Statement of immovable property for the year I. Name of Officer … Property Return.pdf ·...

Statement of immovable property for the year

ANNUAL IMMOV AVBLE PROPERTY RETURN

I. Name of Officer (in full) and service towhich the officer belongs

2, Present Postheld3. Present Pay

"Name-ofbistrrct.--·-·-···~---·····Sub-Division,Taluk and village inlwhich property is situated

1--·--·-····__·r

--'r"'--' -• PresentValue

How acquiredpurchases, leasev", mortgageinheritance, gift, or otherwise,with date of acquisition and

, name with details of person/! persons fromwhom acquired

Name and details ofproperty

~_b"••

Housing r.:8.ndsand otherb~R~j_ll_g~

I~ IV/L.

&-4..0>/ 70

~()~j...e.(_~,t..NOIOA

- .L__":"__

CtLuJ-e~ ~N~

NOIDA

Ifnot in ownname state inwhose nameheld and his/herrelationship tothe GovernmentServ~ -+-__ .__.._ _ _ __._.__ _.__ -;__ _

p~ ~L(f'o4

M",. fJ~0.5('.)L, Nc{(J4

.__1__ :__.~.Signature .

13'03>12,-01'Datc _ .Inapplicable clause to be struck out.

• In case where it ISnot possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also. .• Tbe wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted byevery member of Class I and Class 1I(Group' A' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),.011 the firstappointment to the service and thereafter at the interval of every twelve months. giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.


I. Name of Officer (in full) and service towhich the officer belongs.Pr~sentPostheldPresent Pay

2.3.

)..Nal11~-·ofbistrict,.. -.Sub-Division,Taluk and village inwhich property is situated


ANNUAL IMMQV AVIlLE PROPI;RTY RETURN

~ \ • t 2.... "La \9

:~ OJ IJf#)tiI J.)",~:. .J'6_~(So __. _

--.--_.-·-r'reSenl----jlf i)-;;tiil own I·low-~qujred··~~;II~th~;:by----Value I name state in purchases, lcase**. mortgage

I whose name inheritance, gift, or otherwise.i held and his/her with date ofacquisition andI relationship to name with details of person/. the Government persons fromwhom acquired

._.. _.... ~ Se~ant_. __ .__;---

/\ 1H1U ,1 Ii l1eOI11'.· fn)111

the pn'i)clt:

\0.._-._.._..__.-...._---.- I _. ~" __"_i ~iousing I Landsi I and other

/' l?a:I:<'~ ,~!n'

Inapplicable clause to be struck out.e In case where it-is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also ..• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is requ ired to be filled in and submitted by every member of Class I and Class II (Group' A' and Group .B".Iservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(00w Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval or every twelve months, giving particulars of all immovable property owned. acquit edor inherited by him or held by him on lease 01' mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.

_ .._._ ..__-------

•N~

__ __J'-'--__ ._.•.............._ _. __ . . L.

Signature ..

Date._. _" . iLl.~.!3..:Y.>I.9. ..

I

ISi~,.t"re J $;'Date /. ~ 9..~ .-.J. 7 .

ANNUALIMMOV AVDLEPRO!$Rl'¥ RETURN

Statement of immovable property for the year ; t , t 1. .. ~~9

__bY· l1~c>\__i~i,~~:_>:<s(jp'

; _ fit ~-<:::2.~.E_~-F~ >~..~_: .__ ~t._t ..z~o __. _

1. Name of Officer (in full) and service towhich the officer belongs

2. ,Pt9SentPostheld3. Present Pay

-"'"'f .. -present---~fil0t ill OWI1 How acquired wheth~;: by---' ...iAnnualValue name state in purchases, lease""", mortgage ' income from

whose name inheritance, gift, or otherwise. the prop('rl~

Jheld and his/her ,with date of acquisition andrelationship to I name with details of person/the Government I persons fromwhom acquiredr-----··--- . HO",ing I i:;;;;;j, .__--- /_s_e_rv_a_n_t ---t ..__ .

i and otherI;- .:~l~_f-r-fl----+---;;-.-.--- ~A- --------······-·--·--IJ-A-- --- - .....rfJ-A:

l_-------,..-

-Name of District. Name and details ofSub-Division, propertyTaluk and village inwhich property is situated

__ ..w....__ ._~" ..".....__"...""'_.. _

Inapplicable clause to be struck out• In case where it is not possible to assess the value accurately the appr()xima.te value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording .'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class lJ (Group 'A' and Group '[3')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

ANNUAL IMMOVAV.I,lItE PROPERTY RETURN

Statement of immovable property for the year 3. t, '''L ~ l...a '8

r·---·----·-----·..--····----!,-;-Iousing i Land·-s---+---·-_···············_·_-

~ ._---+-!~:~::~;--II II IJ,J. I N..J

1----- --.1.__'"----Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximare value in relation to present conditions may be indicated.• Includes short-term lease also.

• The wording 'No Change or No addition. opr as in I>r~viousy~ar· may be avoided and a.1Idetails tilled up.Note- The declaration form is required to be tilled in and submitted by every member of Class [and qass U (Group 'A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, J 964), on the firstappointment to the service and thereafter at the interval ofevery twelve months, giving particulars of all immovable property owned, acquiredor inheri4ed by him or held by him on lease or mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.

!. Name of Officer (in full) and service towhich the officer belongs .Present Post heldPresent Pay

2.3.

Name of District,Sub-Division,Taiuk and village inwhich property is situated

.... -Nam"C-anddetails ofproperty

___.$.wE=:m l<lJ,S.rrvJAYf.A

;=:&tt.'~~~. ._~_m _: -~.r.?t.9.!?'~ _. _

._-_.-·Presem- 'footin OWn How acquirel,~T;eti;e;:bY-··-··:T-A~~;lllal -"'!-R-t~l;;ark~Value name state ill purchases, lease**, mortgage i income from

whose name inheritance, gift, or otherwise, i the propertyheld and his/her with date of'acquisition and :rel~tionshipto name with details of person!the Government 'persons fromwhom acquiredSCry_~l.!.!_ ~ __ ._ __ _. . ..

IL,

---1--_._ __..-1------ ------_ _.__ .-..__ +.I

I.....1__ · ....................I~_~Signature __....... '" . ~ _

Datc r~.~.~J.J"" .

!.


ANNUAL IMMOVAWL)!; PROPERTY ru~TURN

)1· 11.... ~l9

2.J.

Name of Officer (in full) and service towhich the officer belongsPresent PostheldPresent Pay

"Name-ofDistrict. ,..- ''''Sub-Division,Taluk and village inwhich property is situated

'~N-::-a-m'-e'-a-n-:-d-:d:-eta--:-:'ils-of=----'-"-'-'.-presenl---property Value

Cands

How acquired wheth~;: by---- '" T'A;~I~;'I--'-lR"IfHlIk"purchases, lease=>, mortgage ! income from iinheritance, gift, or otherwise, i the property Iwith date of acquisition and iI name with details of person/

I persons fromwhom acquired

If not in ownname state inwhose nameheld and his/herrelationship to

I the GovernmentServant -----+------------, , --,--Housing

and otherf- ----c--!-=-b~11L4i_r!g~__+-------_t_-----,-,-"...--+_----

Vah)<tt Lw)'l\}! 1 I

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No additiotl apr as in previous Y~I" may be avoided and all details filled up,Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955{now Rule 18(I) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredOf inherited by him or held QYhim on lease or mortgage, either in his own name or in the name ofany members of his tinnily or in the nameof any other person.

I s e.cl~Y

---_._',,",_,,-,------- _____ L ,, ",_, __ -'-'- __

fUYd"'(i)e_ w)) Ia..C<j_W re cJh

, c.dn\ J'eh t1h {)I\ d...........,L :_.fa1)})tl'\.t=" _

Signature ..~~

Date,,, .1,).:[3./ ~Q.[9",


ANNUAL IMMOV AVBLE PROPERTY ru:TURN

l , Name of Officer (in full) and service towhich the officer belongs

2. Present Post held3. Present Pay

-Name of District,Sub-Division,Taluk and village inwhich property is situated

; t • , l_ .. ~'8

....lJ.£-U..A___:[.OlJ::1J_ (g t I0" )u J.r:J.._-------- p:--AsS.Oed.. M ~.-.__._-...~.D£: .._-__ .__._1.76 5P 0 . _

• PresentValue

If i)ot itt ownname state inwhose nameheld and his/herrelationship tothe GovernmentServant

-.-Name and details ofproperty

1------·..··--------+-Housing I Iand·-s---t----........------t---and other

1-- ~-+....:b:..::uil4.i_l1.g~_+------_t_---..- .....--+-----~5' /~~'

~Jb')..- IPEl<f)~~

IN I'IHkos (?:.1>rN j)

Prl....O l<.-:JtrlHI

I How-a~qlljrc[~II~th~l:by'--' .I purchases, lease=", mortgage

I inheritance, gift, or otherwise,with date of acquisition andname with details of person!persons fromwhom acquired

T~/\ ';~';~~1-~'1'-., income from! the property

R('II1Hrk·<

.-----_."...~..-...----.-- .........

1

I'.-~~

'~!'!>I(·1....Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group 'IV)services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredOf inherited by him or.held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

---_1'-- -- _._'" --'-'--__ ,"."1 : . _Signature

Date .

") t , t 1_ .. "Lea '8.12., .8£/'<-(:1 A _!!I.§!!'!~oT,R_~;------;----r:- A e--..&:s..s...Q.Cd~ ~~ ~

: .~ ...L2_/1· . /2:t.£:c:.u_


ANNUAL IMMOVAV»LE PROPERTY RETURN

r--·----..···---··---~-r-:-Housingand other

I- --:---+_.::.;blli!di_~g~~+-----_+_---

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted byevery member of Class I and Class II (Group '.1\' and Group 'Enservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules. 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

!. Name of Officer (in full) and service towhich the officer belongsPresent Pest heldPresent Pay

2.3.

:~ I"Nam~·oTi5istrict. ..... "m '-NatTIe-and details of

I Sub-Division, propertyTaluk and village inwhich property is situated

. -..··--·----·--·1--··--··----;-;-:;-"Present Ilfnot in own How acquired whether byValue I name state in purchases, lease**, mortgage

I whose nan~e inheritance, gift, or otherwise.

I, .held and hl.S:'11cr with date of acquisition andrelationship to name with details of person/

I the Government persons fromwhom acquiredServant

....•.•__ .;-_ ..

Annual Rl'T!lB1l,

i11(,;0111('fnll1lthe pr(,!)(Tt)

I

I•..,., --.-------~ ~-, ;.~-;;

Signature; ~~;

Dale )f:>./ .../ 1

_. __ . •__ ..J...l... __

'} I, l l.... '2-<ll9

. 'Y---U-f ..Il_SI~._t-:!.A =: ..__ .: . ._._.___ p ·rca J~:__8_f!F._t;!; I A i!'.2:. b_t?f__·_:._LL2~.~ 00 .__. _



'II. Name of Officer (in full) and service to

which the officer belongs2. ,Pr9sentPostheld3. Present Payr:-;-- .._-_..-._-_ ...._....."Name of District.Sub-Division,Taluk and village inwhich property is situated

.....'··Fresent-' --_. ITi10t in ownValue name state in

whose nameheld and his/herrelationship tothe GovernmentServant

t---- ...---_....-- ----t-:-Ho-u-s-ir-lg---r--rAi·-n-d·7s---+-·-··· ..··--·----+-and other

, tfo.-u.t-c>7Y1 '2H\d~No.<l'W"1~~I~i;I!--d-_(---4-q-.--+I?-o-s-,~;;;;t;;;I:+--.s-~-l-~-·-.- ....~~~t.1Ao.. ~,I "'1 :l.~=·~-=-I~-T i5-~ -t

Up· C,2.ol)..e:) Q '7'lo.'{I.q(,2 3..s.:9·""') Ie--LUoo''''' I,' ....b.h) .lU1fl,-d-c'r"'~ .,.l;!~deJ.CW\"kGllA.t.I ......)

lnapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also ..• The wording 'No Change or No addition apr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group '13')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),oll the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in (he nameof any other person.


How-acquired ~i'i~ii;~;:by---' ...lA';;!1ual---- TRt'lIlnrk,;purchases, Jease*-, mortgage ! income from iinheritance, gift, or otherwise, , the proper1y Iwith date of acquisition and i

I name with details of person/I persons fromwhom acquired

--.--t------ ....-...... ,...........-.-_~.----+--.,...

! &,S<i:l;cec'/j-1 \\ ---- 1-' J ..····X~

Date I.SI~(I.~ - .Signature.

"} \. t 2.. ~ "2-4 '8

D~k ·(.SA~_ ..._;;'sso~~=t~~~ _:__ l~.L~~..o _.__...__


ANNUAL IMMQVA\'BLE PROPERTY RETURN

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approxlmate value in relation to present conditions may be indicated.• Includes-short-term lease also..• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and Grou P 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules I955(now Rule 18(1) of the CCS(Conduct) Rules, 1964).011 the firstappointment to tile service and thereafter at the interval of' every twelve months, giving particulars of all immovable property owned. acqu iledor inherited by him or held by him on lease or mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.


2. .PresentPostheld3. Present Pay

-Name of District, Name and details ofSub-Division, propertyTaluk and village inwhich property is situated

I How -acquired-~~i"I~th~;:by---i purchases, leaset", mortgage

I inheritance, gift, or otherwise.with date of acquisition andI name with details of person/

! persons fromwhom acquired

:-!\;1'~;1-·-.-.; inC011l·: fn)111the pr('pcTt)

1\\'1I1i1rk"

i

II~,,,,,,,,,,,,-,,,,,,-,,,.L_---"1--'" L _.. .~G

Signature .... V:c~

Date .... -'-~J~l??!.1.....

'} I, t l.. .. ~~9

.J).ll1£.LJ:li1A[DLL.-.~]$j~lliit~~~_ ..__. .--S..:.1:_ .C?_... .._ .._ .. _ __


ANNUAL IMMOVAVBLE PROPERTY RRTURN

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may lx' indicated• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be tilled in and submitted by every member of Class [ and Class Il (Group' A' and Group' B'jservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappolntment to the service and thereafter at the interval of every twelve months, givibg particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person. ,

l. Name of Officer (in full) and service towhich the officer belongs.Pt9Sent PostheldPresent Pay

2.3.

