loan Int. Municipal taxes paid 0.00 Dec-11 Jan-12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 50,000.00 70,000.00 50,000.00 70,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FORM 12 C Annual Rent Recd 0.00 (-) Municipal Taxes 0.00 0.00 (-) 30% Repairs 0.00 (-) H Loan Interest 0.00 0.00 H R A Exemption [a] Actual Hra 0.00 0.00 0.00 0.00 0.00 Least of the above 0.00 0.00

Yes

Feb-12 Mar-12 Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90,000.00 90,000.00 300,000.00 90,000.00 90,000.00 300,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FORM 16 Salary 300,000 Add: Perq Value 0 300,000 Less:Conv. All 0 Less: H R A 0 300,000 Ded: Ent. All 0 Ded: Tax on Employ 0 300,000 +Income/loss H Prop 0 +Other Income 0 Gross Total Income 300,000 Ded: Chapter VIA [A] 80 C 0 80 C C F 0 [B] 80 D 0 80 DD 0 80 E 0 80 G 0 80 U 0 Total Income 300,000 Tax on Total Income 5,000 E Cess 150 Tax Payable 5,150 TDS 0 Refund/Payable 5,150

FORM NO. 16 [See rule 31(1)(a) of the Income Tax Rules, 1962] Certificate under Section 203 of the Income-Tax Act, 1961 for tax deducted at source from Income Chargeable under the head "SALARIES"

Name and Address of the Employer INDIAN OVERSEAS BANK DR.R.K.SALAI (291) NO 32,DR.RADHAKRISHNAN SALAI CHENNAI-600004

Name and Designation of the Employee VENKATARAMANI 26910

PAN / GIR NO. TAN AAACI1223J CHEI00366C Acknowledgement Nos. of all quarterly statements PERIOD of TDS under sub-section (3) of section 200 as From Provided by TIN Facilitation Centre or NSDL web site. 1-Apr-09 Quarter Acknowledge No Q1 7.41601E+13 Q2 7.41601E+13 Q3 7.41601E+13 Q4 3.01905E+13

PAN / GIR NO. AEUPV8413J Assessment Year To 31-Mar-10 2010-2011

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 1. Gross Salary (a) Salary as per provisions u/s 17 (1) 197,081 (b) Value of perquisites u/s 17 (2) (as per Form No.12BA, where applicable) (c ) Profits in lieu of salary under section 17(3) as per Form No.12BA, where applicable) (d) T O T A L 197,081 2. Less: Allowance to the extent exempt u/s 10 3. BALANCE ( 1 - 2 ) 197,081 4. DEDUCTIONS : (a) Entertainment Allowance Rs. (b) Tax on Employment Rs. 2,898 5. Aggregate of 4 (a and b) 2,898 6. INCOME CHARGEABLE UNDER THE HEAD SALARIES (3-5) 7. Add: Any other income reported by the Employee House property income as per Form 12C Other Income 8. GROSS TOTAL INCOME ( 6 + 7 ) 9. DEDUCTIONS UNDER CHAPTER VI-A (A) Section 80C, 80CCC and 80CCD (a) Section 80C Sl No Particulars

194,183

194,183 Gross Amount Qualifying Amount Deductible amount

(I) EPF 11,718 11,718 (ii) NSC/NSC INTEREST (iii) P.P.F (iv) INSURANCE PREMIUM 30,000 30,000 (v) TUTION FEES 32,500 32,500 (vi) TAX SAVING BONDS (vii) HOUSING LOAN REPAYMENT (viii) Equity Linked Saving Schemes 74,218 (ix) Others (b) Section 80CCC (C) Section 80CCD (d) Total of Section (A) 74,218 Note: 1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees. Note: 2. Aggregate amount deductible under sections i.e 80C, 80CCC and 80CCD shall not exceed one lakh rupees. (B) Other sections (for eg 80E, 80G etc) under chaptr VIA (a) MEDICLAIM 80-D (b) Maintenance and Medical Treatment 80-DD (c ) MEDICAL TREATMENT 80-DDB (d) EDUCATION LOAN 80-E (e) Total of Section (B) 10. Aggregate of deductible amount under Chapter VI - A 11. TOTAL INCOME ( 8 - 10 ) 12. TAX ON TOTAL INCOME* 13. SURCHARGE (on tax computed at S.No.12 where applicable) 14. EDUCATION CESS @ 2% (on tax at S.No.12 and surcharge at S.No.13) 15. TAX PAYABLE (12 + 13 + 14) 16. Relief under section 89 (attach details) 17. TAX PAYABLE (15 -16) 18. Less : TAX DEDUCTED AT SOURCE (a) Tax Deducted u/s 192(1) (b) Tax paid by the employer on behalf of the employee u/s 191(1A) on perquisites u/s 17(2) 19. TAX PAYABLE / REFUNDABLE (17-18) 74,218 119,970 0 -

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT Sl TDS No Rs. Surcharge Education Cess Total Tax Deposited Cheque/DDBSR No (if Code any)of Date Bank on Branch which Transfer tax deposited voucher (dd/mm/yy) / Challan identifi -

I, P.V.SUDHAKARAN, S/o. P.VENUGOPAL working in the capacity of Branch Manager do hereby certify that a sum of Rs. Rupees Zero Only has been deducted at source and paid to the credit of the Central Government. I Further certify that the above information is

Employee Name :

VENKATARAMANI

Signature of the person responsible for deduction of tax Full Name P.V.SUDHAKARAN DesignationBRANCH MANAGER

ot exceed one lakh rupees.

Transfer voucher / Challan identification No.

do hereby certify that a sum of

certify that the above information is true and corrrect based on the books of account, documents and other available records.

on responsible for deduction of tax

her available records.