DECLARATION OF INCOME AND ASSETS GOVERNMENT OF PAKISTAN CABINET SECRETARIAT ESTABLISHMENT DIVISION ancial Year Ending on 30" June Name Basie Pay Seale [| Occup: ation Group Service IDepartment 3. Present Residential Address CHEE | Phone (R) LU] 4. Income Salary Rental income (urge Rey | r tT Financial year) "Other sources (dividend, profit, prize money, gif iain ete) Total i & “CIT 5. Expenses Utilities (Electricity, Gas, Total Household Approx.) Telephone etc.) expenses Rs. 6. Private Foreign Traveling Country / Countries. Period of Stay (Self, Spouse & Children visited From ___ to During F.Y 7. Children’s Education (inland & Abroad) 8. Club Membership Name(s) of children Name of Clubjs) Membership No Approx. expensesASSETS & LIABILITIES 9. Immovable Assets (Auri & Non-Asri lands, House properties, Commercial & Industrial properties, Open plots ofall types) [densi “| Mode oFacquisition/year stofacquisition a) b) © 7 aaa. 11, Assets held as Attorney Identification & nature of Assets) Nature of Power of Auomey. | Nature & Address of (Revocable/Irrevocable) __| the Legal Owner |12. Assets disposed off during the year dentiication & nauve of Awol Date of disposal a ) ¢) ad 13. v6 hi extificare its! Advances, Loans granted etc. Details of Bonds held | Denomination Rs, a) b) °. a) 14. Bank Accounts (Current, Saving, Deposit A’e & F.C. Ales) ‘Bie No. & Bank Branch Vain source ofdeposis | Batance Pee a Rs) a) Et =. aenee ») ft ee PEE dy 15. ‘Total Assets (9-14) Rs. 16. Liabilities (Departmental/Rank loans, Over drafts, Mortgages secured, private loans ete.) (Quistanding liabilities (A) during the year (B) a) J Bs. 7 by Rs, _ °) Rs. eee = ®) Rs a 15-16 (A)) Net worth Rs. As on 306. Net worth declared previously Rs, As on 30.6, Signature__ Name Designation Na 1¢ of the Organization/Dept_ Place Date