Housingand other

.__ --:--+-..:::.b~llt~i.ll.g~_i

.. ;j;'P-;:ese-nt-"---'TiTll0t1i-l -o-w-n-----:i-I-·[-o'-'"-;cq_u ircd·~~i11~lh~l:by'~-'Value I name state in ! purchases, lease=t, mortgage

1 whose name inheritance, gift, or otherwise,

j .held and hi.S/her with date of acquisition andrelationship to name with details of person/

I the Government f persons fromwhom acquiredServant·--···-····-·-·-+1--·-----+---·-..-······..········---

Annuali11co111<..'fn1!l1

the property

NIl-._----_" ....-..._ ....-- ---f----- --"..

..1- ...._.•.•_-. __ -L.:.__

Sjgl1ature-~ ..

Date .. '" 2,6112..0.1~...

i,

ANNUALIMMOV AVDLE PROPERTY RETURN

Statement of immovable property for the year } \. l~..~'8

Y~~Gu.pL§::_.:_ ".._._.-- -"--=---r>;_~~-4~ocl:'·· ~~ ..:.--.~----t-'.-......-.....,....-.., -¥--~.---

Name of Officer (in full) and service towhich the officer belongsYr9sent PostheldPresent Pay

l.

2.3.

-".'--"'-'---. ....-.....arne of District.b-Division,luk and village in

which property is situated

._.."f' .'p-rese~l-·---"~llfi;;;tinownValue name state in

i whose flame

I, held and his/herrelationship to

I the GovernmentServant.-- _._ ---

I How -acquirei\~;Yl~the;:hy'--'I purchases, lease+", mortgage

I inheritance, gift, or otherwise.with date of acquisition andI name with details of person/

I person :~~T~.~~fJ()r~l.:(·~lllired ... ". .__ .

Name and detailsofproperty income from

the property

12/~VOo1-i :

I :I !

i :~ 8~cfbo/+-LL.. t

AJ~~_...._._ ..__ ..._._-----

Signature .

. , (6 3"7Dale.. ... . ... . .... . ,.Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the appr()ximl1te value in relation to present conditions may bc indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be filled in and submitted by every member of Class I andClass II (Group' A' and Group '.13')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Condutt) Rules. 1964),011 the firstappointment to the service and thereafter at the interval or every twelve months, giving particulars of all immovable property owned. acqu liedor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person -.

,t •

ANNUM llV!MQVAYBLE PROPERTY RETURN

Statement of immovable property for the year ; t , , 1.. .. LGl9

. _.ML_~tLk,t __~~d

~--A1&~:e3f' kt(e~c-{)---l¬ -.k l:mfc:=-


2. .Pr~scntPostheld3. Present Pay

..Namc-ofi5iStrict;-·- -'_'----' - - Nlltn-c-a-n-:d-d-:-"e-ta-:j":""ls-o-'r=-'-_. -.pj:C-sc-nl---Sub-Division, property ValueTaluk and village inwhich property is situated

IfnOtin ownname state inwhose uameheld and his/herrelationship tothe GovernmentServant._-t--..;.;......;.;....- .---t------- - ----..- _.-..-_..-

How acquired ,~Ti~ti'-~;:by--'purchases, lease+", mortgageinheritance, gift, or otherwise.with date of acquisition lindname with details of person.'persons fromwhom acquired

i\nnl1::iincom-. ff'(ll'1 !

the p;('pe:t.'

)-----_.-..._ ..-----Housing I Landslind other 1

___ ,--+-/.b"-'!d~,&'_I· +-_

--~--r---r-N ~_..__ . . _._-----_ _._ .

---.-..---- ..L . _._...__-'-'--__._.._____._______ . /)

Signature ~ /

oatc /.5l ~\\.~lnapplicableclause to be struck out.• In case where it is not possible to assess the value accurately the apptQxhnate value in relation to present conditions ma..,.be indicated• Includes short-term lease also.• The wording 'No Change or No addltion opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted 11y every member of Class t and Class ll (Group 'A' ,Hld :;; (ltll.l 'Ii')services under Rule 15(.1) of the Central Civil Services (Conduct ) Rules 19S5(now Rule 18(1) of the CCS(Conduct) Rules. j 'ltd 1. i.'!' !l1(! ri! .,tappointment tc !he service and Ihereafter at the interval or every twelve months, giving particulars of all immovable property owned .. !<:q'I",:<1or inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his fiJmih or in Ih, n~1l11(of any other per-or,

'} \ • t l.. .. ~ leJ

• m ••Dr· f\.t!~ _~~"-:2__;=_~K~-·-1"~O'\. (<e\ec):..----- ~:f '7:00 1-= _


ANNUAL IMMQV AVPLE PROPERTYRETURN


2. .Pn)sentPost held3. Present Pay

..NIlmc-orb i5-. t.r-1c-t•.....- _._ ···rN-a-,-nc'a-n-d-detailsofSub-Division, propertyTnluk and village in . .which property IS situated

__ b~_i.!dj.ng~ +-_

i!

--- If not Tn own How acquired ~ii~ille;'blname state in purchases, lease", mortgwhose name inheritance, gift, or otherheld and his/her with date of acquisition arelationship to name with details ofpersthe Government persons fromwhom acquServant - __~_M.._......._.._.._._.___...~.

.__ ._. .-.•._- .._._-,-- .......""...".

.~~.---'.•----.----- ..--

.-~.....•..~-.....-.~.. -

..... ····PrcsenValue

y Aunua]lage incom-: 11"'111

wise. the pi' '!W!l~ndon/ired

NAI

,.....,...._... J_. __Inapplicable clause to be struck out.

• In case where it is not possible to ASSe.-;Sthe value accurately thespproxlmate value in relation to present conditions may be il1diclKd.• Includes short-term lease also. .• The wording 'No Change or No addltlon opr as in prevlous year' maybe avoided and all details filled up.Note- The declaration form is required to be filled in and submitted \7yevery member of Class t and Class n (Group 'A' lind (;IOUj\ •r,· iservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules. 1%"~I. (111 the i-Ii·."

appointment to th€'.service and thereafter at the interval or every twelve months, giving particulars of all immovable property owned :\<;'1;1: r··dor inherited by him or held by him Oil lease or mortgage, either in his own name or in the name ofany members of his familv nr in ,ll<: nnm.of nny other persor.

_ .._._ ....-•.._----_.Signature .. ~o.J.Date ..J5/~!":9.1"1 ... :

ANNUAL IMMOV AVIlLE PROPERTYRETURN

Statement of immovable property for the year } I' l 2._.. ~ \9J.10N l'StLIW.!!.0 _

;=~·~fi·--(£i,7j-.-----.-S ..::f_:WO I '--'---'--

1. Name of Officer (in full) and service towhich the officer belongs.Prg)scnt PostheldPresent Pay

2.3.r;-;---.----.-.--- ....-....Name of District.Sub-Division,Taluk and village inwhich property is situated

...Nam-e-and detai Is ofproperty

-- "·"present--·" !Tnot in own II.row-acquired-\~lleth~;: by'--" j·X;lnua-'---- 1Rt'11111!k;Value name state in I purchases, Jeaseu,mortgage j income from I

whose flame inheritance, gift, or otherwise, i the property !held and his/her with date of acquisition and

. relationship to I name with details of person/the Government ! persons fromwhom acquired

. -·····------~~u~~~~~r Lands ---.--- ~~----F---_...--- :I----- -c---t._;b;....;u...:;..i~4j_I!s.~ --j . ._.. ._.. ........_.__ ......_....__....... ........_....__.._.._..__._,....

ii

.-

1... _ .. _ L__. L •__ L....:...._.__..__ -L..: ._ _ J.. . •• .._ .

Signature. c.M.~ .Date !5._.'JI'.1.,;. .

Inappl icable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-ter.mlease also. . .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details tilled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and GrollP '[3')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955{now Rule 18(1) of the CCS(Conduct) Rules. '964). on the firstappolntment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'uny members of his family or in the nameof any other perser.

"}I, t 1-.. ~ ~9

: .....~.~~L-~,/$.-J 1 fl/\~

.·--r..-i-~-~r-·~,-;- - V: ....~..... ..-LA.llb!j:&_.___ ._--,;- _ y...--- ..-.-~ ..-2q a 0"5? -..-_.--- ..--


ANNUAL IMMOVAVDLE PROPERTY RETURN

!. Name of Officer (in full) and service towhich the officer belongs,Pr9sent PostheldPresent Pay

2,3.

..Nam~-oi-bistrict, _.._.Sub-Division,Taluk and village inwhich property is situated

.....'-Name and details ofproperty

. ~.,.-.-------=::::...=:::&-"PresentValue

How Mq-u-ire-d-\~II~tfl~;:by"--- ....T"A,imraT- - - r R.-emark,purchases, lease=", mortgage f i11co111e 1'1"0111 iinheritance, gift, or otherwise, : the property 1with date of acquisition and Iname with details of person/ .persons from ,whom acquired

-...................1. .__ . _

Signature

Date.. .... .1~:..~: ..4:-D.1 '1-Inapplicable clause to be struck out. I• In case where it is not possible to assess the value accurately the apprcximate value in relation to present conditions may be indicated.• Includes short-term lease also,• The wording 'No Change or No addition opr as In previous y~ar' may be avoided and all details Hlled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class IJ (Group 'A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to tile service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or hcld by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. ,

ANNUALIMMOV AYDLE PRQPElU¥ RETURNStatement of immovable property for the year ~ I. It.. "2-4\EJ1. Name of'Offlcer (in full) and service to

which the offlcer belongsPresent Post heldPresent Pay

2.

r--··--·····----···..-···..·

I·Nameof District.Sub·Dlvislon,

I Taluk and villa&e inIwhich "opotty I, situated

Annualincome fron:

: the property

D~LH!.

Date .Inappiicable clause to be struck out.e In Case where it is not possible to assess the value accurately the approxtmate value in relation to present conditions may be indicated• lncludes'slli)rt-term lease also.• The wording 'No Chang!:\ or No ~tddltion apr all in previous Y~llr! m~ybe avoided <HIdall details filled lip.Note- The declAration form is required to be filled In and submitted by overy member pfClllss I and Class ll (Group 'N and Group 'B ')services under Rule 1'$(3) of the Central Civil Servioes (Conduct ) Rul~s 19S5(rtow Rule 18(1) of the CCS(Conduct) Rules, 1964). Oil the firstappoIntment to.the service and therenfter itt the interval of every twelve months, giving par;iculars of all immovable property owned, acquiredor Inherited by him or held by him on lease or mortgage. either Itl h1$own nal'lle or In the name efany members of his family or :11 (he nameof allY other person. ,

<t.

ANNUAL lMMOV AYDLE PROPk:RTY R}~TURN

. *'P-rese-iit---1Ifl~otinownValue namestate in

whose name

I' held and his/herrelationship to

. I the GovernmentI Servantr-/J~;-- . :,u~~,~,I J:and:~s---j-'~;,-,~-.--t--'--~-,~--'--+----N-"-,,4 _" .

r.. .b::~_ :',: N,ft '+---N-'-*-- N.~ - r~'~--~N'A!I

I I._ _- "..-·----~S~i~g~t1a-t-u-re~·~~~

~i~~:~"t,-- --~~;::,,;~ddetail'ofI~~~ukand village inwhich property is situated

i How -a~quircd··~lleth~r:hy·--i purchases, lease**. mortgageI inheritance, gift, or otherwise.I with date of acquisition and! name with details of person/I persons fromwhom acquired

Annualincorne fron Ithe proper!;.

Statement of immovable property for the year '}I, ,~.."2... f9

.._G.fttJ f.:A V Ve~1VVf\- .__ .__;-~~£iLi4..o:i_=: --_'5_"1.1f;f.2.+-r _

!. Name of Off'cer (in full) and service towhich the officer belongs

2. .Pr9sentPost-held3. Present Pay

....._._ .._....-_._-----

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Chang!! or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and Group' n·)services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now RuIe 18(I) of the CCS(Conduct) Rilles. 1964). on the f I."appointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqtl i!eelor inherited by him or held by him on lease or mortgage, either in his own name or in the name of any members of his [iunily or in the nameof any other person, .

