shri pradeep jain 'aditya' mos for rural development

8/4/2019 Shri Pradeep Jain 'Aditya' MoS for Rural Development

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DECLARATION OF ASSE TS AND LIABILITIES BY MEMB ERS OF LOK SABH AFORM I

A. ASSETS AND LIABILITIES OF MEMBER

1. Name of the Member(in block letters)2. Father's/HuOced's name

3. Permanent Address

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(4) Whether held jointly or severally. Ifproperty held jointly with another personshare of property held

(5) If not held in member's own name, statein whose name held and his/herrelationship with the member

(6) How acquired(whether by purchase, lease, mortgage,inheritance, gift or otherwise with dateof acquisition and name of person fromwhom acquired)

(7 ) Any other relevant information whichthe member may like to mention

H. Details of movable property

(1) Description of the propertycar/motorcycle/jewellery/investments in banks/stock

markets/companies/financial institutions/insurance policies etc.)

(2) Make, model (and also registrationNo. in case of vehicles) wherenecessary

(3) Mode of acquisition(purchse/gift/mortgageeaserotherwise)

(4) Purchase price of the property

(5) In case of purchase, source or sourcesfrom which financed(a ) personal savings

(b ) other sources

(6) Any other relevant information which themember may like to furnish

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3III. Details of Liabilities of the member to public Financial Institutions/Central Government and

State Government

(1 ) Details of loans raised from Banks/Companies/Financial Institutions/Central/State Governments

(2 ) Amount of loans raised in each case

(3 ) The period for which these loans wereraised in each case


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4B. INFORMATION REGARDING IMMOVABLE AND MOVABLE PROPERTIES HELD BYMEMBER'S SPOUSE1. Name of the Member's spouse(in block letters)

2. FatIltrs/Husband's name3. Permanent Address

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(7) Any other relevant information which themember may like to mention

II. Details of movable property

(1) Description of property( i. e .,ar/motorcycle/jewellery/investments in banks/stockmarkets/companies/financial institutions/insurance policies etc.) rewei,LFRy - siL_vcis- 6 84.4(4 K - 2.Alo)Dry Sr 1 1 ,19.4 cE-C `1


(3) Mode of acquisition(purchase / gift / mortgage / lease orotherwise)pvaccineiF7pArwc:g eko 0907)9/ 716-/vBges

(4) Purchase price of the property

(5) In case of purchase, source or sourcesfrom which financed

(a ) personal savings

(b ) other sources

(6) Whether held as owner or beneficiary

Whether held jointly or severally

(8) Any other relevant information whichthe member may like to furnish

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C. INFORMATION REGARDING IMMOVABLE AND MOVABLE PROPERTIES HELD BYMEMBER'S DEPENDENT CHILDREN

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$11. oed :LE 5./0 kor2,9/20511A /4 o _ sooR/9,1 A 4-rir`r#/< m.161321 . Name of the member's dependent children(in block letters)2. Father's/Harrd's name3 . Permanent Address4. Delhi Address

I.etails of immovable property(1) Name of the State, District, Sub-divisionand village in which property is situated.

(2) Details of property(a ) House and buildings and their

present value

(b ) Lands and their present value

(3) Whether held as owner or beneficiary

(4) Whether held jointly or severally. Ifproperty held jointly with member, shareof property held.

(5) If not held in child's own name, state inwhose name held and his/herrelationship with the child

(6) How acquired(whether by purchase, lease, mortgage,inheritance, gift or otherwise with date ofacquisition and name of person fromwhom acquired)

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7(7) Any other relevant information which the

member may like to mention

I I .etails of movable property(1) Description of property(i.e. car / motorcycle / jewellery /investments in banks/stock markets/companies / financial institutions /insurance policies etc.)


(3) Mode of acquisition(purchase / gift / mortgage lease orotherwise)

(4) Puchase price of the property

(5) In case of purchase, source or sourcesfrom which financed

(a ) personal savings

(b ) other sources

(6) -Whether held as owner or beneficiary

(7) Whether held jointly or severally

(8) Any other relevant information which .themember may like to furnish

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8DECLARATION

P R p t . .b E s PIf I N hereby declare that theinformation given above is true and correct to the best of my knowledge and belief.

In the event of any change in the information given above, I undertake to intimate the Speakeras provided under the rules. -

Yours faithfully,

Date : 3 0(0it

shri pradeep jain 'aditya' mos for rural development

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