3"1Rm:R11l1~R ;

NJiON of th~ cfficor:

"T'-E~"-"'''' 0 "I' 1"0'<' 5' 1= "'nOP-R~ FOt.· - .. ~ yo ,- [;:, ..... :"'It.~ r ,.'1; .,... ~_ r;'\, :: J r ,. I,"'C ~:\

Qchwr ere:;D(&lS nt P t he'd'

';m<t ~~-?J ~~.Jii~'1 t{\TJ ~-gtrmmr.i'fu.:f<ft!i~f 'it _'"l:lttlr.m?mt;ftrnTc&J:;:m,In C;lSol where It Is not poss:c!o ~'::t E'it~~: the ';::t:iJ~ u~e:l:r,m:lly to!).:! ilpj:!roxl;:'~~:ll·t \'~!I,;~ Ii- r~ra~:Oll:O ~re!cnt cor.dit~cr.s lbay b~ Ind;ciltl!d., .. jt;-c-J"~~'l If¢ \(~~ ir; ~ i1;f'-r.1 ~llncJr.;r::cs short te:m :~JSi! ~!so.

- e 0> I \

Plffi. "~ ~" 1~: 31la,,,l'l ! '~<fTTl"; t:tt ,tG'TRf 3i\f"~ a;;;r:t tr< ~.qrmE"ff <i1~Hiitfi ~ 1 <Fm~r ~. 'f~ lR C!i' ~". ,1"II"nl I 3~~iftr<:ft

<!Tt'i'JO':Jm: ~'" <;if 'WI 'Ifl! :Jm: "'" 'fc.U I 'If'l ;;it ~mzmtj fufi5c~;u;t~! tiC-d, ,,;m,<~ftr(f,f'. 3G'i{R 3l~ mror ::~ ~'m ~ ffi ~ i Q/ft:'\!i :m-i:f Remarks i~1 WQfffl(t 3Tiftt:;l'~c. Pr~~cr., "it "i'!<:H :rm'r "trr.:-rll~ i:g" cr.tl'u f,;;~lij) ~f~ ;'f ~.fr ;rf cr.m 3'~ &ii/Hi ill ~fJf fmr{f "':\roC;).1 , IN.. rr.e of Ol~tr\ct. S\,;~ N:lr._~ and dal.Us of V",:L:;;l <itia "'" t ?. ,

I :r.,crr.~ fromm'f:,oI Divl~rcll, T.;llu(. i!.nd P(O~1ty. Het,;"';:~ If r,o~ 1:'1 cwn n;:lrne. Hatc 1;\ H=.',., iicql,ilrc:i. 7 \....~~th.:!;: b'f p:.:rdlas.e, ~asc, mcrtgJge, the prcpllrty. I

V1llili:0 In whkh thi: IJr.:h '& olher. whose n.::.rr.e: hcid " hl1!h~t :,.hQrit~;;ce, illft or othe:tw!.sc with d:!te of acqul5lt!cn ::I!\d I IPfOJ:~rty!~ sltu:tcd. b'JI1db'$ i ra!3clcnsnlp to Go.... t. Scrv;lnt. nJf';'\(! with dl!:ta;ls of ~ef'<"~ns from w:-.cm ::::ou;red. j

1. Z. ,. I 4. s. 6, I i. II) 6:1..'1>', U< ~\ \-Ie."'" '''"\ H V- :>0 t...1<\10""" _........

i'- y.........w' ... I> \ <. C. " 'cJnJI

I~\J....'-<~ ! i1'1",.1- d)C LF-1..tI, ~""l ""'" te.r-'-L- ~ ~ Io-t .. --'!::-':' J....-f >'vi T 1'1-t...; l- I I

'oj~ ;lJ:~' /- r ~ \1."",', ~ ..... '""'" \...~_, "~".\ I-t, ....... \c...t-, N·I):I\-"', -) , i::m ~(OTfII..,~ 1." m m~:m\! I tni1pp~c:cl~ ct3us~b:l Ul.:Ctout.

fi:;qoft : tJ)",'tI'JT q-::r \iV\1:r.::T ~ c-il~ ft~ U""<l1 (;.ltI~tii) M~".<.:el).ISS~ ~ f.1(.I'1 11:{1) ~ 3riiM tm ~ Sl~ f...~l4d ~ ~·l ~itl~· ~ {aT.(3ij T5i ~ {Q)]a; 3l<'l.'<:i~~o{!!rf.!o ~

3iW.fl4cS.g 3fR $\1~ ~(.~ sr~"iJti ti ~Cl{l~;;\\~ ~ ~1(1~"J1Ps~-:;i tIT 3U!::!:Rint:ftmE~~~~Mtf{ ::~r:n 3RJ fof.l ~w-;;m fRJi8fa. ::Rrrn~li~.q¢~m,r,= aOffi~ 3l<m ~fl;; <f.l f<!a<ur Kar 1i<:J ,« INo!e : The dechratlcn form l~ rc.r,uired ~o b~ f:l:cc ·,)n~ sui:m1tte.d by c.'I~rf mem\;~f of ClJ.ss·l 'J,~.d CI:iS~·lI sesvlcc I.:ndcr R'Jle le(!} of th~ Cen~rJJ eMI Services (C(lr;du~t' RuiE5 1964 0<1 the t;!'1~;;lppolntment Ie \hc seNlc!. and Ih~((:~her;:lt th~ Imfr'J..J of c-:cry y<:.3f CI'J:nz parUculars of aU in'mcvabi:! ~ro~ert"/ O'....ned, acqulred Of lnbritc:! by l-Jrn cr :d~-him en !c;)S~ or mcrt3ajJ.e ~::hu

!o t.!s o\'.;n ni)rne cr Ir. the r.Jffie of any merr.bcrs of his fami~y cr In th~ nJme of ar,y other person. .... ...<

'i;--"ffi1&RlSlgnaturef<:;;io/Oote

.:U; ,0\' .h\ 1- '

{

Statement of Immovable Property for the Year 2016 As On 27 January 2017I '

Name of the Institute: National Institute of Science Coomunication and Inforamtion Resources

Name of Officer: Ashok K. Chawla Employee's Code No. 9661 Present Pay Rs. 74500/- (Scale 37400-67000, GP 10000)

New Delhi G-189, Pushkar Enclave, Market valuse not

1Paschim Vihar, New assessed. It was aboutDelhi-l10063 (Land 2 lacs at the time ofabout 146 Sq yards construction. Maybe

. _ (DDA) + House 2 Floors) around 4 Cr

2 Pathredi, Gurgaon Plot No. B-148, Jndust~Ybe 35-40 lacsPioneer Park, Pathredi.

Gurgaon

If not in his own name How acquired? Whether by Annual Remarksstate in whose name purchase, mortgage, lease, Income

and his/her inheritance, gift or otherwise fromrelationship to the with date of acquistion and Property

Govt. servant name with details of personsfrom whome acquired.

4 5 6 7

In own name Land was gifted by my father. NIL NILBuilding was constructed by

myself around 1980.

-----"-I

Land property of my My wife has paid for her share NIL NILwife (Mrs Sushma); in installments since 2009,

Shared 50% with primarily through her ownanother person. sources. Final payment is yet to

be made and land is yet to beregistered in her name.

32

Name & Details of+ Present Va-I-ue-==:J==--===--====--­

Property, Housing lands& other building

o

Present Post: Chief Scientist---=J='

S. No. Name of District,Sub-Division, Talukand Village in which

the property issituated.

-+--

In case where it is not possible to assess the value accurately the approximate value in relation to present condition may be indicated.-r 1

Note: The declaration form is required to be filled and submitted by every member of Class-I and Class-II service under Rule 18(1) of the Central Civil

on the first appointment to the service and thereafter at the interval of every year giving particulars of all immovable property owned, acquired or inherited

'Iease or mortgage either in his own name or in the name of any members of his family or in the name of any other person. 1trR.. Ie..(9(1--v:H 01 \"'f 1-

Date: 27 January 2017 Signature

}

3lJ1nr.m~ ~M :N~ml? of the offIcer:

~roelm c;d~_,,2.A::>I_b~;==~~::..:r~,".::e:,:3i"':,:"':::M~";qk-. Q1 f"rO_'_"_I -,STATEMENT Of IMMOVh5LE PRO?E?TY rOR THE YEAR ( J AS Ot~

,.-H-----,...-------IL.-~--------~-~Q:dZ,,:,:,,~i::iCR:.,::-~ I'~()~~ Present Pay ,

R.,jo:>!O.te

]

.;mti' '!fJ t>1 Wo~ti~"itQ~ atti'~~'6 ~f;r 3iTf!Ro~ :;FttlKCcifio:qr::mz IIn ,:a~ whClrt It Is no~ INsslblc to 'lSS~:~ the val"c ~wJ:ijtdy tfle i1pprcximJt~ly VJh,l~ In r"lat:on to prescot comfalons may be ioC:lci:tec.

••3~ q¢ l[(:ft rrt~, t'IIf'..1'f~lln:ludc$ short term :~s~ dso. .

l1:woit 'tftliUrr 'F. \R'iJ Gl;I iiJ~ :('r4" 'im (:llM"il ~,les4 i!; f.;..- IS(1) i;; o,"~" m; ii >'" fl..,;;'o '" i,ror,,1 mlf ~. II [E1l(3l) ~ alj (l;))$;rn)o tm<i~ lR<i'f 15VTI~t si'R'~tmmr rt ~fJti~ srcmn iR \RJ:iffi! kli'!:t ~;:rr;:r tR~;rain~'fnRtffi ~'ffi 0fl';1 q{ 3;uQT 3Rlfa#l <.'Jft"ff i5:owJ tR Jli:...fd . .:m,<lf~ii mtrt. tR(t ~('\\ 'It = atre ti'l."! :mm ;i1lfctr '" imol full mil '" INote: 1ne deduatlctl form b reQuired to be f:;Iec ~n:i s:JCrrJttcc by every member of C11l~s·1 ar.d c!as:·U servka l!ndcr Rule :!8{1.) of the Cel'ltrcJ eM! Service:: (Conova) Rules 19:54 on the firstappoIntment to the servIce and thQr~~fter:lt the InEervi.1 of every ~'car Civ;ng par.h::~Jars of a!llmmoyab:e propen-~ owned. ICGulred or lnnerited by him or held b'r hIm on le<l:c or mortg:lze eItherIn hIs own nam~ or In the name of Clny mcmber~ of his. fc;r:lIy cr In the nlme oi any o~her person.

. ;esen~ os. ,e, :

t:m'li, "" ~, "iillt'"" , 3lT'Im14 ·C;(lIU.... m: "':'0 :F.~-:'~ 0: "" ~ I~-,,~ 00 i.ffi il'I> 7 <N~~~, 'S' 'R ';' ~", i ~-.. i :J;'i'..!>lc:'~m..' ....... (",1 't1

~sfR~~~ ~~~"oi"ir.lT ~ ~ ~ Cll~ Ta5" lijJ't:o?,J"i1 ~ '10(;), .>rn'tIP..of'<. '>"l~h. 3roQT fmtt 3R;'~ ~ en ~ I i;rrW 3!Rl I !'lemarks~wqfffit m <vi OWilr~ Pr~st:::t t C'I~r 3\ffi~~ \l)l' ~ fumm~ "# ffi 'iTt ?'m :rn- 2lfiffl CID -.;r.r lbtl;: Ann\1~1 iName of Ol.tric:. Sub N:me .md d~t;lls of V~lue :ffi:ia irQrt? l'it.r, I l~cem~ frenl IOiv1:lon. r"l:.:k and pro;>Qrty, Hc:;slnC If "ot In cwn name, SUi,C in How acc:u{rco.7 Wh~th!!r by purchase, '''''sa, flY.):-'""z:=ge, the propC:fty.

I,

Vil:aj;e In which the I;mds '& other, wlles<! r~me held &. hIs/her !l\h~rJ:::l~:e, g!ft or otherwise with date of a:::qul~I:~::m andpropartY Is ~ltu ..tcd, bulldlo8f. re:c;tlcnshio to GoV!. SCrv:lnt. n"m~ wIth details of persons from whom acoulle:!.

1. 2. . 4, I $, 6, 7,-, I

F~ tfi8 e-..u.,l 0..0.....~ ~~*"~~~ II - IC-IC-l C3.......-i'-- w..~~ • ~ ,

'!-I~ (.fW:~ i ~ ,~ rcn; tli'l~ it. m&~~ j InilPpll\::abl: diluse be ~tucl: out.

-~-.,

11=r:;;

£Q!i!.::1

)Present P<:lY

~o\G

(BE-N\WA l--RS

i't"iq; [ij-o I -:l.or=rl wi c<l' ( ':<'0 \ b'------;:=~:...:.:..:::..:::..::::..:...::

STAiEf>1EFT OF IMr~';OV.t5LE ?ROPGHY FOR THE YEA.n r\

JIIeJ1!;r{\ on "Wl ;!Jamc of the officOi:

r

I

\8 - 0 \ - ::to I 1­18- 0(- ~ol1.

,jSehioY'0Ct~-{Q"?;:

o • P t I Id

.~.~ Qf '0121<:) ~\imr;rtfi ~ ~m;;r~iJ~r if ~'ifiIGo~ :ifffrit.ccritom"Eil! IIn C~H! where It Is not possIble. to ;)$:;'c~:; th~ \lill;;c ~I!::c~:i'itd\' the \IpproxlmJtclv v;Jlu~ la r~13tion to pres.ent rondl\!om may be IndlciitcC., .. :m....<ii;'f,!\."1 ~ ll(t~ rr: ~~ tuf..7i f,llncludcs. short term :<lZS\! dso. .

ff:;ardfr : u)T>:orr trn" \tV1T qm~~ ~1f2.L'1 m;;(~ j:,qj~lqC'~,lgs4 a~f.;"Ql{ tC(1) iii 31\.-fr;:j mrr ii 5!~ P1'li4Q ii' i.rufr-I C'im" M· ~l {C1f(3I} mr tPf (iij)~) S~Q~WI~~lV1f:mn:~:t.~ ~~~ 4:tL.!l;I~ ~atf;'ps:fcKrfftR \fU:ill(! ~:Rit;;rr:r t{{ ..>i2Jq! ~qf~$fum Q.,N in ;:rr;;"tR~lQI 3~~ <:::rlir'ff 5:owT!R Jd:..f'-i. ;r.myf01f:ff1f 1n!{i. tR(t ~ffi~ 3,.:.t~1 t0i5~ ,:,1£1:-: thlFttr~ ~t'~lii remimrillNote: The dedarai.lcn form l~ reqUIred Ie be. fmcd <:/ld 5t.lbmlUcd by ~vcry m.:!f:lblZr oi cla::-l ar.d C~tH·1! scrvli::!.' under F:uic 18{~) of the Centra] Ch·n Servl::l'::: (Cor.o"cr) Ruf~:, :~G4 on the fir.:;:

'p~ointm,nt '0 lh. "rvl" end 'h".•,ft"" lh. In'm',1 of ."ry y.ar clv;ng ~a,,',"im of ,;I Immov,b!, "'0"""" own'd. acGuk.d 0' 'oh"J.,d by him 0' held b" h15~ 0' monC'/4' ,llh"In fl " co .,~ !1<:r.1: or.:I \he name of?f'I' mcmb~r! of hIs f2n:ll~' cr h the name of c::nyo:her pt!rson. ~ S ~ "'~ ro~ ...

