Declaration of Assets and Liabilities

Year - 2025

   I, .................................., Son/Daughter/Hu of .......................................... aged 2025 years, belonging to EDUCATION DEPT. (GOVT. OF BIHAR) service and presently working as ...................., .......................................................... give herein below the details of the assets (immovable, movable, bank balance etc.) of myself, my spouses and dependants*:

A. Details of movables assets

Sr. No.	Description	Self	Spouse Name (s) ..............................	Dependent-1 Name ..............................	Dependent-2 Name ..............................	Dependent-3 Name ..............................
(i)	Cash in hand
(ii)	Deposits in Banks, Financial Institutions And Non-Banking Financial Companies
(iii)	Bonds, Debentures and Shares in companies
(iv)	Other Financial Institutions, NSS, Postal Savings, LIC Policies, etc
(v)	Motor Vehicles (details of make, etc.)
(vi)	Jewellery (give details of weight and value)
(vii)	Otherassets, such as values of claims / interests

   (Assets in joint name indicating the extent of joint ownership will also have to be given)Note : Value of Bonds / shares / Debentures as per the tatest market value in Stock Exchange in respect of listed companies and as per books in the case of non listed companies should be given.

   * Dependant here means a person substantially dependent on the income of the employee.

B. Details of Immovables assets

   [Note: Properties in joint ownership indicating the extent of joint ownership will also have to be indicated]

Sr.	Description	Self	Spouse	Dependent-1	Dependent-2	Dependent-3
(i)	Agricultural Land - Location(s) - Survey number(s) - Extent (Total measurement) -Current market value
(ii)	Non-Agricultural Land - Location(s) - Survey number(s) - Extent (Total measurement) -Current market value
(iii)	Buildings (Commercial and residential) - Location(s) - Survey number(s) - Extent (Total measurement) -Current market value
(iv)	Houses/Apartments, etc. - Location(s) - Survey number(s) - Extent (Total measurement) -Current market value
(v)	Other (such as interest in property)

(2) I give herein below the details of my liabitities / overdues to public financial institutions and government dues:-

   Note : Please give separate details for each item

Sr.	Description	Name & address of Bank / Financial Institution(s) / Department (s)	Amount outstanding as on ........................
(a)	(i) Loans from Banks
	(ii)Loans from financial institutions
	(iii) Government Dues : (a) dues to departments dealing with government accommodation
	(b) dues to departments dealing wiith supply of water

	(c) dues to departments dealing with supply of electricity
	(d) dues to departments dealing with telephones
	(e) dues to departments dealing with government transport (including aircraft and helicopters)
	(f) Other dues, if any
(b)	(i) Income Tax including surcharge [also indicate the assessment year upto which Income Tax Return filed. Give also Permanent Account Number (PAN)	Income Tax - Professional Tax - ASSESMENT YEAR - PAN NO -
	(ii) Wealth Tax [Also indicate the assessment year upto which Wealth Tax return filed.]
	(iii) Sales Tax [Only in case of proprietary business]
	(iv) Property Tax

C. Personal Details -

	GPF/CPF/PRAN No :-	.........................................
	Gender :-	......
	Date of Birth :-	30-11--0001
	Class/Group :-	C
	Cadre :-	Bihar State .................... Cadre
	Home District :-	..............................

I hereby declare that the above details are true to the best of my knowledge and belief.

	Signature ..........................................................
	Name of Employee :- ..................................
Place :- ..................................	Designation :- ....................
Date :- ............................	Department :- EDUCATION DEPARTMENT BIHAR

Note : Please sign each page of the declaration. Asset declaration form must be in A4 size white paper with computer typed (single side) in prescribed format.