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Statement showing details of assets(Other than immovable property) & liabilities on first appointment and also submission of return on 31st March of every year.

Name:*

Designation:

Employee Code
Number:*

Date of joining:

Basic pay Rs. per month:

Assets					Liabilities
A. Liquid assets and Investments (including deposits and LIC policies)					1. Liabilities to the Bank/Financial Institution
Description	Amount/Original Price	Held in the name of and relationship	How acquired	Annual Income derived	1. Liabilities to the Bank/Financial Institution

B. Movable Properties					Liabilities
Description	Amount/Original Price	Held in the name of and relationship	How acquired	Annual Income derived	3. Other Liabilities,if any