~~[.:.l:JS;f:j ....tL·"!:_

~itl!Cil1c

, resen. 0' le :

i..,,,,. ;;ll r:;ol~'l "41",, 3ilQR\rt1 r GG"j., ~~s;cr~~-"!"'" ":{I,,"lit! jm 3fr<f itt '"' ? 'f<!T~<J <;>, ~ '" ';' ~". I ';'I"",i<-,1 'ti

I3rlW'CfQ~U

IH,,",jQ>3iR~<m-;;;r;r ~~~';.jc;fr ~ ~ tt <iT~ ItT, 1<J1t:':'~~r , i1~). ..m'il~_"'"'' ,)qt'~: ~cIm HO{fJ 3F':i'.....~ 'S crt .-<j~ I I qjTW S~ Rc:marks

Fotff~E=" I:mfZO;-;rri1~'C'JRT • ?r~s~:a t (l~f :rrm m-OI-t (.'HI-.II"U q)j" ~ f.;;"IClil~ ':q ffi~ ?7.!T 3tf 2lR'Ci (ffi ?,fP,' i.:11J.J: Annu;!]

Name of DIHflc:, Sub N:lmt! ::Jnd dct:lll~ of Vclue ~qU'QT%? <it~ I l:lccmc ;fOfl,,i

Dlvl:lon, TOlh.:k and I propeny, Hcuslnc If r.ot In own nzme, :.wtc :n Hew ;lcc;u!rcQ.7 Whether by pu:ch2~e, l~s~, mo:tt;;gf-, the pro~rlV.

IVill<li:e In which the 11;li1.dS .& oUler. Iwllo5;; roi'rna hcl~ &: hIs/her !nh;:!ri~Olnce, frft or othc.rwl!c with date of uQuI!I:1::::n <l!'ld,

propQrtY 1$ ~ltuztcd. bulldln&~ rC:eilomfl;p to GoV!. SCl'V:lnt. I ntfilt! w!tn details of penens from whom ;:leQuired I IJ. 2. I o. I ;, I 5. I 6. ! 7.

I ~"'f<l.¥.o. ,Wo ~""Y"oo",! ~C4'd I 0'-"" 1-14 me. IMe."'E... <>t' -t~" NISTAns CGHS L.~

I Ii l'\'1.w lldhi-1S" In.t, \n tl\ST"A~S ~ '11' ~o L"!<-" l:lUl<\li<-o.> M Ol"\~ ":Je. -h CSiR.- "ISCA,I<. - NIL - - IC Q 1\-' \..\-G\> pW_ ~ (dHnh) I <!I..llb.. Iqq~ I i

'tiT ~1rffi1l ~i;t cr. m 0i?:'Rin;:rw I Inilpplk:.bl:: d",u~~ be ~t\,id: out.

(j)

1t-llfSb!­I

I~(\

~''.:k ... <..'i ,C!I~:;-; ~ nei:luk! I

Ann,,':!

/lnccr;'h! irom~h2 r;: OlX'fty. I,

I6. 7. i

(V~I

.-- Ii

)

4. 5.

.:.:;~~ ....:n::s;t;.,~~E5~q-{ I~~7ii.;)':l 31miQ;t :~, 1,;.-"":/ ~"<J~~~~ r:-:~.: ,.~'"'.I

~*mi:ci"E ifu w:\":(;=;;:;r;-r ~f <ftjt;;, ",m't!r~. ,)'1:'1'< Sk:o! ;o}-61 ~~ :3 ffi 'it I If. F.t!f Jtffi ~rir C'"A~~.u ~ ClI{'\t. ;':;di. ~lH';1l''' ;r BT mcrm~ e;;k'f, ai~;;.'" G'tli:ti!l~%? m~ l .

If :-,0-': In own n:.....,I:. ~i.i:~C in H:>w iic~ulr(;o.f \·Jl-,.::tt:;r e'! PU:.:.l1:'~E, f"S~t mc~;;~;,\"lh;;;t r.<::r:-.e lide t;. hls!h:!,. 1nhcrlt:!.n:c, f!~ or othcrwl!c- with ci:n!' of a:QlI!~lt;cn <I:ld!c;;;:llo!'lstlJ:> to Go;,t. Sctv:.!r,t. mmc w:th .:i!.t~I:~ of pef"...c:1S from ,,,hom :lCoult~:1

V~lue

(

1. I 2. 3. I

~, ~c.. ~''::l.~l, I ~lilr.,. ~m~

{l1C'fJ<n.l~'\ ~~;::;r;:r j'ifl: .xl"~ \'(c;J~ -;'l'"'<r:"n 1; ~o:-;:r;; ~CiR: ?f~~:;:,t

I~~me of Clarle;., 5u;, 11~::rne i:::n: t~::I!s ofi:;;,rl:~on. "iz":.:k en' 'j ?rO;lOny, KC:.i5b~

\'illC:C8 in whl:li the !:!;'lC~ "& ::>i~l!:r.

propQrtY I~ dtut.ed. bl:lldlnB.:;

m....;.~ CiT'i1 ~,i t':,~ E1Z'~ ;:;1,1.: IIO<lpj:;lI::::bl: c!i!US; be ~lUCl:.cUt.. ... ... . . ...,.. -" ... ~ :::.>----~-----.~ iFQ ~i'F -;,lc.,Cl ..'iI""n'1 \:;~';fiij ~ m <:jC-1;"O GQ'ioU~i~ ~!~4'J--;:J .~,{-;.,: .;jr:\:i!"':'::c! :'1>;.,'I":;ll,: 1

.'} ~::!:; \,.h~rc lti~ no: p~:!:lb!c to :!:~r: th~ 'iz:i.l:;! <::t.;::.::~tC~~ !f,= <,ppro~:rr::.talr "'J~U;; In ,~Iation to pr,;;ent c.:.nr:!ilons may b:: intrc.:Wc.

'" :(~;;r~rl[t'~ t;(f:~ rrf':;; til~;'1'rt"lln'ludor ~hOit :'erm 1.:::;s,J dso.

~..... J7t :~~ tiVIT m:rr~ ~;jQ K\;--:'~l ~I"l (~IQ''''I) ~,I.l.{:~r~,lretj to:; ;:',,,t:j tt{l) 5 :5r:..-r;;, to*F.~ PI~i4Q lK f.:urr·r CiW ~?i. il {~(S'l ~ tT11 ~}t rr~Cli ,:c..'& rRi Si"Ut1~~.~ ~ f~(p qs:~,~ nT~T ~~ tr; ."':mln tK'.R1~ ;:.,~~ .J(l~" ~;::; .),.:.:i:: .;\",a, C<H::;lh,"ffifu:fl ;::, ....-"'1 ~::rr;:; tS:Y."..re1 3~fiFJ <;.:~>f,"B=;P 0/'" ,3;/:''';(1. ",:;,;"t~ii £G",~ <::\

m'it ~~:res ·;j~~i:mm ":l:f\.l c;: ~~.'"~: ~"'riZITFJ Ir':;t~ : "in!: nedui-tlcn form I; (C:.QulrE~ tc i;>c n;!E' <cr,:) ~~lc,.nlt::.': b,;, <;"'cry m~mbef oi CJ~:!·1 ilr:O ;:rE!~·I!·se~l.:~ under R-.ri;: :e{:: :If t!':c C::::ttaI Civil S~rvl=e; (Cor,C::!=~' R~zs :S'~.{ O~ t!l: tiro:<;J;:.immfnt to th!? S(;""\I1C£. t;-,: ~ha(.c~f,"r.:t lh~ j:ilEI"\'c! of ClI":':')' yc:r If·';r:g p~rt1=:Jlusof :!!I!Ii'Jno'"lble prop~~ty owned. <:cquirc.c or j!lh~!ltedhi' him or helci by hl,T en le.;e or F:ion3~C~e!~h:;~

Ir. t.'~ C'wr. n~m, or l!: tne ::zml! of 2n~' r':lc::-Jbu~ 0: ~I: (~rr.!~'l G: h ,!'ll: MW':: O:Z!l~ o~"",r pcr!OIi. )\JI~ "\",,,.

~!:J~Slgr,ttu"e '?, ';::-.:.:.:/~c.~~ ...____

~ "

>:~

.f.Q1i.t:l

rJ~mi? of the of~Jc!Jr:

QQ."I"i ~(\<i

Prese::1t P2Y

3~Iq.C .

flemacks'q.... l{".l t

QiTGrs sn-;q

?resen: Fost held:

, C--..."'- - ,..""" • ,~r"ei':' ~m 1"'\~'1:~ 3ilt;~)I\.:1 ~.l'l f I I

.--- -.-:l'===========:J\ l D IVIS\ 1:1) rJ ]

$~{sv'S-!g:1att::"~

R.,ic;!Oaje

31~m ~1 it.:m ~RQ1 Em' Iln61ppU:::bl: c!<ll.l~~ be $llickciJt.

.~~ ;7 ,1Glc)~~\j~~ tt aN Gt1 "l;'" 1-..4i'J i1~f ti ~1f{1r.m ~ :;Ft'!;;ftg;fcDm::m! iIn '~Si! who.re It Is: not po::I!;;I;: tc ::s:;.:!:~ th;; ;r.ill;Jc ~!:~u:,:,td\' tha ~pprc;:im~tcly VJh.'~ h'l r~lat;Cin to pf~scnt condItions ma~' hi:: lndlc;:ti!(!.

u StKlJ~ q¢ 1....<H: n: ~ m:.ntllncludas 1/'lOi! term :~:;s~ ;;1so. .

!t.'-CJ?I :~ q:r \R1T C2a~~ id21C'i mr.(~ j;,Q"u:.ldr,19;4 e !-,a4 lB(1) 6~~ -;f 9.~ kii;a.Q \i{ i.rufi·1 crcr~. !I {CIf(3ij a 01f (ii)}$~ ~c..\"4 ~ SRWf~~t3ft\~~~ ~Utttn~ ~".Rf:iim f:..,a;; ~~t;"{.",<.lQ! ~"'q}~infum~if.~tff~-wrr3R:irrnm <!rl'cn5;;rJ!R Jlr:...;<'l. ':"1{1f\J~;,:'(lt IDt<i. Q?(t ~FI\ 'It = ~!ffi~ .'la,1 ;i1lfmo>. 1<0,0, Rm'llITl"Il(.lcte : Tne d~cluatlcn form t~ required \c bel n;!e:c ~n:i s:Jbrnlttc~ by ever)' rr,,;mber of C.lil:s.l ar.d c!3S~-t! sel"'lc'2 t,!nd~r Rule 18{1} of th~ Central Cil;n SeiVices (Conduct) Rui~ 1954 en the firs:~pt>cln!men~ to the seNh:e Dno the:(c:;ne:f ;t thi::: Inter,',;1 of cvary yC3f C,I,I;og p;'f:I:::Jlm or 3:1 immovable. pro~:t'f owoed, acquIred or lr.heritcd by him or held b 1m on le~:;a'o~ mortgaze e!tt...~rlr t.:s cwr nzr."l! orIn tht: i:2me 01 ~ny mcmbsr~ of his i?-mllycr In thE 1'1~H1l: oi 2nV o;:!'Jef pt!fson.

~~t :mR ~;rro; ~ 'dRY ?c~t::t t ?;2IT :rni1 mo-Rl (;)4"l.(l ~il' ClI.t:-u f.;;,I~ srrom ;q m~ ?m":Hf 2iRT. ¢j~ i::J~f: Anw.:!i

Name of Dtaric:, Sub N::mC! und datJlb of V<:lue "ffiitP::"QT t ? <ir~ 1 I l;'lccrn~ from I01v1:1o", r.l"" .no Ipr°P<"Y, H;:;sbC If not lr. own n:.rr.e, S;.A'~ in H::nv acc;ulrco .? Wh~t!;er ~y pU;d'lzse, I~s~, mo .....,g;;~E, . the ;:!op~rty.

IVH:ar;s II': which the l:lilt!$. -Et ol:H~r. whose r....rr.a held " his/her !nhcri~a."l:e, glft or othcrwu:c with dzte of acQuhl",~n "nd IIpropcny I: sltu.. tcd. bi,::ldlnes rc:ctlcnshi!> ,0 G",Vi. 5~fv:m~ na me wlth details cf persc;,\s from whom ~colll:e:l

I_ I 2. 3. ~. I 5. ,6. I ,.

J

I \ 1-< )'\I-Aj f\.J A

1N A - -p..,-

INo t~or

i N 0I

.N I N o 'o,JN /3.1) II I i,

- -

'it~

~

3li~<t.,;f1 ~ '1M ;

tJnm~ of the officer.

1~rs- j~, /1:1.12- 0 to1 ";1 atf [,-__2._0_1"'::(,'---r=~.:.c,~i:,:,("l.:.:<!:..::;=::-•.:"'.:ff~~ Ciim im f~rQ_'_-I ~r-_S_T_A_Tf_~_'il__"r_,,-_.0_,_'I_N_lh_l0_~_'A_5_L_E_P_R_O_p_E"_:r_

V

,_F_O_!'._T_H_E_Y_EA_'_'~[_~~~I5f~b~::-_] AS Oil (3J I L 2 II I (,)

I'": I 'I QU":I'i i.q'"l i , 7 r Pnc; INe~ :::, UO >I0. ~ 7MJ _ Present Pay I, 3 74/fO - '" (Jl'b y "" I UO _ ]

CR11iR' qa- :

PleS2n~ Post he!d;

~=ttiidfRemarks

!Jed» f\AftaY("",2- ·\·17

$mlsv'Slgnature};.,;e>IO"le

l~' ~_n;-~. 'SQlrr., ;;;mri\1~1·~ i-:r::4~ft3;~~~~'Wi~I~..qicii~"tJ JiIof,(i#.l~?~:'~GJ~.~::,t.iq".i ~ ....imlr

IfhRjQl~~ Q'lt~ ~ Jij{~ ~C;:;} ~ I~ t' Oi ~ole fct liJltllOl ::R~ (f0-c5, ~'<Ifac-.(,. ,j"4~I{ 3mC'f nnm~~ "=:1 con til I I QTf~ sn4/'~~F j3iIRq;;-;rr;:; ~~ ,Presc::t t a~:H :mir ~1tI ''l4~!:Q ij)J fi'i'iR! f';;'tIJ.~~ m~ ?':m' E amrn Q}i ~P." f:,t1+- Annl.!,:JName of Oluric:., Sub N~m~ .md dct:lils ot' Vdue ;ffi;iq \."QT t ? C'it~ I , l~ccm~ from

Divl~lo:t. r::h.:k i!nd Iprope:ty, Hcl.:sL',C It liO: I:; own n:me, $tc.;:C!11 How ao;ulreo _] Wh<:lt....ef by p:J•.:::na!e, !eas!2, mO~~:E.1 the prope.rtv,/ IVmi!~Q In whLch the l;mds "fa other. t

lwhOSe r.;rr.e held l:.. hH/heT !Mo:!rlt.:l.l'Y.-e. gift or other~l!c with aft of ~quJs,:t::!:i iJnd I i

propcny b Iltu.:ted, 1 bl:lldlnes relationship to Gtwt. SCFV<lnt narnC! wIth d!!.tal!s of pencM. from whom <lcoulred if-!~:::.::o..;:l.~==-~Ic.:;::'::~~:--.---+I-'3.--rI~~~~~~.===='-ii==-""~~~~~:::!.:s~.~~""'~~~----jI---;S:-'--~I'---:::7.---ir

(. )Ic. I~ N.:ya-L' '" ·30:', ~o ....... :z: z..o L-caJt 0""""" ho. \.NCL P(Nlc.~ jf--,.,-;;'-...t.-""i'------1/~) 14B N'4C<.L ~:4~;';.lql~~~ o~'>\ ~~tI-tMeL( P<v-c"-~ ,OUlh u~ :

-m ~lli'l ~t it. m q" ~::rre Iln~ppY:Olbl::Oi:!u:.e De $-tud:. out. ( ,... ut -/om! WQOT d!Jo~~\ta'~ ~~ eJ~h l-~lq u~fii ,)1'l4!i.,o ~'3~,f1:..ilttjqx.jl:;m: i

In '.:ac where 1t is not possible to JS:C:~ th~ tlilliJC J:::t.:;"utcly tfle OJpptoxfm~tL!!Y VJJl.'a In relation to present conCrtJom may b.: indlc:tel!.'~3~ q¢ ~tn rrt t,~ t11ftt1'$"~llntludcs ~hort term :~i!S~ ;;J,Sc. '

~ ;~ <r:r Iffoil C'IlI~~ RliG'l mn (JlJ",") ~r.lee4 af.;l:;q 16(1) 1;; Slci!~ ~ ii 51"" f.,'J.kro "~·I cmr :iltn. :1 lO1l(3') ~"" (il));r;;r1<Ri W<i~%jCI OM!

