1) 2)

STATEMENT OF IMMOVABLE PROPERTY FOR THE CALENDER YEAR ENDING: DECEMBER/2013 Name of the Officer in Full (In Block Letter) : BILAL AHMED BARBHUIYA Designation: Assistant Engineer Pay: Basic: Total Allowance: Gross-Pay: Total deduction:
Value of the Land & Land use pattern House/Building/Flat (particulars of Extent of At the House/Building/ Interest time of Present Flat over the plot f acquiring/ Value land) purchase
4 5 6 7

Net Salary:

Sl. No.

Precise Location

Nature of the Land

How acquired, whether If not in own name, by purchase, lease, state in whose name mortgage, gift or Annual & His/her otherwise with dates of Income from relationship to the actualization & name the property officer with details from whom acquired
8 9 10

Remarks

1. Mouza 2. Revenue Town/ village 01 3. Patta No. 4. Dag No. 5. Net Area 1. Mouza 2. Revenue Town/ village 02 3. Patta No. 4. Dag No. 5. Net Area 1. Mouza 2. Revenue Town/ village 03 3. Patta No. 4. Dag No. 5. Net Area

2 :

11

: : : : : : : : : : : : : :

I hereby declare that the declaration made above is complete , true an correct to the best of my knowledge an belief.
(Bilal Ahmed Barbhuiya) Assistant Engineer, PWD Guwahati NH Division, Ghy-01 (Signature of the Officer)

1) 2)

STATEMENT OF MOVABLE PROPERTY FOR THE CALENDER YEAR ENDING 31st. DECEMBER/2013 Name of the Officer in Full (In Block Letter) : BILAL AHMED BARBHUIYA Designation: Assistant Engineer Pay: Basic: Total Allowance: Gross-Pay: Total deduction: Net Salary: A) Cash, Bank Balance, Credit an other movable properties
In whose name (self, wife/husband, child,depenent, other relation of benamdar) the asset is
4

Page-01

Sl. No.
1

Description of Item
2

Value
3

Date & manner of acquisition

5

Remarks
11

01 02 03 04 05 06 07 08 09 10

I hereby declare that the declaration made above is complete , true an correct to the best of my knowledge an belief.

Date:

(Bilal Ahmed Barbhuiya) Assistant Engineer, PWD Guwahati NH Division, Ghy-01

B) Expenditure
Insurance Policy G.P.F./ C.P.S. Account Monthly Contribution No
1 2

Page-02

Annual Premium Amount

3

Policy Nos.
4

Number of those in course of education with monthly expenditure thereon

5

Monthly cost in maintaining family

6

I hereby declare that the declaration made above is complete , true an correct to the best of my knowledge an belief.

Date:

(Bilal Ahmed Barbhuiya) Assistant Engineer, PWD Guwahati NH Division, Ghy-01