03004190/GSSPD7245A Amit Dudhwal
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 PUNE (Signature of person responsible for deduction of tax)
Date 30.05.2024 Full Name: GANESH SURESH MANDHANE
03004190/GSSPD7245A Amit Dudhwal
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
Bajaj Finance Ltd.,4th Floor, Bajaj Finserv Building,,Off Pune Nagar Rd, Sakore Ngr,
1. Name and address of employer : Pune,411014,Maharashtra
2. TAN : PNEB00001B
The Commissioner of Income Tax(TDS),4 Flr A Wing PMT Commercial Complex,Shankar
3. TDS Assessment Range of the employer : Sheth Road, Swargate, Pune,411037,Maharashtra
4. Name, designation and Permanent Account Number or
Aadhaar Number of employee
: Amit Dudhwal,Senior Executive - Debt Management Servi,03004190,GSSPD7245A
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)
: 71796.88
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, GANESH SURESH MANDHANE Son/daughter of SURESH RAMKISAN MANDHANE working as CHIEF - TAXATION AND REGULATORY
(designation ) do hereby declare on behalf of Bajaj Finance Ltd. ( 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 Not Verified
Signature of person responsible for deduction of tax
GANESH SURESH
Place : PUNE MANDHANE Full Name:GANESH SURESH MANDHANE
Date : 30.05.2024 08.06.2024 16:59 Designation:CHIEF - TAXATION AND REGULATORY
