L&T TECHNOLOGY SERVICES LIMITED

Form 16 Digitally Signed

Form16 Details :

Employee Name : RAJENDRA PRAJAPAT

Employee PAN : BPTPP8708K

Employee Serial Number : 20034202

Employee Designation : LTTS-3
Form 16 Contrl Number : 20034202/BPTPP8708K/2018-2019
Assessment Year : 2019-2020
Certficate Number : LTTSL/LTTS./18-19/19

Signature Details :
This form has been signed and certified using a Digital Signature Certificate as Specified under Section 119 of
the Income-Tax Act, 1961. (Please refer Circular No.2/2007, dated 21-5-2007).

The Digital Signature of the Signatory has been affixed in the box provided below. To see the details and validate
the signatory, you should click on the box.

Digitally Signed By : SANTOSH S SAMANT

Digital Signature Certificated Issued By : SafeScrypt sub-CA for RCAI Class 2 2014
Serial Number of DSC : 23 8c 94 fc 01 13 1d 05
Number of Pages : 4 ( including this page )

Signature Not
Verified
SANTOSH
SAMANT

03.05.2019 14:00
 Part B(Annexure)

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX (Rs.) (Rs.) (Rs.)
DEDUCTED
1 Gross Salary
a) Salary as per provisions contained in section 17(1) 344458
b) Value of Perq. u/s 17(2)(as per FORM 12BA, wherever applicable) 10000
c) Profits in lieu of salary u/s 17(3) (as per FORM 12BA,wherever applicable) 0
d) Total 354458
e) Reported Total amount of salary received from other employer(s) 0
LESS:ALLOWANCE TO THE EXTENT EXEMPT U/S 10
2 HOSTEL EXPENDITURE ALLOW 0
BOOKS & PERIODICALS 0
EDUCATION ALLOWANCE 0
HOUSE RENT ALLOWANCE 0
Voluntary Retirement scheme 0
GRATUITY EXEMPTION 55402
CONVEYANCE ALLOWANCE 0
LTA 0
WASHING ALLOWANCE 0
LEAVE ENCASHMENT 53096
OTHER EXEMPTION 0
TOTAL AMOUNT OF EXEMPTION CLAIMED UNDER SECTION 10 0 108498
3 Total amount of salary received from current employer [1(d)-2] 245960
4 DEDUCTIONS UNDER SECTION 16
(a) standard deduction under section 16(ia) 40000
(b) Entertainment Allowance under section 16(ii)
(c) Tax on Employment under section 16(iii) 1000
5 Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 41000
6 INCOME CHARGEABLE UNDER THE HEAD "SALARIES" [(3+1(e)-5] 204960
7 Add:Any other income reported by the employee under as per section 192 (2B) 0
7(a) Income (or admissible loss) from house property reported by employee offered for TDS 0 0
7(b) Income under the head Other Sources offered for TDS 0 0
8 Total Amount of Other Income Reported by the Employee [7(a)+7(b)] 0 0
Gross Amount Qualifying Amount Deductable Amount
9 GROSS TOTAL INCOME (6+8) 0 0 204960
10 DEDUCTIONS UNDER CHAPTER VI-A 0 0
A) Section 80C, 80CCC, 80CCD 0 0 0
(A) Section 80C 0 0 0
LIFE INSURANCE / ULI /GRPINC 0 0
ESS / MUTUAL FUND 0 0
REPAY OF HSG LOAN(PRIN) 0 0
NSC - INTEREST 0 0
PPF 0 0
TUTION FEES 0 0
NSS DETAILS 0 0
VPF - CONTRIBUTION 0 0
BONDS 0 0
FD BANK 0 0
OTHER CONTRIBUTIONS FOR SEC 88 0 0
PF - CONTRIBUTION 7684 7684 7684
NSC DETAILS 0 0
LIC/GRPINC 1070 1070 1070
SIP - ELSS 0 0
US 80CCF-INFRA BOND 0 0
SUKHANYA SAMRIDDHI 0 0
 B) OTHER SECTIONS UNDER CHAPTER VI-A 0 0 0
EMPLOYER NPS CONTRIBUTION 0 0 0
US 80D MEDICAL INSURANCE 0 0 0
US 80D MEDICAL INSURANCE FOR SR.CITIZEN 0 0 0
US 80DD MAINT. OF HANIDICAP DEPENDENT (SEVERE DISABILITY, 0 0 0
NON SEVERE)
US 80DDB MEDICAL INSURANCE ON SPECIFIED DISEASE (SR.CITIZEN, 0 0 0
OTHER)
US 80G DONATION 0 0 0
US 80E HIGHER EDUCATION (INTEREST ON LOAN ONLY) 0 0 0
US 80U SELF HANDICAP (SEVERE DISABILITY, NON SEVERE) 0 0 0
US 80EE HOUSING LOAN INTEREST 0 0 0
80CCD(1B) 0 0 0
11 AGGREGATE OF DEDUCTIBLE AMOUNT UNDER CHAPTER VI-A 8754 8754 8754
12 Total taxable income (9-11) 196206
13 TAX ON TOTAL INCOME 0
14 Rebate under section 87A, if applicable 0
15 Surcharge, wherever applicable 0
16 Health and education cess 0
17 Tax Payable (13+15+16-14) 0
18 Less: Relief under section 89 (attach details) 0
19 Net tax payable (17-18) 0
20 TAX DEDUCTED AT SOURCE U/S 192(1) 3030
TAX PAID BY EMPLOYER U/S192(1A)ON PERQ U/S17 0
21 TAX PAYABLE/REFUNDABLE (19-20) -3030

