Name.

Date of Birth:

Father’s Name: Present Place of Posting. Deputy Research Lab. PWD B&R Patiala.

Form No.1
Statement of immovable property (eg) Lands, House, Shop, other Buildings etc. for the Year: 2020-2021

Sr. Description Precise Location Area of land Nature of Extent of If not in own,name Date of How acquired (whether by Value of Particulars Total Remarks
No of Property Name District, (in case of land/property interest state in whose acquisition purchase, mortgage, lease the sanction of annual
Taluk Village in land and name held and inheritance gift or otherwise property prescribed income
which the property buildings) his/her relationship details of person/persons (see note authority, if form the
is situated and also if any to the Govt. form whom acquired address below) any property
its distinctive Employee and connection of the Govt.
number Employee if any with the
person/persons concerned
(please see note1 blow)
1 2 3 4 5 6 7 8 9 10 11 12 13
1

Note:
1. For the purpose of column 9, the term would mean a lease of immovable property form year for any term exceeding one year of receiving a yearly rent. Where however. The lease of
immovable property is obtained from a person having official dealing with the Govt. employee such a lease should be shown irrespective of the term of the lease, whether its is short
term or long term and the periodicity of rent.
2. In column 10 should be shown:-
a. Where the property has been acquired by purchase mortgage or lease the price of premium paid for such acquisition.
b. Where it has been acquired by lease, the total annual rent there of and
c. Where the acquisition is by inheritance, gift or exchange the approximate value of the property so acquired. Signature
Designation
Date.