st STATEMENT OF IMMOVABLE PROPERTY RETURN FOR THE YEAR 2017 AS ON 01 January 2018

1. Name of Officer (in full) : Mr.SANTOSH KUMAR SINGH

2. Service to which the Officer belongs : SSS

3. Cadre & Batch : CENTRAL SERVICES - 2010

4. Present Pay : 42300

SL Name of Name & Cost of Present value* If not in own name, How acquired Annual income from Remarks NO. Khasra No., Details construction/ state in whose whether by property Village/City, of Property Acquirement name held and his/ purchase, lease**, Taluk, Sub- (Description) (and year her relationship to mortgage Division, when the Govt. Servant inheritance, gift or District purchased) otherwise with in which including of date of property is land in case acquisition and situated (full of house name with details location & of postal address)

1 2 3 4 5 6 7 8 9 1 House 1.25 430000 No Bhagirath Singh Purchase - 0 50% share acre Father Purchased (Joint family) Kishanganj by my father Thakurganj Bazar Basti Village-Bazar Basti, PO-Churli, Via-Thakurganj, Distt-Kishanganj State-Bihar 855116

2 BIHAR Land 6.25 acre 1270000 No Bhagirath Singh Purchase - 25000 50% share Kishanganj (cultivable Father Purchased (Joint family) Kishanganj by my

SL Name of Name & Cost of Present value* If not in own name, How acquired Annual income from Remarks NO. Khasra No., Details construction/ state in whose whether by property Village/City, of Property Acquirement name held and his/ purchase, lease**, Taluk, Sub- (Description) (and year her relationship to mortgage Division, when the Govt. Servant inheritance, gift or District purchased) otherwise with in which including of date of property is land in case acquisition and situated (full of house name with details location & of postal address)

1 2 3 4 5 6 7 8 9 Thakurganj land) father Bazar Basti Village-Bazar Basti, PO-Churli, Via-Thakurganj, Distt- Kishanganj, State-Bihar 855116

3 BIHAR Land 0.4 acre 780000 No Bhagirath Singh Purchase - 0 50% share Kishanganj (vacant land) Father Purchased (Joint family) Kishanganj by my father. Thakurganj Thakurganj At- Jilebiamore, PO- Thakurganj, Distt- Kishanganj, Bihar 855116

4 BIHAR Vaishali Land 1.5 acre 550000 No Bhagirath Singh Inheritance - 2000 50% share Mahua (cultivable Father Inherited (Joint family) Rajapakar land) land Allipur Village- Allipur, PO- Khoksa Buzurg, Via-Desari, Distt-Vaishali, Bihar 844504

6128 Santosh Kumar Singh Date : 31-01-2018 Signature JUNIOR STATISTICAL OFFICER

NOTES: 1) * In case where it is not possible to assess the value accurately, the approximate value in relation to present conditions may be indicated.

2) ** Includes short term leases also.

3) The declaration form is required to be filled in and submitted by every member of Class I and Class II services under relevant provisions of Conduct Rules and the first appointment to the Service and thereafter, at the interval of every twelve months, giving particulars of all immovable property owned, acquired or inherited by him or held by him on lease or mortgage, either in his own name or in the name of any member of his family or in the name of any other person dependent on Government Servant.

4) The wording ‘No Change or No Addition or As in previous year’ may be avoided and all details filled up.

5) All Officers are requested to fill the form in duplicate.