Certificate / Emp No : 2890 / 103497

FORM No. 16
[ See rule 31(1) (a)] PART A

Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on Salary
Name and address of the Employer Name and designation of the Employee PUTTAPARTHY ASHOK LEAD ENGINEER MATERIAL AND PORT HANDLING SYSTEM TAN of the Deductor CHEF02179C PAN of the Employee AVPPA0659N Assessment Year From 20/12/2010 Period To 31/03/2011

FLSMIDTH PRIVATE LIMITED

"Capital Towers", 180, Kodambakkam High Road Chennai - 600034. PAN of the Deductor AAACF4997N

CIT(TDS)
The Commissioner of Income Tax (TDS) 7th FLOOR, New Block, Aayakar Bhawan, 121, M.G.Road, Chennai 600034

2011 - 2012

Summary of tax deducted at source

Quarter Receipt Numbers of original statements of TDS under sub-section (3) of section 200. JPDGGIRB CATXXOHE JPEQVOCE JPERDRFA Amount of tax deducted in respect of the employee Amount of tax deposited/remitted in respect of the employee 0.00 0.00 0.00 0.00 0.00

Quarter 1 Quarter 2 Quarter 3 Quarter 4 Total

0.00 0.00 0.00 0.00 0.00 PART B (Refer Note 1)

Details of salary paid and any other income and tax deducted 1. Gross Salary a) Salary as per provisions contained in Sec. 17(1) b) Value of Perquisites U/s 17(2) (as per Form No.12BA, wherever applicable) c) Profits in lieu of salary U/S 17(3) (as per Form No.12BA,wherever applicable) Rs. Rs. 73,943.00 0.00

Rs.

0.00

d) Total 2. Less : Allowance to the extent exempt U/S 10 HRA Exemption Conveyance Exemption Medical Exemption LTA Exemption Fuel Exemption Education Exemption Washing Allowance Exemption Gratiuty Exemption Leave Encashment Exemption Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. 14,676.00 3,097.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Rs.

73,943.00

Rs. 3. Balance (1-2) 4. Deductions: (a) Entertainment allowance (b) Tax on Employment 5. Aggregate of 4(a) and (b) 6. Income Chargeable Under the Head "Salaries" (3 - 5) Rs. Rs. 0.00 585.00 Rs.

17,773.00 Rs. 56,170.00

585.00 Rs. 55,585.00

Certificate / Emp No : 2890 / 103497

7. Add : Any other income reported by the employee (a)Income under the Head "Income from House Property" (b)Income under the Head "Income from Other sources" 8. Gross total income (6+7) 9. Deductions under Chapter VI A (A) Sections 80C, 80CCC and 80CCD (I) Section 80C (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) Provident Fund VPF Insurance Premium NSC Accrued Interest on NSC PPF Mutual Funds ULIP Educational Expences of Children Principal repayment on Housing Loan Time Deposit ELSS Term Deposit Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. 4,742.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Rs. Rs. Rs. 0.00 0.00 4,742.00 Rs. Rs. Rs. 0.00 0.00 4,742.00 Gross Amount Deductible Amount Rs. Rs. 0.00 0.00 Rs. 0.00

Rs.

55,585.00

(II) Section 80CCC (III) Section 80CCD

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

(B) Other sections (e.g. 80E, 80G etc.) Under Chapter VI-A. (i) Mediclaim Insurance Premium (80D) (ii) Med-Exp on Handicapped Dep (80DD) (iii) Medical Exp Chronic Diseases (80DDB) (iv) Education Loan Int Repayment (80E) (v) Donation (80G) (vi) Physical Handicapped (80U) (vii) Infrastructure Bond (80 CCF) 10. Aggregate of deductible amount under Chapter VI-A 11. Total Income (8-10) 12. Tax on total Income 13. Education cess @ 3% (on tax computed at S.No.12) 14. Tax Payable (12+13) 15. Less : Relief under section 89 (attach details) 16. Tax payable (14-15)

Gross Amount Rs. Rs. Rs. Rs. Rs. Rs. Rs. 1,164.00 0.00 0.00 0.00 0.00 0.00 0.00

Qualifying Amount Rs. Rs. Rs. Rs. Rs. Rs. Rs. 1,164.00 0.00 0.00 0.00 0.00 0.00 0.00

