property return performa.docx

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    ;zgsh ns/ d/DdkohnK dh foNoB(;kbHHHHHHHHHHHHHHH)

    1 (T) eowukoh$nfXekoh dk Bkw L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    (n) fgsk dk Bkw L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    2 nj[dk fi; Bkb ;pzXs j? L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    3 e[Zb ;oft; j[D sZe L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    (T) BkB riNv o?Ae ftu L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    (n) riNv o?e ftu L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    4 w'i{dk ;w/ ftu g';fNzr dh irk L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHns/ nj[dk

    5H e[b nkwdBh(;ko/ ;'fwnk L HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

    x';aBkL^ w? fJj x';aBk eodk jK fe ;koDh ftu ckow fJe s' gzi sZe w[ezwb jB ns/ w/oh ikDekoh w[skpe mhe ns/ ;jh jB ns/ fdZsh rJh ;{uBK ;p o{b (1o{b (18) gzikp ;oeko eowukoh ezveN d/ g/;ak o{b 1966 $;op Gkosh ;/tk(ezveN) fB:w 1968 d/ o{b (16) w[skpe ;jh j? .

    nfXekoh d/ j;skyo

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    Bkwfgsk dk BkwiBw fwshs?Bksh dk ;EkB

    fbfeT{v n?;?N; dh ;{uh(;kbHHHHHHHHHHHHHHHHH)

    1) e/; ns/ p?e p?Ab;(fszB wjhfBnk s' tX/o/ sBykj

    2) iwK oewK$eoi$fBt/;a(fit/ fe ;a/no f;feT{oNhnK ns/ fvp?uoi nkfd)

    eqwBzL

    fttoD p?e$ezgBhnkfd dk Bkw ns/gsk

    oew i/eo y[d d/ Bkw Bjhfi;d/ Bkw T[;dkeowukoh $nfXekohBkb fo;ask

    ;bkBk nkwdBvhokJhto

    ft;a/;a eEB

    1 2 3 4 5 6 7

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    Bkwfgsk dk BkwiBw fwshs?Bksh dk ;EkB

    uZb ikfJdkd dh ;{uh(;kbHHHHHHHHHHHHHHHHHHHHHH)

    bVhBzL

    nkfJNw dk t/otk yohd dh ehws i/eo y[d d/ Bkw Bjh sK fe;d/Bkw ns/ eowukoh$nfXekohBkb fo;ask

    yohd dh fwsh ns/feE' gqkgs ehs/

    ft;a/;a eEB

    1 2 3 4 5 6

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    Bkwfgsk dk BkwiBw fwshs?Bksh dk ;EkB

    phwk gkb;h,ihHghHczv,n?BHn?;H;h ,ghHghHn?c nkfd(;kbHHHHHHHHHHHHHHH)

    phwk gkb;hnK gq'thv?N czvbVhBzL

    gkfb;h BzL ns/fwsh

    phwkezgBh dkBkw

    gkfb;h dhoewgogZeskdh fwsh

    ;bkBkgqhfwnw

    gq'thv?Nczv dh fe;wns/ ykskBzL

    eb'fizr p?b;2008^2009

    ezBNohfpT{;aB e[Zb ft;a/;a eEB

    1 2 3 4 5 6 7 8 9 10

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    Bkwfgsk dk BkwiBw fwshs?Bksh dk ;EkB

    eoik ns/ d/DdkohnK dh ;{uh(;kbHHHHHHHHHHHHHHHHHH)

    bVhBzL

    oew b?Ddko dk Bkw ns/ gsk eoik $d/D dh fwsh fJzdoki dk t/otk ft;a/;a eEB

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    Name:Father's NameDate of BirthPresent Place of Posting

    Form No.1

    Statement of immovable property(eg) Lands,House,Shop,other Buildings etc.For the Year-----------Sr.No

    Descriptionof Property

    Precise LocationName,District,TalukVillage in which theproperty is situatedand also itsdistinctive number

    Area ofland( incase ofland andbuildings)

    Natureof land/property

    Extentofinterest

    if not inown namestate inwhosename heldand his/herrelationship, if any tothe GovtEmployee

    Date ofacquisition

    How acquired(whether bypurchase,mortagage, leaseinheritance gift orotherwise andnames with detailsof person/ personsfrom whom acquiredaddress andconnection of theGovt.Employee if any withthe person/

    persons concerned(please see note 1blow)

    Value of theproperty (see notebelow)

    Particularssanction ofprescribedauthority, if any

    Totalannualincomefrom theproperty

    1 2 3 4 5 6 7 8 9 10 11 12

    Note:1. For the purpose of column 9, the term would mean a lease of immovable property from year for any for any term exceeding one year of receiving a yearly rent. Where, however, the

    lease of immovable property is obtained from a person having official dealing with the Govt. employee such a lease should be shown irrespective of the term of the lease, whether it isshort term or long term and the periodicity of rent.

    2. In column 10 should be shown;-a. where the property has been acquired by purchase mortgage or lease the price of premium paid for such acquisition.b. Where it has been acquired by lease ,the total annual rent thereof and

    c. Where the acquisition is by inheritance, gift or exchange ,the approximate value of the property to be acquiredSignature

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