Declaration of Assets and Liabilities

FY: 2024-2025

I, MITHUN KUMAR MANJHI son of KAMALESHWAR MANJHI aged 31 years, belonging to

EDUCATION DEPARTMENT service and presently working as SCHOOL TEACHER(11-12)
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. No. Description Self Spouse Dependent- Dependent-2 Dependent-3

Name(S) 1 Name Name
Name (daughter)
(son) PRABHA DEVI

(mother)

(i) Cash 10000 NIL NIL NIL NIL

(ii) Deposits in Banks, NIL NIL NIL NIL NIL

Financial
Institutions And
Non-Banking
Financial Companies

(iii) Bonds, Debentures NIL NIL NIL NIL NIL

and Shares in
companies

(iv) Other financial NIL NIL NIL NIL NIL

institutions, NSS,
Postal Savings, LIC
Policies, etc

(v) Motor Vehicles NIL NIL NIL NIL NIL

(details of make,
etc.)

(vi) Jewellery (give NIL NIL NIL NIL NIL

details of weight
and value)

(vii) Other assets, such NIL NIL NIL NIL NIL

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 Dependent Dependent Dependent-3
No. Name(S) -1 -2 Etc. Name
Name Name
(i) Agricultural Land NIL NIL NIL NIL NIL
- Location(s)
- Survey number(s)
- Extent (Total
measurement)
-Current market value
(ii) Non-Agricultural Land NIL NIL NIL NIL NIL
- Location(s)
- Survey number(s)
- Extent (Total
measurement)
-Current market value
(iii) Buildings (Commercial and NIL NIL NIL NIL NIL
residential)
Location(s)
- Survey /door number(s)
- Extent (Total
measurement)
- Current market value
(iv) Houses / Apartments, etc. PARENTAL NIL NIL NIL NIL
- Location(s)
- Survey /door number(s)
- Extent (Total
measurement)
- Current market value
(v) Others (such as interest in NIL NIL NIL NIL NIL
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 / Financial Amount outstanding as on

No. Institutions(s) / Department (s) 31-12-2021…
(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 dealing NIL NIL
with telephones
(e) dues to departments dealing NIL NIL
with government transport
(including aircraft and
helicopters)
(f) Other dues, if any NIL NIL

(b) (i) Income Tax including PAN:GQCPM0739N NIL

surcharge [Also indicate the
assessment year upto which
Income Tax Return filed. Give
also Permanent Account Number
(PAN)]
(ii) Wealth Tax [Also indicate the NIL NIL
assessment year upto which
Wealth Tax return filed.]
(iii) Sales Tax [Only in case of NIL NIL
proprietary business]
(iv) Property Tax NIL NIL
C. Personal Detail

GPF/CPF/PRAN No. :- 110159805646

Gender :- (M/F)
M
Date of Birth :-
0 4 1 0 1 9 9 3 (DD/MM/YYYY)

Class/Group :- C (A/B/C)
Cadre :- BIHAR GOVT EDUCATION DEPARTMENT
(Full Name e.g. B.A.S.-Bihar Administrative Service,

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

Home District :- SARAN

I hereby declare that the above details are true to the best of my knowledge and belief.

Date:18-01-2025 Signature ..................................................

Name of Employee: MITHUN KUMAR MANJHI

Place: HUSSEPUR Designation: SCHOOL TEACHER (11-12)

Department: EDUCATION

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.