Date .... _... J3..p.I.,....MPlct_


ANNUAL IMMOV AVilLE PROPERTY RETURN



,\. t 1. t' ~'9

~~~~

"Name of District,Sub-Division,Taluk and village inwhich property is situated

._----- .__._ _----_.Name and details of • Presentproperty Value

1[';'01 in ownname slate jnwhose nameheld and his/herrelationship tothe GovernmentServantt------ -----+_ '-----,---:----f--- - ,--.--t------.-----+- , " _,.,.__. .

; Housing LandsI and other

r------,--+-~I-i.t~il!g~----'--t------.----------I---- ".. .....__

I NILL._

How -acquircd"~~ll~th~;:hy----'·purchases, lease=>, mortgageinheritance, gift, or otherwise.with date of acquisition andname with details of person/


1-~\;~'~;1-- R"ll1iHk

; income' from, the p;-('I1(,1't>

----- '..,....... ,---.-,

----_._-........,--- ....1 :_Signature.,

Date _ , " .Inappl icable clause to be struck out.• In CMewhere it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• Thewording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group 'A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule J 8(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person.

ANNUAL IMMOVA VBLE PROPERTY RETURN

Statement of immovable property for the year" ') t , t 1." L4 '9

__So.x;o,Y"\ 0,-j9-J.--:J j"-,c'-:-i~-'-:----"""'tbr--nL-:'~-cc,-v:--CDe P.f' 0) c.' hQ,.._._·J f-/t.Jt 0/

Szzro

I. Name of Officer (in full) and service towhich the officer belongs.PrPsentPosrheldPresent Pay

2,3,

.•Name-of-D-istr-ic-,t.-------.-·-N-am-e-a-n-d-d-e-tai-'I-s-O-f---"---.-p·-re-se-n-t---'-J~f-no-t""'i·I1--o-w-n----'I-H-o-w-a-c-qu-j-red-~ii~th-~rbv---- rA;;nlla-l----TR-('I1~ar~"Sub-Division, property Value namestate in purchases, lease", mortgage ! income from iTaluk and viIJage in whose flame inheritance, gift, or otherwise, ! the property Iwhich property is situated held and his/her with date of acquisition and I'

relationship to name with details of person! Ithe Government ! persons fromwhom acquired; i~NMt ii----- -I- ---~---:-----+--------t-----__,I------._ ...._._...._.. ..__.____.._._.. .__~..--._.._I Housing Lands I

I and other

1------ -----l'-'b::..;u~=jI4.!!!.~_+_-_--_+__--_-.--__+_---_.__ ------------ ..l ..__.. i_. ._. ._... _..

t NIL. . tV , !L · '"l ~/__-__~-~__~ ~j ~~_·~ C_~Lj,_C~~~-_-_-_-~~_-iJ--.__-.--~- __-__~.~~Signature 3,0,'~~,.Date ...... L:_) .... M.~,~~ ,.~~.~9Inappllcable clause to be struck out.

• In case where it is not possible to assess the value accurately the apPl'Qximate value in relation to present conditions may be indicated.• Includes sh()rt"tenn lease also. .• The wording 'No Change or No addition apr as in previous year' may be avoided and all details fined up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group' A' and Group' B'Jservices under Rule 15(3) of the Central Civil Services (Conduct) Rules t9SS(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve n10nths, giVing particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage. either in his own name or in the name ofany members of his family or in the nameof any other person. .

~I, t 1. ~ "2...a.8

::~L~k_.~=_~p;~::_-e_~


ANNUAL IMMOVA VDLE PROPERTYru~TURN

I

j i...... L_....~ !

::~,,"reI3n..~) ~Inapplicable clause to be struck out. . :r~

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indic;i!cd.• Includes short-term lease also.• The wording 'No Change or No addition opr as In previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and Group' E')services under Rule 15(3) of the Central Civil Services (Conduct) Rules I955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to tile service and thereafter at the interval of every twelve 111011ilis,giving particulars of all.irnmovable property owned, acquiredOf jnherUcd by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameor any other person. .

!. Name of Officer (in full) and service towhich the officer belongs

2. Present Postheld3. Present Pay

[:Naillt;'of-t5iStrict,"- H •• --Nlune';m~ldetails ofSub-Division, propertyTaluk and village inwhich property is situated

Housing Limdsand other

____ -+-bll.Hgi'~g~_

NA (VANI+-

····iii:ese-nt·_.._--..1j·Tr;;ot1t\ own ! I'Io\v-ac~jr~'~r\\;Tleth(:r:1)\'-'-'I ...

Value II name state in t purchases, lease+". mortgagewhosename I· inheritance, gift. or otherwise.

• held and his/her with date of acquisition andrelationship to I name with details of person/

:~<;:::e~m'otIp",on:_from~~o=qUired __ ..__ ..

_.___-+-----_ _ _..... . ----.. .

Annual R('!l1{1f"k<

Nit tlJANfl Nfr


ANNUAL IMMOVA VBLE PROPERTYru:TURN

!. Name of Officer (in full) and service towhich the otf'cer belongsPresent PostheldPresent Pay

2.3.

r;:-;--- -- -'---- ,..----, ..--J -rxame of District, Name and details of

ISub-Division, propertyTaluk and village inwhich property is situated

"}I' t l.. .. ~ lE1

,...~-~_LIA_ () R (/t$ t-J);~-T~~-'-h.~'?t::.~~1?i:Q~!?t AiTo.\;?~,~~*'r)~esenl-"--jiTi1{;t~i-'l-o-w-·n----r-! -=1-=-"I(-)\-v-~cquircd-~~,Il~til ~ I: h)---~..Value I name state in i purchases, lease=>, mortgage

I whose flame i inheritance, gift, or otherwise,, held and his/her I with date of acquisition andrelationship to I name with details of person/the Government I persons fromwhom acquiredServantr---·--· --..----~Housing -,-f~I1'd'-s---+-·--"-'---'- -----'---j----·---- """..""..,·--·--,.."..·".."..·..,--1-._- .

I and other~.. 2..~lJ!~h!g~ .__ -!- ._,..,_.."...._._I i

!

lnapplicable clause to be struck out,

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated• Includes short-term-lease also.• The wording 'No Change or No addition opr as in previous year' may he avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules I955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), 011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. .

.//

AnnualiI1COf1lt' from

I..J__ j

:Jbr;;P~\.3·,IQ 1-!)?

Signature ...

Dalc ,



----...-···r)i;ese-nt------TiT~llith-1-ow-n---;:-=1-=--lo-. ,-v -a~q-u-j-rc-;;r~~;Tleth~[:by---·Value name state in purchases, lease+", mortgage

whose name inheritance, gift, or otherwise,held and his/her with dateof acquisition andrelationship to name with details of person/

I the Government persons fromwhom acquired_ Servant

1-. ---'---"""--' ----t--:Housing Ca-n-d-:-s----+-·--·---·-·-----r---- ---t----.---- ---.-.-- .~_L__ and otherI . ..__. -,--+bllit~j_I~s.~_--.------;r---

!

I. Name of Officer (in full) and service towhich the officer belongs.Pt9sentPostheldPresent Pay

2.3.

.Na.l11~-oTi5~trict,..-Sub-Division,Taluk and village inwhich property is situated

....-Naln~'and details ofproperty

"}I, t l_ to ~l9. l.A-NV I

......... M.. ~_. • ."._".

income fromthe property

......_.._ ..__ .•...__._---- .~- _ LSignature ..~ ..~ ..' .,.

Date ... .l3/rAJ.14 ....Inapplicable clause to be struck out.e In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.e Includes short-term lease also.• The wording 'No Change or No addition opr as in previous y¢ar' may be avoided and all details filled up.Note- The declaration form is required to he filled in and submitted by every member of Class I and Class II (Group' A' and Group' B'Jservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),011 the firstappoitltment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either In his own name or in the name ofany members of his family or in the nameof allY other person.

ANNUAL IMMQV AVDLE PROP1-:RTYRETURN

Statement of iml110vable property for the year



'IO-::'---J~"'-----'-:~t~ ......-_e..L~~. _:.~~'/£L._ ..~~--- _ -_ ..

amc of District, ,b-Division,luk and village inIwe;,ep~:~y" s;tua~d

I .I

. 'NalT~~";mddetails ofproperty

......···p~esenl----'TTfi;ot~tlown ! f·ro\';-~qujred"~~,fleth~l:by _ ....Value I name state in i purchases, Jcase**. mortgage

i whose name I inheritance, gift, or otherwise.j! held and his/her l with date of acquisition andrelationship to I name with details of person/

I the Government persons fromwhom acquired... ----.---.J- - ---_j Serv~_' __ -4 _ _, _ .__Housing Lands

and otherl-- --:--+_;::;:bllil4!I!g~_+- _I_--

I

Annualincome fn'l1lthe pr'('iKT!>

'\

,

rJ'I

I----s·-tg-l1-at-u~-

Date ...t3,...()ll.t~......

.... ..__ .1...:.... __ ._ __ _ .

lnapplicable clause to be struck out.

• In case where it Is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as In previous year' may be avoided and all details filled up.Note- The declaration form is required to he filled In and submitted by every member of Class [ and Class II (Group' A' and Group 'Inservices under Rule 15(3) of the Central CivilServices (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct)Rilles. 1964),Oil the firstappointment to tile service and thereafter at the interval ofevery twelve months, giving particulars of all immovable property owned, acquiredor inherit.ed by him or held by him on lease 01' mortgage, either in his own name or in the name ofany members of his family or in (he nameof any other person,

"} \. t '- ~ "L! l8

Df<· /(OHINOO ~ K A.~.(S._

;=.As--S._r.=up-re.s s~'?_ls.-:.-.- ..5.J..:1-.0 0 8Q.~';.,=-..._.


ANNUAL JMMOvAVPLE PROPERTY RETURN

1. Name of Officer (in full) lind service towhich the officer belongsPresent Post heldPresent Pay

2.3.~- ..--•...-.-- ..•..-.r-rxame of District,Sub-Division,Taluk and village inwhich property is situated

..... ..._._-------Name and details ofproperty

,--_·_-_·· ..··_·_·---+Housing i 'Cand-s--and other

1- --'-,--t-='-b~:11~~i.I!g_~_+ +_---- ...-.....--.+_----I~

~~

~

N·A

Inapplicable clause to be struck out.• 111case where it is not possible to assess the value accurately the approximate value in relation to present conditions may lx~indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is tequ ired to be filled in and submitted by every member of Class ( and Class II (Group' Nand Grou I' 'Enservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(nowRu le l8( I) of the CCS(Conduct) Rules,1964), Oil the firstappointment to the service and thereafter at the interval ofevery twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

······r~escnl-·--..TTf~;;;ti'·n--o-'\-,n----,:-!::-;·r:-o-w-acq-l-Ji-rc-d'-\~he!h~l:by -- .

Value name state in purchases, lease=>, mortgagewhose name inheritance, gift, 01 otherwise.I held,an~ ~isl11cr with date of acquisition and

I relationship to name with details or person/the Government persons fromwhom acquired

._ <~~an.!__

!,~,("Ill;J !Annualincorn- fn'Inthe propei';

IN({

- ..·- ..·---·-----'-'''-'--_. __ L • ._ .

Signature 4,~?J'~Date, ..... ..13./O'j.l.1 ......

ANNUAL IMMOV AVBLE PROPERTY RETURNStatement of immovable property for the year

l . Name of Officer (in full) and service towhich the officer belongs

2. Present Post held3. Present pay

,Namc-of5Tstrict •. -"...Sub-Division,Taluk and village inwhich property is situated

"-Natne-;Uidd~tails of "--"""'."r)reSe-nt-"--·~I'fi)otii-t own ! How -~quircd-~~,lleth~;:hy----·property Value name state in I purchases, lease=', mortgage

I whose name I inheritance, gift, or otherwise.I held and his/her I with date of acquisition and. I rela~ooship to I name wi:h details of p(:rs:Jf1!

the Government I persons from.""bom acqu Iredj---"-..----··..··--·····-----+-H·ousing j "Cand-s-- -------~!:Ser_y_~nt------+=1 --.- - _-.--...........-- ..----i Ud~ff

~_---,--+-b~11!9!I1.g~- .

N'f\..-

".-,-----.-------_-.-.. 1

: Annual ! i-(,'111Mk'.

income trom !the property

.----1----- -- -r+ _

iI ~tyVi

II

Signature .. :'.pj) ..Dalc.}d.I'!I~ .

_ ..__ ._........_._------

Inapplicable cleusa to be struck out.

• In case where it is not possible to assess the value accurately the apprcximete value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as In previous year' may be avoided and all details filled up.Note-The declaration form is requ ired to be tilled in and submitted by every member of Class [ and Class II (Group' A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule lB( 1) of the CCS(Conduct) Rules. 1964). 011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

iI~\v---I ~\~-~~:='

!


Statement of immovable ptOperty for the year ~I, t l.. t- "Lea 19

_~~.IPR_~_. ~i~H ~. ._...__I. Name of Officer (in full) and service towhich the officer belongs.Pr~scnt PostheldPresent Pay _;~~!_f~~~ .. .

r"Present 11fnot in own ! How acquired whether h}Value name state in : purchases, lease+t. mortgage

whose flame I inheritance, gift. or otherwise

I held and his/her I with date of acquisition and

'

relationship to i name with details 01" person/I~'Gov,",",,,, Ipmo", fromwhom acquired~rvat1tr-------···---······--,.··-·----+-i1ousing , 'Ca--;;'d-s-- -- ...----- ------- ---- - --- - -----.----

~--------.--------~+I~~~~~~~~;-I

2.3.

.Narne-of"bistrict, -.Sub-Division,Taluk and village inwhich property is situated


income frUIIi

I

I.____..1__.__ ·--S-ig-l1-at-u-re .. ~~':~ .

Datc ..... l.?t.~.3l~t;:.1.9.

-..__ ._._._...._---------

Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and Group' rnservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Collduct) Rules. 1964),011 the fii'.~tappointment to the service and thereafter at the interval of"every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him at held by him on lease or mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.

:-,';;,:;t);-I---- ! j~-"1Ili1lk"

i income fn)I1J i• the property I

Ii!


ANNUAL IMMOV AVDLE PROPERTY RRTURN

} t , , l.." "2..0 19

.A.siMsh IW~_~~~_=A:rJ15FJ:---f~ C~+ZJt-sfl 'c.2> )

Name and details of ..-.-.-·-.-presen~-<2Jtfi~i;:wn------::acqu ired wheih~;:by----·property Value name state in purchases, lease=", mortgage

whose name inheritance, gift, or otherwise.held and his/her with date of acquisition andrelationship to I name with details of person/the Government persons fromwhom acquiredServant

I. Nameof Officer (in full) and service towhich the officer belongs

2. .Pr,9sent Posfheld3. Present Pay

.Narn~-ofbistrict, '-'-'Sub-Division,Taluk and village inwhich property is situated

--_····--·-----I-Housingand other

--+~~@!i_l1.g~_+-------t-_-----.-...-.-..--.-._r_---. !i HC(1

Inapplicable clause to be struck out.• In case where it. is not possible to assess the value accurately the appr()xitnate value in relation to present conditions may be indicated.• Includes short-term lease also. . .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group 'A' and Group 'W)services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage. either in his own name or in the name ofany members of his family or in the nameof any other person.

Lands

H '~

I

I~----

Signature , ~ ..

Date _.. ~ .



Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Tncludes $.I1orNerm lease also. '• The wording 'No Chang¢ or No addition opr as in prevlous yta,r' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group 'B")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to tile service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

I. Name of Officer (in full) and service towhich the officer belongs.Pr9sent Post heldPresent Pay

2.3.

"Numc"ofbistrict, '''-'Sub-Divislon,Taluk and village inwhich property is situated

.. Name and details ofproperty

LandsHousingand other

___ --:_+-b~@nl!&~_Pf_pj- ;JCJ •

' _._ ,------

........·•..Presenl--- Ifnot ~nownValue name state in

whose nameheld and his/herrelationship tothe GovernmentServant._-t-'-.....,._.__;_.:..... ---t-----.- , ,---.

I How-acquircl\~Tleih~;:by..-- ......·..·rx;~;1lJal- ..- ..T R"111i11~'

I purchases, lease**, mortgage ! iIlCOt11C from !

I inheritance, gift, or otherwise, ' the property !with date of acquisition andname with details of person/persons fromwhom acquired ,- L

,-.- --+----- ,, ------ - ,.,,'"", "__..L,.::r0 J '1'1..L-

!A.U' ~\) OvtlJ 0/\g;'~

___ ..i.,......:.."'...__ .._..J....:....(__H_~~~j! --

......~~.Signature ....

} I, t l._" "2...4 \8

.....:r~(1,,_ . ..__ _; =M.s_Jsl:t_;'_t-:--Phlfe-cu~b._m._~:=: --5.-t :t-Q 0 /- _. _


ANNUAL IMMOV AVBLE PROPI<~RTYRETURN


2. Present Posrheld3. Present Pay_

~-j

L..__._..__ . _

·p~;ese~t--···---TTri);tillownValue name state in

whose name! held and his/herrelationship tothe GovernmentServant

--_. __ .•....-.-._. .---_-.! How acquired whether by! purchases, lease**. nWfl[\age

/. inheritance, gift, or otherwise,with date of acquisition andname with details of person/persons fromwborn acquired

Annua]i11co11,.,' frorn !

. the j)1\'pcrt)

rAnd·':-s----+-----··---- .---1------- ..- -..-.--.-.---.m •••-._J__ .

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is requ ired to be filled in and submitted by every member of Class I and Class II (Group' A' and emup 'n')services under Rule 15(3) of the Central Civil Services (Conduct ) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

Housingand otherbllllcfj_rl_g~_

NIL

.-----,r----.-.---....--.-f-----.- .....--._.-..- ._---- ._....•._ .._-.--

NfL NIL

Date .....


ANNUAL IMMQVAYBLE PROPERTY RETURN

...( .·presenl·--·~I'ITI~otin ownValue name state in

I whose name

I,held and his/herrelationship to

_jl the GovernmentServantDind-s-- .- --- ------- -1-----.-.-- --.-..-:--.----..__._.~I Hou,;ng

I and other

~-- b~li~ding~_ --.---+----- - --.-r----


• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'NoChange or Noaddition opr as itl previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class Il (Group 'A' and Grou p 'B")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), Oil the firstappointment to the service and thereafter at the interval ofevery twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.

1. Name of Officer (in full) lind service towhich the officer belongs

2. .p.r.9sent Post held3. Present Pay

,Name'ofDistrict, ..Sub-Division,Taluk and village inwhich property is situated


'} \. t ~ to ~'8

:~_Ms' i;~_L~~ W~).-~'" ~):- 5.l]_!rn ! ...._...._

I How -acq~jred-~~,tleth~I:h\---·I . _

i purchases, lease">, mortgage

I· inheritance, gift, or otherwise,with date of acquisition and

I name with details or person/I persons fromwhom acquired

AnnualiI1COI11'"' fromthe propel1;

...1II

I. ··\t~o~Signature .....N ....~ :..Date ...J3..r·~ll.1.~··· .

I.


ANNUAL IMMOVA VIlLE PROPERTY RETURN

"}I. t 2.... "2...0 \9

J.?g_. Mf\No J Kv~~-.1~Sv-JAL:.-*(..%k.'-I-~~_:~~ - '7-b _ '\:_~SJ;?..I~.~.I__fg.pS~'::.~B... ( t\-1)~} - ('~jrvs: .~_5..~ . .._

...... *rlre;c-nt-·---·1-ffi;otin ownValue name state in

whose name

j. held and his/herrelationship toI ~leGovernment

I Servant.~-+-

2.3.

Name of Officer (in full) and service towhich the officer belongsPresent Posr heldPresent Pay

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group ';\ , and Group' W)services under Rule 15(3) of the Central Civil Services (Conduct )Rules 1955(now Rule 18(1) of the CCS(Col1duct) Rules, 1964). Oil the firstappointment to the service and thereafter at the interval ofevery twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members (If his family or in the nameof any other person. ,

m-··--······-·_-_··············ame of District, - -'b-Division,luk and village in

which property is situated


I I·Io;-a-;qujrcd--;:~ileth~!:by·---i purchases, leaset+. mortgage

/. inheritance, gift, or otherwisewith date of acquisition and

I name with details or person/I persons from.\~hOr~_::~~!llired.._ .•__ ..

R('!!1(11kAnnualinCOI1F'from

ii------ -- ······r· - -._ ----, -.- - --.--

I

Nor-: 13 -

L__,,_.

Signature ... ~~.h:.Date 1.~ .~( 0..\.~, .

Statement of immovable property for the year ) I, t 1. t- '2_.q~9

.TiNA SAl ~E~ .._,=A:!_~7::-EE!L~~~)

ANNUAL IMMOV AVBLE PROPERTY R.InURN



r::Nam~-ofbistrict. _.-.. Name and details ofSub-Division, propertyTaluk and village in .which property is situated

·"·'·r,,·present---~fi10tin own ! I·low-~quircd'\~lleth~I:~'--' j'/\nnualValue name state in I purchases, lease'"*. mortgage ; inCOI11(, from

whose flame I inheritance, gift, or otherwise. ' the property

I he.ld,and ~is/her with dat~ of aC~.UiSi~onand. relationship to I name with details ot person/. I t~. Government I persons fromwhom aoqu;re.d

. Servant- _- ~~U~~~~r' r.Atnds -- ..--- I ---'. --.- --.--- '-.-..__._.,.

;----.---:-+iC;;;--b_~.~~;'*:p----=---+-71=O-~'-- .r ~fi.A"-"""i &Vj~

~ i2./1:J-16K

i............. .1 _ .... __ ._

Signature ?f.:~~ .Date ./2;/0..3!tt .Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group 'A' and Group 'IY)services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964). on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by hin' or held by him on lease or mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.

I


ANNUAL IMMOV AVBLE PROPl;RTY RETURN



.......•__ .._..._._---,...-Name and details ofj .Nal11~-Z.;rtJistrict,--

I Sub-Division,Taluk and village inwhich property is situated

property

"?, \. t l.. to "2... \9

._J{l NMJI _WA. .__ _

;=-A5-~1$.i~7!;ij£: Ui::D:::J1of}: .-£,.L-s..'~-rl-;e-o .._....__.._··i)resent-·--Tffi10t in--o-w-·n---'-'I:":·I-o\-.v-~quTrcd-\~,tl~th~;:by'--'Value name state in purchases, lease**~ mortgage

whose name inheritance, gift, or otherwise.

I! held and his/her with date of acquisition andrelationship to name with details of person/

"

the Government persons fromwhom acquired. ServantI ~!---- _,_._._..--i - ...._. ,Housing TfAiild'-s---;--·-·- ....·__··..-·-

and other

f'loltltl ,s.u-~

_.t)~f- )A)1.2.c I

Inapplicable clause to be struck out,• In case where it' is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be tilled in and submitted byevery member of Class I and Class II (Group 'A' and Group 'Inservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct.l Rules, 1964), Of] the firstappointment to the service and thereafter at the interval or every twelve months, giving particulars of all irnrnovab le property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of any members of his family or in the nameof any other person.

.. Annuali11<":1)111,.' fr.)111

. the Pi\'i'('i!:

;-+-----..-.-.---..-----_ -- 'l'- ..--- __.._-_,. _.._ _ _ ,

~wJ r:~~1 NOfW~!(~f'. fv~ r •

I.. _ .. ~-.-

SIgnature ..... l:t' ..~" ....Date" ...... til?/." l.f t..9 ' ,,..

ANNUAL lMMQV AVBLE PROPERTY ru~TURN



2, PresentPostheld3. Present Pay

j.Namc·ofOistrict, .. mmm 0 • "Nall~~-anddetails of


·PI:eSenl-·--··rIT·-~)-~tii-l -O-W-'l1----r-:I:-::"·I(-)'-'"-acq-u-i-rcd"~\;tl~ih~;: by --,Value I name state in purchases, Jease**. mortgage

I whosename inheritance, gift, or otherwise,: held and his/her with date of acquisition andI relationship to name with details or person!I the Government persons fromwhom acquiredServant ----+----_..--_." _..__..",.""."

/\oml:1!income fnlillthe property

i----.----......---,-------t- .---,.--...,...,-....._--_-+ _Housing Landsand other

f--- -c----4_:b::..:l=li!d.j_r!g_~_+ -t- _

'-..,._---

II._ , , ----·--S-ig-,n-at-u-re~.,

-·-----~-·-,--._- __ i'-- _

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relationto present conditionsmay be indicated.• Includes short-term lease also.• Thewording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class 11(Group+A \ and Group' B")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(I) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him Oil lease or mortgage, either in his own.name or in the name ofany members of his family or in the nameof any other person. ,


ANNUALIMMOV AVDLE PROPERTY RKTURN


2. J)r~sclltPost-held3. Present Pay

IName-of District, ._-

I Sub-Division,Taluk and village inwhich property is situated

r----.-- -.-

• Frese-nt---'Trfiwtr'n--o-w-'n--:-J--I-o-w -acquircd-'\~;TI~th~r:hy-----Value I name state in purchases, Jease**. mortgage

I whose name inheritance, gift, or otherwise.

I.he.ld and hi.S/her with date of acquisition andrelationship to name with details of person/

I ~~~~~;emmen_t -I-p_c_'r_so_.ns from .\~':l:)'.:.aCqlIir~d__ ~; .r ..

.NIlI;:;c'and details ofproperty

Annualincome flllill

the pi"(lpert)

Housing fAnd·-s---+_·__·········_·and other

1- -.,..-!..::..:bl!!!.~i.'!S.~_.I

Inapplicable clause to be struck out,• In case 'where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be filled in and submitted by every member of Class ( and Class I1(Group 'i\' and Group '[,,')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule J 8( 1) of the CCS(Conduct) Rules. 1964), Oil the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held l1Yhim on lease or mortgage, either in his own name or in the name ofany members of his family or in (he nameof any other person.

_.__ .__._------

.-1----_ __ · 1_ ---~'- - .. __ .-_.-._._.-.

II

!

_._. ••__ .....J....: _

Inappl icable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• tncludes short-term lease also. . .• The wording 'No Change or No addition opr as In previous Year' may be avoided and all details filled up,Note- The declaration form is required to be filled in and submitted by every member of Class l and Class II (Group 'A' and Group' B'jservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(I) of the CCS(Col1duct) Rules, 1964), 011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. ,




"Name-ofDistrict, -- ... _ .... -NatTIe and details ofSub-Division,Taluk and village inlwhichp~:~'''ituatoo

property

Housingand other

f--------.,--r-::.:b~.!Lcf.j.'!s.~_

L._.__ _. _

ANNUAL IMMOVAVBLE PROPERTY ru~TURN

'}I, l l.. t- '2....G \8

....._...J2:t:..~~_~. oaf}. ~~~= ?}i~~~t __£~'. f2~'!$rtilr-'--"'-

-·..·r··"i.>i:e-se-n-t--1-'-f. not in own How acquired wheth~r by---' rA;lt;~f- --. r R:cmarh.,Value name state in purchases, lease=', mortgage i income 11'0111 I

whose name inheritance, gift, or otherwise. . the property !held and his/her with date of acquisition and

. relationship to name with details or person/the Government I persons fromwhom acquiredServant

----1--_._ _ _+-----._""" - __.. _ j •••

.........................L__.__ .._....___ ..L ..._...__ .__ -,-,-__

Signature.

Dalc .

} \. l t.. '2A \9

__.Dr. Y'4J~ p~a..rrd:::

