Form V B BCCL - 20240222 - 0001

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FORM. V B
STATEMENT SHOWING DETAILS OF IMMOVABLE PROPERTY ON FIRST APPOII{TMENT
AND ALSO ON lST JANUARY OF EACH CALENDER YEAR.
(e.9. Lands, House Shops other Building, etc.)
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NAME r.ralaaaralrl}iaa.*,Iraair.

PERSONNEL. NO.

DESIGNATION

DATE OF BIRTH

ORGANISATION

DATE OF JOINING
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BASIC SALARY aaaaaaaraataaaaaaaaaaataaaataaaaaaaaaaaaaaaataaaraaaaaraaaataaaaaaaataaaaaaaaaltaraaaaaaaaaraaaaaarllrlrttlrirtraaaaaaaataaraataaatr

AREA

Details / Description
of property and its lf not in own name,
location ($ee notes state in whose narne How and when Value of the I

st. I & 5 below) held and his I her acquired (See property Total annual
No. Hbuse, Building / relationship, if any Notes 2 & 6 (See Note 3 income from REMARKS
Land No. to the employee ,' below) below) the property

01 02 03 04 05 06 07

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Note : 1. lf the pfoperty is not wholly owned the extent of share may also to lndicated.

I{6b : 2. For the puryor ol Col, lth brm learo would mean r leare of immovale proputy ftom year to year
or for any term exceedlng one year ol recerye yeady rcnt Whcn howver, 0te leare of immovable
property b oilain&l fiom a perron havlng officlal deallng udth 0ro emdoycs, luch r leare should
in 0rlr column irsspec,tive of the hm of the leare whethcr lt b rhod bm or long tem, and the
periodicig of tlre payment of mnt.

Note : 3. ln Col, 5 should be shown.


$ (a) Where the propefi has been acquirild by purchaso, mortgage or tsase, the price or premium
paid for such acquisition.

(b) Where it has been acquired by lease the total annual rent thereof also and

(C) Utlhere the acquisition is by inheritance gift or exchange the approximate value of the property
so acguired.

Note : 4. The annual rctum in respect of immovable propedy may also be rubmithd in this fom as on
lst January.

tlote : 5. Name of District, Diviaion, Talukr & Village in which the proporty ir rituabd and aloo its dlgtinctive
numbor etc. will be given in Col. 2.

llotc : 6. Whethsr by purchase, moilgage, lerre, inheribncc, glft or othenvlse E name with detailr of
penon I penon'r lrom wlpm rcquirod addmlr E connoction, il any wlth the peruon I ponons
concemed are alro to be glven ln Column.

Signature

Date

BCCL Press 021259, 15 - 16 - 20 Pads 100 x Lvs.

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