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Declaration of Assets and Liabilities

Year-2013

I MADAN PRASAD, son/daughter/wife of Late B Prasad,

Age 59 years, belonging to Biar Secretariat Ser!iceand presently working as

Section "fficergive herein below the details of the assets (immovable, movable, bank

balance, etc.) of myself, my spouse and dependants*

A# Details of $o!able assets

(Assets in !oint name indicating the e"tent of !oint ownership will also have to be

given)

Sr#

No#

Descri%tion Self S%o&se

Na$e'S(

De%endant-

1

Na$e

De%endant-

2

Na$e

De%endant-3

)tc# Na$e

(i) #ash $%&'%. il il il ++++++++++++

(ii) eposits in-anks,inancialInstitutionsAnd on+

-ankinginancial

#ompanies

$0.

1I2A3I4A$&0.

34I567AA%0.

3A82A-4AA9&0%.

++++++++++++

(iii) -onds,

ebenturesand 3haresincompanies

I5 I5 I5 I5 ++++++++++++

(iv) :therfinancialinstitutions,33, 6ostal

3avings, 5I#6olicies, etc

&;.

3#

I5 I5 I5 +++++++++++++

(v) ?2'%

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ote =alue of -onds / shares / ebentures as per the latest market value in 3tock

?"change in respect of listed companies and as per books in the case of non listed

companies should be given.

* ependant here means a person substantially dependent on the income of the

employee.

B# Details of *$$o!able assets

Bote 6roperties in !oint ownership indicating the e"tent of !oint ownership willalso have to be indicatedC

Sr#

No#

Descri%tion Self S%o&se

Na$e'S(

De%endant-1

Na$e

De%endant-2

Na$e

De%endant-3

)tc# Na$e

(i) Agricultural 5and+ 5ocation(s)+ 3urvey number(s)+ ?"tent (>otal

measurement)+#urrent market

value

I5

;&sD ft,khata+9,khasra+

0,betaura6hulwari

I5 I5 ++++++++++++

(ii) on+Agricultural 5and

+ 5ocation(s)+ 3urvey number(s)

+ ?"tent (>otalmeasurement)+#urrent marketvalue

I5

I5

I5 I5 +++++++++++++

(iii) -uildings(#ommercial andresidential)5ocation(s)+ 3urvey /doornumber(s)

+ ?"tent (>otalmeasurement)

+ #urrent marketvalue

I5 I5 I5

I5

I5

(iv) 4ouses /Apartments, etc.+ 5ocation(s)+ 3urvey /doornumber(s)+ ?"tent (>otalmeasurement)+ #urrent market

value

I5 I5 I5 I5 I5

(v) :thers (such asinterest in property)

I5 I5 I5 I5 I5

(0) I give herein below the details of my liabilities / overdues to public financial

institutions and government dues+

Bote 6lease give separate details for each item)

Sr#

No#

Descri%tion Na$e + address of Ban,

.inancial *nstit&tions's( De%art$ent 's(

A$o&nt o&tstandin/ as

on ##

(a) (i) 5oans from -anks I5 I5

(ii) 5oans from financial

institutions

I5 I5

(iii) overnment ues

(a) dues to departmentsdealing with government

I5 I5

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accommodation

(b) dues to departmentsdealing with supply of

water

I5 I5

(d) dues to departmentsdealing with telephones I5 I5

(e) dues to departmentsdealing with governmenttransport (including

aircraft and helicopters)

I5 I5

(f) :ther dues, if any

I5 I5

(b) (i) Income >a" including

surcharge BAlso indicatethe assessment year upto

which Income >a" 2eturnfiled. ive also 6ermanentAccount umber (6A)C

PAN N"-APP114

I5

(ii) Eealth >a" BAlsoindicate the assessmentyear upto which Eealth>a" return filed.C

I5

I5

(iii) 3ales >a" B:nly in caseof proprietary businessC

I5

I5

(iv) 6roperty >a" I5 I5

6# Personal Detail

6/#6/62A o. +

ender + (

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Note Please si/n eac %a/e of te declaration# Asset declaration for$

$&st be in A4 si:e 8ite %a%er 8it co$%&ter t7%ed 'sin/le side(

in %rescribed for$at#