6. MOVABLE PROPERTY(furniture, household and personal effects, jewellery, motor vechicles etc.)

Brief D

Fiption Of Articles And

Their Whereabouts

Local Currency

Sterling

FOR OFFICIAL USE ONLY

7. BANK ACCOUNTS

Name And Address Of Bank

Account Number

Name Of Account

Balance

FOR OFFICIAL USE ONLY

8. SHAREHOLDINGS IN LOCALLY REGISTERED COMPANIES

Name Of Company

Value Of Shares & Serial Numbers Of Certificates

9. ANY OTHER ASSETS

Estimated Value

FOR OFFICIAL USE ONLY

Type Of Property

Estimated Value

FOR OFFICIAL USE ONLY

10. ANY OTHER LOSSES INCLUDING PERSONAL INJURY

Brief Description

DATE

SIGNATURE

Value

FOR OFFICIAL USE ONLY

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