~gsiR'~~~~t:rtfti~tR '-i~;:J>n f3d~ ~~ q .:h(;l::! ~QhQ!'I',. ~fC,JI ~-as;rr;;tR~-uaT:·r~fbci c:5cea;wt tR JI:::':(1. ';"''I',.!fO'ffiR'iiJ:Ri. q¢ t;\

rl\ 'It :J;?m ~~;i'{"! 3lQrI <i<fcu ..imoTron Tf1<l 0'11t~cte : Tne dedarBrlcn form I~ reQuIred tc be Haed ~n:i :;ucmiUcd' by every member 0; Cf!J~s·t ar:d clas!·11 service under Rul~ 18(1) of the Central a",u SCfVr:::e~ (ConduC') Rules 1954 on t!l~ fin:c.?po!n!rnen~tc the 'SeNl,! .md thQrcOIftcr ~t th~ Interval of c'tery rear nlv:ng Pir:lcuJan of 3!/ immovablt' propctt"'{ owned, licGuJred or J:;herited bt him or hold by him on le~~e or mortgJze eitherIr· hI~ C\'tr. noi.'1t cr :n the liame of inr mcmb!'fS of hI! f2rr.liy cr In the nzrne of ~!":y other perron,

)

1) CI,,'m;; iuR I· '14 161 3. 0-0 1-(J3>4A<'c... b.... \ j. Present PoY r----v

;rrftr<llT.(1 <;:T >if'e ;N:;i1lil Of th~ cfflclJr:

QclllFf 'rc: ;Present PO;! held: [

[ M\sCf\.1 R..I~ __ \" oS "~.o" .. ""~}1~?.,.. ..'VI~ 1>.& ~clC' ...t1-.1l-

,""I'd ,rQ!fiW ~1P-1

~nr.C'al

Jr:ccmc frornihe Pfo~uty

II.:lffi. "IU r:;~I;jf..I·1 "tN.ro. ::mmn-... ! '~(fITR ~~\q;-m 3iq'"..j~ <li;;S q{ ~r:~,m &ii J:l~ri (if =Ii$ ? l:"'llT"i.:l~ 1lf.~ IR ill ~".

d1~j;l.l;3!R ~r~ <.'i!' orr;r W4 3n-{~ 1ftRl I ;1f!t ;~r %f:~ tmit! fu'f.ni:~"I~f ~i <it:i"'~l. :ravcfu"ffi. 31ti{R 3i~<n -mmr :~ ~t1 ~ f.i T:$ i

Im;r~t :m~~~c~Rr ~~scr.:; I~ ?~r Nt)~ t'5OfiITU (ll n;iR! kajuij :Rr~ ':1 ~tir ~ am J"ii 64W\; 4'T ~l1T fb~,jName: of DI~uiC';, S..~ N::r.:.c ;lll~ dt!t;;Gs of V":':.:l 'iho~t? NT -r$ I

!Jivtlc,\ Ta!:Jl:; and property. HGl,;~;n:;: !;r 'oO~ l!l C\";;1 OJrn<2. nat~!:l H::;;'/ ii::c;l<irc:::.1 Wil.:llh!!r t'f p:.;icl':ate. l",asc, fm;rt~~~,VlI:a(;e in whkh the 13r::l$ -!. ot~lcr. I'ahcsc Iiu.r.c! heid c.; h1:;!il~( ::U-.,,(i~;;:;,..:!~ 81ft cr ott:Crw;ic With d3~ of .:!cGuW,!cn a!lc iiprop:<lty:: 'itt:::tcd. bul:dine;$ ; re!..t!cmhlo:o Go'..:. SCN:mt. I\~i':l(! ...lith &!t:llls of pe<"!.ons f:om \'I~.c;nz'Coo'rcd.

3ili!f.:mz::rR~J1ur!<s

I

l

-------',-'--"-~-.c-~-+-\-1J:,-2.=-~--...;.~--..o;'"--f--A--""'-~-·-7'-u-~-""-ir-r------S-'--' ------ -..o;S.__j_':";i"--1J"5!T 'a:! cITJ1.. ..,~~ l.~j l.~ R<:ir ~f1J! I In;;lpp!!c::::i:l;:: .;"=U~'~.~b~'~'~,"~"C~:~~O='U~"'~" ...l. -L -L _

'3r~ ljJ"-Q or ~riRi ~'iil.!"..:~.j~hN ;uti ~ ~ <:f.rrr:; i~ft, Ui\~f ~'f ~'fjiilr;m +:.':<1 ::fffi8tTTt5!J 3i2 IIn C:lSil where It is 1\0, ;.;o:.~I!:J!o to itic;~ the ',/"hI~ O!fcl.;{otcl',' t."I~ ilpp:Q;<lmJtul,/ \!:l~lm 1:'1 f·.:!l;;tbn :0 pr~!~ntcondlt!cn; may ba lndlciltl.!u,~. ~1~::7i~).,'1 (:"~~ ~(;i'I ;:; ·.iI Uil\"';"1 ttlln,;:::.:ccs short tilllll~JH! ~I~a.

ft.ctv7r : Elf(;"UIT tf":;( liVlJ ~-.:rr rU a-ia~ ftn~1 ~r.t1" (J'lthu1) ~~1.13S'1 5 f.rr.r;{ t€(1) E~R i1m if Si2;'=f j:::;-sfuo <i;; .€;'ufj.j Q"t.l ;~';;'TI' ~; [~{3~ tlii di (ij)]~ s«iro~ (U"{f~ i.'"ir-ir3lW.tlio"J 3if{'~-il'~'itmlTd'~ srcaoij~ ili :k~,{Wi if' "O\~ ~ f.;1~1;; ~r.rs;:;;q;; ~nr:i! :m-j)Q't.!R ij;%:Jt~;:r t,;;I;f tf{ 3i~'(fj 3Rt Tb"tfi Cl~~qm ~3IGid. :mmRr.mif ID'O. qc;C~fi)~ ~ti[ffi~ .3ltkl ~l;fffiC1l<!u ....urf~ iiiIT~'t INote: The d:daraticil iCfm l~ rc.r,u:r.-:d tc b~ fJ:::!: ,)r;= :i:Ji:;TJ:i2.C by c-a:ry f;j~:nl;~r of Cbs;-I ar:d c1:m·n ~e",lcc l:nd.::r F.'oJ!:: lE(1) of th~ Cer,tro11 CivIl SN\'I~~ (Conclu~tJ Ru!es 19&~ -;)1"\ :he fjf.~:

