00371263/ARGPT3372F Lalit Kumar Tyagi

Annexure to Form 16 Part B

2(f). Break up for 'Amount of any other exemption under section 10' to be filled in the table below

Particular's of Amount of any other exemption under section 10' INR

10(k). Break up for 'Amount deductible under any other provision(s) of Chapter VI-A ' to be filled in the table below

Particular's of amount deductible under any other provision(s) of Chapter VI-A Gross Amount Qualifying Amount Deductible Amount

Place AHMEDABAD (Signature of person responsible for deduction of tax)

Date 17.06.2024 Full Name: MAULIK SHAH

 00371263/ARGPT3372F Lalit Kumar Tyagi
FORM No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisities, other fringe
benefits or amenities and profits in lieu of salary with value thereof
1. Name and address of employer : Intas Pharmaceuticals Limited,Thaltej,Ahemdabad,380054,Gujarat

2. TAN : AHMI00350A
The Commissioner of Income Tax (TDS,B/h Gujarat Vidhyapith ,,Off Ashram Road,
3. TDS Assessment Range of the employer : Ahmedabad,380014,Gujarat
4. Name, designation and Permanent Account Number or
Aadhaar Number of employee
: Lalit Kumar Tyagi,BE - DELHI 3/16,00371263,ARGPT3372F

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
(other than from perquisites)
: 551958.00

7. Financial year : 2023-2024

8. Valuation of Perquisites :

Amount of perquisite
Amount, if any, recovered
S. Value of perquisite as per chargeable to tax
Nature of perquisites (see rule 3) from the employee
No. (Rs.) Col. (3) - Col(4)
(Rs.)
(Rs.)
(1) (2) (3) (4) (5)
1. Accommodation 0.00 0.00 0.00
2. Cars/Other automotive 0.00 0.00 0.00
Sweeper, gardener, watchman or
3. 0.00 0.00 0.00
personal attendant
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 allotted or transferred by employer being
0.00 0.00 0.00
an eligible start-up referred to in section 80-IAC.
17. Stock options (non-qualified options) other than ESOP in
0.00 0.00 0.00
col 16 above.
18. Contribution by employer to fund and scheme taxable
under section 17(2)(vii). 0.00 0.00 0.00

19. Annual accretion by way of interest, dividend etc. to the

balance at the credit of fund and scheme referred to in 0.00 0.00 0.00
section 17(2)(vii) and taxable under section 17(2)(viia).

20. Other benefits or amenities 0.00 0.00 0.00

21. Total value of perquisites 0.00 0.00 0.00
22. Total value of profits in lieu of salary as per section 17(3) 0.00 0.00 0.00

Details of tax
(a) Tax deducted from salary of the employee under section 192(1) 0.00
(b) Tax paid by employer on behalf of the employee under section 192(1A) 0.00
(c) Total tax paid 0.00
(d) Date of payment into Government treasury

DECLARATION BY EMPLOYER
I, MAULIK SHAH Son/daughter of VIJAYBHAI SHAH working as DGM(DIRECT TAX) (designation ) do hereby declare on behalf of Intas
Pharmaceuticals 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.

Signature of person responsible for deduction of tax

Place : AHMEDABAD Full Name:MAULIK SHAH
Date : 17.06.2024 Designation:DGM(DIRECT TAX)
00371263/ARGPT3372F Lalit Kumar Tyagi

Annexure to Form No.16

Name: Lalit Kumar Tyagi Emp No.: 00371263

Particulars Amount(INR)

Emoluments paid

Basic Salary 184800.00

House Rent Allowance 46200.00

Leave Travel Allowance 5400.00

Bonus 24000.00

Other Allowances 341558.00

Perquisites

Gross emoluments 601958.00

Income from other sources

Income
Total income from other sources 0.00

Exemptions u/s 10

Allowance
Total Exemption 0.00

Date: 17.06.2024 Full Name: MAULIK SHAH

Place:AHMEDABAD Designation: DGM(DIRECT TAX)