WIPRO HR SERVICES INDIA PRIVATE LIMITED

Digitally Signed

Form 16
Form16 Details:

Employee Name: ELLY PONTES

Employee PAN: ANOPP6436A

Employee Serial Number: 20028767

Employee Designation: Senior Process Consultant

Form16 Control Number: 20028767/2023-24
Assessment Year: 2024-25

Signature Details:

This form has been signed and certified using a Digital Signature Certificate as specified under section 119 of Income-tax
Act 1961.

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

Digitally signed by : ASHISH CHAWLA Signature Not Verified

Digital Signature Certificate Issued by : PantaSign Sub CA for DSC 2022 Signer:
Serial Number of DSC : 9162642622928763686
CN=ASHISH CHAWLA
Number of pages : 8 (Including this page) Date=2024.04.30 17:14 IST

ELLY PONTES-20028767
 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 paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. AHNGGOA Last updated on 27-Apr-2024

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen

WIPRO HR SERVICES INDIA PRIVATE LIMITED

709-710, ANSAL CH-II,
ELLY PONTES
CAMA PLAC, NEW DELHI - 110066
BLOCK D ROOM NO 5, OLD MANDALA, SION TROMBAY ROAD,
Delhi
BARC COLONY, MUMBAI - 400088 Maharashtra

PAN of the Employee Reference No. provided by the

PAN of the Deductor TAN of the Deductor Employee/Specified senior Employer/Pension Payment order no. provided
citizen by the Employer (If available)

AAOCA7494H DELA42134B ANOPP6436A

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Aayakar Bhawan, District Centre, 6th Floor Room no 610, Hall no. 2024-25 01-Apr-2023 31-Mar-2024
4 , Luxmi Nagar, Delhi - 110092

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Receipt Numbers of original

Amount of tax deposited / remitted
quarterly statements of TDS Amount of tax deducted
Quarter(s) Amount paid/credited (Rs.)
under sub-section (3) of (Rs.)
Section 200

Q1 QVKLOOOC 229482.00 10562.00 10562.00

Q2 QVMCMNRC 229685.00 9345.00 9345.00
Q3 QVOYKWBD 231388.00 9727.00 9727.00
Q4 QVQWWMEB 239720.00 52828.00 52828.00
Total (Rs.) 930275.00 82462.00 82462.00
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Book Identification Number (BIN)

Tax Deposited in respect of the
Sl. No. deductee Date of transfer voucher Status of matching
Receipt Numbers of Form DDO serial number in Form no.
(Rs.) (dd/mm/yyyy) with Form no. 24G
No. 24G 24G

Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 2842.00 6390009 04-05-2023 29298 F

2 6138.00 6390009 06-06-2023 85359 F
3 1582.00 6390009 06-07-2023 29610 F
4 1582.00 6390031 07-08-2023 30859 F

Page 1 of 2
 Certificate Number: AHNGGOA TAN of Employer: DELA42134B PAN of Employee: ANOPP6436A Assessment Year: 2024-25

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

5 5725.00 6390009 06-09-2023 80105 F

6 2038.00 6390009 06-10-2023 80340 F
7 2038.00 6390031 07-11-2023 02890 F
8 5339.00 6390009 07-12-2023 99742 F
9 2350.00 6390009 05-01-2024 84740 F
10 2350.00 6390031 07-02-2024 33271 F
11 27481.00 6390031 07-03-2024 59114 F
12 22997.00 6360014 03-04-2024 02645 F
Total (Rs.) 82462.00

Verification

I, ASHISH CHAWLA, son / daughter of ASHOK KUMAR CHAWLA working in the capacity of AUTHORIZED SIGNATORY (designation) do hereby certify that a sum of
Rs. 82462.00 [Rs. Eighty Two Thousand Four Hundred and Sixty Two Only (in words)] has been deducted and a sum of Rs. 82462.00 [Rs. Eighty Two Thousand Four
Hundred and Sixty Two Only] has been deposited to the credit of the Central Government. I further certify that the information given above is true, complete and
correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place NEW DELHI

Date 27-Apr-2024 (Signature of person responsible for deduction of Tax)

Designation: AUTHORIZED SIGNATORY Full Name:ASHISH CHAWLA

Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. 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 (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Legend used in Form 16

* Status of matching with OLTAS

Legend Description Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
U Unmatched
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
P Provisional
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
F Final mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
O Overbooked amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

Page 2 of 2
 FORM NO. 16
PART B
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. AHNGGOA Last updated on 27-Apr-2024

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen

WIPRO HR SERVICES INDIA PRIVATE LIMITED

709-710, ANSAL CH-II,
ELLY PONTES
CAMA PLAC, NEW DELHI - 110066
BLOCK D ROOM NO 5, OLD MANDALA, SION TROMBAY ROAD,
Delhi
BARC COLONY, MUMBAI - 400088 Maharashtra

PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior citizen

AAOCA7494H DELA42134B ANOPP6436A

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Aayakar Bhawan, District Centre, 6th Floor Room no 610, Hall no. 2024-25 01-Apr-2023 31-Mar-2024
4 , Luxmi Nagar, Delhi - 110092

Annexure - I

Details of Salary Paid and any other income and tax deducted

A Whether opting out of taxation u/s 115BAC(1A)? Yes

1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 930275.00

Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 930275.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commuted value of pension under section 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 0.00
(10AA)

(e) House rent allowance under section 10(13A) 0.00

(f) Other special allowances under section 10(14) 0.00

Page 1 of 4
Certificate Number: AHNGGOA TAN of Employer: DELA42134B PAN of Employee: ANOPP6436A Assessment Year: 2024-25

Amount of any other exemption under section 10

(g) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

(h) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10

(i) 0.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(f)+2(h)]

