Declaration of Assets and Liabiliti€s

Ye.r 2ol&r.9
Satyendra Kuma. Shahi , Son of Late Ram Swanh Shahl , Aged 43 years, belonglng to
I
Weter Reaource! Department, GovL of Blhar servlce and pr€sently wo.klng as lcaountt Cl.d(,
B.gm.tl Dlvl.lon, Runni.lldpur glve herein below the details of the assets (lmmovable,
movable, bank balance, etc.) of myself, my spouse and dependants*:
A. Dsl!|E-cf-Eg[llls-ltsdt
(Assets ln lolnt name lndlcathg the extcnt ofiolnt owne6hlp v{lll also have to be glven)

S. Dcac ptlon sall Spouaa Dc9andant- Dap6ndant-2 D.p.ndart-

1{o. N.m€(s) I I{!ma 3
N!m€ Etc. Nama
0) Kamni Kuma.l ilasoom Aman Kumar
Kumar 500/-
Cash 3000/- 20001-
2000/-

( ) Deposits in
Banks,
Flnancial
lnstltutions
And Non- Savlng-
Banklng 2000/- 210001- 5000/- 1soo/-
Financial
Companles

([) 8onds,
Debentures
and sharcs
ln
comganies

(lv) Other
financial
lnstitutions, LIC Prem. LIC Prem.
NSS, Postal H. Yrl. H. Yrl.
savlngs, LtC 13,100/- 57001-
Pollcles, etc

(v) Motor
vehicles
(detalls of
make, etc.)

(vl) Jev{ellery Patemal

(give details GOLD - 80 gm
of v{eight 2,4O,OOOI-
and value) Silver
500 gm.
18000/-

(vli) Other Colour T.V.,

assets, such Sota etc.
as values of
clalms / 20,OOOI-

in
Note: Value of Bonds shares Debentures as per the latest market value ln Stock Exchange
/ /
companles should be given'
*ap"i oi-f'*a .orp"nles and as per books ln the case of non llsted
lncome of the employee'
* J"p"na"nt tt".. ,i"ns a Person substantially dependent on the

-s4!5Jr-{{-9s\ir
B. Dltellr-ollEEovlD!!-lErlE
lNote: Plopertles in ioint ownershlp indlcatlng the extent of iolnt owneEhlp wlll also have
to be indlcntedl
Sr. D.6crlptlon S.lf Spousa Dep.nd D.p.nd. Dapandan
No. t{an.(S) ant-1 nt-2 t-3
Nama lllmc Etc. Nama
(0 Ag.icrrltural Land
- Location(s) Patemal
- Survey numbe(s) Shahl Mlnapur
- Extent Cfotal 4 Acres
measurement)
-Current market value 15.00.000/-
(i0 Non-Agricultural Land
- Locatlon(s)
- Survey number(s)
- Extent Ootal
measunement)
-Current market value
(iii) Bulldlngs (Comme.Elal
and residential)
Locatlon(s)
- Survey /door
nurhber(s)
- Extent (Total
measurement)
- Current market

(iv) Houses / ApaftmenB,

etc. shahi MlnaFr
- Locatlon(s) Muzafrarpur
- Survey /door 10 Declmal
number(s) 3,00,000/-
- Extent Cfotal Runnisaldpur
measurement) 4 Declmal
- Cu[cnt market
value 4,00,000/-
(v) Others (such as
interest in Droperty)

(2)Igivehereint,elovgthedetallsofmyllabilltles/overduestopubllcfnanclallnstitutlons
and government dues:-
[Note: Please glve separdte detalls for each ltem)

Sr Daacriptlon t{.meI rddrc.s of B.nk / A ount outd.ndl,rg

No. Flnrndll In.tltutlon.(.) / B3 on ...,.. DCC 2ol5
DaDartm€nt (3
(a) ns
(ii) Loans from flnanclal

(iii) Government Dues:

(a) dues to departments
deallng wlth government

(b) dues to departments

d with of
(c) dues to departments
deallng with suPPlY ot
el
(d) dues to dePaatments
deal wlth
(e) dues to departments
dea li ng th I m e nt
tran sport ( incl ud lng at rcraft
and
(O Other dues, if
3-*yJr^xrA\,\r
( b) (l) Income T6x includlng
surcharge fAlso lndlcate the PANCARD o.-DIGPIS2OO5K
assessment year upto whlch
tncome Tax Retlm filed. Glve
also Permanent Account
Number (PAl'l)l
(ii) Wealth Tax [Also lndicate
the assessment year upto
whlch Wealth Tax return
filed.'l
(ill) Sales Tax lonly in case of
Droorietarv buslnessl
fivl Prooertv Tax

c. PeEeElLD.tdl
GPF/CPFIPMN No 110020995123

Gender (M/F)
M

Date of Blrth
2 5 0 5 1 9 7 6 (OD/MM/YYYY)

Class/Group c (A/8/c)

cadre
ame e.9. B.A.S.-Bl m ve Sedice,

B.S.S.- Bihar Secretarlat Servlce etc.)

Home Distrlct MUZAFFARPUR

t hareby d6clara that tha Ebovc detalla ara tru€ to tha batt ot my knowledg€ and
bcllef

srsnat.,re... -sdb....*e...r. l. A\e[-.

Name of Employee: Satyend6 Kumar Shahl

P|ace: RUNNISADPUR Designation: Accounts Cle.k

D6te: Crepartment: w.R.D., Govt. of Blhar.

Note! Pletaa algn cEdl Prgc ot th€ dacllrEuon' AaaGt declErutlon lorm mu't be ln A4
slzc lyhlte pap.r wlth comput€r tYP.d (rlnglG .ldr) ln Pru6crlb€d tonntt'

3,fu<.Jr^ x.rA\'L