appolntment to the s.eNltl! anti th::!rcd;~(.at th~ Int:lcva! ef ,.cry yaJr Ui',l:n:;: p3rtlcul.. fS of ~O ir.mc',l3~1l! ~!o~rtyO'....r:e!!. acqulred or 'I'lbri~cd by him cr h::~d ~1 him on I.:a:~ or mcrtgage l!:th.crIn h!s own ni)(ill! or If. the r:J:ne of any r.~Crr:bC!fs.cf I_iS fJ:r.i;., Cf In the n~:ne oi ar.'f otller pcr:on.

~~~Slgnaturc

~Dute

ANNEXURE-I

- - -- -- - - - - -- - - - --I. 2. 3. 4. 5. 6. 7.

1. VaslIlldra, Two bed room Rs 35 Lac Self MOJ1gaged [0 NIL NILGZB, UP flat, 55sqm LlC

2. GNDA, D-212, ETA-II, Rs 70 Lac Self M0I1gaged to LlC NIL NILGautam Budh 204sqmNagar, UP

3. YEIDA, Plot No 50, - Self MOJ1gaged to LlC NIL NILGautam Budh Pocket F, SectorNagar, UP 20,300sqm .

,

, - , •,. I --

/

~..f.Qlit::1

:lli'b1t;R\ orr"'ll'i" :

N<ima of thc officer:

f4'1io ) -m G~ (

,-_S_·T_A_,E_t_V1"_-N_T_O_F_I_M_N_lO_V_A_S_L_E_P_RO_?E_R_T_Y_F_O_R_TH_E_Y_E_A_fi~I~_'2..=o:\:(,~=-__) AS or~ ( ') \ \'2..:'l...,~ )

[ S~'J~i~~~ BPTU\::If!.A() \!:,\){<9E.J O:d~I~i:"Wl I.' '3:14ac-b1-croo, 4'·.'ilq~. . Present Pay .

;[a11:l:"'ll'i" fmm 3lfur

"'_p,_,<r<:1_:~_'Rm_,t_' -'[===c.=S=~=~=-=N='~=C=Pr='=R.=======:J;~~'''~: h'd [ S ..... ~"C\"c.'fc\ S- c....~""~ ]

.~~~~~~~;uft~~~ H\?JRlntWt;i 3iFlr.rn-~:if~,~ft.5Qr::rnz IIn C.:lie wherc It Is not p:)SSI~k! to :s:c;; the value iJc:c:utcly the upproxlm;lt~lyvJlu~ In relation to present condlt!om mil'; bQ In:nc~tt!c!"

,.s~ Ci¢ l(~ rrt t:'J d;"oCllm;ludcI1hort ttrm :~;:s~ ;.)so. .

~ , dfquJT Iff '!ViI C'i1~~ R:i<.,'~(~~ ,l!S4 a; f.;wr 18(1) l;; snir-l-.1<r ~ ~1i'l fl.'.!"'Q " i.rJt.-lam w,;. II (E1l(3l] 1!ii ",j M}iP J«Q<;~~~ ""'"~ilolR'.,re=""~wi~si<ruM lR \Rf;;;re G",;;:rnl5 'll'l,,=~~l;;fum<m<Im=,,:>,"1IQT 3''''fu;f.l~5'W! 'R JI/:';o. J01,lfomii 111t<1. tr¢"rl\ 'Tt = aQC5~ S!<ffi~ iii! fffitJT fun 1f<lT l-'l INote: The declaration form I: rCQulred to be Wed ~n:i s:JcrrJtted by every member of CIDss·I and c!i3S~·1l sef"lca under Rule 18(1) of the Cenlril1 Ovll Service!; (ConC:ucr) Rules 1964 on the firstippolntmen~ to the service and thcrc<lncr::lt th~ Intel".',tl of e~er</ yC3r civ:ng Pir:lc:Jla:n of a!l immovable prope."'ty owned. ac.:;ulted or lrnetited b;r him or hl!ld by him on Iet::;e 0: mortg..t~ ~lthcr

In his owr. name or!t! the name of any members of his ien:lly Cf In the ntme of any o:.her person, ~~

t<mlftPJSlgnature ClZsV5~ U 17~!Da!e \ 6\0\\'1.0'1

resen~ cst e. :

I TSffii. ;;a n;;mr,r. ~, 3imUl'i 'Z'-:'ll... tIT<:;":'" :;.~~~ ?"'" <R I,,-;qffi1&! .,:o,oW",,? <ro .:'''aJ 'Il. '7'Rt.1~"1 ~""I(",ln, 3,"J.,.em

~siR ~~ ::rror 'jjl; :lito;~ 'lc-fT ~ o:rtt t' at~ Rr.l""J:""f.6?,R ~r ifcro, :reRlf~IT'1<. :mR 3R1CT~ 3R:'~ :;; ffl ~ I i Qjf~ 3tJ!i Remarks

;;r.if~t 3iii?: Q;;W; ~~ Prc::sr;::t f, om:mit ~o1t Cl4t1!'o i!~ mim' 1';;'dcPi srr~::r ffi 7ft acrr~ ~ii5i -;rr.r f.:Jtl.f. Annu,,1

Name of DIHriC:. Sub N:::me .. rid do!;ll!s of V~lue ~tl t"'QT t ? m~ I l~ccm~ from

Civ'~on. T""k .no Iproperty, HCl.islnc If ..ot Ir. own ~me, sU;,c In H::>w acqulred.1 Whether t:y Fu:dla!e, leasa-, mo~..c::ge. the pfopc:rty. IViIlai;Q In whkh tne I;md$. Ott olher, whoso? r...me held &. hIS/her !nh:ulta.'l:e. Clft or otherwise with date of l!.CquJ~!:J~n OlndpropC!:n;y Is sltuooted. bL:Udlog$ relationship to GoV\". SeTV:lnt. n'me 'WIth details cf petscns from whom .:leQulred I

1. I 2. 3. .. I 5. I 6. ,.

~'vJ ~,,",L\~ P I-..,,,,,~~ ~-L ~.l. \

Wltb~ ,2. ~~.0.0 f~i II

1 I I3Tl~m 'O;l;1 (t, m Qi't'R7JJ~ Ilnil:;pkOlbl: di!\lse be stucl:.out.

Annexure I

1t!<lT, WI~, ~, 3!Tmfill 'J!'l 3fR «<l>!R 'F' ~~ om mi l); 'If'! tR~ ~ """l'R 3!>T<l1 fIlRfi 3Rl ma tl ~ ~tl ~

~3fR'l'iil"" 3Rl ,...n 3!1fil "" 'If'! q PrejCnt Value t <Ii~ f<l;~ 'If'! tl t 0'lT 'Tt <i'rtm Itrn<ffl 3!fi:ro>R -Ii ~ 'Ttl 0'lT ~= Remarks

'If'!um~t illffi ~~ "*"R'I "" wmr "" mflffi "" 'If'!~~ 'Ttl Annual Incomc

Namc of Dis[rict, Sub Namc and dctalls of property, 'flll t? How acquircd ? Whether by purchasc, lease, from this

DiviSion, Taluk and HousIng lands & Other, If nOt In o.... n name, state in \o\hose mortgage, IOhenunce, gift or othcr.... lsc .... ith property.

\llIa~e [0 .... hich the buildings name held & his/her relationship to date of acquisition and name .... ith details of

property is sitw[ed Gon. Servam. per~ns from .....hom acquired.

l. 2. 3. 4. 5. 6. 7.

Besa, Residential Plot Approx. Rs. 15 lacs -- By Purchase from Nil --

Tal-Nagpur Plot No.s3 saptagiri Builders &Survey No.39/2, Besa

.Developers, 15, Wardha Road,Nagpur

Ghaziabad Flat Approx. Rs. 65 lacs -- By Purchase from Nil --s03/T-6 M/s Civitech Housing India (P)Civitech, Florencia Ltd., Registered Office: 65,Park Sapphire, shreshtha Vihar, Delhi- 110092Ramprastha Greens,Vaishali

SignatureDate

/.Q

,,'B!r-O!l1\.1

lPr~~ent Po\,)(

.D~.HP.A KltA".)

Qd>w! trc:Dj"esent port hel...! .

Jlfmm-{l <::T <tr-r :N:im\1 of the officor:

1-~~R!S:gniltuTc

fa'1iQ/Oute

:ill~ dl11. T\ltl \.,.,)\1 l,,~~ "fIJ IlnapP~c::lcl;:c!3U~~ b2 Al;C.~ out.

'-;jnQ lil~ o"T\r€n:r ~"jt!~"l th"N trtfi 't ai,timRf"",r:ft: i;:i'~r n :'fjiilr.m ~::Frufurdrmm~ IIn C;JSO! where It is r.o~ ;loss:t;lo ~o 5"(;O!;t tlie '''i3!UJ u:,cunncly Uli! ;::pprcxlm:ltd'l \';:.~~~ I:; r:JI;;!IOlJl:o pr,.!cntcor.ca!or.::. may b~ ind:cilrCt!.~. ~'~"'I:;tJ~:i"l""l Q"l;,: 1C(~~ i;; ~il i1iP",1 u: lnci:.:=c~ Ihort t~:m l~J5i! .!~O, .

~1 : U)~"UJT tf:;i liVii a4r~ it,J."l R:t1m t-tii ("".ii,,,j) r'1Q,,!q-;r,l~S4 Gf.lr.H t€{1) E 3It!~ t-~*!iz;;{ R-sf.ro" ~ ~i·1 Q<:T ;.~q;. :: {a;;{3~ t!(f;rq [ii)jffi)f(i:o~(.i"-{!!~ i%ii3tR'..!i:tl:iil:.;jR~tmtrd~"t) 5rcao<.!~it ..hO\R! 'fi"","':Jm f11~1~ m);~:Ti tf(~:m3~~~~~~;;ro1tr{:;i~tti3ARx:l airetr(}i;ijli ~3iG;d, :ffirefil.tl< it !ll'<T. Q?{t~flt rrt 3Nm (jq;p~ 31Qi'1 ~i1iFro if.! fuRur~ iR'T l\~i INote : Th~ d~c1araticn iorm I; rc~u;red tc be l.l~e: ilod suc;rJ:ted by C'li:.ry m~::llJt?r of clJs~·1 ar:d d:,m·n 5Cl'Vlcc t:ndcr R1J!; Up.) of th~ Cen~:!1 Cv!l SCl'Vi,~i 'Ccnc!u~tJ Ruiet 195':' on the r;fS.tappOIntment to the ulrVlce <lnti tbrc ..f;!lf ilt th~ tm:l.r\';.1 cf ~;~ry y~3r gi'J:nz p3rt:Cul..rs of ..nj!l"mC"'Jbl~ p!opcn:! C'....ned. ac"u;rcd or 'nl:zri~cnby him cr h2:~ ';,y ~!m era I~;;m~ ~r mcrtg3Be ~::hc(

In h!s own name or In It-,I:! r.~me ef ~n'f mcmbcr~of Us fJ:r.i;y cr In the mmc of ar,y other person,

. u . ,

I~lffi. uil' nr.'ci13.! <~. 3l,.",!;l I~ Iuta-;fqtffi 3N"-t~ ...j ;;r:; q"{ ~r-1i.m 5tf ~lvrci' it;f "~ ? qaT \J&r~. ~ \fi \'IT ~". ,Rid ~r I ;:t;iffiiticl,

rlkt:l<Ii 3rrt lJR (,'if~ 'ifu 3lT<~ 11~1 I ,,'.>\. .,.. +:...--=' •tilTt!i, ..dH,ftrffl, J1ft{R 31"Zl:iff f3m1 :::rrq ~m ~ €i ;::; i q!ftf5 2-lP.1

,~..: ~r t" \:IT (RJil! 131.,,(~C5"1j'f ,f

! iten:3r!f.:; II""'hil'lffil1' 3nR """'" c ""1,, Pr~~ctl, "it ?,~r :rm'r 1:1w:r4'J t')1ftrrt; Ii'!' {\jim ~ijiT 3lf~ -:1 \lIT ~ \1$ 3"<1" ~fi1,; 1('] -;;m~ ),MU:l1 INOlrr.e of Df~Uic" S~~ NJlOlc ,mJ dct"U~ of V':;:ll.:! -:ffiiOllQ~ 7 ffi 'r~ I !I~CIH~~ frorn.ID,v"'on, T.,", and pro;>crl~. HGu,'o, :f ;".u~ In C\'Jil fl,}rtlC, st3.t~ ::-1 H~w ;w::;lilre:i _i Wnillhe, t/ p~.cha.!:e. l<!asc, mCflVl~e,.he j:.;oc~rtv. I

ViIlu\;l1 In whkb th;; l:md$ to. other. whose O"ir:a held f~h:s!h~r lM~rj~;;r,ceJ a=!t cr othc,....vlsc wIth date of Olcqui5i,lcn :l:'ld I IP!Op<.!rty l: ~ltlJ:.rcd, r b\,lJ:ding~ i (c!..tICIl5hlo to Go...t. SCN:lnt. Mr.\C with dcl::Iils of pe.r~cns from whom OlcCl\Jlred. II

1. I 2- I ~. I ,. S. G. i. I

I L I p~ A-,..~wt.L 1- !

I, ~ I,!I

~ - -:, - -

II

.-.........7~

..~~~~~~~

•

1 2 3

Annexure 1

4 S 6 7

Sant Kabir Nagar, UP,Village Kohariyawan

Ancestral houseand about 20 bighaof agricultural land

About Rs 20 Lakh In the joint Inheritencename ofcousinbrother

About Rs 6thousand

The income is used inthe maintenance ofhouse and property

D 144, Fourth Floor, Two bedroom flatAbul Fazal Enclave I,Jamia Nagar, NewDelhi 100012

About Rs lS Lakh Own name Purchased from NilShamim Ahmad,who was theowner andoccupant of theflat

Self occupied

NearCrossing,UP

Chin hat Land for building About Rs 10 LakhBarabanki, house

Own name Purchased from NilShine Developers,Galaxy Tower,Near ChinhatTiraha, GomtiNagar, Lucknow

Waiting for physicalpossession

/

(Or M A A Khan)

mt:iM~

Pres--t PCl\l::m~ el ';ffI1 :

'~,mo of the efflc'~

·mtf <!fll tiT Wo~~m';ufi ~ W '::dq;~ fu!lffi~~fn~Ro~ 3ft"tiP.,nrfu>m":mt: I10 C~i~ where It Is not po-sslble to :s~~a; the ~alJc ~t::;;tclV tile Olpprox!mo.lclv V<JllJ~ In r\?lalioll to present rondJtions may b£! indlc~ted_

...3~ fi¢ .....<Rl rr; ~ ttfG7felln::ludcs: shoitterm :~s~ ;110. .

fr;aroTI ,~'l1f \R'iT ii'Zil~~ fum! im (:lr.<R"J) ~1.1e;4 a; f.;llll' 18(1) in 3!lfR mrr i; ~lM f.1\lRto 1R ilorr·, =i.l<i\. :1 (O1l(3!) l:'i ill! (q)~;rnl<;~ OR! 5R\\'f 15ViT3lI1l1ItR'i t siR~= ~ sr«ro ifli;;; simr.f <R \Rl:;;m i3<r.'l :m15 'lr.11R ",401 :ra<l;'lf'«Ri;;~ <m<ri;; 'If;f <R 3= 3i"l f,nll ,*ctri!l-'lfIl1R ";:,;,,. ~r.Hlr01liR'#111<i. tr¢"rI\ TJt = a!jij;~ 3lim ;i1lf1;r" iOa," f«Ir 'faT;i\ ,Note: The rledaratlcn foem I~ rc.qulfed to be fUed iln:i s~t:!!,jne:d by every member of Clan-I ad c!as~·l1 servk:a: lInder Ru:t 18{1) of the Cenlr..J Cl\~1 5elVlce.~ (Condu:t) Rules 1964 on the fi!'Stappolntml!:nt to the service an:! tha(c.:Jfter at th~ Ime"',;,l of every year (l.v:ng par.1:::u!us: of a!1 immovable prope:t'"{ owned, ocquired or inh!!ritcd by bitT.orv;;,'~lil'on Iea~ or mortg<l&e eitl':erIn his own n<:me or In the rlame: of any members of his family cr In the nl;InC of ~ny o::her parson.

2:1'"l"?I1aroSlgnatu re

~!Oa\e 'i 7J - '2- -"2 c> 17

, ... 1. e" ,

~I ~n "lm fffiffi3l~ mi11m i:I

c:::.6 )f¥ - rJJ OC-B\R- IQ~;!l"i ~:

r ¥<y{\-.>C-p-A 6c- ~r\JS) iPresent Pest held:

T:>ffil. "" ~. ~w. 3mlRl!'1 .~ I~~":ro 3:~"!-~ a: "" ~ I~"lr:m mr :lit5fu it 'I> ? = :'<111 ~. ~ ':' '.:1 ~". I ....'-.1(-,' ~j 3;\~

~ siR :ii>l~ ;;r;r ~~~".!~ . ~ ~ t' <iT ~Ta'i~?,J":l ~ ifQ'""l;). :mR1ft.c:-'l'<.~ 3l"aQT fcsaT ~ ~:g err <il I ~ SIJ<;l Rl!marJ-.s

~'w::qrmt 3iift ~;;r;; ~~ Pr~sc::t t otIr -smi~(.·H1,,!~1 iDT 1fi"iR! f':;'l;lil~ it 'ffr -.rt?"ZIT:rn c.,~ im~ rb~li: AnnualName of Olotrict., Sub Nome! :md dO!JII5 of Vtlue ~a~%? m~ I I;}ccm~ from

Dlvl:Jo", r,l"k ,nd IpropertV. Hc:;slnc If r,ot Ie own nzme, sate 1n How ..c~ul(eci. 7 Wheth!!r t:y pu.ch2n, l~so, mo:tgag~, the pro~rty.

IViIlilj;liI In whkh the I:iilds -ft other. when r....me held & hls/hl!( !r.hcrl~~ce. f!ft or otherwise with due of uqulsltl:::ln ;;l!"ldpropertY Is shut-ted. buildings re:.atlonshlo to Govt. Scrv:mt name with details of penC:1S: from whom OIcQulte:l

I. 2. 3. ~. I 5. I 6. I 7.

l'"S'ctcl"l~~ 1-:;...1- ~~ \I~!9W".-.,~ If~ ~ I1"1 L I N&f(YY'Tp~ ~ f>-cq~ ~. !e.M\",-"" \(",,~ .q

;

m ~rtnI.. "'I(;1~. J\1 ~RtlT;:rw Iln,,?pll::.::l::l:: c!au~~ be mlCkout.

-f-

,S\.',!....:._E ::RC;:'[:::"" !:C~ "'~.E VEA;!

\

I .:

r~_:. ,

HC~~I:JC

OI·:C~.

J3L

;Jro~!t'l",

l;nd~ "&bc:ldhe$

S"bzr.dtlJ~

J~ame of DJi~'I::,

r;:vl:~or 7<:1:..:1::\'il~~CI,. in wh;c!propcuty!s rlu.. tcc

1::::-,1, ~ Tb~,' ":l"!,rr :;;rr:::iT-r-:; ,

rll''''JC"o 3,," .-:::; E ~ 1..7~ ~ '.,B:;i'i '(l ..... f-q f 3iift: a=-~ ~~

)

3lRrm/{, En ':}P1 ;

!J~ma- of the offlctr:

'.0 17

fb,~ lOi/O'I~ ~ -as ('- ~;:::=:.-:.~:..' :,:":,:":::e:,:=:::"~"'::'~1.:,~qK-:-1 I$ff?,CR"ii

~_S_T_A_'_E_M_E_r_·T_O_f_'_·W_'i!_{;_0_"_t_.s_"_E_P_R_O_?_E_?_T_Y_F_O_P._T_H_'E_'_'E_A_.R~[~_cfl-::O~I:{,-::-_~l ~A_S_O_'~-,:rr;3~='~--;I;'l-;;-;;~;o;~l_b__-;__~[ GQ.eJ-GL M~e>.6euon ;~.:~:~, [ P.>a-uc. pay' SIf4S'D/

