FORM-II Statement of Movable property return for the year . (Use separate sheets for self, spouse and each dependent Name of public servant/spouse/dependent child: Sl. Description Remarks, if any No. (i) Cash and Bank balance : (ii) Insurance (premium paid) : Fixed/Recurring Deposit (s) : Shares/Bonds : Mutual Fund(s) : Pension Scheme/Provident Fund : Other investments, if any : Personal loans/advance given to any person or entity including firm, company, trust, etc., and other receivables (iii) from debtors and amount (exceeding two months basic : Pay or rupees one lakh, As the case may be) Motor Vehicles (iv) (Details of make, registration : Year of purchase and : Amount paid : Jewellery (v) [give approximate weight] (plus or minus in case of gold and precious stones; : plus or minus 100 grams in case of silver) Gold : Silver : Precious metals and Precious stones : Composite items (indicate approximate value) : Any other assets Furniture Fixtures Antiques Paintings (iv) Others : [Indicate details of an only if total current value of asset in any particular category (e.g., furniture, fixtures and electronic equipments, etc.,) exceeds two months basic pay or rupees one lakh as the case may be ] Date: ______________ Signature: _______________
FORM-II Statement of Movable property return for the year . (Use separate sheets for self, spouse and each dependent Name of public servant/spouse/dependent child: Sl. No. Description Remarks, if any (i) Cash and Bank balance : (ii) Insurance (premium paid) : Fixed/Recurring Deposit (s) : Shares/Bonds : Mutual Fund(s) : Pension Scheme/Provident Fund : Other investments, if any : (iii) Personal loans/advance given to any person or entity including firm, company, trust, etc., and other receivables from debtors and amount (exceeding two months basic Pay or rupees one lakh, As the case may be) : (iv) Motor Vehicles (Details of make, registration Year of purchase and Amount paid : : : (v) Jewellery [give approximate weight] (plus or minus in case of gold and precious stones; plus or minus 100 grams in case of silver) : Gold : Silver : Precious metals and Precious stones : Composite items (indicate approximate value) : (iv) Any other assets Furniture Fixtures Antiques Paintings Others [Indicate details of an only if total current value of asset in any particular category (e.g., furniture, fixtures and electronic equipments, etc.,) exceeds two months basic pay or rupees one lakh as the case may be ] : Date: ______________ Signature: _______________
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