PERSONAL/CONFIDENTIAL Paragraph-7.

13

GOVERNMENT OF BALOCHISTAN

SERVICES AND GENERAL ADMINISTRATION DEPARTMENT

(Confidential Section)

DECLARATION OF ASSETS BY BS-7 AND ABOVE

ENDING ON 31ST DECEMBER, 20_________

1. Name
CNIC No.

2. Date of Birth: _______________________________

3. Basic Pay Scale: BS_________ 4. Occupational Group/Service: ____________
5. Department: ___________________________________________________
6. Present Position held: ____________________________________________
7. Income (during the year _____________________________
i) Salary Rs. ________________________
ii) Rental Income Rs. _________________
iii) Agric. Income Rs. __________________
iv) Other sources (dividend, profit, prize money, gift, loan etc)
Total Income (i-iv) ________________________________
8. IMMOVABLE ASSETS (Agriculture & Non-Agriculture lands, House Properties,
Commercial and Industrial properties, Open Plots of all types).
Identification & nature of Asset (s) Mode of Cost of acquisition
acquisition/year
a)
b)
c)
d)
e)
f)
9. MOVEABLE ASSETS (Cash in hand, Motor vehicles, Jewellery, Equipment, etc)
Identification & nature of Asset (s) Mode of Cost of acquisition
acquisition/year
a)
b)
c)
d)
e)
f)

10. ASSETS HELD AS ATTORNEY:

Identification & nature of Asset (s) Nate of Power of Name & Address of the
Attorney legal Owner
Revocable/Irrevocable)
a)
b)
c)
d)
e)

11. ASSETS DISPOSED OFF DURING THE YEAR:-

Identification & nature of Asset (s) Date of disposal Name & Address of the
legal Owner
a)
b)
c)
d)

12. INVESTEMENTS (Bonds, Shares, Certificate, Securities, Insurance Policies etc)

Details of Bonds held Investments

a)
b)
c)
d)
13. Bank Accounts (Current, Saving, Deposit A/c & F.C.A/cs)
A/c & Bank Branch Year of Opening Main source of Balance on
Deposits 31.12.20_______
(Rs.)
a)
b)
c)
d)

14. ANY OTHER ASSETS: Assets, if any, standing in the name of family members,
(Including Spouse, Children and step children, parents, sisters and minor brothers
residing with and wholly dependent upon the Government of servant).
Worth Rs: _____________________________

15. Total Assets (8-14) Rs. ______________________

16. LIABILITIES: (Department/Bank Loans, over drafts, Mortgages secured, private loans etc)
Details of Bonds held Investments

a) Rs. Rs.
b) Rs. Rs.
c) Rs. Rs.
d) Rs. Rs.

(15-16) Net Worth Rs. ______________________

As on 31.12.20__________
Net Worthy declared previous Rs. ______________________
As on 31.12.20__________

I hereby declared that to the best of knowledge and belief the above
statement of the assets and liabilities of myself, my wife or wives, minor children and
other family members dependents as on 31.12.20_______are complete and correct.

Signature: _______________________
Name: __________________________
Designation: _____________________
Name of the Organization/Department___
__________________________________
Place: _____________________________
Dated: ____________________________