(

<Rbwr <r.:'?fesent Post Ileld :

(S;c:...; IOn-\:I s.1-

]i)

)

~. ~ ~l':;·. j' \141c", 3ITcu\\rn "enid..; l:;:ztt "Q;rn 3;trof~ q,;W-; Q"{ I' tj;qrffi"jffi SINer Q;t ~ ?~ i3'tr"a~. ~ tR t.T~". '.'i"'il~,')~; 31\~f I~:rtR~ c;:;~ Wk~~ '.f"'tSl •~ ;;tf .~ cIT~ ftr; l1..t:o::rrrf ,r iftrci,~. ~ 3Wl'T ia>J. 3Rt mr. -;:, ffi ~ I qn~ S!m Remclty,s

~~c: I:mftiPfmrp:;~ • Pres!::;, t. Cl~f ~ ~Cll-t Cl.h.l:Q u'il" •~ f,;;,lePi~ ii ifr -:rt crm;m~(ffl?,R ~<tJ?~ AnouClj IName of DJnrlct, Sub Noml:!~nddt!t;l;llsof I Vclue :;i'titP!W*? iit~ I l:lccm~f(omOlvl:IQ:l., Tch,;k znd· property, Hc:;slnC I If riot I.. own n~me, ~totc in How ,1ct1ulrcd.1 Whcth~r C'( pu:ch2se, I!l&s':!, mo~<.£:;ge-, the popc.rty. I

IViIlzi:Q In which the: II;mrls 'e. oth~r'l Iwhc!ie r.o:me held &. his/her t(lh;ui~;m::e, f!ft or othc.tw!!c. wjth dzte of JJ:qulsl:l:::n .md I'

ptoparty Is ~ltu ..tcd. bulldlne~ (C!;.. tl0mhio to Go'lL. SClV<lnt n2m~ wIth details 0: pe~C;:lS from whom ;]coulred ,

~ ~b Ct\7I: ~f it, mQil''Rqj:;m! I IOilPPU::.Jbl:: c!au..e oe stud: out.

'3iDt ;Wtl ~T \,cICl.HitJ'.-:1;r tfmr;nfi -g am GtG-;.;~tf~f if ')1:141~ ~ :f"ttfl.Gcifurm:ma I

In C.;:lS~ wh.::rl:l It Is not posslb~ to .)!S~.. :; th~ nlJe Ol:;r.::.. tclV the "pprox!m;Jtclv v:Jluc; 1:1 relation [0 presciltcondlllom may bo lfldlc;:;;ted.1-.31~~ If(tb rrt ~~ tllf..7i t.llnclud~sshort term l~u.H! tJ~c. .

~ :~ tr:f \iVil mIT~~ ~\f4('1 mrr (~It!'Ul) ~qiw4rit,H!S4 ~~~ lC(1) in:m..~"&IT '# nq;:r f.\~14(} tR M·I nm~. ~11Q1f(3J} mt aT, (Cij}aJ~Q~~SR[ti ~:mn:~:t ~ f';1~~~ ~U1itl :.:richlt'i Q"{\RT:;:m f1kt,;:mt>-;rR ~ .Jt'-!q! Wd>Ql~~fu:aT 'd;.;,N 'ffi~'R3r'..JQT3Rlwm ?lfClfif;~ q'"{ J":'hl. :3C::R1fU"Q;f{ii mtrr. Q?(t ~ffi ll~ ~ijt:J"a)~ ",Iarl titjfm~ L;." .•lll rem1rm~ !r~ote : Tne declaration form I; required tc be n:lcd ~nti :;ucmlttcd by CI'C')' m~mb.;r oj Clil~~·l and c!m-l! service under ~\Ji~ 18{1.j of the Cenlral Civl! Servl::e~ (Cor,d,lcr) nul:; 1~64 on the fjr...~..ppoln!mEn~ to the s.ervlCe and [hcr~;ft!!r at th~ Inlet",;:l of CH;.ry rear cl...:ng pal.1culus of a!! immo'l.. ble property owned, acquired or inherited by him or held b\· him on ~,,:;t or mortGaGe elthNIn ~,:! C'wr n<::me or In the name of ,;lor mCr.lb~r! of his f..rr:I!~' cr b the n<iln~ of my o,her pers.on. 6': e.kbO~

b\=:ilS\lSIr,fl"tL ..c .

;<:.,;"ID'lo O)"'/o'I:J..oij,

ATIONAL INSTITUE OF SCIENCE COMMUNICATION A '0 I FORMATION RESOURCES

Dr. K.S. Krishnan Marg, 1\e\\ Delhi-II 00 12

14. Satsang Vihar Marg. l'\e\\ Delhi-II 0067

Statement of movable propert) on first appointment as on the 31 December 2016 (e.g. Lands. House, Shops, Other Buildings etc.)

:\ame of the Institute: :\ATIO;\AL INSTITCTE OF SCIE",CE COMMC:\ICATIO;\ A;\D I:-.JFORMATlO1'\ RESOCRCES

:\ame of the Officer (In Full): G. Mahesh

Present Post Held: Principal Scientist

S. No Description of Propcrt) Prcci"e Location (;\ame of District. Area of Land (In case Nature of Land In Extent of Interest IfnoL in O\\n name.Division. Taluka & Village in of Land & Buildings) case of landed state in \\ hose name:\\hich the propcrt) is situated and propcrt) held and his- heralso its distincti\ e number. etc) relationship. if an) to

the Gm ernmentservant

1. 2. 3. 4. 5. 6. 7.I House sites of "Hi- Hi-Tech City-Project II, Site 2400 sq. fl. Housl: site 1 To construct a house 0\\ n name

Tech Cit)" Southern :--Jo. 230-Phase 11, Survey No. (Residential) later

Sites India Pvt. Ltd. 500/3 & 500/2 atCoimbalOre 1'\arasimhanaickenpalayam.

CoimbalOre-64I 0312 Residential Property G-I I. Emerald Apartment. 1024 sq. Ft. . For residing Joint name of Self

Pocket I, Sector 7. Vaishali. and WifeRamprastha Greens.Ghaziabad. umap Pradesh

Date of acquisition 110\\ acquired (Whether by Value of the Propert: Particulars of sanction of Total annual income from Remarkspurchase. mortgage. lease. prescribed authorit). if the propert)inheritance. gift or otherwise) ( See note :2 belm\ ) any& Name \\ ith details ofpersoIlJ persons from \\ homacquired (address andconnection of the Governmentservant. ifan). \\ith the person!persons conccrn~d). Please seenote I belo\\

8. 9. 10. 11. 12. 13.

20.02.2007 Purchased from Southern Rs. 1,15.200/- NIL NILSites India Ltd. TulsiChambers. 2nd Floor, 195.West TV. Swam) Road,R S Puram. Coimbatore

24.02.20 I0 Purchased from Mrs. Rs. 34.70,000/· NIL NILMala Bhattarcharjee. W/0Prabhakar Yadav. Rio 647Sector 5. Vaishali,Ghaziabad

Date: ','6 \ \ '2..\ 'lo'<-

Signature~. ._

'ate I: For purpose of Column 9. the term "lease" \\ ould mean a lease ofimmm able propert) from ) ear to year or for an: term c\.cceding one )ear or resen ing a ) earl)renl. Where. hO\\c\ cr. the Icasc of immO\ able propcrt) is obtained from a persor. ha\ ing official dealing \\ ith the Go\ernmenl ser\ ant. such a lease should be shown in thiscolumn irrespccti\e of the term of (he lease. \\hcther it is short term or long tCrIlI. and the periodicity of the payment of rent.'\olc2: In column 10 should be sho\\ n

(a) Where the propert: has heen acquired by purchase. mortgage or lease. the rrice or premium paid for such acquisition.(b) Where it has been acquired b) lease. the total n;nt thereof also: and

(c) Where the acquisition is b: inheritance. gift or e\.change. the appro\.im3le \alue of the property so acquired.

I

~furRWm~~W<f~NATlONAL INSTITUTE Of SCIENCE COMVI UNICATION AND INfORMATlON RESOURCES

<n <f;.~.1f""T'l 'IT'l,%~ - 110 012/Dr.K.S. Krishnan Marg ewDelhi 110012

14,~ fift:R'IT'l, %~ - 110067/ 14, Salsang Vihar Marg New Delhi 110067

5l"I'l f-nJfiffi <f; W!<l/31~ 2016-q;] 3f'l<l~ <liT <1IRT ('l,fll, fWmft'l<l'R. ~c'H 0'IT 3Rl~~)Statement of immo' able propcrt) on first appointment as on the J III December _20 15_ (e.g.. Lands. f l(klsc. Shops, Other Buildings. elc,)

ll...

~ cnr ';flll/Namc or the InSlllu{C

~ cnr ~ '1Jll/Namc of thl' Ollicer <in futl)

~ ltG/Present post hdd

ISCAIR Nc\\ Dclhi_

__Mukesh A Pund (Emp. ID. 9859)_

__Principal Scientist_

)

In'l -;j.1 ~<or~1 ~ (iru ~. ~. mm 3IR 'l,fll~ ('l,fll 0'IT 'l;1'1 -;jqre q; QRlll '!J'l 0!1TV! <oT 'ffillT1 m< 3l'R 'lJll 'R ~ ..S.~o. Description of 'li<l <or 'lJll ~ ~ ~ 0'IT ~ ~ ~ <t itt ·~·CfftV:\'alureof land in [~lcnl ofinlertst '" iru <2!f.i<t <or 'lJll

rroJX'rl~

~ -;j.~ 1\l ~)/I'''d'' lor"ion ~a 4)!~\rea of land {incaS(' of I:lnded property ~ 'lJll 'R ~ 0'IT

(:'\:tme of District. lJi\ is10". Taluka and rll~(, of land and m<ori\~ " iru

\'i1htge in \\hich tht: propcrl~ is situated and buildings) <2!f.i<t <liT ~a/lf not inalso its distioCli\( oum!ler. ell'. 0\\0 name. Siaft io \\host"

uarnr held and his/h('rrrl:Hionship. if ao~ 10 Ih('Go\ernme.nc sen anI

1 2 3 4 5 6 7

t. 3 Bill\. rlat Flat No. A904. 1450 Sq FI ..... 1000/0The Sal)'am CGIIS1'101 No. S. Sector 18A.D\\arka

e\\ Delhi· 110078

2 Rl:sidl:lltial 1'101 1>101 No. 13, SUr\'C) No 93/5 1~29 sq Fl ..... .....Village. Kalhora (B)Tch Disl Amravali (Maharashlra)

.

~, •w' <El I <f'lT~ ~, ii¢ 'l< ill fii, fu"mi"il "Ill~ " I 'iiiifu <n1 'i"i'll ('J:'Rl 2 . mo <iiT& l! m R= <itm; \l WR ilTlll<l> 3ml/ fCtIltl1t/tafOl/D"c of ~ 3!>I'll~ film <2!f<@~. ~ <ft,~ fit<RoT ~)/\ alu< of the p,'open) ~ <fil ~ <n1 Total \/llIual income from Remarks

3cqubilion ~ (tRn 'RW~~~ Q)f~~ (see IIore 1 bl'lokJ) ~/Parliculars of sanctionthe' prOJl(rl)'

~ ~U) 'l""" 'J:'Rl 1 tij/IIO\\ acquin:d (\\ hel!ler b~ of prescribed authority, iran)'

purrhallC', mortgage'. least. inheritance. gift or othen' isc) andnamr \\ illl details of person/persons from \\hom acquired(address and connection of thr Go\"C'rnmrnt sen ant. if an). \\ illlIhe I1crson/ncrsons concerned) Please see no It I below

8 9 10 11 12 13

Bccam..: Mcmher of The Sal)am Coopcrall ...e Group Housing SOCiCl) Appro'\ Rs. 22.00 lakhs ._------_. ScI f occupied ----_....Member In PIO! No 5. Sector 18A. (Rupees Twent) T\\o lal..hsFebruary 2002 D\\arka only)

e\\ Deihl' 110078

15th April. Purchased from Rs. 4 lakhs (Rupees Four --------- Nil ---------2013 Mr Dinendra Sudhakarrao Thakre la"hll only)

At Post" Jalka (Illrapllr)Teh BhatkuliDi~1 Amra\ all (Maharashtra)- No rclmion

~ v·,,

c--..

~/Da" --I t-?-<' \f . ,..,-1 }liRffi~/Signa[ure

L-

'J:'Rl 1 -~ 9 if; fc;r<: ~ ~ lR <ft 3!ol 3fi"l"R~ <liT <l'i G' <liT ~ = "'" <l'i ~ 3!fil<I; 3!'2lilT <nfi\q; f<lRril ~ g-I V!6i, <mfil 3fi"l"R~ <liT~ 'ffi i1If<ffi ~fc;rm 'l'l1 g-~ m<nRl~~ ,'*" i'I111 Wiu g-, <i\ 'It'~ >11 ~~ i\~ "lRT~ 'lW 'It' 3R"lT'Ifu 3!'2lilT~ lR g- <1"11 f<lRril if; 'Tl<lR <fil 3!iIfil >11~/For purpo..c of Column 9. the term "Iease- \\ould mea a lease of lnuno\ablc propCn) from year to year or for any term exceeding onc year or n:.,cn lIlg a yearly rent. Where. howe\er. the lease ofImmovahle propen~ h ohlallled from a person having official deahng) \\ Ith the GO\ emmellt :>cn ant, such a lease should be sho\\ n in thiS column UTCSpcctl\ e of the teml of the Icase, \\hcthcr 11 is shon tcnn orlong term. and the penodlclty of the payment of rcnt

'J:'Rl2.-~ 10 i\ f.'I'1FOiR:il"~~ <IR/lncolumn 10shouldbcsho"n

(3!) O'll, ~, ~ lR <ft ~ ~ if; <fm i\ ~ 3!film.<uT if; fc;r<: 'Tl<lR FIPm 'l'l1 'i<'ll 3!'2lilT \flf?mll/Wherc the propcn) has heen aequlrcd b) purchase. mongage or lease. thepnce or prCnlllllTl paid for such acquisitIon:

(Cf) ~ q¢ tR <.'ft ~ t ffi \f«CfiT~~ FcfRrm/When: II has been acqUIred b~ lease, thc lotal annual rent thereof also~ and

(~) ~. ~ 3i'"2f(ff~ ~ f4c;ft~ <iJ ~ ~ ~~ Cf5l~~/\\.·hcre Ihe acqUl:.lIion is by inheruance. ~pft or exchange, the approximate valuc of the propcny' soacqUIred

?re:-e;l: Fest he~c :

:;'~'.;.l~(,.c.:~

R!;:1~Ci.k!

~U>cM-t£ j~6·-i-,·-t4.

,~" ..... r.: 3:t;.,;;~ :i:j .. ~-, ~ I' ~":;'7i1 ~JC1 S,..:'.cfc':t 'It, ?;;;q ':.,!! l"l "s,~ :,-, :.1 .,~~', \..., ...... "·,1:' i

I -.>t. • ........... ,.,.. - "....., I~!:' m~~~~"r itQ;"), J,;'!'{lJ:..:ml'<, 3~.3r~ :c;j"){11 ~~ ~ F.: ~ I Qi!W ~~ ,1

I f. ?:~H ~ ~:t ~")4~I;i ~;r . mi:~ r.;; ...l~ 2i~ ~ ffi <rt <rm:P.!~ (ffi ~j7, ;-~':.~ A!lI'1i.!.<i

i ~!l i:'QT*? ff '1; I l:1ccm~ :rcr,l !I If ;,ot It, own n:.:r;e, ~i.a,\!:r: H:)w iic:;,ulrco .? \.'.'I'H~th~r :1 pu;=.l-:a~e, lc...sQ, !'I~C:--t:;'::;'1 the ;; ....op~rl;'/. I! \'/hc!~ r...ma h~jC! r:. ha/her !:ili:;ri~Ol:l:e, t!ft or othenvl!e with datE of :!:Quin::::n "nd II rc:c.'I"nshJ:i t~ Gtl"'i. Scrv.:ln~ name w:th details of pe:~;'ls from whem :lc.:Iul:e.:l I

.~......,;;r~:::'.:

Vz:I:Je

L 2.

l~~'\'. ~ _~'I· ':lqlr.I~, 3H::'ru~ I'

(11C\1C: m:TIQ 01;;;r;; ~ 3iR~ \WJ

Eti ...,.... l:"'Ot" zmb:f.:~~~ ,N:ame ct DlHric:, SJ.:b IN::m~ <ln~ dc:::l!~ of[;ivl~lcn. Tz:h.:k ~nd 'I ;::.ro?Crt~, He:,;sbcViH~~~ In whldl ttl.: l~nds Q 01~~r.

propC!rtY!~ ~1t'J<;tec. bJ.:lIclnes

~NI1-=~:d1=~~=±tt=i=~~~=\.6~__-,-t=m ~ffii'J~, te,:rtf~~ 3'fl! Ilnil;:pU:::l~I:: c<:l::~ O~ }tI.lC~CiJ~.

•~~ ~'i;" \\,1-;) ..'1i~;('"I~1 ~~~ ¢ ~(-; G;'"" .. l~fQ n~f ~ ~I':o41Ro ~ ;{"t":.f"~"F,"fc5!rr::r:t: iIn .:~s::! \';hcrc it Ii II::>. p;):.~I!';lc :0 .:Is~e::: tho:: ~OllolC ~:~"",jt:I~' tha Olpprc~i:n~t12I'r' V.:l!:.:~ In r~lat:on to p,,zscnt can::ia]on~ m<i)' bi: Jodlc:~tl!c .. ~ :~~~ ~ l:"(H. rr: ¢, w:,r.- .-Ilrlclul:i~s It'lC;t term :::;;~C :J~::. .

i

I:i'I"

~l~m Iq~t11 t1-=l!-:: ~,~ '{i-q~! ~\, ~-.:Q.jM~ .~ ~

NAnOHAL INSTITUTE OF serE:NcE COIHM....INlCAnor. A.i'ffi INFORlYL-\TlON RESOURCES

