(See rule 24)

For the financial year:2017-2018

DECLARATION FORM FOR PROPERTY HELD BY

GOVERNMENT EMPLOYEE AND HIS/HER FAMILY MEMBERS UNDER RULE
24 OF THE HARYANA CIVIL SERVICES
(GOVERNMENT EMPLOYEES CONDUCT) RULES, 2016.

Name(Current Desgination) : PHOOLA RANI(P.G.T. in Sanskrit)

Designation During Finacial Year : Lecturer
Department and Office: Education(Secondary),Govt. Sen. Sec. School
Chakkarpur
Date of Submission: 4/5/2019 4:09:00 PM

ANNEXURE-A
Statement made on:
(1) Cash, jewellery, deposits, insurance policies, share, securities and debentures;
(2) Loans and advances by such Government employee whether secured or not;
(3) Motor-cars, motor-cycle, horses, or any other means of conveyance; and
(4) Refrigerators, radiograms and other electronic goods.

Description: (a)
Movable Property

S.No. Desrp. item Value Of Member Name Benamida Date of Acq. Fresh Acq. Remarks
Acq. (in r in year
Rs.)
1 Cash 50000 Self 31/03/2018 salary salary

2 Jewellery 100000 Self 31/03/2018 salary salary and gift

3 Deposits 450000 Self 15/04/2017 to salary salary
31/03/2018
4 Insurance 400000 Self 15/04/2017 to salary policy insurance
Policies 31/03/2018

Note:
(i) Cash, jewellery, deposits, insurance policies, share, securities and debentures;
(ii) Motor-cars, motor-cycle, horses, or any other means of conveyance; and
(iii) Refrigerators, radiograms and other electronic goods.

PHOOLA RANI

P.G.T. in Sanskrit
9813457442

Page 1 of 2 4/5/2019 4:09:00 PM

 (See rule 24)
For the financial year:2017-2018

DECLARATION FORM FOR PROPERTY HELD BY

GOVERNMENT EMPLOYEE AND HIS/HER FAMILY MEMBERS UNDER RULE
24 OF THE HARYANA CIVIL SERVICES
(GOVERNMENT EMPLOYEES CONDUCT) RULES, 2016.

Name(Current Desgination) : PHOOLA RANI(P.G.T. in Sanskrit)

Designation During Finacial Year : Lecturer
Department and Office: Education(Secondary),Govt. Sen. Sec. School
Chakkarpur
Date of Submission: 4/5/2019 4:09:00 PM

Description: (b)
(iv) Detail of Loans
No loan details

Note:- Members of a Government employees family are those as mentioned in rule 3(c) of the
Haryana Civil Services (Government Employees Conduct) Rules, 2016.

Note:
(i) All interest in land of a permanent nature whether ownership, mortgage or hereditary
occupancy, should be entered also dwelling houses in State, District, Village or City.
(ii) Members of a Government employees family are those as mentioned in rule 3(c) of the
Haryana Civil Services (Government Employees Conduct) Rules, 2016.and in showing the
holding of each, if a holding is Benami, the name of the Benamidar should also be mentioned.

PHOOLA RANI

P.G.T. in Sanskrit
9813457442

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