~~~~~6l§t=~~-.~~,!:~).~~~\-d- q-


ANNUAL lMMOVA VDLE PROPt:'Rl'¥ RETURN

------*p-resent----·,iTi;otitl own I How -~quired-~vfleth~r b) ---- l AunualValue name state in i purchases, Jease**. mortgage ' income from

whose flame I inheritance, gift, 01 otherwise, . the property

I held and his/her I with date of acquisition andrelationship to ! name with details or person.

:----t-- - J!~~~;:='i p"'""~~om-whOm_'"q"i"d ...r---------' --, - Housing 'r:1n'ds 1 I

, .. ~~:f~~~~/ll~;_. ._--+ _ __.+' __ ._ ._.. _ _.__ __ .. _ .._ .._.I

Jnapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• tncludes.short~term lease also. .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A \ and Group' B',services under Rult· 15(3) of the Central Civil Services (Conduct) Rules I<J55(nowRule 18(I) of the CCS(Conduct,l Rules, 1964), 011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.


2. .PrS)scntPost held3. Present Pay

.-Name-ofi5Gtrict -· --Na.m-e andd~tails ofSub-Division, propertyTaluk and village inwhich property is situated

Sign,,",e---~

Date_ :\.D.~.6.\.~..k--P .\.'\

----_ •._--'-'---


ANNUAL IMM.OV AVBLE PROPERTY RETURN


2, Present Post-held3. Present Pay

rNam;;'of6T;'(rict, " - ··Nan.;~-;;;;dd~tansofSub-Division, propertyTaluk and village inwhich property is situated

.ir'reSe-nt-..--·TTfi{otlt-l o-w-·n----,l-I:-::~I-ow-acqujrcd··~viletherbvValue I name state in i purchases, Jease**. n1C1rt;mge

I whose name , inheritance, gift, or olhcr~vi~e.! held and his/her ,with date of acquisition andrelationship to I name with details of person/the Government persons fromwhom acquiredServant.-----1--:.-. -.-":~---i---"'---'~-+--'---'---'-;"'"----i-------- ..------.-..- _ __+__ .... Housing Lands

, and otherr----,.--+-I .:::..b~ll~d.i.'!g~_+-t- ._._.....__.-t- _

Il__

Annual ; j\('111,:)1 kincome [romthe j1i'('P(,11)

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group ';\' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules t955(now Rule 18(1) of the CCS(Conduct) Rules. 1964).01] the firstappointment to the service and thereafter at the interval or every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. ,

i

ISignature. -.::N~ .Date ..... .J'Jot) '¥?'-, ..

..__ • .....J.C'--__ ._ _ _ .

