Professional Documents
Culture Documents
Year 2020-2021
Aged 65 years, belonging to 12 Pathar, Post- Dehri on Sone, District- Rohtas, Bihar
service and presently working as Lecturer, Department of Agad Tantra, Govt. Ayurvedic
College, Patna give herein below the details of the assets (immovable, movable, bank
Gender :- (M/F)
M
Date of Birth :-
1 0 1 0 1 9 5 6 (DD/MM/YYYY)
Class/Group :- B :-
(A/B/C)
Cadre :-
B.H.S. BIHAR HEALTH SERVICE
(
Home District :-
ROHTAS
I hereby declare that the above details are true to the best of my
knowledge and belief.
Signature
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.