Declaration of Assets and liabilitiesYEAR :- 2015 - 16

: Suresh Singh, Son of Late Chandradeep Singh, aged 58 Years, belonging to Bihar State Food and CivilSupplies Corporation Limited Service and presently working as Assistant Manager, State Food Corporation. .N,-,wada give here in below the details of the Assets (Immqveble Movable, Band Balance etc. ) of myself, my spouse

dand deoen ams.S. Description Self Spouse(s) Dependent- 1 Dependent-2 Dependen

Name (s ) Name Name t- 3 NameSrnt. Parwat i Soni Kumari Supriya

No. Devi Kumari1 2 3 4 5 6 71 Cash Rs.2000.00 Rs.4000.00 Nil Nil Nil

I -, Deposits in Banks, Financial Rs. 29000.00 in Nil Nil Nil Nil

I Institutions and Non Banking 561, Ara, Rs. !, financial Companies 408000.00 in PN6,I

Dumraou & Rs.

I725851.00 in PNB, I, Nawada

l-Bonds, Debentures and Shares in Rs. 90000.00 in Rs. 50000.00 in:, Nil Nil Nil,

ICIO & Rs.I

Cornoanies 60000.00 in Baiai Baiai Alliani.! 4 Other Fioanciallnstruments Nil Nil Nil Nil Nil

Ii NSC Rs. 18000.00 Nil Nil Nil Nil

I K.V.P.i Postal Savings Nil Nil Nil Nil Nil

I UC Policies etc. Nil Nil Nil Nil NilI

II 5 Motor Vehicles (details of make, Nil Nil Nil Nil Nil

2tC.,Jewellery. (give details of weight Nil Gold - 60 Gms.

-6 Nil Nil Nil, 'a-"; \ . '. e) & Silver - 200, I' .I. , '~IJ

I Gms.

--L- Rs. 60000.00 i-; lather Assets, Such as Values of Nil Nil Nil , Nil Nil

I! .1 ____ IClalms/lnterests

Note: va.oe of [londs/ Shares/ Debentures as per the latest Market Value in Slock Exchange In respect of listedcompanies and as per Books in the case of non listed Companies should be given.

* Dependent here means a person substantially dependents on the Income of the Employee

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B DETAILS OF IMMOVABLE ASSETS{ Note: Properties in Joint Ownership indicating the extent of Joint Ownership will also have to be Indicated}

: s. I Description Self Spouse(s) Dependent- 1 Dependent-2 oependcn ]

IName (s) Name Name t- 3 Name ISmt. Parwati Soni Kumari Supriya

, No. I Devi Kumari I~~~--------------------4-----------4-----~---+----~----+--------+------4-11 2 3 4 5 6 7 I

:t!A9.riculture Land 5 Acrs. 7th Khatta SV2 Khatta in Nil Nil Nil II Iin Village-

~~~- 1Dhanahara,

Sawari, Belri, Sonawa Pakri, I~~-.~~ I

Anatee(Bihar) [Paternal]

Rs. 20.00 Lacs

Nil

Location (s)

Survey Number (5)

Extent (Total Measuremet)

Current Market Value Rs. 7.00 LacsNon Aorlculture Land Nil Nil 'Nil Nil Niltocauon (5)Survey Number (5)Extent (Total Measuremet)Current Market Value

: 3 Buildings (Commercial andResidential)

NilNil Nil Nil Nil

Location (s)Survey Number (s)

IExtent (Total i~easuremet)[Current Market ValueHouse/Apartments etc. 1 Katha 10 Dhoor

Location (s) in Jagdev Nagar,Survey Number (s)Extent (Total Measuremet)

! Current Market Value in 20.00 Lacs'~-4~----~~----~~--~~+-~~~~~--~--~~----~--~~----~--~~--+-----~I 5 Others (such as Interest in Nil Nil Nil Nil NilI Property)

I Nil!

Nil Nil

Anatee, Ara

2 I ghle here in below the details of my liabilitiestoverdues to public financial institutions and government dues :

Note: Please give separate details of each item)

I Description Name & Address of Bank/I So Amount Outstanding! No. Financial Institution (s) / as on .............! 1 2 4 6i c. i. Loan from Banks Nil

'INil

II

I i!. Loans from Fmancial Institutions Nil Nil iI

I 1:1. Government Dues:

Ia. dues to Departments dealing with Government Nil Nil

accommodation

!b. dues to Departments dealing with Supply of Water

-Nil Nil

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~:Idues to Departments dealing with Supply of Electicity Nil Nil

Idues to Departments dealing with Telephones Nil I Nil

le. !

dues to Departments dealing with Gevernment Nil Nil

Transport ( including Aircrafts and Helicopters)

Ic Other Dues, If any Nil NilI.

b.i. Income Tax including surcharge [ Also indicate the AFZPS7479F Rs. 11970.00.Assessments Year upto which Income Tax ReturnFiled. Give also Permanent Acount Numer ( PAN) ] Yr. 2015 - 16

Ii. Wealth Tax [ Also Indicate the Assessment Year upto Nil Nil

which Wealth Tax Return filled.]id. Sales Tax ( Only in case of Proprietary Business] Nil Nil

I -I iv. Property Tax Nil Nil

L. -

,- Personal DetailGPF/CPF/PRAN No.

Gender l'1ale

Class / Group C

Date of Birth 2S / 01 / 1958

Cadre BiharState Food and Civil Supplies Corporation Umited

RohlasHome District

( Full Name e.g. B.A.S. - Bihar Administrative Service B.S.S.- Bihar Secretariat Service etc.)

I heredy declare that the above details are true to the best of my Knowledge and behcf .

.-----' ~Signature .: ;v~.\J-<,\ G

~\i'Name of Emlpoyee : Suresh Singh

Place: Nawada Designation: Assistant Manager

Date: Department: Bihar State Food and Civil Supplies

Corporation Limited

Not Please sign each page of the declaration. Assest declaration form must be in A4 size white paper2 : with Computer typed (single Side) in prescribed format.

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