Total amount of salary received from current employer

3. 930275.00
[1(d)-2(i)]
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) 50000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 2500.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 52500.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 877775.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS

(b) Income under the head Other Sources offered for TDS 0.00

Total amount of other income reported by the employee

8. 0.00
[7(a)+7(b)]
9. Gross total income (6+8) 877775.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

(a) 39472.00 39472.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) 0.00 0.00
under section 80CCC
Deduction in respect of contribution by taxpayer to pension
(c) 0.00 0.00
scheme under section 80CCD (1)

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 39472.00 39472.00

Deductions in respect of amount paid/deposited to notified

(e) 0.00 0.00
pension scheme under section 80CCD (1B)
Deduction in respect of contribution by Employer to pension
(f) 0.00 0.00
scheme under section 80CCD (2)
Deduction in respect of health insurance premia under section
(g) 4355.00 4355.00
80D

Page 2 of 4
 Certificate Number: AHNGGOA TAN of Employer: DELA42134B PAN of Employee: ANOPP6436A Assessment Year: 2024-25

Deduction in respect of interest on loan taken for higher

(h) 0.00 0.00
education under section 80E
Deduction in respect of contribution by the employee to Agnipath
(i) 0.00 0.00
Scheme under section 80CCH
Deduction in respect of contribution by the Central Government
(j) 0.00 0.00
to Agnipath Scheme under section 80CCH
Gross Qualifying Deductible
Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(k) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(l) 0.00 0.00 0.00
under section 80TTA

Amount Deductible under any other provision (s) of Chapter VI-A

(m) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

Total of amount deductible under any other provision(s) of

(n) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 43827.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(k)+10(l)+10(n)]

12. Total taxable income (9-11) 833948.00

13. Tax on total income 79290.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 3172.00

17. Tax payable (13+15+16-14) 82462.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 82462.00

Verification
I, ASHISH CHAWLA, son/daughter of ASHOK KUMAR CHAWLA .Working in the capacity of AUTHORIZED SIGNATORY
(Designation) do hereby certify that the information given above is true, complete and correct and is based on the books of account,
documents, TDS statements, and other available records.

Place NEW DELHI (Signature of person responsible for deduction of tax)

Full
Date 27-Apr-2024 ASHISH CHAWLA
Name:

Page 3 of 4
 Certificate Number: AHNGGOA TAN of Employer: DELA42134B PAN of Employee: ANOPP6436A Assessment Year: 2024-25

2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Particular's of Amount for any other
Sl. exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Particular's of Amount deductible under
Sl. any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

NEW DELHI (Signature of person responsible for deduction of

Place
tax)
Full
Date 27-Apr-2024 ASHISH CHAWLA
Name:

Page 4 of 4
 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 the Employer : WIPRO HR SERVICES INDIA PRIVATE LIMITED

709-710, ANSAL CH-11, 6, BHIKAJI

CAMA PLACE
NEW DELHI,DELHI,110066
2. TAN : DELA42134B

3. TDS Assessment Range of the Employer :

4. Name of Employee : ELLY PONTES

Designation : Senior Process Consultant
PAN : ANOPP6436A
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 : 930,275.00
(Other than from perquisites)
7. Financial Year : 2023-24
8. Valuation of perquisites :

Sl. Value of perquisite Amount, if any, recovered Amount of Taxable

Nature of perquisite
No as per rules(Rs.) from employee(Rs.) perquisite(Rs.)
(1) Company Leased Accommodation 0.00 0.00 0.00
(2) Cars/Other Automotive 0.00 0.00 0.00
(3) Perq. on Driver Salary 0.00 0.00 0.00
(4) Employer contribution to fund and scheme u/s 17(2)(vii) 0.00 0.00 0.00
(5) Interest free or concessional loans 0.00 0.00 0.00
(6) Perq. on Long Service Award 0.00 0.00 0.00
(7) Perq. on Transfer of Asset (CAR) 0.00 0.00 0.00
(8) Free Meals (Food Coupons Taxable) 0.00 0.00 0.00
(9) Free Education 0.00 0.00 0.00
(10) Gifts, Vouchers, etc. 0.00 0.00 0.00
(11) Credit Card Expenses 0.00 0.00 0.00
(12) Club Expenses 0.00 0.00 0.00
(13) Use of Movable Assets by Employees 0.00 0.00 0.00
(14) Transfer of Assets to Employees 0.00 0.00 0.00
(15) Value of any other benefit/amenity/service/privilege 0.00 0.00 0.00
(16) Stock Options (ESOP Perquisites) 0.00 0.00 0.00
(17) Perq. on Medical Reimbursement 0.00 0.00 0.00
(18) Accretion interest, dividend etc in 17(2)(vii & viia) 0.00 0.00 0.00
(19) Total Value of Perquisites 0.00 0.00 0.00
(20) Value of Profit for 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 Employee u/s 192(1) : 82,462.00
b) Tax Paid by Employer on behalf of Employee u/s 192(1A) : 0.00
c) Total Tax Paid : 82,462.00
d) Date of Payment into Government Treasury : As per Form-16

DECLARATION BY EMPLOYER

I, ASHISH CHAWLA son / daughter of ASHOK KUMAR CHAWLA working as AUTHORIZED SIGNATORY do hereby declare on behalf of WIPRO
HR SERVICES INDIA PRIVATE 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.
For WIPRO HR SERVICES INDIA PRIVATE LIMITED
Place : NEW DELHI Signature of the person responsible for deduction of tax
This form is signed using Digital Signature. Please see page 1.
Date : 30/04/2024
Designation : AUTHORIZED SIGNATORY Full Name : ASHISH CHAWLA

ELLY PONTES-20028767