GOVERNMENT OF PAKISTAN
CABINET SECRETARIAT
ESTABLISHMENT DIVISION
DECLARATION OF INCOME AND ASSETS
Financial Year Ending on
NIC No:
Basic Pay Scale:
Occupation Group:
Service / Department:
Present Position Held:
Present Residential Address:
4. INCOME
| Particulars | Amount (Rs.) |
|---|
| Salary | |
| Rental Income | |
| Agri income | |
| Other sources | |
| Total | |
|---|
5. EXPENSES
| Utilities | |
| Total Household expenses | |
|---|
6. PRIVATE FOREIGN TRAVELING
| Country/Countries visited | Period of Stay | Approx expenses Rs. |
|---|
7. CHILDREN’S EDUCATION (INLAND & ABROAD)
| Name of child | Educational institution attended during FY |
|---|
8. CLUB MEMBERSHIP
| Name of Club(s) | Membership No |
|---|
12. ASSETS DISPOSED OFF DURING THE YEAR
| Identification/nature | Date of disposal | Amount received as sales proceeds (Rs.) |
|---|
13. INVESTMENTS
| Details of Bonds held Investments | Bond No.(s), Denomination Rs. etc. |
|---|
14. BANK ACCOUNTS
| A/c No. & Bank Branch | Year of Opening | Main source of deposits | Balance as on 30.6 (Rs.) |
|---|
15. Total Assets (9-14) Rs.
16. Liabilities — Outstanding (A)
Liabilities paid off during the year (B)
15-16 (A) Net worth Rs.
As on 30.6. Net worth declared previously Rs.
Signature: ____________________
Name:
Designation:
Name of Organization/Deptt.:
Place:
Date: