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TO WHOMSOEVER IT MAY CONCERN

This is to certify that (Name of Father) and (Name of Mother), presently residin
g at (Address) , sponsors of their son (Your Name) for higher studies in USA, ha
ve the following assets in their name as on 1st June 2001 :
Description
Indian Rs.
US $
(@ 1 US $ = Rs. 47 )
Movable Assets Rs. 40, 61, 235 $ 86, 409
Immovable Assets
Rs. 37, 90, 000 $ 80, 638
Total Rs. 70, 51, 235 $ 145, 045

Total Rupees (In words)


Total US Dollars (In words)
We have verified the relevant documents to verify the validity of these figures
and found them to be true and correct.
Place : Ahmedabad
Chartered Accountants
Date : 1st June, 2001

(Name of the Company).

(Name of Propreitor)
Proprietor, M No 34975

MOVABLE ASSETS Rupees US$


(@1US$ to 47 Rs.)
(Annexure A)
1. Bank Balance (Part 1)
12, 46, 522
$ 30, 777
2. Fixed Deposits & other liquidable assets (Part 2)
8, 14, 474
1
3. Provident Fund & PPF (Part 3)
6, 45, 046
$ 16, 597
4. Jewellery (Part 4) 3, 55, 790
$ 9, 698
5. Equity Shares (Part 5)
7, 64, 403
$ 14, 136
------------------------------Rs. 40, 61, 235 $ 86, 409

$ 15, 20

IMMOVABLE ASSETS
Rupees US$
(@1US$ to 47 Rs.)
(Annexure B)
1. Residential Flat at Ahmedabad
12,55,000
$ 20, 319
2. Ancestral Land at 24 Parganas, near Kolkata 28,35,000
$ 60, 319
------------------------------Rs. 37,90,000 $ 80, 638
TOTAL Rs. 70, 51, 235 $ 145, 045
Annexure A : Movable Assets

Part 1 : Bank Balance


Details :
1
Savings in the name of X and / or Y
(SB Account : 53992, Bank Name, since Sept 27, 1999)
2
Savings in the name of Z
(SB 46438, Bank Name since Jan 23, 1991)
Total Rs. 12, 46, 522

Rs. 4, 36, 522

Annexure A : Movable Assets


Part 2 : FDRs with Bank & Other Assets
a)

Fixed Deposits with Banks

Sr. No
(Rs.)
1
2
3
Total

Type
INDIAN
INDIAN
Canara
7, 33,

Amount (Rs.)
Bank.
BANK.
Bank
937

Rs. 8, 50, 136

Maturity Value

1, 00, 000
1, 08, 780
75, 000 81, 585
1, 00, 000
1, 08, 775
5, 85, 108

b) Security Bonds
Sr. No.
(Rs.)
(Rs.)
Name of
1
2
Name of
3
4
Total

Type
Value

Number of Units Face Value

Mother
CANPEP 1992
500
ICICI Tax Saving Bonds
Father
UTI MEP 1992
500
CANPEP 1992
500
60, 000

10
2

5, 000
5000
10, 000

10
10

5, 000
5, 000

Annexure A : Movable Assets


Part 2 (contd.)
c) Policies
Sr. No. Type
Amount Invested
(Rs.)
Name of Mother
1
ULIP
30, 000
Name of Father
2
ULIP
30, 000
3
Jeevan Suraksha Pension Policy 47, 505
Yourself
4
LIC Policy
13, 032
Total Rs. 3, 20, 537

Total Invested Value ( a + b + c )

Rs. 7, 14, 474

Total Maturity Value : Rs. 7, 65, 645


Annexure A : Movable Assets
Part 3 : Provident Fund Balance of Parent
(Through X years of service in W as on 31.3.2001)

Details:
1
Staff Provident Fund Rs. 6, 87, 505
2
Public Provident Fund (PPF)
Rs. 92, 541
Total Rs. 7, 80, 046

Annexure A : Movable Assets


Part 4 : Jewellery
(As per Valuation Report of X, Government Approved Registered Valuer (if done))
Details
1
2
Total

:
Diamond Jewellery
Rs. 1, 76, 710
Gold Jewellery Rs. 2, 79, 080
Rs. 4, 55, 790

Annexure A : Movable Assets


Part 5 : Equity Shares in Companies
(As on June 1, 2001)

Sr. No.
(Rs.)
(Rs.)
Name of
1
2
3
4
5
Name of
6
Total

Type
Value

Number of Shares

Mother
Henkel Spic
HFCL
700
Reliance Petro
Thermax 100
HLL
100
Father
Moses Bayer Eq.
Rs. 6, 64, 403

Repurchase Price Per Share

100
151.75
500
59.60
193.50

29.05 2, 905
1, 06, 225
52.10 26, 050
5, 960
19, 350

100

283.85 28, 385

GRAND TOTAL ( Part 1 + 2 + 3 + 4 + 5 ) : Rs. 40, 61, 235


Annexure B : Immovable Assets
Details :
1
Flat Address
2

Flat Address

Rs. 12, 55, 000

Rs. 28, 35, 000


Total

Rs. 37, 90, 000

We have verified the validity of the above assets and value thereof by vouching
necessary documents and found them to be true and correct. The information given
above is true and correct to the best of my knowledge and is based on the infor
mation given to us.
Place : Ahmedabad (Name of the Company).
Chartered Accountants
Date : 1st June, 2001
(Name of the Propreitor).
Proprietor, M No 34975

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