54223

US TECHNOLOGY INTERNATIONAL PRIVATE LIMITED Brief details of your Form No. 16 are as under: Employer Name: US TECHNOLOGY INTERNATIONAL PRIVATE LIMITED Employer Address: 721, NILA KAZHAKOOTAM, TRIVANDRUM, KERALA ‐ 695581 Employer TAN: TVDU00890B Employer PAN: AAACU5628B Employee Name: Vineeth Kumar Thelkar Employee PAN: AMJPT7849K Employee Code: 54223 Employee Designation: Test Analyst Financial Year: 2017‐18 Period From: 01/04/2017 Period To: 31/03/2018 Signature details:   Sajish Kochattil Digitally Signed by: Director ‐ Finance Designation:      

Name: VineethKumar Thelkar Form 16 - Part B PAN: AMJPT7849K Details of Salary paid and any other income and tax deducted Employee Ref. No. : 54223 From 01-Apr-2017 To 31-Mar-2018 1. Gross Salary (a) Salary as per provisions contained in sec.17(1) 840553.00 (b) Value of perquisites u/s 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 SALARY U/S17 840553.00 2. Less: Allowance to the extent exempt u/s 10 43116.00 3. Balance(1d - 2) 797437.00 4. Taxable Salary From Previous Employer 0.00 5. Deductions (a) Entertainment allowance (b) Tax on employment 2400.00 6. Aggregate of 5(a) and 5(b) 2400.00 7. INCOME CHARGEABLE UNDER THE HEAD 'SALARIES' 795037.00 8. Add: Any other income reported by the employee (a) Income from House Property -196683.00 (B) TOTAL OTHER INCOME -196683.00 9. GROSSTOTAL INCOME 598354.00 10. Deductions under Chapter VI-A (I) Sections 80C, 80CCC and 80CCD (A) Section 80C Gross Amount Deductible Amount (a) Repayment of Housing Loan Pricipal 68831.00 (b) Insurance Premium 0.00 (c) Employee PF 21600.00 (d) Tution Fee 0.00 (e) Fixed Deposit (More Than 5 yrs) 0.00 (f) Mutual Fund 0.00 (g) Contribution to PPF 0.00 (h) Voluntry PF 0.00 (i) Contribution to ULIP 0.00 (j) National Saving Certificate (NSC) 0.00 (k) Sukanya Samriddhi 0.00 (L) GROSSTOTAL 90431.00 90431.00 (B) Section 80CCC 0.00 0.00 (C) Section 80CCD : National Pension Scheme Section 80CCD (1) : Employee's Contribution 0.00 0.00 Section 80CCD (1B) : Notified pension scheme 0.00 0.00 (D) AGGREGATE AMOUNT DEDUCTIBLE UNDER 90431.00 SECTION 80CCE (E) Section 80CCG: Rajiv Gandhi Equity Savings scheme 0.00 0.00 (II) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI- A. (A) Section 80D 16228.00 16228.00

(B) Section 80DD 0.00 0.00 (C) Section 80E 0.00 0.00 (D) Section 80EE 0.00 0.00 (E) Section 80U 0.00 0.00 11. AGGREGATE OF DEDUCTIBLE AMOUNT UNDER CHAPTER 106659.00 VI-A 12. Total Income (rounded value) 491700.00 13. Tax Before Rebate U/S87A 12085.00 14. Tax Rebate U/S87A 0.00 15. Tax on total income 12085.00 16. Surcharge 0.00 17. Education cess @ 3% 363.00 18. Less: Relief under section 89 (attach details) 19. Net Tax Payable 12448.00 Verification I, Sajish Kochattil, son/daughter of Katoor Suryanarayanan working in the capacity of Director - Finance (designation) do hereby certify that the information given above is true, complete and correct and is based on the books of account, documents, TDSstatements, and other available records. Place TRIVANDRUM Date 28-May-2018 Signature of Person Responsible for Deduction of Tax Designation Director - Finance Full Name Sajish Kochattil

FORMNO. 12BA [See rule 26A(2)(b)] Statement Showing particular of perquisites, other fringe benefits or amenities and profits in lieu of salary with value thereof (1) Name and address of Employer USTECHNOLOGY INTERNATIONAL PRIVATE LIMITED 721, NILA, TECHNOPARK CAMPUS, KAZHAKOOTAM, TRIVANDRUM, Kerala, 695581 (2) TAN TVDU00890B (3) TDSAssessment Range of the employer (4) Name, designation and PAN of employee Vineeth Kumar Thelkar Test Analyst AMJPT7849K (5) Is the employee a director or a person with substantial interest in the No company (Where the employer is a company) (6) Income under the head Salaries of the employee (Other than from 795037.00 Perquisites) (7) Financial Year 2017-2018 (8) Valuation of Perquisites Value of Perquisite as Amount, if any Amount of perquisite SNo Nature of Perquisite (See rule 3) per Recovered from the chargeable to tax (1) (2) rules (Rs.) employee (Rs.) col.(3)- col.(4) (Rs.) 1 Accommodation 2 Cars / Other automotive (3) (4) (5) 3 Sweeper, gardener, watchman or personal attendant 4 Gas, electricity, water 0.00 0.00 0.00 5 Interest free or concessional Loans 6 Holiday expenses 0.00 0.00 0.00 7 Free or concessional travel 8 Free Meals 0.00 0.00 0.00 9 Free Education 10 Gifts, Vouchers etc 0.00 0.00 0.00 11 Credit Card Expenses 12 Club Expenses 0.00 0.00 0.00 13 Use of movable assets by employees 14 Transfer of assets to employees 0.00 0.00 0.00 15 Value of any other benefit / amenity / service / privilege 16 Stock options (non-qualified options) 0.00 0.00 0.00 17 Other benefits or amenities 18 Total value of perquisites 0.00 0.00 0.00 19 Total value of profits in lieu of salary as per 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 0.00 0.00 (b) Tax paid by the employer on behalf of the employee under section (9) 192(1A) 0.00 0.00 0.00 (c) Total Tax paid (d) Date of payment into Government treasury 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22707.00 22707.00 As per Form 16 DECLARATION BY EMPLOYER I, Sajish Kochattil, son/daughter of Katoor Suryanarayanan working as Director - Finance (designation) do hereby declare on behalf of US TECHNOLOGY INTERNATIONAL PRIVATE 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 informatoin is true and correct. Place TRIVANDRUM Date 28-May-2018 Signature of Person Responsible for Deduction of Tax Designation Director - Finance Full Name Sajish Kochattil Signature Not Verified Digitally signed by Sajish K Date: 2018.06.02 21:19:34 IST Reason: Form 16