Professional Documents
Culture Documents
Mov & Immo Format
Mov & Immo Format
1.NAME OF
OFFICER/STAFF :
(IN FULL & CAPITAL ETTERS)
2.DESIGNATION : 3. DOB
4.DEPARTMENT/OFFICE : 5.
EMPLOYEE CODE NO :
Sl. Description of Item Price or value at the time of If not in own name & How acquired with Remarks
No. acquisition and/or the total address of the person in approximate date
payments made up to the date of whose name and his/her of acquisition.
return as the case may be in case relationship with the Govt.
of articles purchased on hire or Servant.
instalment basis.
1.NAME OF
OFFICER/STAFF :
(IN FULL & CAPITAL ETTERS)
Name of Name & Cost of *Present Value If not in own How acquired- whether Annual Remarks
District, Sub- Details of construction/ name in whose by purchase, lease**, income
Division, Taluk Property, acquirement name held and mortgage, inheritance from the
and Village in Housing, Lands including land in his/her gift or otherwise, with property
which Property and other case of house and relationship to date of acquisition &
is situated buildings year when the Govt. name with details of
purchased Servant persons from whom
acquired
1 2 3 4 5 6 7 8
Date :-
Signature _____________________________