Misc Proforma No.-1 (c)

Declaration

(A)

(for those persons who are not owner of any immovable property)

            I hereby declare that I do not possess any immovosle property. If after then, I shall require any property, I shall declare the fact in five year declaration.

 

 

                                                                                                Signature........................................................

                                                                                                Designation....................................................

                                                                                                Date ...............................................................

---------------------------------------------------------------------------------------------------------------

 

(B)

 

(For those persons who are owner of immovable property)

           

            I hereby declare possess the following property:--

 

                                                                        Land-Property

 

Land is situated

Area

in

Acre

Acquire or Paternal, if acquire, Date of Acquire

Annual

Revenue

Extim Value

Specify Details

District

Tehsil

Village

 

 

 

 

 

1.

2.

3.

4.

5.

6.

7.

8.

 

House-Property

 

Sl. No.

Situated in House

No. of house

Acquireor Parental, if acquire, Date of acquire

Use of resident of retried

Annual Revenue

Extim Value

Extim Value

 

Village, Town or City

District

 

 

 

 

 

 

1.

2.

3.

4.

5.

6.

7.

8.

9.

 

                If I acquire immovable property, I shall declare the fact in the five years declaration.

 

 

Signature............................................

                                                                                                Designation....................................................

                                                                                                Date ...............................................................

------------------------------------------------------------------------------------------------------

 

 

 

 

Note:-   Immovable property (Mortgage) or leave house or land are included declaration in respect of property which is manage by his spouse or his family members or any person who send of with his will be treated in the has been done by the officer.

 

 

(C)

 

(For those person, who do not person any share or investment:-)

 

            I hereby declare that I am not owener of any share|Investment, of this. It i require any share or other Investment, I shall declare this fact in fire year declaration.

 

 

Signature ..............................

                                                                                                Designation ......................................

                                                                                                Date  .................................................

---------------------------------------------------------------------------------------------------------------

 

(D)

 

(For those persons who are owners of Share/Investment)

 

            I hereby declare that I have following Shares and investment.

 

(Share)

 

Sl. No.

Details

Date of acquire

Value of each share

No. of shares

Total value of Shares

Special Details

1.

2.

3.

4.

5.

6.

7.

 

 

(Investment)

 

Sl. No.

Details

Date of Investment

Value

Special Details

1.

2.

3.

4.

5.

 

            If I purchase |acquire any Share or Invest, I shall declare fifth year declaration.

 

 

 

                                                                                                Signature........................................................

                                                                                                Designation....................................................

                                                                                                Date ...............................................................