.... ·N-a-t1';~-a-n-;-d-d::-et-D.-;-il:-s-o-::f;---·"-""··...·Presenl-..-- ..~-iTil(;titlown I How -~quircd..\~,i-l~illl~;:by"---property Value name state in I purchases, lease**, mortgage

whose name Inheritance, gift, or otherwise,held and his/her with date of acquisition andrelationship to name with details of person/the Government I persons fromwhom acquired

1------ ::,~u~~~ . l:ands --~--r=--- --~ L----:-+-b-~I..H9.i.I!gl;- --.----t--- ~~r-----..

I'L i i"''''''''----: '-S-ig-l1a-tu-re~~

Date o'2.~..\.J(.~\\ ..



Statement of immovable property for the year } t • 't_ ~ '2-4l~f1

..........~.!9-_ .. __ .._....._;~=Z:&f.-eir:._-_.S3:9--Y ~



I -- ...-.- ..-- ..-.-------- ..-.._.-...---~-.'-- .._..L_..._ .... '_'___

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated• Includes short-term lease also. .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group 'A' and Group 'IV)services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firsteppotntment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person.



l . Name of Officer (in full) and service towhich the officer belongs


"Name-or-District, ..- m. ..- --NalT~cand details ofSub-Division, propertyTaluk and village inwhich property is situated

r-------·-·- Housing . f.:sods, and otherI N 1 L'-----:--l-' b~ll~qi.l1.g~_--

L__. .._. _-- __ l... 1_.....:...... ..__ ---J'-'-__

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also,• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaratton form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group' B'Jservices under Rule 15(3) of the Central Civil Services (Conduct) Rulesl~S5(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, givittg particulars of all immovable property owned, acqu iredor inherlted by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. . ,

; 1. t 1. .. ~,e.....$~_~_~~ __~~~ __AR:=~~-~~~=:---~~7u() -_..".."------_.• PresentValue

Ifnotin ownname state inwhose nameheld and his/herrelationship tothe GovernmentServant

I How -acquired--\~lleth~;:by---purchases, lease=", mortgageinheritance, gift, or otherwise,with date of acquisition andname with details of person!persons fromwhom acquired

: Annual: inCOI11': fn1111, the property

(Vit

....................-....------·-s-jg-n-"""--:;~~

Dale .... ~. ~ .. , .1. .)?91. ~


ANNUALIMMOVAY»LE PROPIDRTY RETURN

} ,. '1. t' ~l8

i Housing LandsI andother

r---~~I.lLc!.i.l!g~---.----1'----.- ..- .....--+-- _

I NA _J~-------1----~-N1L !II

I

Sign""~~ ~~

Dalc.. . cy......

L Name ofOfftcer (in full) and service towhich the officer belongs.Pr9sent Post-heldPresent Pay

2.3.

.Name'z;r-6iStrict, .- "Name and details ofSub-Division, propertyTaluk and village inwhich property is situated

........-····------··--··1--·-·--·• Present Ifnot in ownValue name state in


I How -~qujrcd·~~illeth~r:by --i purchases, lease**, mortgageinheritance, gift, or otherwise,with date of acquisition andname with details ofperson/


Annualincome Iron:the property

R\\!!1a!'k

----L- L....:.... ---L-'--__ ._ _

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group 'W)services under Rule 15(3) of tile Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Col1duct) Rules, 1964), on the first.appointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own. name or in the name ofany members of his family or in the nameof any other person. ,


ANNUAL IMMOVAYBLE PROPERTY RETllBN


2. .Pr9sentPestheld3. Present Pay

"Name-ofDistrict. -,-",Sub-Division,Taluk and village inwhich property is situated


--

-"-'r-*-rl-resen-t--1-1f-not i~1ownValue name state in

whose nameheld and his/herrelationship tothe GovernmentServant----!----- '---1--------"'''''' "",-,"--'"",_

I How acquired-~~~,IIelh~;:h):---' ,,', l'!\;;r~U:'1I-I purchases, lease" "', mortgage ' income from

I inheritance, gift, or otherwise, the pn'pcri)with date of acquisition and

I name with details of person/I persons fromwhom acquired

!-, -------"""-------+-Housing ,LandsI andother~, __ --~bllit<li-')~_+_- +-__I !I

'--+--__ -+-__.3~ N' L

_'_'_'_"."_,------ ,----'----- __ L....._, w...__ ,__,••""",,•.,,"""''''

Inapplicable clause to be struck out.• In case where if is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Inclodes short-term lease also.• lOhewording 'No Change or No addition opr as ill previous year+ may be avoided and all (ietails filled up,Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group' 1\' and Grou p 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules t955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),011 the firs:appointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. HCqU iredor inheri-ted by him or held by himon lease or mortgage,either in his own name or in the name ofany members of his family or in the nameof any other person.

I i

Signature .. ~~i

Date. , , , ' , , ' , , ., 16.J 2>. } . , r9,,..

'}\, t a .. ~~9m _VA rJM._N1l_ ..__._..__


ANNUAL lMMOV AVBLE PROPERTY RETURN

I. Name of Officer (in full) and service towhich the officer belongs.Prgscfit Post heldPresent Pay

2.3.

,Name-ofi5istrict, -.- . -.- -Name and details ofSub-Division,Taluk and village inwhich property is situated

property

Lands

-----, --._-_.__ .._-._----

_om.. _. -·.-presenl-- l7ilot in ownValue name state in


I How acquircd~~ll~ih~~ by---- ·········i-;\;~nlla·l---!"f{-('II;af~~'i purchases, lease=, mortgage ' income li'o!lI !

/. inheritance, gift, or otherwise. . the proper!:with date of acquisition andI name with details of person/

f persons fromwhom acquired

-N1L--l\)lL

.-l-------- .." -.---.__ _._.__..

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also. .• The wording 'NO'Change or NO'addition opr as In previous year' may be avoided and all delails tilled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group 'A' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his OWn name or in the name ofany members of his family or in (he nameof any other person,

N\L--NIL-

--".__-_.+----- ___- --..--------" _-..--

-N1L-

I__1 •Sigllattlre-~·-..~/

Date J l?1·~··l·.t.·~····"''''''''''---'--'"''-'---



I. Name of'Offlcer (in full) and service towhich the officer belongs

2. .Pr~sent Post held3. Present Pay

- --- -..presenl---- ..l-if-~l-otit\ownValue name state in

j whose flameheld and his/herI relationship to

r·--------·-····-=1- iiou..Sing.. i Iand'~s-------r-----····----·--~~:~~~~'~~nment! and otherr-- ..~'!&!- .----I---.-.-..- --+---~- - -.

Inapplicable clause to be struck out, Date.... -.•... ... ... "13/51i ,• In case where it is not possible to assess the value accurately the approxitnete value in relation to present conditions may be indicated.• Includes short-term lease also. .• The wording 'No. Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class IJ (Group ';\' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules I955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),011 the firstappointment to the service and thereafter at the interval or every twelve months, giviog particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or ill the name ofany members of his family or in the nameof any other person.

~.--.- ...--.-- ..-..-.....r-rxame of District,Sub-Division,Taluk and village; inwhich property is situated

_ .._._ ....•--'_,------

.....--Naln~-;jdd~tailsofproperty

-Nll-

I How -a~quir~..~f~~;Tlethe;:by--i purchases, lease?". mortgageI inheritance, gift, or otherwise.I with date of acquisition andI name with details of person/I personsfromwhom acquired

-NIL-

----- _ .._--_. __ .

-NlL--N1L_

,__ ...J...l.~ __ ._"."" _..

Signature.

; AnnualineOI11':from

. the property

lNIL- '-NIL-I


ANNUAL IMMOVAVBLE PROPERTY ru:TURN



r,Naffie-of-i5~trict,"-- -Narne-and details of

ISub-Division, propertyTaluk and village inwhich property is situated

; I, t 1. f' ~'9

_:LW:LNKL~\.)~_._ ~A CkLI-1AtJ

~=~}-J~~~~~. _.._£}:;1:-Q.OJ. __ ._J!l_. _

------·p~:ese-nl----Tlr~10tirlownValue I name state in

I whose name

1

1 .held and his/herrelationship to

I the GovernmentServant .-t----

I How -~~irc(r\~;)lethe!: hy---! purchases, lease**'. nl[\rtgage

/. inheritance, gift, or otherwise,with date of acquisition and

I name with details or person/I persons fromwhom acquired

-·-..·---·----t-:Ho·-u-s..,.in-g-· -T'Y.~and:-s---+------·---·--..-and other

1-- -:--+-2..~_!!Qi_l)g~_+_-----+---I .+0------------ ...... ......._..._ .. ..

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

! AnnualineOI1Y' In 1111

the Pi'('i)('ll;

IIN, \II

I .- ,..Ji\l__ 1,_'----__Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'N() Change or No addition opr as in previous year' may be avoided and all deta.ils filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group '/\' and (;l'OUP 'H'}services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule) 8( I) of the CCS(Conduct) Rules, 1964). OIl the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inheri-ted by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

:1._ 1.. ._._ .

Sjgt1atu~.

Date .. J~l O-::S12..:0\'''.. .".

ANNUAL IMMOV AVBI..E PROPERTY ru:TURN

Statement of immovable property for the year } t , , l._" "2-. l8

___PAM DI10Lf\__lSltL _

;__ A.~~. -~m. _:..-~b}.~k_


2. .Present Post held3. Present Pay

..Name-O'tbistrict, --.- .. - ..- ...--N-a-meand details ofSub-Division,Taluk and village inwhich property is situated

·-present-· -- If not i't-l-o-w-n---rI-;l-:-'Io-w-~aCqUirCd\~TI~ti;~;:b\'---' .... )-X;'l1ua-l- .. - T Remark,Value name state in purchases, lease+", mortgage ' income Iroru I

whose name I inheritance, gift, or otherwise. ' the property iheld and his/her with date of acquisition andrelationship to I name with details or person/the Government persons fromwhom acquiredServant L_ _r------ ----_+_:_ -~-..,......-_:~_-;_-- - -.--_+_--.--.---......_,------ - -.._ ..

Housing I Lands. and other

l(ili~;:~'~1{~

property

III

....l

I~ f-, 75,00,0

--_._.__ .._------ _._ .._-- __ ._ _ -

(5:' 5' \4Date .Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includesshort-term leasealso. . .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group' A' and Grou p 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules t955(now Rule 18(1) of the CCS(Conduct) Rules. 1964),011 the firstappointment to the service and thereafter at the interval of every twelve ItIOllthS, giving particulars of all irnmovab le property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person. '

"} \. t t... "La '9l. Name of Officer (in full) and service to ..12 0' j)E't fA

which the officer belongs ....'=.5-1.(~~.,.~....hLt..-J~ifn1.·-=.-·_~.t.;'..·:~:2, Present Postheld --iJ!!I<.).. .....,...... JJ1.b..C._ C.! ";;;.>./~.

3. ..._.~res_en_t_p:~ __ ..__ --,,-_ : .~=~=.~:=.:~:~l__.. .__.. ..._ ..__.,Name of District. Name and details of • Present Ilfnot in own i How acquired whether bySub-Division, property Value I name state in i purchases, lease"", TlwrtgagcTaluk and village in I whose flame I inheritance, gift, or otherwise,which property is situated ! held and his/her with date of acquisition and

relationship to name with details of person!the Governmenr persons fromwhom acquiredS i.__ +--,_crv_._M_t_· .----1---'----.- --.- _1-_ .



--·····--·-·-----+---oHousing l.:al1dsand other

r- -.,--+-"-b~.ll~i_'!g~_!

_...__.. ..__ --L..:_ __

._---1----_ _-+---_. ___ _.

, Annualincome in'ill!

. the property

iII

--.1-.

I._---_ _ .._ .

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value ill relation to present conditions may be iudicatcd.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group 'A' and Group 'Enservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(I) of the CCS(Conduct) Rules, 1964), on the firs:appolntment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, ucqu iredor inherited by him or held by him on lease or mortgage, either in hisown name or in the name ofany members of his family or in the nameof any other person. ,

,V," N/I Nt'J

_ .._._.__ ..._._-----

fYI',



l. Name of Officer (in full) and service towhich the officer belongs


..."_.._'"--------Name and details of.Name of District,

Sub-Division,Taluk and village inwhich property is situated

property·pi:c-;icnt-----TlTi;ot 1tl ownValue name state in

whose nameheld and his/herrelationship tothe GovernmentServant'--1---

I How-~quircd"~vlleth~l:hy--'i purchases, lease"'''. mortgageinheritance, gift, or otherwise,with date of acquisition andname with details of person!persons fromwhom acquired

'-"'''''-- ,,'---------",'_.__ ..

Annualincome' Iron:

: the property

,-------,-·· ..--,·-'"-~-,'-----_._'"l_ ..:.......__,__ ...L:. _

_._...._,",."_._+----

Signature, ..y~Dalc.,,~9~ .ol~.,~~Iq"

Inapplicable clause to be struck out,• In case where it.is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is requited to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group 'B")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappolntmenr to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him at held by him on lease or mortgage. either in his own name or in the name ofany members of his family or in the nomeof any other person, ,

/

~ 1 ' , t.. '2A l8

:Kfl\)INU e R __i..LtY._c~JL ....__: ._ .s R C ~ ~--~:-;7:':-----:~~ e.v~ . _:~lQ""~_L: ."_.__..._


ANNVAL IMMOV AVPLE PROPERTY ru~TURN

".rreseOl---,' If not in own I How acquired ~~i"Ieth~;:by"--- - ..i';'\;'I1\1a'1- "-, T R_"'lIlarbValue name state in , purchases, lease>", mortgage income 11-(1111 !

I whoseflame inheritance, gift, or otherwise. the Pi'('P('If:

j' held and his/her with date of acquisition andrelationship to name with details of person!the Government I persons fromwhom acquired

r---.-- - ..- __ -+....,._ .. -_ •.,---t--.- _.__._j Serva11t ._+-__ .__.._ .._ _ _.................._~.__ .! Housing Landsi and otherI~;A :n~_~

lnapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also. .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class ll (Group 'A' and Group' W)services under Rule 15(3) of the Central C ivil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules. 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredOf inheri-ted by him Ofheld by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person.

I. Name of Officer (in full) and service towhich th~ officer belongs

2. PresentPostheld3. Present Pay

... ----~___.,,,---:--Name and details of.Name-ofbistrict, ......