Deductible Amount Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. 1,164.00 0.00 0.00 0.00 0.00 0.00 0.00 5,906.00 49,679.00 0.00 0.00 0.00 0.00 0.00

Certificate / Emp No : 2890 / 103497

Verification
I, KALYANARAMAN V, son of K VENUGOPALAN, working in the capacity of SENIOR MANAGER do hereby certify that a sum of Rs 0.00 ( NIL ) has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

.......................................................................................... Signature of the person responsible for deduction of tax Place : Date : CHENNAI 23-May-2011 Full Name Designation : KALYANARAMAN V : SENIOR MANAGER

Notes: 1. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with each of the employers. Part B may be issued by each of the employers or the last employer at the option of the assessee. 2. Government deductors to enclose Annexure-A if tax is paid without production of an income-tax challan and Annexure-B if tax is paid accompanied by an income-tax challan. 3. Non-Government deductors to enclose Annexure-B. 4. The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction as regards TDS statements of the assessee. 5. This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.

ANNEXURE-A NOT APPLICABLE 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 with respect to the employee)

S.No

Tax deposited in respect of the employee (Rs.)

Challan Identification number (CIN) BSR Code of the Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number

1 Total

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

Signature Not Verified

Digitally signed by V KALYANARAMAN Date: 2011.05.23 14:06:30 IST

Certificate / Emp No : 2890 / 103497

FORM No. 12BA

[ See rule 26A(2)(b) ] Statement showing particulars of perquisites, other fringe benefits or amenities and profits in lieu of Salary with value thereof
(1) Name and address of employer FLSMIDTH PRIVATE LIMITED "Capital Towers", 180, Kodambakkam High Road Chennai - 600034. (2) TAN : (3) TDS assessment range of the employer (4) Name, designation and PAN of employee CHEF02179C ITO TDS WARD I (2) C PUTTAPARTHY ASHOK LEAD ENGINEER MATERIAL AND PORT HANDLING SYSTEM AVPPA0659N (5) : (6) Is the employee a director or a person with substantial interest in the company (Where the employer is a company) Income under the head "Salaries" of the employee (other than from perquisites) NO

Rs. 73,943.00 2010 - 2011 0.00

(7) Financial year (8) Valuation of perquisites

SI. No.

Nature of perquisite (see rule 3)

Value of perquisite as per rules (Rs)

Amount, if any, recovered from the employee) (Rs)

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

Amount of perquisite chargeable to tax col(3)-col(4) (Rs)

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

01. 02. 03. 04. 05. 06. 07. 08. 09. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. (9)

Accommodation Cars/other automotive Sweeper, gardener, watchman or personal attendant Gas, electricity, water Interest free or concessional loans Holiday expenses Free or concessional travel Free meals Free education Gifts, vouchers, etc Credit card expenses Club expenses Use of movable assets by employees Transfer of assets to employees Value of any other benefit / amenity / service / privilege Stock options (non-qualified options) Other benefits or amenities Total value of perquisites Total value of profits in lieu of salary as per section 17(3) Details of tax, (a) Tax deducted at source from salary of the Employee under section 192(1) (b) Tax paid by the Employer on behalf of the Employee under section 192(1A) on perquisites under section 17(2) (c) Total Tax Paid (d) Date of Payment into Government treasury

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

Rs.

0.00 Nil

Rs. As per Form.No-16

0.00

Certificate / Emp No : 2890 / 103497

DECLARATION BY EMPLOYER
I, KALYANARAMAN V, son of K VENUGOPALAN, working as SENIOR MANAGER do hereby declare on behalf of FLSMIDTH PRIVATE LIMITED that the information given above is based on the books of account, documents and other relevent records or information available with us and the details of value of each such perquisite are in accordance with section 17 and rules framed thereunder and that such information is true and correct.

.......................................................................................... Signature of the person responsible for deduction of tax Place : Date : CHENNAI 23-May-2011 Full Name Designation : KALYANARAMAN V : SENIOR MANAGER

Signature Not Verified

Digitally signed by V KALYANARAMAN Date: 2011.05.23 14:06:31 IST