| Sr No | Description | self | spouse | dependent1 | dependent2 | dependent3 |
| i | Cash | 5,000 5 Thou+
| 3,000 3 Thou+
| Nil | Nil | Nil | Rs 8,000
8 Thou+ |
| ii | Deposits in Banks, Financial Institutions and Non-Banking Financial Companies | 1,000 1 Thou+
| Nil | Nil | Nil | Nil | Rs 1,000
1 Thou+ |
| iii | Bonds, Debentures and Shares in companies | Nil | Nil | Nil | Nil | Nil | Nil
|
| iv | (a)
NSS, Postal Savings etc | Nil | Nil | Nil | Nil | Nil | Nil
|
(b)
LIC or other insurance Policies | Nil | Nil | Nil | Nil | Nil | Nil
|
| v | Personal loans/advance given | Nil | Nil | Nil | Nil | Nil | Nil
|
| vi | Motor Vehicles (details of make, etc.) | Nil | Nil | Nil | Nil | Nil | Nil
|
| vii | Jewellery (give details weight value) | Nil | Nil | Nil | Nil | Nil | Nil
|
| viii | Other assets, such as values of claims / interests | Nil | Nil | Nil | Nil | Nil | Nil
|
| Gross Total Value (as per Affidavit) | Nil | Nil | Nil | Nil | Nil | Nil
|
| Totals (Calculated as Sum of Values) | Rs 6,000
6 Thou+ | Rs 3,000
3 Thou+ | Nil
| Nil
| Nil
| Rs 9,000
9 Thou+ |
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