Declaration of Assets and Liabilities

Year 2020-2021

I, Dr. Ramesh Prasad, son/daughter/wife of Late Ramdhani Sao,

Aged 65 years, belonging to 12 Pathar, Post- Dehri on Sone, District- Rohtas, Bihar

service and presently working as Lecturer, Department of Agad Tantra, Govt. Ayurvedic

College, Patna give herein below the details of the assets (immovable, movable, bank

balance, etc.) of myself, my spouse and dependants*:

A. Details of movable assets

(Assets in joint name indicating the extent of joint ownership will also have to be
given)

Sr. Description Self Spouse Dependant-1 Dependant-2 Dependant-

No. Name(S) Name Name 3
Etc. Name
(i) Cash 1,55,000 Smt. Raj Vikas Saurav Kumar
kishori Devi Kumar Chandan
(ii) Deposits in NIL NIL 11000/- 20000/- SBI,
Banks, SBI, Rajbanshinagar,
Financial Rajbanshin Patna
Institutions agar, Patna
And Non-
Banking
Financial
Companies

(iii) Bonds, NIL NIL NIL NIL

Debentures
and Shares in
companies

(iv) Other financial NIL NIL NIL NIL

institutions,
NSS, Postal
Savings, LIC
Policies, etc

(v) Motor Vehicles HONDA NIL NIL NIL

(details of M/C
make, etc.) BR01BZ
5668

(vi) Jewellery (give NIL 200g Gold- NIL NIL

details of (Approx Rs
weight and 6,00,000/-)
value) 500g
Silver-
(26,000/-)
(vii) Other assets, NIL NIL NIL NIL
such as values
of claims /
interests
Note: Value of Bonds / shares / Debentures as per the latest market value in Stock
Exchange in respect of listed companies and as per books in the case of non listed
companies should be given.
* Dependant here means a person substantially dependent on the income of the
employee.
B. Details of Immovable assets
[Note: Properties in joint ownership indicating the extent of joint ownership will also have to
be indicated]
Sr. Description Self Spouse Dependant- Dependant- Dependant-
No. Name(S) 1 2 3
Name Name Etc. Name
(i) Agricultural Land NIL NIL NIL NIL
- Location(s)
- Survey
number(s)
- Extent (Total
measurement)
-Current market
value
(ii) Non-Agricultural NIL ½ Katha NIL NIL
Land Plot No. 724
- Location(s) Kothwa
- Survey Chulhaichak,
number(s) Patna
- Extent (Total Worth
measurement) Rs.
-Current market 3,00,000/-
value
(iii) Buildings NIL NIL NIL NIL
(Commercial and
residential)
Location(s)
- Survey /door
number(s)
- Extent (Total
measurement)
- Current market
value
(iv) Houses / NIL Parental NIL NIL
Apartments, etc. House at 12
- Location(s) patthar,
- Survey /door Dehri On
number(s) Sone,
- Extent (Total Rohtas,
measurement) Bihar.
- Current market 2(1/2) Dhur
value Khata No.
222Id/252
Plot No.
305/227
Plot No.
444/ 1617
Rs.
5,00,000/-
(v) Others (such as NIL NIL NIL NIL
interest in
property)
(2) I give herein below the details of my liabilities / overdues to public financial
institutions and government dues:-
[Note : Please give separate details for each item)

Sr. Description Name & address of Bank / Amount outstanding as

No. Financial Institutions(s) / on …………………..
Department (s)
(a) (i) Loans from Banks NIL NIL

(ii) Loans from financial NIL NIL

institutions
(iii) Government Dues: NIL NIL
(a) dues to departments
dealing with government
accommodation
(b) dues to departments NIL NIL
dealing with supply of
water
(c) dues to departments NIL NIL
dealing with supply of
electricity

(d) dues to departments NIL NIL

dealing with telephones
(e) dues to departments NIL NIL
dealing with government
transport (including aircraft
and helicopters)
(f) Other dues, if any NIL NIL

(b) (i) Income Tax including NIL

surcharge [Also indicate
the assessment year upto
which Income Tax Return
filed. Give also Permanent
Account Number (PAN)]
Rs
IT. Patna Office Filled In
Assesment Year 2020-2021
PAN NO. AANPP1174D

(ii) Wealth Tax [Also NIL NIL

indicate the assessment
year upto which Wealth
Tax return filed.]
(iii) Sales Tax [Only in case NIL NIL
of proprietary business]
(iv) Property Tax NIL NIL
C. Personal Detail

GPF/CPF/PRAN No. :- BHR/BHS 380

Gender :- (M/F)
M
Date of Birth :-
1 0 1 0 1 9 5 6 (DD/MM/YYYY)

Class/Group :- B :-
(A/B/C)
Cadre :-
B.H.S. BIHAR HEALTH SERVICE
(

Full Name e.g. B.A.S.-Bihar Administrative Service,

B.S.S.- Bihar Secretariat Service etc.)

Home District :-
ROHTAS
I hereby declare that the above details are true to the best of my
knowledge and belief.

Signature

Name of Employee: DR. Ramesh Prasad

Place: PATNA- 3 Designation: Lecturer

Date:14/01/2021 Department: Agad Tantra, Govt. Ayurvedic College, Patna-3

Note: Please sign each page of the declaration. Asset declaration form
must be in A4 size white paper with computer typed (single side)
in prescribed format.