TO WHOMSOEVER IT MAY CONCERN
This is to certify that (Name of Father) and (Name of Mother), presently residing at (Address) , sponsors of their son (Your Name) for higher studies in USA, have the following assets in their name as on 1st June 2001 : Description Movable Assets Immovable Assets Indian Rs. Rs. 40, 61, 235 Rs. 37, 90, 000 US $ (@ 1 US $ = Rs. 47 ) $ 86, 409 $ 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 Date : 1st June, 2001
(Name of the Company). Chartered Accountants
(Name of Propreitor) Proprietor, M No 34975
MOVABLE ASSETS (Annexure A) 1. Bank Balance (Part 1) 2. Fixed Deposits & other liquidable assets (Part 2) 3. Provident Fund & PPF (Part 3) 4. Jewellery (Part 4) 5. Equity Shares (Part 5)
Rupees
US$ (@1US$ to 47 Rs.) $ 30, 777 $ 15, 201 $ 16, 597 $ 9, 698 $ 14, 136 ---------------$ 86, 409 US$ (@1US$ to 47 Rs.) $ 20, 319 $ 60, 319 ---------------$ 80, 638 $ 145, 045
12, 46, 522 8, 14, 474 6, 45, 046 3, 55, 790 7, 64, 403 ---------------Rs. 40, 61, 235 Rupees
IMMOVABLE ASSETS (Annexure B) 1. Residential Flat at Ahmedabad 2. Ancestral Land at 24 Parganas, near Kolkata
12,55,000 28,35,000 ---------------Rs. 37,90,000 Rs. 70, 51, 235
TOTAL
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)
Rs. 8, 50, 136 Rs. 4, 36, 522
Total
Rs. 12, 46, 522
Annexure A : Movable Assets Part 2 : FDRs with Bank & Other Assets
a) Fixed Deposits with Banks
Sr. No 1 2 3 INDIAN Bank. INDIAN BANK. Canara Bank Type Amount Maturity Value (Rs.) (Rs.) 1, 00, 000 1, 08, 780 75, 000 81, 585 1, 00, 000 1, 08, 775 5, 85, 108 7, 33, 937
Total
b) Security Bonds
Sr. No. Type Number of Units 500 2 500 500 Face Value (Rs.) 10 5000 10 10 Value (Rs.) 5, 000 10, 000 5, 000 5, 000
Name of Mother 1 CANPEP 1992 2 ICICI Tax Saving Bonds Name of Father 3 UTI MEP 1992 4 CANPEP 1992
Total
60, 000
Annexure A : Movable Assets Part 2 (contd.)
c) Policies
Sr. No. Type Amount Invested (Rs.) 30, 000 30, 000 47, 505
Name of Mother 1 ULIP Name of Father 2 ULIP 3 Jeevan Suraksha Pension Policy Yourself 4 LIC Policy
13, 032
Total
Rs. 3, 20, 537
Total Invested Value ( a + b + c ) Total Maturity Value
: :
Rs. 7, 14, 474 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 2 Public Provident Fund (PPF)
Rs. 6, 87, 505 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 Diamond Jewellery 2 Gold Jewellery
Rs. 1, 76, 710 Rs. 2, 79, 080
Total
Rs. 4, 55, 790
Annexure A : Movable Assets Part 5 : Equity Shares in Companies
(As on June 1, 2001)
Sr. No. Type
Number of Shares
Repurchase Price Per Share (Rs.) 29.05 151.75 52.10 59.60 193.50 283.85
Value (Rs.)
Name of Mother 1 Henkel Spic 2 HFCL 3 Reliance Petro 4 Thermax 5 HLL Name of Father 6 Moses Bayer Eq.
100 700 500 100 100 100
2, 905 1, 06, 225 26, 050 5, 960 19, 350 28, 385
Total
Rs. 6, 64, 403
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 information given to us.
Place : Ahmedabad Date : 1st June, 2001
(Name of the Company). Chartered Accountants
(Name of the Propreitor). Proprietor, M No 34975