| Sr No | Description | self | spouse | dependent1 | dependent2 | dependent3 |
| i | Cash | 10,000 10 Thou+
| 2,000 2 Thou+
| 5,000 5 Thou+
| Nil | Nil | Rs 17,000
17 Thou+ |
| ii | Deposits in Banks, Financial Institutions and Non-Banking Financial Companies | 1,000 1 Thou+
| 1,000 1 Thou+
| Nil | Nil | Nil | Rs 2,000
2 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) | 2,64,000 2 Lacs+
| Nil | Nil | Nil | Nil | Rs 2,64,000
2 Lacs+ |
| viii | Other assets, such as values of claims / interests | Nil | Nil | Nil | Nil | Nil | Nil
|
| Gross Total Value (as per Affidavit) | 2,75,000 2 Lacs+ | 3,000 3 Thou+ | 5,000 5 Thou+ | Nil | Nil | Rs 2,83,000
2 Lacs+ |
| Totals (Calculated as Sum of Values) | Rs 2,75,000
2 Lacs+ | Rs 3,000
3 Thou+ | Rs 5,000
5 Thou+ | Nil
| Nil
| Rs 2,83,000
2 Lacs+ |