~ q:,-.~". 'P"':: "'IT'f,~~ -.110 012/Dr.K.S.KrishnanMargNewDelhi 110012

'. 14, "(1<:<1'1 fq:;l< '11'1, ~~ ~ - 110 067!14,SalsangViharMargNcwDclli 110067

~W1 ~fiffi i; ti'l'l/31 [i;w.. , <ii ;oj,,,, ,;qR, "'I iilI\"J'JPi. ,",;;I,n" """0, 5''''" ,,'IT 3RI .",,,; ,~Statement of immovable propcny on first appOinlmCnl as on 1I~~ 3 till Dec::mbcr J (e.g., Lands, House, Shops, OUlcr Buildings, ctc.)

~ cnr "'il11/N~c of Lhc·lnscitutc:

JrtmnR) em ~ -;;p:f/Namc of the Ofiic::r (in full) :

~ lfGjPrescnt post held;

N/SCA-/R... (PU,sA CAfYlPUS)

)'---- '- --' ---''-- -'- ..J...... --:.,..-~

,";

'n11 ~ "1m 'R i <Ion ..

~ <'I ffil~ 'liT mf'l/lfown name, state ill whose name belhis/her rc:lntiollship, if":lOy to the G~ver

servanl· "

"'I

Extellt of interest

6

t L

5

1J:f'1"~ q; ""'"ii 1If'! <fit~/Nature orhlud ill ClSC of11I1Idc~ pr·ol]crry

4

1!f1! ~ (1!f'l <I'IT.

mnnft ~ q; ~a

14)/Area of laud (ill case of l:lIld

alld buildings)

3

~ (~ ~, """>5"','~ OlR TJtq q;r ~ ~~ t <lon·~·~ <I.

~ . 1ft fclG)/Prccisc I~C:ltiOIl

(Name of Distdct, ·Divisioll, T:lluka. and· Villa::c in which thc property ·is

situated and also it: distinctivenumber, etc.

~ .

. ~

r---- Nil .',

. ----------~ . ...'.. .

.. . . "

2

mrr >j.1 ~ q;r !<t<RuIIS.Nl1. Description of Properly

!I

II~ui C5'i ' ~ ~qm -.g·d~f. G~c ll"""o{ C'tl -:c;..,. I<I'::.I~~ £IT -g-"li,~ -.:; y;j"--:::rrl

,~iir!~ar~ of .J'~rcrr .~~m R-ni ~f7'~ if ~ \:)"1.c,")1 fq~~ ~'.I~· (:~(tllI.:qUl5li:fon a.Qfi ~SCiUlfZ'~/C:UI~:C]1 C5T Th:~")/'(l cn',~I~l *~U) S"1Qm

~ - ", -. itl ... , 1 c;.C1./How ::Jc,quired (wbelher by !ltJi"ch:I.5t:, mortgage, !~!!.Sl!,

inhl!rit!lnce, girt o. othel.vise) and /lame \"'ith detali!i of person/penonsfrom whom Ilcquired (addre.5! 3ud connecrion of the CovernmerJlser"V::J!l(. If any, with the person/pel"sons ~oncerned) Ple3.5e see note 1below

-=c-r=::----::-r:~=--.--::;-r;=;::;-o=~:-cr==-==o-==-~-,---------.- I~~~- ii1 ~ (1,-':;"'1' :z !:i'T'r i=tf ~ mr;;::lIho ...; ... (8 *5,')("1 -=l1l<:;="-l .YR/ R~mur!:...:

ic~)/Yalue of the pro!;erry (~~e ~r;wcl .:;.;"i .;HR],i; CST Tll,,,1 Annulli income irom

IIOFe J b/!!owj l:.li·d/P:Hiiculol5 of me proper£)'

sl!.!1cr!on of 'pr~c;ibed

lllltiJOriry, If any

8 9 "10

Nil

11 12

"

13

~.'i"'/DalCe-"-/-,-7-_.()-,-I_:2_0-,-1..Lt--

\"

['RT"1.- <pi",,,· 9 -,f; fc;t1::- ~ 1f¢ 'R <fT ~rof J1"'''; <-iqRJ <rn 'I'i <;< Q!~ J1",qr <f'P qf <l 3l1flq; ~J'!'IT qlrq", fomir <\- tl ~, <wilt al'OOr Wrfu <rn~ B<i i'!lf<ffi if Fcim TRlT ~"~~ilfqffi -fr~~Ef t in qE q~c1 :IT ~ q'liCl11 if Rot.!rm 'JiAT~~ _q~ ~ro 3TWIT~ tR t q::!lT Fcn"':14 cj:; 'TRf11 crfI" 3rcrra- -:IT f('1;Ji/For purpose ofColumri 9.,tl}e lcrnt "lease': would mea:l

ase of immovable property from year (0 year or for any term e:o:ceeding one )"ear or r::.serving a yearly renL Whcrl!, however, lhe lease ofimmovabJe property is obtained from a penon· having official dealing!i WiTh m.: Government servant..lch. a le:lSc should.be shown in this column i'1cspecdve ofdlc term ofllie h..'tlSC, wheth~r it is shOrt (enn or long [cnn. and me periodiciry of the payment of rent

~ 2.-~ 10 if f.r:;n1'1ido~ S1~f¥"Rf ':>-t/ In column If)' shotlld be shown:

(31') Q'llf, ~.'~ ~ c1r ~~ cfi cfftr if~ 3TfEp..l~ ~ ~ :J. 'Idt., fQ,41 Tfl1T~ Jl"2fifJ mf.'n:r.i/Where the prnperry has be~n acquired by purchase, mortgage or leasc, theprice or premium paid for such acquisilioE;

~) ~. ~ tR c;ft l'f.{ 6-01~ 3"C'I~ Fcim'm/Where ir haS" ~~n acquired by lee.se~the lotal ilI1~ual rent tlu=:rebfalso; and

~ ~. ~.ar~ ft?'C'1 if RC"i1 ~qffi if; ciRl -if~ 'i~qm cnrJ~ ~/Where rh¢ acquisifion is by inhc.riranc:=, gin or.~changc, rhr. a·pproximme.~a1ue of the property so

acquired.

Present Pay

fu;;iQ <:>1 <it!L r:=:!.l--=~~;~fc:m~":::":S\""1~Q51f=STATEMENT 0:-: IMMOVABLE rROPERTY FOP. THE YEAR. [ "2A:> /6-tU AS O~., {r------""')

r (IP r~(~1-ot_NJinl? of the cffic<l':

t h Id

~tr~,

P t P

tJol "e>1 'lTl1 [;m,ll 31flJ<nRl "&<fRIO ~ (

£Y!' Y\:1tJ -J '-'~

'Sft<T l~-Q ~ ",£'1,:5 ..l'ik.cl·1 thTa;;tfi ~ ~mRft;:.-:fu~i·~f it ..Q:1'11f.io Wll~fumfu5tIT:;m: IIn C;JSij where It Is not j:losslblo to ~.1~~ the '.ill;,!.! Jcc.l.:r:lt!:ty l.~J <lpp~oxlm.:!t:.!ty V.:l.!~~ In (~Iil~lon [0 pro~(!!\tcor.dltlom m<lY billm:llciJtlll:!.... JI~i\"l t:¢ \( ~ ;;; ~11 n;flt.1 t\llncluccs shoot telm :::!JS\! ..Iso. .

resen os c

k"'I. U1l" ~'I-.m<a. ",,,,,,,l;< '(f(fiJf.i I ~tc;, ,1'l~rn 3r.r4'~ <ri "';"'1 tR' ~.q:ro$ff 3:IVlC"t itt 1T$ ? (fqJ' iRfu'r~.~ tR en ~". <l'Gffil ,I I 0'.-,' .~3ik"!1~ <fir -;rr;r W4 3it<~ 4,iro 'iF" ~ftF.i~f3~~~r tiu6, 3GRift-~. ;Ni.q{ 3I~c: ~1 ~ ~m ~ ~ 'i I ilI1~ "'" R~mark$

I

$1~"'t 3r1RiZi;:rr;:cm Pr\!~£!r.t it flZZI 3m'! 'l~~ r."l.lmz, iN' a;fru i:.1IiJ~ ::xfmf-R 1f Nr~~ :r~ a;jQo,; is ~1lI' f.=Rrir Al\rtU.11 !INilIT<c of Olmict, S\.Cl:> N:lrna i;"d da~alis of V,::U~ ~a=t?

. ,I lnCCIl'll~ fromffi'r;.

Oivl~lcn, Tilluk a.\d propcrt'l, HGt;~lnz If r,ot 1:'1 CWil niltnC, state ln How ;;cqulrco ? Wheth(!r tol p:.:rchi:l!.e, II!a1C, mcrt,u;Jae, the pro'''''I. I IVillilC;o In whl.::h th, ];;r.:h '& other. whose n;.rr.d hcid ec. h:~!h~r !nhori~u;'lce, B1ft "r orhelwlsc wIth dil.~ of ;u:qul5k!cn :I!'ld !propurty!s sltu.:tcd. bOlI:di:1t$ i (o!>iclcmhID to GOY';. Scrv:mt. nJmc with details cf pe.('<'';cIlS from w~.-n ::::Qu!(ed.

1. , ,. I 4, S. •• 7. I•.NOWZT'r IJ;>J)A-(Sf'S)!~ M~~ ?W-~,lfl.'

A ! Ir --- I -~ .?v<o:J~"'l MIL; ISO~! ~;/-l... ev:fe. ! I I~~~f}'T: "'ti;1 i.;' :rn ~'R"t;T Jffi?' I InilPP~c;Jl:l~ O.JlJSC: ~e ~cci: out, I v U

~ : n)l;"tI'JT tr:f lMi t;(:llir Ci-ii'-l ft~ ~Q'T (..'tId'''"!) f.lQ".~rfr ,tS5-1 6 f.iLR !€(l) ttl 3IiiR~ it S:~ ;:',~fitd ~ ~·l ,;(:1 ~o;.fr. li {crf{3ij tm QJf (il)]S~~ rtR1~ i.%1T.. ....~ -, ->.-.. •~ . "-"-'- • "~"--" ~ "-" - ~ -=-- ............ - ........

3i~ l) 311'<. ~t\;p~~ >I~ciU:{ c.., 3iCRl3 tR"".":ij:m:! 1...1(\'; ... '(1.., Mol:R _'i4;::1:fifJiGT«R IV :~J~ (,") f:iroi tR :)~'aT 3Rt 10..1~ QJ;'fIli G"J1I"m. :3'i'\'P.!1~tr,j1;It!nta'. "1~ q

ffi 'it= am; <i'l,"i 3mN;iI;fffi~ f<1avlT Ku; 1;;::[;ti INote: The d~duatloll form h n:qu:red ~c ce r;i!e: ·an~ s:Jc;r:i:te.d by C"/~ry rn~mbe( or CIJss-1 Jr.d c1:m-n ser...lcc cr:dcr R'J!e -le(!.} of thl! Ce~ltrJf C......OSel\'l~i {CcnductJ RU:~51E64 on the fin:appointment te the service an:! th!!f.eJf:er.:lt th~ Imervaf of c.~~ry yeJr civ!ng particulars of all i:ilffiClJabl!! ;lropc:t'/ owned, ac::;ulrc:d or Inbntcj cy him or hc:d by him on tca:~ or mcrtlage ~ithcr

In li!s own name or In the r.Jme of any members. of his fJml:y cr!n the n.lme of ar,v other pees-on.

·...~

.:~-I~ ... _......... .LA. ..~

y;;.r:r

..f.Q.!ib:}

NILNIL

39/vo( 1560'0

(s,c.. \ENl"\S,

r KA tV I /<.Jll

[ S ENlO «..QCl~~:

o • P t I Id

lJ1L. I NIL N1LI NIL. I NILiff ~~ ffilI .,~1 tt, m Qit"TZ:q'f :;fl(r I Inilpplt;:~bl:: dtIlJ;~ be Hud; out. L !.- .J.. ....J

.~ .~ ~jJ" ..1;1<:) Jriu7.:Fr thm;rrfi*~~f~~~f -;r ~f.;o ~ ~rttlf'~-a"fuJm:$t! IIn C;'Si!: \;:hcra It Is not posslblc. to :lU~;~ the ;ral.:c iH::C:..tcl\, tJ.~ Olpproy.lm:!tcl'{ v~lu;: In relation to pr~scnt candllJons. may be indlc;;tl!c-u 31K\i;;r.n:r <i¢ tl<'~ q; ~ tlIfit"'i'ir.lln;:lutlcs short lerm :::!~:;i! ;Iso, '

fua#IT : dft;;orr cr:r ~tV1T (fZU~~ fiTftrfi~(~ i:iQ.\l:.lrIT,tOS4 -t~ r:,~4 1C(1) ~ 3r.!M 'f.crr ii J!2i?," f:l~li4Q tR M'I CiUT~, ~l {crtf(3iJ rr:i i'fJf (ii)]iv ~Ci~ PR'f ~~"iViTZi1n;"tP.<i-g~ f"'~ "'lifl.<H;1~ ~;ijtf tn ..::1'1 ..ld If{ \P.T:irl't! r.:l·d';~~~ .)l:::!P! :;;:fmti~cfi"fum ';;';,';<:/ -&;;rrt:i" lR31~'QJ 3Rlfum ~"WiTr;rrq lR ,nI:4{j. 3C-R!fG'QiR"ii mqr. tR(t q

ri~ ~ J,.:.. ... ":.;./0 ..iiLoi ~Ia~: ~fCoar ~(,'~v: ihITmrrm I("ote : Tne declaratlcn form l~ rCQulred lc b!l U;lcd 2nu :;ubriILt:c':: by 2\'Cf)' n,::mocr oi Cla~:·i arid ::~:!:,I! service lmder ~;)ic ~8{:) of the C=filr,' Cili' ':crv~l'::; (Cor,d~lct) r:.l"~~ ::.5154 on the fk..:cprcln1m£n~ to the servIce .m::! thor.c:lftcr.:lt thl:llmerval of c~=1Y rear cl",:ng par:lculu~ of a!! Immev<lblc rrope:1.)' owned, acquired or ir.herltr.d br him or held b\' him on le~~'- or mOfl!lJze either

In I,', 0.'" n,"" or " 'ho name or '"" mo",b", 0; hi' r""II,·" " the n,,,o of ,n, o,h" permn. ~

e-~!j-;jS!':r,~lu"c. _~!,;,,_=:::::::._.,....­;;; ••;<'/O.;c - 2-'1' l~ . I'

, reseo. os le

I,0,"" ;'0 _~.. "41"':, 3mm\~ I "n'w. =""in :>.,,~ '"" .hr. Cf{ I"'''1Rq jm iifrrl <f.l '"' ? <1':T ",eJa, .....~ '" ,.• ~". ~(".l~r , ~"'\Wq.n~ll

I.~ 31R ;rrq Cfii;;r;r 1f1; 3m:~ '.!c::il •~ ~ttm~fu;rll'''~.~_~'r . ~~" "cii'(j~..;a-'l"\. ~ ~r M :w>;...~~ en ~ I imQg 3~ nemalk$

~~t ~ij)j;rr;;Q~ , ?r~sc::t f. r,'I.1 '3'ffi1 ~Ol"ii (''1llt.wu <Ii tiR!'\3' f,;;o;jqlt~~ FiT~ ?'m;rn a:mffi" (ffi -;:rr;:r fb'tJ{l AnnuO!/

Name of olarlc:, sub N;:me :lnd dat:llJ~ of Vclue ;;tciq U"QT~ ? fit :r, I l:'lccm~ ~rom

olvl~lon, j"h.:k ond I"'";>arty. Hc:.;sJnc If riot Ie: own n;l;:r.e, !t.at~ in How ,)~Ulrcc .7 Wh~th~r cy pu:m2!e, ItioS!!, nlor"<.t:lg~.the popc:.rty.

ViIlili:G In which the I:md,. 'Ct oUI!~r, Vlhc5~ r.o:rr.e hck! ~ hIs/her !r.h::!rit.m:c, g!tt or olhcl\Y!~C with dlte of "!cQuJ~!:~~n OI!'1d,

property Is ~ltu;:;tcd. buUdlne~ rc:..tlonshio:o Gov<, SCl'V:lnl I nunc wIth d!:talfs of pet'!C:lS from whom Olcoulttd I1. I 2. I 3. I ,. I 5. I 6. I .. i, ,

)

E: - __

-- ..----

, - 2.CJ/7 2016: (

------_.:b'R. SHO'F>HN A

f :.:,: : .J:~ 1M": i2 \ I

~ ;, [.....

1/ - 1-2.011

<' ,bOO-:OO(C,P.) / i17gl.j =-00

. l:iIY.l; ot D!;~f.C:, ::.>.,;'; ii::n:::? :>11': ... ..:: ...r~

~ \,F; '!:1~ :fi: ::i~

::iB; ~·;·~:~,r \t"

Toll.:..

Se.nio'1 Su-<W\ti6t-- ------------

'JFi 3it( ;;-:;-~- ...! ..;:

w:lf.:;;· :::::- < •...::~

;J:C;;l;:tI,I..;r,c~ 'i.,

).: "i;IC:;

.:; :

-~j-:", ·~-"::;{;:.:Ji ~~'~~<T'"' :j ~·jr:rj ~..c:; 'J-:-: ;z;r'1 ~;. -;-r:; :i:.:"~li 'l~

\-1. l-----. - --- ._. -- --

;. ~!i i

·..•'-:'"

i:::.j'f;'; : :l,,:;jf ~:; :~ ~~ f;\J ;::j;-.; :--iif,:;::~ t:.:! l..:."th..t: f.P:;;I~ ; •. ~~·1 :.r: s.:.;,~ ~~\,) '5 :.ii~:.i i.;~ ;; );:~.{ ;;:;',:,'-':0 .~:: ,·:;iJ:-·i ;::':'1 ....;~1i". 'ii;l,l_ l..:-.::" ,:.II!.;i ,,/";-5 ' '. ~11 'i':j~" ;~J ;::

:;i~n.~"C..:;J 3i:-':~) --.:tlltf ·;.~I rr(~~; i.!~ <:T 3-:~"f{m l.;'"·Pi{! :;;!~:7 Z\i$;;:;: {~.- :i~...:rr "":rjii.,T·-~':: (;";--:"',~~I ~~''::-~~ -\ 'll:' UC:i~':i ;;;:'7"; 1'::,': -ij·;; i;;' ....i( I. ,:~.!;< TIP:'E~,' - ;i :r.--:Y T"-~- C;,'

;': 71; :.h~:- dt:5 ~i ~ i :;:tTi'! ~,:::mf;:;:~; ii:UT ::'~1 ("

.. ··k;:,,; . ?"~ ::::l':HJt:::,: 'e(m ; ~..:.,:l,;;icJ ":,)::'. ~,•.;,;..: J:._ ~ .. .;:"":" :~.!.! "'t t,:'Jl!f ~ .. ~r.;: uf ::'IJ~;.j j c:~."· h· .,~ t,;:h C~ ,,',: It!:j <;.1 tf',! "':':'".::

11~P_:t'l-·"T'..,n: l:: It:.~ ~;:"'.:e: ;:..\:; '.:-,C;;.l,;:;':., :It t··,~ ~n:,;~,;.:.t "."" " "'~J: ;:'-'-:,1"; prt,tt; :..(~ ;: .,: 1:; I;''';', JO·_" v;.~~t·I·· .·,~eJ. JC~"::f<;" ( , lr;l~:: :'-~ :.: cr f"\~. ',':; I..

,.:~ , .... 1" rJm~ crlnlt",';> '-..1.:.c::f .. ,I :'.;:' t .. ,'f.ci ::... :~.l: ,,:, rol:·...: 1i:;!.::l·!':!i ;:'~,(:, -of,f p,,'s:-n. "!'t:~ ~~

t-~~~5lbn}Wr~

..... r ""..., I 2. I G =.... ",,",' ,f 2 () I L: • .... .....,...O,<:iiiO l ~~.. ~. I ... , ,,__-=-=-,-~<'=-r==~~<::-~~(~"~"';~;pl:-~,"'::l'i:"":''C'lC!~Ci:il~:;';'I.'1J

.: ........ F=/.',::r;- .~.L: .",.,.,.~,'".:: =;:; ';~'::";:"','" l:.r.l' Tl-!= "CA', I .::.c: 0'.,' r-------_',...,_~_n·-'r.I\-.·.v.. -· .__ ., ......... __ . _,_

\ •

1).... MONIkA

