Form 16 salary

Hi,

I am a student of commerce ,i have a doubt regarding how to fill up form 16 for a employee whose salry is 2.16lakhs per annum .. whose details are as follows . eeven though he is not eligible to pay tax kindly please consider it as a salary certificate . for 1 year .

working days -30,

Earnings are 

basic 7,200

hra -3,600

conveyance -800

speacial earnings -5,620

total Earnings : 17,220

Deductions are 

Provident fund- 8,640

P tax  150

Total deductions are  1,014

 Total amount he takes home is  16,206 rs ,... 

Kindly please help me out .