Sub-Division.Taluk and village inwhich property is situated

property

_ .._._ .._ _._-----

i~-- ,

_._..._.......__.+------

I,1 :.. _ ...._ ..._---,,---'-'--- ~-..-.

Sjgnature.~ ..

Date .. ~ ~1.0.~/ ~.~.\1 .

/\nntulincome fn>111

the pr"I)(Tt>


ANNUAL IMMOV AYPLE PROPERTY ru:TURN

!. Name of Officer (in full) and service towhich the officer belongsPresent Post-heldPresent Pay

2.3.-_ •..__ _._--_ _ __ .._.__ .._---

.Narne of District,Sub-Division,Taluk and village inwhich property is situated


I ·----·-·--·· ..·--·-----!-tiousing

I and other

~'-,-.--:-, -',,+-I .::.::=;-I New »eu«.

'}I. t l.. '" 'Lea \8~CH8~A:lSHA ..__:~ ...±:'-J~~~: ._-.S.."J,.J...IIP. .._.._.__..__ .·r,;:ese-nt--·--"TTril-;;ti'·n--0-\\-"11--'-,-I-I-o-"" -azqu ired"~~,ll~(Ill; I: by _---Value I name state in purchases, lease=". mortgage

I whose name inheritance, gift, or otherwise.

I, ,held and hi.S/11cr with date of acquisition andrelationship to name with details of person/

I ~~:vc:~en_ll_n_e_nt_.-f-P_'c_rs_o_. n::-ro~ •.::,~,:.'.:_ilCq.llir:d .. •__Cand-s ~---+--.--- ...---.-

---1---.- ..-...--+------

Inapplicable clause to be struck out,• In ease where; it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term-lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be filled in and submitted byevery member of Class [and Class II (Group 'A' and Group 'Inservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

_..._._ .._.._ .._._----- . ..l...'-~ __ ._ _.. _

-----_ __ ....-S."". 5HA~"

(~)


ANNUAL IMMO VA VULE PROPERTY ru!:TQRN

I. Name of Officer (in full) lind service towhich the officer belongs.prs~sentPost 'heldPresent Pay

2.3.

~''''-'''-'---. - ..•................................•__ .....J -rxarne of District, Name and details ofSub-Division, propertyTaluk and village inwhich property is situated

l---···-·

• Flj:es-e-nl-"--"llfi;;;tii-l -o-\\-in----,-,IO"::,'-o-w-a~q-u-i-rc-l-\~,Tle(herbyValue I name state in purchases, leasev". Tlll.'rtgage

whose name inheritance, gift, or otherwise,held and his/her with date of acquisition andrelationship to name with details of person/the Government persons fromwhom acquired

_S_et:Y..~_J1t_. -+- .__ _ _.__ __ .. .

'}I. t l.... "2...0 \9

......j)_~-~- --

~=~fi~==:~~..,~··

Housing 1.,and7s---t--·--,····-··..---and other

f- :---+-=bul!Qj.l!g~_

lnapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up,Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group '/\' and Group ~n')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964),011 the firstappointment to tile service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease 01' mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

.---'-'-- __ .__ ..•..........•._......•.,..1.__ .. .•.._.

Signature. ~~~Z,..Dale /3/1//1 .

/\{l!1U:11 F,"I!lI.lll,.

inCOI11'_' in'lllthe pr(-[lCI t::



2. PresentPosrheld3. Present Pay

.Name·oj-Bistrict, ....-...Sub-Division,Taluk and village inwhich property is situated

......'Nattie-and details ofproperty

!.------......---.·----t-:-Housing

I and otherr------,,---!-bl.l.ggi.tlg~--.__..

j ReWd'O"t.,

( HO'Od(1H'(J.)

Inapplicable clause to be struck out• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also ..• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class ( and Class 11(Group 'A' and Group' H' iservices under Rule 15(3) of the Central Civil Services (Conduct) Rules I955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the fustappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

_ ....._---------

I Lands

ANNlJALJMMOV AYBLE PROPERTY ru:IUBN

} I. t 1." "2..0 19

mJrr.1sba~~,_ ..._;=AS$~Li~te:ssoL:._-.5'.'J.y1® __.__.._

.........····r'rese-nt---Tffnotin-o-w-·n----,j'"":f:-:"-Iow-acqlljred'~~,fleth~;:hy---' r;\'~!~;~;il-'--- i R,'!ll,llf<

Value I name slate in ! purchases, lease**, mortgage ;n(;O.l11<.'troll I

! whose name I inheritance, gift, or otherwise. the property

II held and his/hirr with date of acquisition andrelationship to I name with details of person/the Government i persons t-ronl:~~IJ()!~1.:~_qUired

--.---~ Seryant -- . I -..------...---.-.-

I I._ ,.._- + _------ --

_..__ .._----"-'--_.

AS'hoK '/fAW

~cJhel- LMleu» '"

HtJDA I ~rrv5

Date ...,)3j.i I J r:J .... , ...

Statement of immovable property for the yearANNUAL IMMOV AVBLE PROPERTY ru:TURN

~I· ''L r La '8

___ty,_ J~~~ &~~ . . .!JJ1ITJil. :~~~~?n~ 11!Yu~-e~ (Jrd ~)_S......3::J:..orlj. . . .

!. Name of Officer (in full) and service towhich the officer belongs .Present Post heldPresent Pay

2,3.

Name-;rDistrict, -._.-- .. "'-' .~ and details ofSub-Division, propertyTaiuk and village inwhich property is situated

·ProsentValue

lf not in ownname state inwhose nameheld and his/herrc14tlOllship tothe GovernmentServant

I How acquirel\~Eetil~;: by -_····j-·A:;l·l1ual-- I···i~·,;;;~~·;k~purchases, lease='. mortgage i income from /inheritance, gift, or otherwise, i the property IW. ith date of acquisition and· ... .liname with details of person/persons from,whom acquired I

-_._- -._._-- -.-+---- -.--"I'"Lands

,\


• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may. be indicated.• Includes short-term lease also.

• The wording 'No Change or No addition opr as in prevlous Y<lar'may be avoided and all details tilled up.Note- The declaration form is requ ired to be filled in and submitted by every member of Class I and Class II (Group' A' and Group' B'.)services under Rule 15(3) of the Central Civil Services (Conduct) Rules I955(now Rule 18() of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of eve I)' twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

"}I· , l._.. ~ \8

.~-(rirM:L._,, __:=~)i£m --~€hA.oJL( Ao\:hoc )..-S_~_:J_.oo .





"Name of District,Sub-Division,Taluk and village inwhich property is situated

N\L

...-'N-·a-m~-·a-n-d-d--e--t<-ai-Is-o-f-·-----. -·.p-rese-nl-----··~if,;ot~·t-I-o-w-·n--;:-iI:"':-!""o-w-acquire<r~~,lt~lh~;:hy'-"-

property Value name state in I purchases, lease=, mortgagewhose flame inheritance, gift, or otherwise,held and his/her with date of acquisition andrelationship to name with details of person!the Government I persons fromwhom acquiredServantr------.- .....-. --!-_ ----;--....-,:----:-----+--_. -+-"-'::;:..:_=:.... -1-__

Housing Landsand other

1----------,--..j....::.:b~tl~i_I!g~__t_------_+---

NIL NIL

_ .._.__ ..__._._------

, Annual ! R,'lllalk,, income from I: the property I

II

.........-.._--- ~.__j-- . • ~ _. _ _L

I\JIL NIL}\tt.L ~lL

m_.l :.-----'--------- - •.__ •__ •__ --1..;:.........__.•......

Signature .. !ir.J:. .... ...' .. J3.)ot/1 ~Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also. .• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group 'A' and Group 'W)services under Rule 15(3) of the Central Civil Services (Conduct) Rules t955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all imrnovab le property owned, acq uiredor inherited by him or held by him on lease or mortgage. either ill his own name or in the name ofany members of his family or in the nameof any other person.

Date .


ANNUAL IMMOV AVBLE PROPI-:RTY RETURN



..Namc-ofbistrict. -- .....-.Sub-Division,Taluk and village inwhich property is situated


....-----.---.~.....-IHousing . Landsand other

1------ __---c--1_.::.;b~ltc.ti.t!g~_I

NiL

-_ [ _._---"PresentValue

r~·:r\~·lllua-l'·-·-·····!" T~·('-Tlln I'k:~

! inCOf11e from [; I: the property !

._----,,..-----_ _._---.Ifnot in own How acquired whether byname state in purchases, lease"'''', mortgagewhose name inheritance, gift, or otherwise,held and his/her with date of acquisition andrelationship to name with details of person/the Government I persons fromwhom acquiredServant

---!--....;__ ----f--- -.- ----. ,"._----_ ..,. L.

---1--.-.- ..-......-_+- _

NIL-'1N L

L..._._..."...."._. _ ·----'----.-"--l-,, ..~....._._.__,,__ ....J....:.__

Inapplicable clause to be struck. alit

• In case where it is not possible to assess the value accurately the appr()ximate value in relation to present conditions may be indicated.• Includes short-term lease also. .• The wording 'No Change or No addition opr as in previous y~ar' maybe avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group '[3")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 19S5(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

.."._-- ._..._._---_._ ........-..._-_ .....

NIL NIL

I..........L__~:

SIgnature . ~;

Date l J11/1/ .



2. .Pr9sent Post held3. Present Pay

,Nal11~-ofbistrict. --... .. Name and details ofSub-Division,Taluk and village inIwh;chP:erlY ;, ,;tuated

I

"} , ' t l... £.0 19

......~K 1r.f.r__ t1J~_glL _


property

L._._ ._ -.-.---c--·-__ _..l_ .:. __ ...J....:..__

Inapplicable clause to be struck out

• In case where it is not possible to assess the value accurately the epproximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or NO'addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group 'A' and Group' Fnservices under Rule 15(3) of the Central Civil Services (Conduct) Rules1955(nowRtJle 18(1) of the CCS(Conduct) Rules. 1964), Oil the firstappointment tothe service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acquiredor inherited byhim or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. ,

Housing~. and other1 "--.J-b~l.l~~i_ll..g~_

I

. .;__hlS;l?T~ 'i---::PR.D_f...£.~idR lM)HOL-):._?3...]jtQ/:. ....__...__

..-.....·.-[lresent·--TifiWTltl own

Value name state inwhose flame

I.held and hi.S'/herrelationship to

I the Government.. Servant

Nt\ I NA ...--t---.

i";\;il~U;T--'" I i{""lililfk,• iIlC(;l11(, fnllli !• I· the property .

I How acqlljrc[\~;Tleth~;:bv..--"I .. •i purchases, lease>", nwrtg;lge

I inheritance, gift, or otherwise.with date of acquisition andI name with details of person/persons fromwhom acquired

NA_._....-...._._.+----_ .._...............- ._-_ _." , ..,

NANA

Signature" .. ~ ..

Date "l" ·lo..1l,l..1 .

If,;ot in OWI1 I How acquired ~,i";~iil~;:by----name state ill purchases, lease*"',mortgagewhose name inheritance, gift, or otherwise,held and his/her with date of acquisition andrelationship to name with details or person/

. '_j the Government Iperso", fromwhom acquiredServant1'------"'--'----'--1-'-'. 1-""·'-------'----'-"""-'"'-""---- '-. -_,,-- ----"'- '''''"-",--,,-,--,, -,---,-~---"

Housing Lands II I ill (Y\- '" r Af'[A and other fv~ (\JH- N IV IT

r-- ---,--+-_b"'-~I;g~i_l!g~_ __""'."""__'_ _"'''_,_"'",,__

i

IV'- I tvAI

--------,--:--'-------'------ ........- --L..:.-__ ,_,_",."__",,.,_,-'--_. '" t ....__,Sigl1ature·1~·,

Datc )~. Ql_..?~.I~lInapplicable clause to be struck out,

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wotdifiS 'No Change or No additiott opr as fh previous Year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group '[3')services under Rule 15(3) of the Central Civil Services (Conduct) Rules t 955(now Rule 18(1) of the CCS(Conducl) Rules, 1964),011 the firstappointment to the service and thereafter itt the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of any members or his family or in the nameof any other person.

ANNUAL IMMO vAVlJLE PROPl<:Rl'Y RETURN


1. Name of Officer (in full) and service towhich the officer belongs.Pr:9sentPostheldPresent Pay

2.3.

"Name-ofDistrict, -,-"Sub-Division,Taluk and village inwhich property is situated -."Present

ValueName and details ofproperty

.,.

1·~\;~1H1;1---. I··R<'m,lrk,: income from!• I

the property [

,-----'-- """.._.,-_.,...


ANNUALIMMQVAYBLE PROPERTY RETURN

1. NamcofOfficer(infull) and service towhich the officer belongs

2. Y,r9sent Posrheld3. Present Pay

·-·"·'·f···rresent----·ffif.!~otil1own I How acquired'~Tl~i11~;:by.--.Value name state in purchases, lease++, mortgage

whose name inheritance, gift, or otherwise,

J held and his/her with date of acquisition and. relationship to I name with details of person/

I·--·--··--_····-···-··---+:-- _,,--- ._ -.--. ~11!·~~n'nt Ip"son~~~~:~~.IJ.~r:_i:~~!.ljir~d4 ..

. . Housing I i._andsi and otherr !>!lllg~_+ -+ _,

¥'"_-... __ ._--,.¥..--Name of District,Sub-Division,Taluk and village inwhich property is situated

NIL

_ ..__ ..__ .._------,--

"}I, t 2.... "2..4 19

...-~-~fl~_15Jlf!l_fK

;=~..I..£_:r6N"i---U"O'£ErS6'IZ.:'_·---·-57'7em ---...--


T-A;~I~~~~I'--- ! R<'1I1H1k:., inC0111(:,from I

Ithe propert) !

- - -~.,

Inapplicable clause to be struck out,

• In case where it is 110t possible to assess the value accurately the epproxitnate value in relation to present conditions may be indicated.• Includes short-term lease also •.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class" (Group 'N and Group' B")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules. 1964), on the fir~tappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease Or mortgage, either in his own name or in the name ofany members of his family or in (he nameof any other person.

