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    Blank Format of Asset Declaration

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    Satyajit Hansda
    1. This document is a declaration of assets as of January 1st, 2022 submitted to the Joint Secretary of the Government of West Bengal Land & Land Reforms department. 2. It includes details of the declarant's immovable property including lands and houses, other immovable properties such as mortgages, and movable property including cash, bank balances, shares, insurance policies, and other valuable items over Rs. 500. 3. For each asset, details like location, extent of ownership, value, and names of those in whose name the asset is held are provided.

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    Blank Format of Asset Declaration

    Uploaded by

    Satyajit Hansda
    29 views5 pages
    1. This document is a declaration of assets as of January 1st, 2022 submitted to the Joint Secretary of the Government of West Bengal Land & Land Reforms department. 2. It includes details of the declarant's immovable property including lands and houses, other immovable properties such as mortgages, and movable property including cash, bank balances, shares, insurance policies, and other valuable items over Rs. 500. 3. For each asset, details like location, extent of ownership, value, and names of those in whose name the asset is held are provided.

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    Blank Format of Asset Declaration

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    1. This document is a declaration of assets as of January 1st, 2022 submitted to the Joint Secretary of the Government of West Bengal Land & Land Reforms department. 2. It includes details of the declarant's immovable property including lands and houses, other immovable properties such as mortgages, and movable property including cash, bank balances, shares, insurance policies, and other valuable items over Rs. 500. 3. For each asset, details like location, extent of ownership, value, and names of those in whose name the asset is held are provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views5 pages

    Blank Format of Asset Declaration

    Uploaded by

    Satyajit Hansda
    1. This document is a declaration of assets as of January 1st, 2022 submitted to the Joint Secretary of the Government of West Bengal Land & Land Reforms department. 2. It includes details of the declarant's immovable property including lands and houses, other immovable properties such as mortgages, and movable property including cash, bank balances, shares, insurance policies, and other valuable items over Rs. 500. 3. For each asset, details like location, extent of ownership, value, and names of those in whose name the asset is held are provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Declaration of Assets as they stood

    on 01st Day of January, 2022


    To,

    The Joint Secretary to the Government of West Bengal


    Land & Land Reforms and Refugee Relief and Rehabilitation Department,
    Government of west Bengal,
    6th Floor, Nabanna,
    325 Sarat Chatterjee Road,
    Howrah- 711102.

    From,
    Sri/Smt_________________________________________

    Office__________________________________________

    Address________________________________________

    _______________________________________________

    _______________________________________________
    West Bengal Form No. 34A.

    Declaration of Assets as they stood on ...................................................................................................................................................

    Name (In full) of Officer...............................................................................................-Service ..............................................................

    Designation.............................................................…………… now appointed as …………………………………………….....................

    Substantive Pay…………………………………………………………………………………………………………................

    Special Pay...............................................................
    2
    A—IMMOVABLE PROPERTY

    (1) LANDS

    In whose name Date and


    Serial Precise Nature of Extent of (wife, child, manner
    Area dependant, other Remark
    location Value or
    No. land Interest
    relation or acquisition
    benamder) the
    1 2 3 4 5 6 7 8 9

    (2) HOUSES

    Serial Precise In whose name (wife, child, Date and Remark


    Extent of Interest Value dependant, other manner of
    No location s
    relation or benamdar) acquisition
    the asset is

    Signature of Declarant..................................……………………….
    3
    (3) IMMOVABLE PROPERTIES OF OTHER DESCRIPTION
    (Including mortgages and such other rights)
    Serial No. Brief Extent of Value In whose name (wife, child Date and manner
    Remarks
    Description Interest dependant, other relation or of acquisition
    BENAMDAR) the asset is
    1 2 3 4 5 6 7

    B—MOVABLE PROPERTY
    (1) CASH , BANK BALANCE, CREDIT, INSURANCE POLICES, SHARES, DEBENTURES, ETC.
    Serial Brief Description Value In whose name (wife, child In the case of loan the name Date and manner of
    No. dependant, other relation or of the person from whom the acquisition
    Remarks
    BENAMDAR) the asset is loan was taken & the
    relationship of the loanee
    with that person
    1 2 3 4 5 6 7

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    11.

    12.

    Signature of Declarant........................................................………
    4
    (2) OTHER MOVABLES

    (Including Jewellry and other valuables, motor vehicles, refrigerators and other articles or materials of

    Rs. 500 and over for each item)

    In whose name Date and manner of


    Serial No. Description of Item Value Remark
    (wife, child, acquisition

    dependant, other
    1 2 3 4 or
    relation 5 6

    1 hereby declare that the Declaration made above is complete, true and correct to the best of my knowledge and belief.

    Date................................................. Signature of Declarant-..................................…………

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