Lokpal asset declaration format

Dear friends,

(These forms are available in MS word format and are attached down below at the bottom of this web page in down loadable form)

(The form.no.III is given in a separate file because the form is big and formatted in landscape format)

APPENDIX-I

[Rule: 3(1)]

Return of Assets and Liabilities on First Appointment or as on the 1st August, 2014/31st March 2015

(Under Sec.44 of the Lokpal and Lokayuktas Act, 2013)

1. Name of the Public servant in full

(in block letters)

2. (a) Present public position held

(Designation, Name & address)

(b) Service to which belongs

(if applicable)

Declaration:

I hereby declare that the return enclosed namely, Forms I to IV are complete, true and correct to the best of my knowledge and belief, in respect of information due to be furnished by me under the provisions of section 44 of the Lokpal and Lokayuktas Act, 2013.

Date : . Signature: .

*--In case of first appointment please indicate date of appointment.

Note 1: This return shall contain particulars of all assets and liabilities of the public servant either in his/her own name or in the name of any other person. The return should include details in respectof assets/liabilities of spouse and dependent children as provided in Section 44(2) of the Lokpal and Lokayuktas Act, 2013.

(Section 44(2): A public servant shall, within a period of thirty days from the date on which he makes and subscribes an oath or affirmation to enter upon his office, furnish to the competent authority the information relating to-

(a) The assets of which he, his spouse and his dependent children are, jointly or severally, owners or beneficiaries;

(b) His liabilities and that of his spouse and his dependent children.)

Note 2: If a public servant is a member of Hindu Undivided Family with co-parcenary rights in the properties of the family either as a 'Karta' or as a member, he should indicate in the return in FormNo.111the value of his share in such property and where it is not possible to indicate the exact value of such share, its approximate value. Suitable explanatory notes may be added wherever necessary.

Note 3: "dependent children" means sons and daughters who have no separate means of earning and are wholly dependent on the public servant for their livelihood. (Explanation below Section44(3) of Lokpal and Lokayuktas Act, 2013

FORM No.1

Details of Public Servant, his/her spouse and dependent children

Date: Signature ………………

FORM No.II

Statement of movable property on first appointment or as on1.8.2014/31st March 2015.

( Use separate sheets for self, spouse and each dependent child)

Date: (Signature)

FORM NO.IV

Statement of Debts and Other Liabilities on first appointment or as on 1.8.2-14/31^st March 2015