ANNllAL.1MMOV AYiLE PROPERty UXtJRN~ t , t ~ t "2... ,9

........"Q")'- - _s~j~j_~").L_

:~~L


2.3.

Name of Officer (in full) and service towhich the oflicer belongs.pr~sentPestheld.Present Pay.

. - ..•..- .........•.---- .,...........•..- ..··_·-·······r········ - .How acquired whether by I Annual. I Remarkspureha.'ltsl lea.se**, mortgage ! income fromInheritance, gift, or otherwise, i the property Iwith date of acquisition and' iname with details of person/ Ipersons fromwhom acquired I

"·PresentValue


Ifnot 111ownname state lilwhose tlrutleheld and his/herrelation.ship tothe Government

---+- ._..,.-__,.....---+-- --.---I-'S_e....;!iI""'M.;_t_ . 1-- .._ _.._.. -__L_ .Housing Lands.and other

J-- -:--+-·~~jldj.l!g~_-----t--

·..Name-ofDistrlct, ....-.......,.....Sub-Dlvislon,Taluk and vJllage in .which property is situated.

r'---

180a- B

~~(

-_._---Signature .

Datc ....... JJ.4tapplieable clauseto be struck out. . .• ttl. Qt\Scwhe.tc It Is hot pouihlc tQ·ailses.sthe vlilue 4CC\ltately ihe-4I'Pl'9xtmate value 111relation to present conditions may be indicated.• tt'l¢lUcl~$'$h«t~~rm.lease·also.· ....• The wordio.g INo C1uu:\g~6r No ~dditJt}i1 <>pt M in lmw16u8 )'tAr~ tl1it)t b(\ I1vQtdedand all detaHs fitled up.No1.-eAThe declaration form is required to be filled In at1<1submitted byevor)' rnetnbtr of Clan t and Class U (Group' A' and Group' B')services under Rule 15(3) of the Central Civil Serviees (Conduct ) Rules 19~5(MWRule 18(l) of the CCS(Conduct) Rules, 1964). on the firstappointment to the serVice and thereafter at the interval of every twelve rhonths. g)vi(tg particulars of all Immovable property owned. acqu iredor inherited by him Qt held by him on lease or mortgage, either itt his own nsme or in the name of'any members of his family or in the nameof any other person. .


ANNUALWMOV AVBI,E PROPl:RTY R¥TURN

""', ··presenl-·--Tlfi;~inown : l·rOw-~qllired··~\lil~th~r·~---- .AunualValue I name state in ! ~lIrc~a~es, lea.sc**. m,)rtgage incorn- fn!lil

whose name I inheritance, gifr, or otherwise. the prupcl!:I held and his/her i with datc ofacquisition (IT'd

I I relationship to ! name with details ofperson/

_j' the Government ! persons fromwhom acquired

,Fr I,~"~:-':';;;;-~~I>c;(' ';7;'f~"" I\}!Lf-L.,..L£_-lf'ofCLU~.L:o.L~~Q_!.::J__ flAM~ _._lid. t!JtnVQ(i})_~!-1 . ~-

&! Aud/)J'e I~~I i(JVEll /.()flIlj ~+NII-!i je IJ O/u 111/ t)/ i

......L Si",""" :&~7t,,~

I. Name of Officer (in full) and service towhich the officer belongs.p.r9sent PostheldPresent Pay

2.3.

-~--...,-.---..-..--Name of District,Sub-Division,Taluk and village inwhich property is situated


Housing

t2eJJ l?fi! No f)eH) .~Ih, kMt.7N

Inapplicable clause to be struck out,

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details tilled up.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class 11(Group 'A' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rtfle 18(1) of the CCS(Conduct) Rules, 1964), on the firsiappointment to the service and thereafter at the interval or every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him Oil lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

_ .._._ ...-....._._----- - i'-- ..I.-.....:.•..

.....__--.,..-L--__ ....L... -L..l..__ .__ -'- t __ 1 '__,'',' ~~~~Signature ; ..

Date ~.?:1~1.11.:) .

I How acquired ~i"leti1~;:by---'purchases, lease=>, mortgageinheritance, gift, or otherwise.with date of acquisition andname with details of person/persons fromwhom acquired

-r-·M•• " •••••_-- ---. '-----··'T"·:~.i Annual ; 1,,'IIlHrb: incorne from I: the property I

iI

l

ANNUAL IMMOVA VDLE PROPERTY rui:TPRNStatement of immovable property for the year

I. Na.meo1'O/'fl<;M(in full) and service towhich the officer belongs.Pr9sent PosfheldPresent Pay'

"}I. t 2.... "2.... 19bt. ~O!VIA-L 1>44 -4·lhH,L

:==.A.~~L~_j-_!,.~S.S1 .-~ hoc.) - c..1-,e m i'i.H'/

:--5-:t~':i=-e19 } -'-'--'---I"~""'-""'--f-, ---~ ..-........¥ ...__ •

2.3.

·-......f·~rel-U~-iil.--'~~,:~!~~~~whose name

. held and hili/her. relationship to

the GovernmentServanti --_·--_··· ..·..........·_·---+-Ho-u-s"':"'in-g--.,....Ca-n-d'-s---+-·- ......_ ..-·-·--+1--'---- ---t---

and other. +-b=-~lll~i.!!g~_------If----.- + "_ _ _..

I

l

Name-of District, -- " -Name and details ofSub-Division, propertyTaluk and village inwhich property is situated

.... "" ..,,!- .•.

l

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Tnclodesshort-term lease also. . .• The wording 'No Change or No addition opr as in previous Yfar' may be avoided and aU details filled up.Note- The declaration form is required to be filled in and submitted byevery member of Class [and Class II (Group 'A' and Group '8')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1<)SS(nowRule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappoil1tment tathe service and thereafter at the interval ofevery twelve niollthS. giving particulars of all immovable property owned, acquiredor inherited by him 01' held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person.



T~:"'I

:,------..·-4ou,;ng i umd;-s---t--------------------

!. I and other~ . b~jldi~&,__

'IN \ L- 'j\) \L- I'-l \ L--

_1_---,---~.::"U~?jl]\.~..~:..Inapplicable clause to be struck out, 7C - )

• In case where it is not possible to assess the value accurately the approximate value ill relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class (and Class II (Group 'A' and Group 'FI'}services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(I) of the CCS(Conduct) Rilles. 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in {he nameof any other person. ' ..

I. Name of Officer (in full) and service towhich the officer belongsPresent Post heldPresent Pay

2.3.

Name-ofOistrict, ._._ 1\farne and details ofSub-Division,Taluk and village inwhich property is situated

property l " not in o\~nI name state III! whose nameI held and his/herI relationship toI the GovernmentServant

I

i How acquired ~~fleth~;:b);--- r~\~~!~- -! l~t>l11nrk,.i purchases, lease**, mortgage ; income from i

I inheritance, gift, or otherwise.I with date ofacquisition andI name with details of lX~rS(ln,~I persons fromwhom acquired

-------------

I

"} \. t ~.. '2..0 ~9

___4 ~,.'~: --zr;::;-;:-*-:-r.:--r-· '11:::Ed _~I p),. )'q);~~fi.~~_-r~~~~ r





---....-·~~~enl---·1-~:~!~~~~:~II~:;~~~,;;:';.10.t~~~::~~~:I~~."·····whose name inheritance, gift, or otherwise,

I held and his/her with date of acquisition and. relationship to I name with details of person/

. the Government I persons fromwhom acquired

!~~U~~;~~rI' L'and.-s---+---·-----i Setv"", .__ .+=-_._.._ -..--_..--'. ..-------..___ ---+-b.~~lding_s_. -.- " -.-4---- __.._ _ ._ ___.. ....

I NIL /'lIL N/'Lr4 /1.. NIJ,. NIL

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the apprcxirnate value in relation to present conditions may bc indicated• Includes short-term lease also.• The wording 'No' Change or No addition opr as In previous Year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted byevery member of Class I and Class lJ (Group 'A' and Group 'Inservices under Rule '15(3) of the Central Civil Services (Conduct) Rules 19S5(now Rule 18(1) of the CCS(Conduct) Rules, 1964), 011 the firs 1appointment to the service and thereafter at the interval of every twelve 111011ths, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either ill his own name or in the name ofany members of his family or in the nameof any other person.

..Name of District,Sub-Division,Taluk and village inwhich property is situated

I----·~--·~···..---i

~1'-\ IL

------_._-----

.....-Nalt~e'and details ofproperty

1-~\;~;~~7;;1-"-""""!"i'('111ark': income from I. the property I

I................L. __~ _

Signature ..tf?-~~~~.v.~..Datc.d£/4.j ..J.'t t~~J-1 t I)

/,-1/ L

____ .1..:-__ ._ _

L


ANNUAL IMMOV AYBLE PROPERTY ru:TURN

2.3.

Name of Officer (in full) and service towhich the officer belongs.PnlSent Post heldPresent Pay

"} t , t l_.. '2.0 19

:~~ ...-

:=~-~~.---.----.6 ._ _ _

property

r ---- __·-__~-+.;::_;~~U~~~~rb~lit4J,!g~_

j t I.A: N AI

"Name-of District. -_.. Name and details ofSub-Division,Taluk and village inwhich property is situated

L. . _

How acquired \;'Ylettle;: by'--' ·······i"/,,;,[1\)a-1---· !'"R";I;'ll:i:,purchases, lease=", mortgage ! income from !inheritance, gift, or otherwise. . the property Iwith date of acquisition andname with details of person/persons fromwhom acquired

.-.... ···Present --TTfi10t in ownValue I na,me state in

1 whose name

J'held and his/herrelationship tothe GovernmentServantCand-s-- .__...._..-- ------ .--1---

,;

.··"··••·n••~.__ ._. __ •••._ ••••••••.•~._-4 __ ....._.,...

NA_._.___-+------ _.._._.._- _-----_ __._- ,.. _·.._.n_._._._· .__..

N,4NA NAI\JA

I......................J ._...__ ___~. _ _

Signature. ~ ..

Date ... 13.).02>/.W.L~.,.....Inapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short ..term lease also. . .• rhe wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group' /\' and Group' B')services under Rule 15(3) of the Central Civil Services (Conduct ) Rules 1955(now Rule 18(I) of the CCS(Conduct) Rules. 1964). Oil the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqui redor inherited by him or held by him on lease or mortgage, either ill his own name or in the name ofany members of his family or in the nameof any other person.

tvA

l.


ANNUAL IMMOVAvPLE PROPERTY RRTYRN

2.3.

Name of Officer (in full) and service towhich the officer belongsPresent Post heldPresent Pay

...r .,present·--·~filOtil1 ownValue name state in

whose name

Iheld and his/herrelationship to

I the Government_j Servantr----·-·--····-·. ~~~u~~~::r Ti:and-s-- ._ --- 1--·-------1----

~--_...,.--+-b.~I.U~!ll.gS- .

I N qr

Inapplicable clause to be struck out,• In case where it is 110t possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also. . .• The wording 'No Change or No addition opr as in previous yeart may be avoided and all details filled up.Note- The declaration form is requited to be filled in and submitted by every member of Class I and Class II (Group' A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules. 1964), on the firstappolntment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.


IH."; .•;I>.

II !, I (

l';;;:;itw;'j- -- '1"'R-('n;';I~i:,: ineOI11<: 1'1'0111 I. the property

I How acquired \~i"i~tl;~;:by---·

I' purchases, lease=", mortgageinheritance, gift, or otherwise,with date of acquisition andI name with details or person/



+---- - -..- .---- _._----

!

._----l..!._._ L_ _ _Signature .....A~.~.\~.J\):J~.Date ...... \ .'3.\Q) ..\..\5 ..

) t , t !. .. Ua \8

..~, Koti.8_~~L1UltiAN.L.._--------_._p._--_._.._~.._~sg1~1~~EJ~:~~~R. ..


ANNUALJMMOV AVBLE PROPERTY RKTURN

.r;rese-nt--·~I:lfiwtinOWII i How-~~Tred··~~ll~ill~;:hy·----··Value name state in i purchases, lease+", I1wrtgag.e

I whose name I inheritance, gift, or otherwise,j! held and his/her I with date of acquisition and

I relationship to i name with details of person/the Government I persons fromwhom acquired

r'--- ------t--,Housing Ianci:-s---t--·--···----__j Serv~ _t-----._ _-._.._ -~-- ..L__ and otherI ~I :-----,:-+-1 b_~!l.!.9..!_I!g~_

j Nf\ NA Nf)I

Inapplicable clause to be struck out,• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated• Includes short-term lease also. .• The wording 'No' Change or No addition opr as in previous year' may be avoided and all details 11IIedup.Note- The declaration form is required to be filled in and submitted by every member of Class [ and Class II (Group './\' and Group cH')services under Rule 15(3) of the Central Civil Services (Conduct ) Rules I955(oow Rule 18(1) of the CCS(ConductJ Rules. 1964),011 [he fil~tappointment to the service and thereafter at the interval of every twelve months,giving particulars of all immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.


2. Yr.9sent Postheld3. Present Pay~- -•...•.-..--- ..•.- --_ .._._-I rvame of District, Name and details of


i >\ll;~;~;I-·- 1i~('mMk'income fW1l1 !the Pi\'i1('if;

NA Nfl NA

I

ISignature ~~~

Date ... 1.3[Obi I..1.:....

I.J


ANNUAL IMMOV AvnLE PROPERTY RETURN

I. Name of Officer (in full) and service towhich the officer belongsPresent PostheldPresent Pay

2.3.

"Nllm~-{)i-bistrict, .- ..Sub-Division,Taluk and village in .which property is situated

......."Nainc' and details ofproperty

Cands

'} I, l 1... L-G ~9

.....12L..l::lftJ.:1 IS ttf.l- ..-..KlJtJ.f~;=_A~~~~"f!.fr:,--_~~~~=~:~=~"··riresent----··1f;;OT1tl ownValue name state in

whose flameheld and his/herrelationship tothe GovernmentServant

How -iiCquire[\~lIetile;: by"--- T-X;:;;:;uaT--' T j~<'n;HI-k,

purchases, lease+", mortgage ! income from Iinheritance, gift, or otherwise, . the property Iwith date of acquisition and !

name with details of person/ Ipersonsfromwhom acquired !

