BEFORE THE NOTARY PUBLIC AT XXXXX, BANGLADESH

AFFIDAVIT OF MOVEABLE AND IMMOVEABLE ASSETS

Of
Mst. XXXXX
I, Mst. XXXXX, W/o Md. XXXXX, and Permanent Address: XXXXX, P-O: XXXXX, P-S:
XXXXX, Dist.: XXXXX, Bangladesh, by Profession - Govt. Service, by Religion - Islam and by
Nationality - Bangladeshi by birth, do hereby solemnly affirm and declare as follows:
1. That I am a permanent resident and citizen of Bangladesh by birth.
2. That I am financially solvent, and I have the following Properties, Savings and Income:
STATEMENT OF IMMOVEABLE ASSETS
SL. DESCRIPTION MARKET VALUE (APPORX)
NO. BDT CAD$
LANDS

i) Deponent owns and possess XXXXX Decimal Land

in R.S plot No XXXXX, XXXXX, XXXXX, R.S
Khatian No XXXXX of Mouza XXXXX, P.S: XXXXX /- XXXXX /-
XXXXX, District: XXXXX, Bangladesh and its
present market value is XXXXX /- BDT per Decimal.
ii) Deponent owns and possess XXXXX Decimal Land
in R.S plot No XXXXX, XXXXX, XXXXX, R.S
Khatian No XXXXX of Basudebpur, P.S: XXXXX, XXXXX /- XXXXX /-
District: XXXXX, Bangladesh and its present market
value is XXXXX /- BDT per Decimal.
 iii) Deponent owns and possess XXXXX Decimal Land
in R.S plot No XXXXX, R.S Khatian No XXXXX of
Mouza XXXXX, P.S: XXXXX, District: Rajshahi, XXXXX /- XXXXX /-
Bangladesh and its present market value is XXXXX /-
BDT per Decimal.
IV) Deponent owns and possess XXXXX Decimal Land
in R.S plot No XXXXX, R.S Khatian No XXXXX of XXXXX /- XXXXX /-
Mouza XXXXX, P.S: XXXXX, District: XXXXX,
Bangladesh and its present market value is 8,604/-
BDT per Decimal.
Total Immoveable Assets XXXXX /- XXXXX /-
Note: CAD$ 1.00 = BDT 63.70 on 22 July 2018

STATEMENT OF MOVEABLE ASSETS

SI STATEMENT OF THE BANK ACCOUNT MARKET VALUE (APPORX)

No. BDT CAD$
Deponent Currently maintaining Government
Provident Fund (GPF) No: XXXXX and her current
i) XXXXX /- XXXXX /-
GPF balance is XXXXX /-. She can withdraw up to
80% of the money from this fund anytime of the year.
Deponent owns and possess 15 tola ≈ 174.96-gram
ii) Gold ornaments and its present market value is, XXXXX /- XXXXX /-
4,075/- BDT per gram.
1 Tola Gold= 11.664 gram
 STATEMENT OF THE ANNUAL INCOME
Currently Deponent working as a Head teacher at XXXXX /- XXXXX /-
i) XXXXX Govt. Primary school, XXXXX, XXXXX,
Bangladesh and her annual income from this job
ii) Annual Income Form the Agricultural Land XXXXX /- XXXXX /-

Total Moveable Assets XXXXX /- XXXXX /-

Total Moveable and Immoveable Assets XXXXX XXXXX

Note: CAD$ 1.00 = BDT 63.70 on 22 July 2018

3. The Person Mentioned Above Regarding Ownership of Land, Tangible Assets and Personal
Savings in the Banks are Quoted Based on the Deed agreement and Other Relevant Documents/
Papers Submitted to us by Mst. XXXXX.

4. That I hereby I assure that the information and statements made above are true to the best of my
knowledge and in truth whereof I swear to know fully the content of this affidavit and sign this
Affidavit before the Notary Public, XXXXX, Bangladesh on the day of 22-July-2018.
 Mst. XXXXX

Deponent

The deponent is known to me and identified by me and has signed in my presence.

Md. Mosarraf Hossain

Advocate