~~~: i

",,=?~,~es~e~n~:F~O~S:t~he~.:~C~·~=::::;;~S~'C.;=N;=;T;::O;::;::J<:=;~~S;·C~I~.==N;T;:;I.;~;;/~.::;;;;;;;:::;;;;;;;::;::;;:;;:;;;;;;;;:;;:::;;! :""?=-=.,.,-~ ..==,,-.,.--;;-==_I~. ;," _r~. I '::!~'C':'I~ 3m.m~! '::;,,1:/', :::jt ... ~:-c 3:c-oi~ a; ·W. :r{ I W4iffi au 3ct:¥i. c:i :rf. 1~, ~'(,I<J 'I::'. ~:;: t.i <~".' ":1-'.1"-,1 ~ 3"'!.-..;lc-C:ih

~ 3itt :riCJ (ffi~ !~ 3iii~ \.(C"";jJ I 'i!" I:t:>"i ~ m~ fur ;?:,~~ ~~'r Ii!r:O. :a'u~..:~~. J'I~!.l, :nm~~....~ ~ m'1$ ,'1 qrr'ijc:>!!Ci !'tcnlirb~~1: I :mft:c=;;rr;;~~ . F;~~::: [. ~m ~~ ""l.{t.!i1 iN Inl'U~ 1":;~R5i .;1I<.1:C":I" ~ iiT ~ ~:m ::::"';Cf(, q:; ':'fp r:'"::h~ I ':"Mud

1 'I I···· .. ....!- IName of O!Hric:, $;,:b I N:rr.t?:lr,j::ot,J.l~cf -...ell!; ~Q"i!"f:1Tr:? m o,,, I ! ;:I,cm~!rCnl

Divl~o:-.. T... I:.:~ ar,~: "ro;.c:ty. H(;~alnc I jlf •.0: l~ .::wo: r;Z:TOE. sa;:e :n ! How .1c::;Ulrco.f \'J!";.:ltl;~r hy purd'l2.!e, !::.;,~(!'. f':Y.':-..g:::::, J

ViT:i!\;li ir: whl,b th': !I:!nc~ -tt ot~~r. I: whes'? r,=~.: hcJ1 l:. hIS/her I !:1r.cr;:",,,:~, t:!:: C~ c~hc:r,vl.ll- .....ith dH= ~: :::Quj~!~::n <Inc;property Is dtu:.tco. I bcl!c1i1es. I rl!!liio!'l5~lj!i to GbVi. 5cl"v:mt. ! nunc w1:h d~talls cf p~nc:1S from whom ~::olJ1re:;l I

1. ~. E. ; .

)

....~. -- .,.. ,,-,,--';mq' t~:;1~ ...,Id'.('i'1 '5~; ~ <- i$T ';00\ .., G']i(i ~ ~1 tj ~ ': 'i.P; =tR '3tn~.t!fl;co::ti":.=m; I

In C:JS~ wrn:rc It Is n:); po:dtlc Ie '::S;i!:~ L~~ n:>l:: .:~;.::,;t:lf me ;)ppr,,..:~:t~li·~!U~ 1:\ rl?li!t:on ::1 pr~sCn! cor.tla~or,; m;y bi:' indlcilteC.,. J:~~?:: ~,,: l,.'(~~ ~ ~~ tTofl.ir, ~ Iln::!udcs shC'lle:- :~.Sil dse. .

n,.... J~. : :j-nm Cf:r \fG1 ~ ra M'4 ibiQ;;oI~ i-~ ~r;""'\J~~:i. ~;.'l z:; ;:','-'1 le{l) ~ 2J.<:; ~;'j 9~ ~.(::o ~ '~1 m:' ;j-.7. ;:;f;(:Y) c3 Oij '"r;lS >;"~Q ~"[:;i Y~;l 3\-:T<!t.,. .,..,\.--..\.-.- -, • .... '-'- ~_.• :-~'" ~~' ~ ",", ~ ~ • :.... --r." .

~; f> 3l'i'{~~;>\l )((","'Glijtf'$~~ \j,;:5i? :.Jl'H.. ,,',.;. ~ct.Jt... l:; .;';1;:')( "t:::::«, <n:c=:m "'::",,,", C "':'.., IRJi2lQ!3~ t::c-' (;~I~Q':~ J::7 .:.. .:.?. ':~'C.l!om!fJ:l~ ~ G

ffi 'iTt :~ iIT3 t1'iv1 ~01-a";jmr a ~Q{Oj Rw ; ~1 t !

'-let: - ;,e :'e';~:Cl'~itn ;,::.:-" " rCQu!red Ie be il;(e: <- .:i : ~b"':lltrcc b~ el'c') ,T•.;mber oi elm·; ar.d c'as!·11 se,"\"!.:(' t:nc!er Rule l81!') of the (·:,-;:ra! Ci\11 S~,,,\';=~~ (CCI\~ucr) Rui!!-s 195.; ell t~,f; fir~:

i. ~~::: "~" ( :.e l~,[, !C"\I:,t ;:I'l-;' tnt:re"ftcr ~t th~ l:l~~' ;;: of c.·c.f\i \..: •. C,····:; :::ir.'':::!!U~ of ~~: i..... -:" ..l~:C ~-O~:l"; C·.,.f1fc!. u:julre.d or ir,i'leoOf ~c '::'! 1':. T ':.J~ '",'I.:i t· ~.I.-r, cr, ~ ..:c ~ ... ,";'to"b":" e:tt':c':r ~ ~ _......tCr?n~'mcr,:tcr.H- - ~- -;'-1,1 ,..( ~-" ,:,ic;'·w", ...er;.l~·~::'-.

SCIEN"T\ST

'l C SIR- NIS(AIR,. ':r-------..:::===========~}

]

'- ' en c'; (

,-_S_'_A_'_H_"'_E_l'_T_C_F_l~_l_!>_,O_\_'A_"_L_S_?_R_C_?_<P_,-_'Y_F_O_?_,-_~_.E_I_'E_A_"~(~2.=-:O:;\:b=-;:~_.J) AS O!/ ( '3 \.\'2.. '2.0\' )

ctd",l.,~ t ,.Io::r i~r-. .,"oTJIILP.,y- '<; .. :>~"'-

Pre::E:tt Pa;1 t

?!eseo~ Fost heid:

3lfoa;r.o ~ ';j'f.'{ ;

Na:;)e ef the cHlc~r.

i3l'ii. ~ _TI;!J'I$,' ";.It!I~: 3m.:U~1 "C;" •.!r. ·~~3=:q-.-1~-na:j... :... tf<I·~::q!'ffii5a ~:-?(f#.l:rf/c;q~'~IGJ::S'~~~':~"'l ~:-"";'

~:xR: ~ i5r~ 'Ifr:m~ '.!"'C;:;T! ~:':'" : :-~ ~ ii~ ft5 riL~~ ~ ~ ~ci" ~R1:;UP..C""" .; ....:-.1., ~Z;c.! ~ ~....V";? ~ cr...~ I Qd?i~ ~

IEtU '("i ....fm'l: ~lS:"~~c:8: ' Fr~-::·.: I r. a~r ~~ C.'501:.t!'l.l iR" ~1.::~Iet. ~::r iii" 7j$~;n ~;<:a 5";fR l~'m~ Aflr.~l';N3me at OIHriC~. Sub N:mC1 "f1d ::c:;iIs of V~lue ~tn..·qTt? ffi~ l l:1Ccm~ frem,D~vl~,,:l.. T::h.:k Clod ptO;>'lrty, Hc:;s!n~ Ilf not In own r.zme, st<;i:c in How i1c~ulrc::i .7 Whether t:y purc:ha.se, lc.o.sc, mcrt.c~g!, ~h: p:opc:rty.

IViIlaL;s 10 whiCh the l~ilds .l:! O:~l~:. wiles;:! r..,me held &. hIs/her lnhcrj~:;':'l:e, t!!t or ctherwls(' with due of uqulsl:bn .mdpropt'!rt'( 1$ ~ltu':;'ed. bL:tfd1aes rC:2'lons~l!!> to £:ovt. SCfV:lnt. r"m~ Wllh ~~tlils of perse:l! from whorn ,J:::julred

1. ~, ::i. I 4.: 5. I s. 7,

:!n1rcr;R) 1P "'I[,"'{ ;

~]m>3 of the cHlcor:

fu;,ic;; [i M~ 2.o i1J "ft "q [,-_2_0_1_b_'_r==!..1_Cp-=-'-..:fh-=-(':::.(!-=31<!:..."'~fl.,;qiffi <ii11<:<Rq

STAYEMEW O~IMMO\!ASLEPROPERTY FORTHE YEAil[ 201 b. J AS O~I r"',3--j,.-pe..c--c..--.y.O I b

~M-=.s::::;::::-:~::--O_'Y\__~_\l_:'~"N._'--;~~==========~~;:::~:=~:::...~:..:::.:.-.y_...::r==Bo=~),_I_c:.._2_S3_0_o_G_G1_f'_~lstl)~l 'I:jJ 'l1ll Po,,,,'131fuq;ffi mtftRl (: l<Rf<n;r qa- :

Present Po't held'

~:alf' ..rrr;.;;~ 'l'. m lffiGTi::m:JfIt!' lln;lpp ..C;)Cr.. ~usa b_ *"1,; ..... out,'st~ lrr-Q c:rr,r€R's _'ii~"1 ~tTJ;uft ~ at <::ti'l", ft<Ifu'frj~f rt _'1~"I~ ~ ~f-::mr<Dm~ IIn c,)~O! \\'hc"c It is no;: po:,;slc!o t~ ~im the 'i;)!U~ ~ecu(3tch' [,i'lc i1p;::cxlm::t~ly 1,':':;I.~ I,.. r~13t;on ~o prG~cnt cor.d;t~c~- mJy CQ Jnd~ciltt!C., .. JI."G!;'l'I~'" l4,,~ \«(\'fI i';";' Uir"'1~llncJ...c:cs shott teem :i;l;JSil :.bo.

~1 : "Q'Rnrr q:f 'iViT~ 9ir Cfil~ ft;fcm~ l_"',U'cro ~<.o'U~lif.tSS-l a~ tS{l) in 3IliM~ it 5lzr;{ l"';:;~ t;t tori-I &T~' :: [af.(3ij t:"'ii ;nf (a)liS~~~~~

:IlW~~-S sf"~~~ w.oiJ~ 'i5:3fcimTtR "":mJ f:;ld~ ~rn ..;:;; CR ~"3tf.nGfuR ijj~ ~t?~r-1 tf{ 3~'Gr 3Rl reil ~~;;;mG'"i~, J'f-rol"trm"it mt?f. q?(t~l'il:r.= <IQi5~ 31"01 ;i1;f1\;"lr.m.rfall1Rf.'i INote : Th~ dedu3tictl fcrm t:. rer,ulred ~c =~ t.l:ei\lr::i ~;lc;r.itt!!~ by ev~ry mi!'mter of Clls.. ·1 ar.d c1::m·n service t:tld~r R::!e lE(:t) eJ th~ Ce'itrJI eMI Servia: (CGn~u::t} Ru:e! 196J on .h~ fiiStappoIntment to lne servIce iJ01 l~ar.c,}f:cr 3t th~ loterl..1cf e~cryYC3r CjV~ne putlcu];)rS of aU IIT'rr.cvabl~ propcrt'l owned, acquIred Of Inh:=rited by him cr hal'; by h!m on lCll~~ (lr mcrt'ZiJge either

tn h!' ol'/n n.m, or In the ",m, ol.ny m'mbers of l:lsl,mi:y,,!n th, n"nc oi .ny atnor pel'on. ~ L.: \ -:' O\t-

~:~~~ature~~ ..

.r-lffi. <;ll ~. 1l1lfffi. 3I1Oml<l!'<;<l11R aR 'Wiffif 3Itr",~ qj;;r::r q{ ~~air ~1,JH"1 itl1ij 1 {f4I'U&rlff.~ tReITiJ9u. ,PIlon! I "~'F""'" !lfTRF 3iR ~i'l' <liT -.R 'Wt 31tt ;;;-..; ..,-c.ii I 'f!"I ~r~ n1 zmri f3W~~jrl~~ cir;;:i, ~~. 3Q1!R 3~ mr€:' ~ ';,im ~ ffi ~ I arflR; ~~ Remar\Q: I~1~"t 3lTR~;u;:i 'a'~ Pr~~cr.:: "it aztr:nrn~:Ri (",itaU <N a;fR! Gdij~ 3lfmf-R ";'f \'IT '1f em ::rtf e:tRr" :;:r ~r:T h.'il~ 'Mu,1 I ,Ni1rr.e of OI~thC;. St;~ N3mt: ;nd dct..l;s c' v.:.:~~ mi::IrfO%? Mr"~ I !11(Orr.i:l from

IOivl:lon, T.1luk and propcrt~. Hcl,;"~~;! it r,ot In cw" n;;arni!, m.te !:"l H~:,oI a:q,drco i \,Vhi:lthcr tl p:.:rth:ase. 1i!~C. mcrtzJ~~tthe pro!=,~rty.

ViIluLu In whkh th, I-Jr.::!.s ~ other, whcse n..;r.l! hcid " h~sllm ::'oi".::Iri~~;;ce, t!ft 0( otherwise wj~h d.J~ of zcc;lll)l~eo ::l.!lCproparty ~ :sltu:tcd, b:Jl:dj:1e~ i re.~t:cn5h:o to Go·..t. SCN::l./H. nJmc wi:h d~tal1s of ~ersens from whom ::::i:1\l:red.

1. 2. ~. I ,. S. 6. 7. II I 'N I L I

I

NT:L NIl.,..! N I L NIL NILI II , I. .