1-------_..·_----HousingL_ and other

1· -"-:_+-bUjl~j_t!..g~_.+_-----+_----....-....-.-+_----

~ rlp;.............1 :

i----I~;~~:!

_ .._._ ...-._ .._._----- .---'-----_ ..__L.....:.....__._..__ -L:..__

Signature ..

Inapplicable clause to be struck out• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated ..• Includes short-term lease also.• The wording 'No Change or No addition opr as ttl previous y~ar' may be avoided and all dela.its tilled up.Note- The deolatathl1 form is required to be filled in and submitted by every member of Class I and Class II (Group' A' and Group 'B')services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conducf) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

STATEMENT OF IMMOVABLE PROPERTY FOR THE YEAR 2018 (AS ON 31.12.2018

1. Name of Officer (in full) : Dr. Payal Mago 3. Present post held: Principal

2. Service to which the Officer belongs: 4. Present Pay:

Name of District, Sub- Name & Details Cost of construction Present Value * Ifnot in own name, How acquired, whether by Annual RemarksDivision, Taluk & of Property /Acquirement including state in whose purchase, lease@, mortgage, IncomeVillage in which Housing, Lands land in case of house and name held & inheritance, gift or otherwise fromproperty is situated. and Other year when purchased his/her relationship with date-of-acquisition & property

Buildings to the Govt. name with details of personServant from whom acquired.

(1) (2) (3) (4) (5) (6) (7) (8)1.E-172, Alpha I Greater Residential l3 lakh, 2002 50 Lakhs APS Sirohi Lease, HBA & Loan from NILNoida, U.P (Husband) ICICI (2002)

2. 71 Navyug Appartment Residential 1991 70 Lakhs APS Sirohi Power of Attorney Converted NILSec-9, Rohini, Delhi (Husband) to free hold. Housing Loan &

Funds from Friends &relatives (1991)

3. Flat No.59, Pkt-8, Sec- Residential 30 lakh (2011) 50 Lakhs Own name Housing Loan from India 2,50,00012, Dwarka, Delhi Bulls (Approx)

4. 2.25 Nali Land in Vill- Land 2 lakhs (Approx) 15 Lakhs Own name Purchased from own savings. NILShakho1a, Nainitaa1

5. 1Nali Share in Vill- Land 2011 12 Lakhs Jointly in own Gift deed by Brother NILPandey Gaon Nainitaal Name

6. 14Share in House Built Housing Plus 2011 25 Lakhs Jointly in own Through father's will NILon 4.5 Nali Land in Vill Land NameBijroli Nainitaal

My husband, Shri APS Sirohi, is an officer of the Indian Economic Service, presently posted in Mlo Shipping.

Signature ..4.: .Date .•.......... ~J:\. -'so ••••••••••

ANNUALIMMOV AVBL.E PROPERTY ru:TQRN



2. Present Postheld3. PresentPay

'"Nat11e-of~DfStrictf .._.._ ".~ ~.Narne-and details ofSub-Division, propertyTaluk and village inwhich property is silu'1.ted

! How -acquireT\~fled;~I:by~--'I purchases, lease=, mortgage

I inheritance, gift, or otherwise,with date of acquisition andI name with details ofperson/


income fro 11 I

the property

Dale ... .J. .~ .. ~.. ~ ... ~.~ I:>.! j.Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximare value in relation to present conditions may be indicated.• Includes si1ort..term lease also.• The wording 'No Change or No additiotJ opr as In previous year' may be avoided and all details tilled up.Note- The declaration form is required to be tilled in and submitted by every member of Class I and Class II (Group 'A' and Group '8')services under-Rule 1'5(3)of the Central Civil Services (Conduct) Rules t 955(now Rule 18(l) of the CCS(Conduct) Rules, 1964),011 the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person,

-

ANNUAL JMMOVA VBLE PROPERTY RF~TURN

Statement of immovable property for the year ') I, l t ~"La~9

.. fJ~lWL_tl!M~_-'E.lv.t&¥ )LA); =: A-r>cd.~ __._=:. .ac 513.,1 c .__..._

l. Name of Officer (in full) and service towhich the officer belongs

2. ,Pr9sentPostheld3. Present Pay

·"Name-ofDistrict _ - .

Sub- Division,Taluk and village inwhich property is situated

1';\;ll1ua'l- - .. ,...R:"11l111k:-.! income from !, I

the proper!) i

ifilotin-. -o-w-.n----,--,.I·":'"Io-"-,acq-u-jr-e-l"~I;etli~;:by'--"name state in purchases, lease*"', mortgagewhose name inheritance, gift, or otherwise.held and his/her with date of acquisition andrelationship to I name with details or person/the Government I persons fromwhom acquiredServant--r----- ..---.-j----.-.-_ _ __.._

-· ....f ........·..·------ .."PresentValue


I------1-.r------··..··-----+-Ho-U-s":"i'-lg--,--Lancls

and other_. 2.~I.Hdi.ng~_+-- __ -_t__-

'~I j!~R:;~~ '2>&'" L.) B:rlh~8!I 4~ ~j ~ fJe9.~. - ProR f'lt1l>1

~

' /SGe-~Jl, JO)n S

1) fYIoh11..'.! :~",a: :3 0 L. ~ fI10 '-'I Me) pl<U'~e~~~~Va1i ..!.~-'_tlp_'- _ _~_~ .. _L .,..__ 1"'0' T-

Signature ~ .. ,

Date .. ./..4.~.P 3.:: ....~J. q ....Im\ppticable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also ..• The wording 'No Change or No addition opr as in prevlous y~ar' may be avoided and all details tilled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group 'A' and Group 'W)services under Rule 15(3) of tile Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval ofevery twelve months, giving particulars of all immovable property owned, acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person. ,


ANNUALJMMOVA VBLE PROPERTY RETURN

t. Name of Officer (in full) and service towhich the officer belongs

2. Present Postheld3. Present Pay~- .••...•.....-..--- __ __ .-, Name of District, Name and details of

I Sub-Division. propertyTaluk and village inIwhichP:rty" ,itu'too

HousingL-. and otherI N11'---..,..-+-b~'X!qi.'1.g~-

'fands

} I. t t. to L.fIl9

lrt:..._r:)_y.)5~~~_kM1!J~r. ......_C .5 (J,_cA .sw):·--S'----~--....··--·~.l\..ti.,~,~.L_Qll)d:~_._ ~::t_: .-_ .._.S_":J~.-;t_()O /",.,....-= .._."."_."__·r;resent-··--·TiTi1-otii-\ -0\-"-11--r-J-~lo\';-~'q-l-Jj-rcd"~~'heth~l:hy ._-Value j name state in purchases, lease=". mortgage

I whose name inheritance, gift, or otherwise.held and his/her with date of acquisition andrelationship to name with details of person/the Government persons fromwhom acquiredServtult

.--.....L.: ._ ..i. .. •__ • ,_

Signature. ~~~.\" ....~."~Date .. .1..~\ oH<~~~......

Inapplicable clause to be struck out,• In case 'where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated• rncludes short-term-lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class lJ (Group 'A' and Group 'IV Iservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), Oil the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person.

income fru!11the property

ANNUAL IMMOV AVDLE PROPERTY RETPRN

Statement of immovable propert!' for the year



........•,--_._------Name and details ofproperty


--.-·------+-Housing Candsand other

J- ~+~~li~qi_r!g~_

(\}t L (\)ILA)/L

·-pre~cnt----·lfilot1n ownValue name state in


.----'--------'-- ....:...--

/' How -acqllired-~~tle.ihel:by'--- .purchases, lease+", mortgageinheritance, gift, or otherwise,with date of acquisition andname with details of person Ipersons fromwhom acquired

i Annualincome from

i the property

Inapplicableclause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also ..• Thewording 'No Change or No addition opr as in previous year' may be avoided and all details tilled up.Note- The declaration form is required to be filled in and submitted by everymember of Class [ and Class II (Group' A' and Group '13OJservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(nowRule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of an immovable property owned. acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameorany other person.

NIL AlIL


ANNUAL IMMOVA VIlLE PROPERTY RETURN

1. Name ofOffieer (in full) and service towhich the officer belongs.Pr.9sent PostheldPresent Pay

r--------···~1;~~~:--~·.-f~-.-n-ds----~----.-~ ! y~,",O~~. '?:.O ~~

~~\ ..~I

~~~- /'

& ....,.:....u '" b' ~-.~ W~\!V \""0'(fV\1IVot.J. \~ .:l~' 2.()9\ y\\C::t~\<.. ~ ..~ ~b~\(..~~~

~~:r..Inapplicable clause to be struck out,

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also ..• The wording 'No Change or No addition opr as in previous Year' may be avoided and all details tilled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class II (Group' A' and Grou p 'B')services under Rule 15(3) of theCentral Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), Oil the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acquiredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person.

2.3.



.---.~---.-.--

:~.~~-- ..--..~ 5]..']_.. _.__.._

j- ;'\'~I~;;-1j incorne from\ the property

··-present---" lfi10tTn ownValue name state in


I

II How -a'"Cquircd';~T;eti;~;:by---purchases, lease+", mortgageinheritance, gift, or otherwise,with date of acquisition andname with details of person/


N· f\. ---.----;;:O',~ ~ Wl.f-~{~ ! ..\-~----.-\n-l~ I

I

N· ~ 1 )1

• -..J.. __ ._ __.__._. : __ L.. ._

iD~ ~~!~;. ..~ ..:....~~~~~Date \.S.:-:.5.~.~ p.\ '\ .

5~sc

!. Name of Officer (in full) and service towhich the officer belongsPresent PostheldPresent Pay

;I·I~ ..~,g

-'. _0 As 11fl__~A':L .."'__

:=~s~.!ji~;---fML:\.S ~~ IId- h0c):.--5l"1.D.D . . _



Htl-

lfnot in ownnamestate inwhose nameheld and his/herrelationship tothe GovernmentServant ----t-----.- - -..--.

How -acq-u-j-re-d-';~I;~th~;:by'--' ...·1·.A~lnllal-'purchases, lease=", mortgage ; incorne frominheritance, gift, or otherwise. : the propertywith date of'acquisition andname with details of person/persons fromwhom acquired

2.3.

"Namc-of·District •. - ..Sub-Division,Taluk and village inwhich property is situated

.....-Name-a-n-d-d:-e-ta-:-j:-ls-o-:f:---'-""'·.'p~esiiit---·property Value

r---.___ ---+-Housing . Land'7s---t----·······-······-··--+--I and otherf- c--+bu.~~4.i"l!g~_--.---t---- - --.-t-----."".- "_ _

I

1..... __ ..•. _ ... _ - ,'-- ._._ ..l_....:...... ..__ ...l...:.__

I i._.1 .__ . I ~

Signature. .~ '"

Datc ..... I.B I.~.~.llInapplicable clause to be struck out.

• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted by every member of Class I and Class U (Group' A' and Group' B'Jservices under Rule 15(3) of the Central Civil Services (Conduct) Rules l 95S(now Rule 18(1) ofthe CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval or every twelve months, givittg particulars of all immovable property owned, acqu iredor inherited by hln, or held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.


ANNUAL IMMOVAYBLE PROPERTY RETURN


2. Present Postheld3. Present Pay~- ..-- -.--- .J -Narne of District,

I Sub-Division.Taluk and village inwhich property is situated

.... Name and details ofproperty

·-······r..........-..·--.----.--.l--.- '-'---'"Present 11 f not in ownValue name state in

i whose nameI held and his/her

. relationship tothe GovernmentServantt----·· ..··-----t-:-Housing

and other1------__--:--+-~~Il!.~i.I!g~~+ _t_---

IN~NA

:----j-_._._---Lands

NA

I How acquired whether byi purchases, lease=", mortgage! inheritance, gift, or otherwise.I with datc of acquisition andI name with details of person.'I persons fromwhom acquired

Annualincome frelillthe pn'pclt)

___ -W_~_.__ _ _

______ ._••.__ ..••.•_.. • ~i.··········r··

II

1I

IL......

Signature ...•~.~ ..

Date .. Jel 'J ~~.l1.. ... . .

NI4

Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled up.Note- The declaration form is required to be filled in and submitted byevery member of Class I and Class II (Group'/\' and Group 'Inservices under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955{now Rule 18(I) of the CCS(Conduct) Rules, J 964), Oil the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned. acqu iredor inherited by him or' held by him on lease or mortgage, either in his own name or in the name ofany members of his family or in the nameof any other person.

I How -acqujred-\~,lleth~;:by~--·i purchases, lease=", mortgage

I inheritance, gift, or otherwise.I with date of acquisition andname with details of person/persons fromwhom acquired




2. .pr~sentPostheld3. Present Pay

) I·,~.."Lea l8

...~.~31~_~hu~VVI /)ep~ ..):---;c:'J---.--p-::;;.;p; f(-1

;-1l~~ o~(!t~t!7cp~)........Name-and dc',-ta-:j-:-!s-o-:f"'-'---_ .. ··Prese-~l-·---Tifi;otinown

property Value name state inwhose nameheld and his/herrelationship tothe GovernmentServant

Name of District,Sub·Division,Taluk and village inwhich property is situated

f\[IL

r----·--······-· Housing i CandsI andother

~. __ --.,--+-b~~~_ '-,,-r ,cI

._.._._._--._ .._------

NIL-.-- -.--f-----

: . A !;!~;;-;1.., income fn)111

the property

MIL

Signature .. .~ .......

Date .Inapplicable clause to be struck out.• In case where it is not possible to assess the value accurately the approximate value in relation to present conditions may be indicated.• Includes short-term lease also.• The wording 'No Change or No addition opr as in previous year' may be avoided and all details filled lip.Note- The declaration form is required to be filled in and submitted by every member of Class [and Class II (Group '/\' and Group '[3")services under Rule 15(3) of the Central Civil Services (Conduct) Rules 1955(now Rule 18(1) of the CCS(Conduct) Rules, 1964), on the firstappointment to the service and thereafter at the interval of every twelve months, giving particulars of all immovable property owned, acqu iredor inherited by him or held by him on lease or mortgage, either in his own name or in the name of'any members of his family or in the nameof any other person. . .

Statement of immovable property for the year I. Name of Officer … Property Return.pdf ·...

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Transcript of Statement of immovable property for the year I. Name of Officer … Property Return.pdf ·...