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FORM NO. 16AA [ See third provision to rule 12(1)(b) and rule 31(1)(a) ] "ORIGINAL" Certificate for tax deducted at source from income chargeable under the head "Salaries"-cum-Return of Income For an individual, resident in India, wherea) his total income includes income chargeable to income-tax under the head 'Salaries'; b) the income from salaries before allowing deductions under section 16 of the Income-tax Act, 1961 does not exceed rupees one lakh fifty thousand; c) his total income does not include income chargeable to income-tax under the head 'Profits and gains of business or profession' or 'Capital gains' or agricultural income; and d) he is not in receipt of any other income from which tax had been deducted at source by any person other than the employer. Name and address of the Employer Aegis Limited Bldg No I, Old Swan Mill Compound Essar Techno Park, LBS Marg,MUMBAI 400070 Maharashtra Name and designation of the Employee Mr/Ms: M.Sandeep Kumar Desig.: EXECUTIVE - OPERATIONS Emp #:80138636 PAN/GIR NO. AAACE8354Q PAN/GIR NO. BLKPM5520M TAN MUMA29517F TDS Circle where Annual Return/Statement under Section 206 is to be filed TDS Circle Period From 01.04.2011 Assessment year To 26.12.2011 2012-2013 DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED 1. Gross salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) ( as per Form No.12BA, wherever applicable ) (c) Profits in lieu of salary under section 17(3) ( as per Form No.12BA, wherever applicable ) (d) Total 52976.16 INR 0.00 INR 0.00 INR 52976.16 INR 2. Less: Allowance to the extent exempt under section 10 0.00 INR 3. Balance(1-2) 52976.16 INR 4. DEDUCTIONS Under Section 16: a) Standard Deduction b) Entertainment allowance c) Tax on Employment 0.00 INR 0.00 INR 540.00 INR 5. Aggregate of 4 (a to c) 540.00 INR 6. INCOME CHARGEABLE UNDER THE HEAD "SALARIES"(3-5) 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' c) Total of (a) + (b) above 52436.16 INR 0.00 INR 0.00 INR 0.00 INR 8. GROSS TOTAL INCOME (6+7) 9. DEDUCTIONS UNDER CHAPTER VI-A (a) 80C(01) 52436.16 INR Gross Amount 2023.00INR QualifyingAmount, 2023.00 INR Deductible Amount 2023.00INR 10. Aggregate of deductible amounts under Chapter VI-A 2023.00 INR 11. Total Income(8-10) 50410.00 INR 12. Tax on total income 0.00 INR 13. Rebate and relief under Chapter VIII I. Under Section 88(please specify) Gross Amount Qualifying Amount Tax rebate II. (a) Under Section 88B INR (b) Under Section 88C INR (c) Under Section 88D INR 14. Aggregate of tax rebates at 13 above [I+II(a)+II(b)+II(c)] INR 15. Tax payable on total income (12-14) and surcharge thereon 15 A. Education cess 0.00 INR 0.00INR 16. Relief under section 89 (attach details) 0.00 INR 17. Tax Payable (15+15A-16) 18. Less: a)Tax deducted at source u/s 192(1) b) Tax paid by the employer on behalf of the employee u/s 192(1A) on perquisites u/s 17(2) 19. Tax payable/refundable(17-18) 0.00 INR 0.00 INR 0.00 INR 0.00 INR 0.00 INR VERIFICATION I, MATHEW JOHN PEREIRA son/daughter LATE JOHN JOSEPH PEREIRA of working in thecapacity of ASSOCIATE VICE PRESIDENT (designation) do herebycertify that a sum of 0.00INR[ NIL INR(in words)] 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. Place: Date: MUMBAI 30.05.2012 Designation: ASSOCIATE VICE PRESIDENT Signature of person responsible for deduction of tax FullName:MATHEW JOHN PEREIRA Signed On 06-Jul-2012 By Mathew John Pereira (AEGIS Limited) ANNEXURE-B DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The Employer is to provide payment-wise details of tax deducted and deposited with respect to the employee) S. No Tax deposited in Respect of the Employee ( INR) Challan Identification Number (BIN) BSR code of the Bank Branch Date on which tax Deposited (dd/mm/yyyy) Challan Serial Number _____________________________________________________________________________________________________________________ Total 0.00 _____________________________________________________________________________________________________________________ TO BE FILLED IN BY THE ASSESSEE 1. NAME OF THE ASSESSEE:M.Sandeep Kumar 2. ADDRESS:H.No:1-1-117/1/A, Budvel, Bansilal Nagar,RTNR, HYD-500030 Hyderabad PIN:500016 CITY:Hyderabad TELEPHONE:8897814488 3. DATE OF BIRTH:10.07.1989 4. SEX M/F:M 5. ASSESSMENT YEAR:2012-2013 6. WARD/CIRCLE/SPECIAL RANGE: 7. RETURN: ORIGINAL OR REVISED : 8. PARTICULARS OF BANK ACCOUNT(Mandatory in Refund cases) Name of the Bank MICR Code Address of Bank Branch Type of Account Account Number ECS(Y/N) Annexure to Form No.16 Name: M.Sandeep Kumar Emp No.: 80138636 Particulars Amount( INR ) ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------ Emoluments paid ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------ City Comp. Allow. Basic Salary House Rent Allowance Medical Allowance Leave Encashment Special Allowance Arrears from previous yr/s Incentive 226.84 16888.12 8375.24 10213.70 119.00 16023.26 145.00 985.00 ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------ Perks ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------------ ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ---------- Gross emoluments 52976.16 ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------ Income from other sources ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------------ ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ---------- Total income from other sources 0.00 ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------ Exemptions u/s 10 ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------------ ------------------------------- ------------------------------- ------------------------------- ------------------------------- ------------------------------- ---------- Total Exemption Date: 30.05.2012 Place: MUMBAI 0.00 Full Name: MATHEW JOHN PEREIRA Designation: ASSOCIATE VICE PRESIDENT Signed On 06-Jul-2012 By Mathew John Pereira (AEGIS Limited) 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 : Aegis Limited , Bldg No I, Old Swan Mill Compound Essar Techno Park, LBS Marg,MUMBAI - 400070 , Maharashtra 2) TAN: MUMA29517F 3) TDS Assesment Range of the employer : TDS Circle, , , , 4) Name, designation and PAN of employee : Mr/Ms: M.Sandeep Kumar , Desig.: EXECUTIVE - OPERATIONS , Emp #: 80138636 , PAN: BLKPM5520M 5) Is the employee a director or a person with substantial interest in the company (where the employer is a company): 6) Income under the head "Salaries" of the employee : 52436.16 (other than from perquisites) 7) Financial year : 2011-2012 8) Valuation of Perquisites S.No Nature of perquisite Value of perquisite Amount, if any, recovered Amount of perquisite 1 Accommodation 0.00 0.00 0.00 2 Cars/Other automotive 0.00 0.00 0.00 3 Sweeper, gardener, watchman or personal attendant 0.00 0.00 0.00 4 Gas, electricity, water 0.00 0.00 0.00 5 Interest free or concessional loans 0.00 0.00 0.00 6 Holiday expenses 0.00 0.00 0.00 7 Free or concessional travel 0.00 0.00 0.00 8 Free meals 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 ( non-qualified options ) 0.00 0.00 0.00 17 Other benefits or amenities 0.00 0.00 0.00 18 Total value of perquisites 0.00 0.00 0.00 19 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 section 192(1) (b) Tax paid by employer on behalf of the employee under section192(1A) (c) Total tax paid (d) Date of payment into Government treasury 0.00 0.00 0.00 * DECLARATION BY EMPLOYER I, MATHEW JOHN PEREIRA son/daughter of LATE JOHN JOSEPH PEREIRA working as ASSOCIATE VICE PRESIDENT (designation ) do hereby declare on behalf of Aegis Limited ( name of the employer ) 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. Place: MUMBAI Date : 30.05.2012 Signature of the person responsible for deduction of tax Signed On 06-Jul-2012 By Mathew John Full Name : MATHEW JOHN PEREIRA Pereira (AEGIS Limited) Designation : ASSOCIATE VICE PRESIDENT

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