" " 'M , . ,... '.

~~

FO~I'::

311'01t;rt\ on '11'1" :

Nama- of the officer:

j~ro l c5TCiJ[ ) ?i;iFm3R!M't1q~05ifClq't"1

r-_ST_A_T_H_>'!E_r'_'T_O_F_IM_~_10_~_'A_5_LE_P_R_O_?O_'?_"'_'F_O_R_T_H_E_VE_A_fi~[--=-2-_0~t~b~=-_~) AS ON ('-3:---'-'--,(-2-----;/:---'6--;-')( ~iRR I[ / )l D-r' Fr'.,c/OOU5 I)Hmeo (Y)I/L. PresentPev S6oo- 3'1(,0l) -t b~~O

[ ]

'X/~ /f7-

Q~41., Q?::

'resen' Post held'

•~~ c:>r~~~\tQ:uti ~ qti' 4rlOi!.., fumfi1 ~r:T ~Rn~ :irt't'lit40fu>m"~ IIn c.. s(! where It Is not posslblo. to :lSSi!:~ the OlillJC ill:.CU(iitcly the <Ipproxlmntllly v.1h.l<! 11'1 n~latlon to pr~sent conditions may blJ IndlCiltcd.~.3~ q¢ If(lft rr¢ ~1 m1'l' C:llncludcs shon term Ic;;s~ d~o. .

fl:aroi\ ,m.urr 'nr 1Fl'iT O<U iii~ fuiIm~ (3!MI'J) ~,I!$4 if, f.:<;Jr IS(I) ~ Sll!R tm ii 9."'1 f..'liitQ tR' iroII·1 mrr~. lJ {a-zf(3l) t';' Q7f (il))~ llC'l15~~lR<i'f lWlI~ t ~~~~~ Uti tn sf"crm;r tR 'RT :ii1l2~ :RJ$ o:ml tR 3l"Z1Q!~ qftQR '5:ift5:ffi~~;;rr;:r tff:Jl"ZQr 31'"1~~ 5:orm tR Jlf:..:fd. ~r;.HlrQ'ifRii m:rr. q¢ ~r\1 'It= litffi~ Jr<m ;i1lfffi Ql' imol furr l\llT!"I INote: The declaration form l~ rcqUifed to be f:;[ed ilntl submlttcd by evcry member of Closs·l and c!ass·1l servIce undcr Rule J81l) of the Central Ci,,11 Servlce:; (ConooCtJ Rules 1964 on the firstappoIntment to the seNlce and tNH~:lftcr at lhi: Jntel'\'al of ellery rear c1v:ng partlc:lJ2fs of all immovable property owned. acquired or InherIted by him or hold by hIm on lea~a or mortg:lce eJtherIn his own nam~ or In lhe name of any mcmbers of his f~mlly cr In the nzmc- of anv o:her ptrson. ~

~aRfS!gnature ~~!Date

, .

h'iR'I1, "" ~, ~",I. 3iiai\1r'4 ·CH-':lll ... ",:m:rn 3!~~ ~ <!!"" <R I':""lrm:5<r 3iffi itt 'J\i ? "'" .:'<J<:J ~. ~ tR t.l ~", I "''''Icn~ 3:'qt.-om~ siR~ qsj ;;;r.r 'lfli 3IR~ ~o.ii 'i"" ~ !t ru <rnmW~ 'Wi ~'t iftrc:>.~.:mR:mrcrr fuRfr ~ mr.":;i en <il I ~ 3!T<1 Remarks

-.r;if "l"lfffi t< :mftQjf;uti ~ e:ft:u ?r~s{!:lt r. 'a,U 3m1 ~-t C'),hl!:Q i:i nl'U'Cl f:''(lei~ if ffi 'f$ ?'m;ffi~ iii?,T;:y f1'<l~ Anr.uo:lName of Dlmlct, ,Sub N::ImC! 3nd d~t;llIs of V~lue ~n(,"'QTt? l'it~ I l:lccrn\! fronlDivl:lon, T21uk and proporty, Houslne It r;ot In cwn name, StB,C In How aCC;ulrco.7 VJh:l:tt,l.!r by pu;cill~e. '~il.!, mo:....g:::ge, the propcfty.

IViIli!&;Q In whl~h ,n, 1:lilds '" olher. whose r...me hell:! &. !'lIs/her !nh~rltilnce, f!~ or other\l,I[sc with dare of i1CQufs!:!::m iJndpropc!I'T;y is sltu..tcd. bu.1!dlngs re:iltlonshlD to GoV!. 5~M1nt. nlm02wlth details of persons from WhOM <leQulre:!.

1. 2. 3. ,. 5. 6. 7.

7A.J. ''It(?eret HCI'ft.'Cu!f;c-. \'5" 1 NfJr rU'YcA~4-- (j-Io Is "-ctk'lA,; J,K .~ (>(tfY"- I w",(A-(M< I

't~·'" !;m ~fO'11.~ it. 3'fl ~ro:n ~ Ilni1PPUc:lblc d<lu~e be }tuchout. .

c.~ I R-(

l

2..016-

.S!..E P?~:i?E~i"J FO~ T!-:E :::. ....:..: (\

- ,..~ .. It:

~(. I\.!K·

'~~ ,:r -.,'k;~~~ t1ii '*~mr=r I",,:,K. ti,;",[ ~ 3!lthfkn ·(r.:..: ~F('t.I~"F.i"I!>m::m! I

.fl.c:.-:~C w~~rc I~:$ nc~; p~::l!it: to ~!:~.~ th;; ;r<!:'l~ ~t':';:uldv trIa ~pprc::;m;:tt!I',· v::;!:"';; J~ r::liltion to prE;,Cllt c!:rottilClns :Ii;':' b~ ind;c~lec.• ::Kii~ ~ '-""("HI ii"" ~7'I!>:?\"t:llr.::lucCi~ ~h::;rt ~crm l".. !·~ dso.

~ 'l;:l .... 'ffi f- 3iii"t:Cf.:'t:'Jti~ 'lw.:

I:Ir~~:;[ ?'J :::mt 'to 'I.e=! c" ~~

, tll !\.:. 1,;;"tC".II ~:':Cl;,\ ';q m 'i"$"?m" 3"'ti" e.tic;,i1 F.r~ ..:J'tlT: Ant'!l.!d

i~~me of OlitrlC~i .Sl'b f'I:~m~ i'n: :ie-t=l!!. of V~lue ~tlU'QTt? ffi~ I 1:1c.cm~ :ro:,,,

D'y1::oO, 7.le' u.d Ip'o;>ony. Ho:,;s!n:;. If ;jot I.. own n~:-;",E:, ~iZ;~ !n How ac::;ulrco .1 \.·Jh~e·,c; 'C'f pu..=.'tc.~e, lus'l', n1C;'"--t~~f,the ;:op:":;>/. I ,

Vii:~::Q in whIch ll:c ;:::"lC~ -e: ol~L!:r. I I\;!lc.:c r.z~c ht.k ~ hl~/h~r lnhr;ri~"l:e, t!ft cr othcr'l."lzc with C:;af! of :cC!u!s!'::m ilnd IIpropertY I~ d':u.:.:cd. tn:.lIt!lnG~ I rC:itlo!'lsh!r) tc Govt. SCl'V:!'nt. ncmc w!th de:.tti:s of pe~::;;1S from whom Jcoclla:l I1. 2. i 3. I " I " I 6, I " i

~~B.r.j Plot-' I!.b ! N.j It ~'""'.0.'::~ I I I N; I

It-J; I

;~h. - L.- L...~loli· i:;j ''':'::::~~T ~-.:-:5 ~~~ ~1;1,: I inZl~~U::.bl:: c.:.u:e b~ H:.;d~cut - -

fL",,~,7I : dNarr ~ ~~ O'm~~fuJ"'C:~1 ~ (:>In!--.",]) j;.,l.:P,1;.!(':~,1~4 ~~ ;:',1.0'"1 tC(1) 5 Sl'L'S1 tRl-;1 pe-=r j;,~;;n ~ i,;ofi·l Ci'iT bIT·;r l~(~ i!O' Ci7i (Z:)}t~Q ~,c.f'~ tRT Si~" QVJ_... ,->- .. , - .. . -' - ~-"' "'-"-"". -=- ---"" .

~'f, @\ t>"lP 4::t"iC! ru >!C"-;Q7~ m;,y,t"l\.;M:R ...:.;r:;;;:m .:l'i'fr: Jt'iO::;r:jt:\ .,)".:..:~j .:t1Q') "'il{Q!'(.:nTZiU l;'\.;.,"'l E;::rr;; ~~<;miT3~ 1~'l::1 ~ft"ff C?;:;;;r.l tJ\ ':11~\I • .:c;.~'lloaR'lf nL:i.~ qffi ~:m:Ki c;'ElB~ "Ii:!:-: ~I?r c;:- ~~,~. iUrr 'ij'lIT illI~:t= : ib~ :;!!d~r2.:lcn form I:; r(:Qu/rt.:i tl; toe 1mG.c o::d ~~lbrrJl:::C: by C"crl mamber oi CJu;s~1 and c!:,!:·t! s:e"\'lc~ !Jn~u p.ur~ ::E(:. of th; C~r.~ral Ci~·n S::(\'l~~ (Concii,l~t) :;ui~s :::.9f< (in th~ fj~.;~

• ;!~:::::jr.!ml!:n~ to the sc..vlcc t:'".t tkr_~~f;c.~ 2.t ~h", Intel'\C.! of c'·i. ..... vc. .. r C\l;f'~ P::r.1c",!c:r:; of 2[1 iJ'n."iIO' i.!o:" ;>I'O~:t'J o...·!H!'G. ,c::uj;~c' or '"hefted~'i-:l.~ 01' held by ~ In-: en lez;~" or mort&:.c~ eJ:h:;::11', /",:~ c:wn ~~mf or In \h:: :iemt of <!")" -;'I(!:':l~~r! 0, hi! i:.rr.l!,;, c: l~ t!'1~ n"J~~ 0; ,n~ o,hli.' pH!On.

'-'

.--~

311i'lllirtl Qj1 "'Irq;

N<iOlv or the oHlcor:

],,'1 rcIi J ,,iT"Q<! L _---. STATliMENT OF IMMOVABLE PIIOPERTY FO~ THE YEAR l

lPresent Pav

-~,I,

j' ,

f3iI'lfitoar;fh:rnarKs I

I I

I

___.1

'{J.t;!nf ~r

'(i!Iifij-j :W':(

'\lIflualIrKOIll~ fromthe prop~rl'l,

crcmH rrc;Present Po,t held:

t"m'fi, ,rd m<lr58, WlI"l<!. 31Iilm)~f.ir" I<rti: ,rqfffi :>''1'1 ',a,;a; 'TIl1 "-, ~Iqlm ~;a 3lnmTih-p <l'lI' "fiti 'If{ 'l~ 'lH1T TI~".rIIITjlii3rt"{;'IR afI;n-;r Wl[ 3n-< 3R1 '".ro~l ~~1 1ET Fmi'?\i~ fuifum~)';"ff':{ ...·1 tioai, :ffif~fOqlR. 3Q1n~ 3i?1m fi'mrr ~ v.h: \~ i..r. 7f~ I~1 ~lQfuf lt 3l1~ mr;'j"J11 c '~{r P(~~cnt ~ ?'~r :nr<' '{R""cl:t'1 e,,.,,hrrtltfif TIRt"e: F.."l'(liJft 3lRmiR rt rtf 7r$ o~l 3"f1 «.:Inm {f;J ~m f-iRrilName of DIWlc:, Sub Nilme und d~tuil~ cf Val\H~ ·,ff(io <f.:::n t? MhrJ I

Oivl~ion, TaJuk elld propull'l. Houslne It n"t In own name, ~late in llow Jcqul(\:o ? WhethN b',' purchase, k:ll~(,. 1l10Iteaj,;e,VlIlilC(! In which the IJnd$ ~ oIlier, v:llv~c l1 ..m~ held & h:sjlw !nhari{:.ncc, gift or othe"",lsc with d2te of :'::Qul~1tlorl andpropQ(\'( Is situ;:tcd. bulldlntls j reliitlom~\lj} to 1301.'1. ';Crv,)lli. narn.:: "11th dcl<:;ils of pets"n~ from whom i:Cnuu~~.

N€ .... '!)H.HI ~"*~.s!' lei l'\~ik "'~/\'------l~to\o,<I-(j"'cle ...tt. ,;~r.~"A.-(~Qn f~'r1D~.:z:F:: 1,...1. A~Q-<\1:I~l~ C4;f~) ~u.ve"o,.ut .......: "", :Jy.~.n .. I<~v :L--:::. -'l-=,"",,;-'~~':' o~\,;, !. <4. l}., s......~~u.~I~' ! 111 ,-I _-'II ~tr f!fll ':fIJ,I A6, :r~! ,,'ire~ "rh!,1 ,lnilP,pUc,Jl::lc ~IDUSC ,br: ~1Uck. o.~(.... ...,." A-... O"i\"f\,oLuJ-r I \l)'\<.C'i Q~..tJ f N t,..c... 0,,1)....,'':lIN 1I!'1 air "(ruo~r ,{f'fa':nfJ -; cn.u <:c1liR'Rmf'rl :;5'<rJ\f :r :,iiojiW-::fn- ,!!,"?:l3rr::er'!.:!H !uiQl::rm I

11'1 (;:ISol \\h~rc It 15 not possible to i1S~(l~~ th~ ·,al\J11 i1ccuflllcly tl,..: i1Pp:oxlm.)[d~ '.'.111....: In I.:lJ~iQn 10 prGsCIl: condltlor.s m;;y lJ~ Indlcll:~{!.

,. ;)l~tli:tii\'''' q-¢ liOf!I/; \~ tllf!:71 ~l Incluc!(lS short tum IC;J~ol Oilso.

fulljUj'r ; uiqurr <r:f '1Vi11l'IT 9<'! ~<1 firfuol ~Qr (~ f.r<m1m'f1.1 "0" I:: r.1<::1 IS(1) '" JI<1R <l~ ii 9~'Tl Ri'gt'a'o ~ ~·I om ~:. II (iflip!) c-J ;rlf (ij)!~i ~ci:Q if~~ o,{l )i'~iI ,'WII

3lT<f'.Jlf6·~ 3~~~m?f "f~1 ~~j (Iq in :>hwm Q1" "~I :;TIl! fmf.:i J(rd'i :-i~11 Q\ 3rz::if :Hr;ij qft':H lli R:~i't ~fCttl m- ;1;;; If{ :'Jl~rf:T ::R1 R~l V"JRnr in:=:jfT1 en: 3rn.'lf. mmftm-H 1{ mt:<r, 4(C q{

ffi m; = JQiJi 'Ut!:'\ 3fill'T ,jqf<'i! ~;I fi!a<ur f<:lll "<07 ~l I(lote : Tnc declaration fcrm I; required to tc W:cd ar:d $ubmlacd by (:"'~fY Il1C:f1~~1 oi (!.Hi-! ar.d clem·1! servke: IJnt:cr RU,le 18(1) of tt:( C('r.trUl t]vll ~tl/vlce~ (COlli1u.:tJ Rule) 196~ all the k~t

~ppolnlmt!nt (0 the ~~rvlce und thc.rC;Jilcr ,)1 the Inlcr~JI of ClJluy '(~l( gh·lr\[l panlcuLHs of ;;111!T1r11ovable pI uilt.::l'( owneJ. acq'Jirc:d O( InherlleJ hI' him or h~ld ty him ell l':il~C cr (ncftgaee eilt~cr

il) n/5 own Mme or In the Ilame of any member:. of his f"!Il11y Ct In th~ nilmt: 01 ;::~~'{ ~:~t:r pc:(~OI'l,

t~&R!5!gnuturc

~/D;:tc