Verification
I SANTOSH S SAMANT, son/daughter of SADANAND SAMANT working in the capacity of DEPUTY GENERAL MANAGER-OPERATIONS SSC do hereby certify that
the information given above is true, complete and correct based on the books of account, documents, TDS statements, and other available records.

Signature of person responsible for deduction of tax

Place MUMBAI Full Name SANTOSH S SAMANT
Date 30 Apr 2019 Designation DEPUTY GENERAL MANAGER-OPERATIONS SSC
 FORM NO. 12BA LTTSL/LTTS./18-19/19
[See rule 26A(2)(b)]
Statement showing particulars of perquisites, other fringe benefits or
amenities and profits in lieu of salary with value thereof
1 Name and address of the Employer L&T TECHNOLOGY SERVICES LIMITED
L&T HOUSE,BALLARD ESTATE,N M MARG,MUMBAI-400001
2 TAN MUML08914D
3 TDS Assessment Range of the employer
4 Name, Designation and PAN of the employee RAJENDRA PRAJAPAT
LTTS-3
BPTPP8708K
5 Is the employee a director or a person with substantial No
interest in the company(where the employer is a company)
6 Income under the head "Salaries" of the employee(other 344458
than from perquisites)
7 Financial year 2018-2019
8 Valuation of Perquisites
S.No Nature of perquisites (see rule 3) Value of perquisite as per Amount, if any recovered Amount of taxable
rules (Rs) from employee (Rs) perquisites (Rs)
(1) (2) (3) (4) (5)

1 ACCOMMODATION 0 0.00 0
2 CARS/OTHER AUTOMOTIVE 0 0.00 0
3 SWEEPER,GARDENER,WATCHMAN OR ATTENDANT 0 0.00 0
4 GAS,ELECTRICITY AND WATER 0 0.00 0
5 INTEREST FREE OR CONCESSIONAL LOAN 0 0.00 0
6 FREE OR CONCESSIONAL TRAVEL 0 0.00 0
7 FREE MEALS 0 0.00 0
8 FREE EDUCATION 0 0.00 0
9 GIFTS, VOUCHERS ETC. 0 0.00 0
10 CREDIT CARD EXPENSES 0 0.00 0
11 CLUB EXPENSES 0 0.00 0
12 USE OF MOVABLE ASSETS BY EMPLOYEES 0 0.00 0
13 TRANSFER OF ASSETS TO EMPLOYEE 0 0.00 0
14 VALUE OF ANY OTHER BENEFIT/AMENITY/SERVICE/PRIVILEGE 0 0.00 0
15 STOCK OPTIONS(NON-QUALIFIED OPTIONS) 0 0.00 0
16 OTHER BENEFITS OR AMENITIES 5000 0.00 5000
17 PERKS ON ESOP ALLOTTMENT 0 0.00 0
Total value of perquisites 5000 0.00 5000
Total value of profits in lieu of salary as per section 17(3) 0.00 0.00 0.00
(9) Details of Tax
a) Tax deducted from salary of the employee under the section 192(1) 3030

b) Tax paid by employer on behalf of the employee under section 192(1A)

c) Total tax paid 3030

d) Date of payment into Government treasury "Refer Form- 16"
DECLARATION BY EMPLOYER
I, SANTOSH S SAMANT, son/daughter of SADANAND SAMANT working as DEPUTY GENERAL MANAGER-OPERATIONS SSC do hereby declare on behalf of L&T TECHNOLOGY
SERVICES LIMITED that the information given above is based on the books of account, documents and other relevant records or information available with us and the details of value
of each such perquisite are in accordance with section 17 and rules framed thereunder and that such information is true and correct.

Signature of person responsible for deduction of tax

Place MUMBAI Full Name SANTOSH S SAMANT
Date 30 April, 2019 Designation DEPUTY GENERAL MANAGER-OPERATIONS SSC