Академический Документы
Профессиональный Документы
Культура Документы
407/12/2014-AVD-IV-B
Government of India
Ministry of Personnel, Public Grievances & Pensions
Department of Personnel and Training
North Block, New Delhi-110001.
Dated the 18.03.2015.
Office Memorandum
The first return (as on l at August, 2014) under the Lokpal Act should be
filed on or before the 30 th April, 2015;
(ii)
The next annual return under the the Lokpal and Lokayuktas Act, 2013 for
the year ending 3l 81 March, 2015 should be filed on or before 31 st July,
2015; and
(iii)
The annual return for subsequent years as on 31' March every year should
be filed on or before 31 6t July of that year.
The following Assets & Liabilities Return forms (both in English and Hindi) are
3.
enclosed herewith as indicated below :A. Declaration to be filed with Return of Assets and Liabilities on First Appointment
(Under Sec 44 of the Lokpal and Lokayuktas Act,
or as on the 31' March, 20
2013.) [Appendix-I of the notification dated 14.07.2014].
B.
(a) FORM No. I - Details of Public Servant, his/ her spouse and dependent
children[Appendix-II of the notification dated 14.07.2014].
(b) Modified FORM No. II - Statement of movable property on first appointment or
as on the 31st March, 20...[Appendix-II of the notification dated 14.07.2014 as
modified vide notification dated 26.12.2014].
(c) FORM NO. Ill - Statement of immovable property on first appointment or as on
the 31st March, 20.... (e.g. Lands, House, Shops, Other Buildings, etc.) [Held
by Public Servant, his/her spouse and dependent children] [Appendix-II of the
notification dated 14.07.2014].
(d) Modified FORM No. IV - Statement of Debts and Other Liabilities on first
[Appendix-II of the notification
appointment or as on 31st March, 20
dated 14.07.2014 as modified vide notification dated 26.12.2014].
that all officers and staff in your
ensure
It is requested to
4.
Ministry/Department/organizations file the said declarations/returns within the prescribed
time-limits, in the afore-mentioned forms.
111319e1S
Enc:- As above.
(JnuBar)
Joint S etary(V-2)
1. Secretary
All Ministries/Departments of the Government of India
(as per standard mailing list)
2. The Chief Secretary
All State Governments/Administrators, UTs (as per standard mailing list)
Copy , with a request for similar action, forwarded to :
(i) Secretary General, Lok Sabha
(ii) Secretary General, Rajya Sabha
(iii) Comptroller and Auditor General of India
(iv) Secretary, Election Commission of India
APPENDIX-I
I Rule 3(1)1
I hereby declare that the return enclosed namely, Forms Ito IV are complete, true and correct to
the best of my knowledge and belief, in respect of information due to be furnished by me under
the provisions of section 44 of the Lokpal and Lokayuktas Act, 2013.
Date
Signature
in his/her own name or in the name of any other person. The return should include details in
respect of assets/ liabilities of spouse and dependent children as provided in Section 44 (2) of the
Lokpal and Lokayuktas Act, 2013.
(Section 44(2):A public servant shall, within a period of thirty days from the date on which he
makes and subscribes an oath or affirmation to enter upon his office, furnish to the competent
authority the information relating to
(a) the assets of which he, his spouse and his dependent children are, jointly or severally,
owners or beneficiaries;
(b) his liabilities and that of his spouse and his dependent children.)
Note 2. If a public servant is a member of Hindu Undivided Family with Co-parcenary rights in
the properties of the family either as a `Karta' or as a member, he should indicate in the return in
Form No. III the value of his share in such property and where it is not possible to indicate the
exact value of such share, its approximate value. Suitable explanatory notes may be added
wherever necessary.
Note 3: "dependent children" means sons and daughters who have no separate means of
earning and are wholly dependent on the public servant for their livelihood (Explanation below
Section 44(3) of Lokpal and Lokayuktas Act, 2013)
APPENDIX-II
JRule 3(111
FORM No. I
Details of Public Servant, his/ her spouse and dependent children
Name
SL No.
Whether return
being filed by
him/her, separately
Self
2
Spouse
Dependent-1
Dependent-2
5.*
Dependent-3
Signature
"FORM No. II
Statement of movable property on first appointment or as on the 31s t March. 20...
(Use separate sheets for self, spouse and each dependent child.)
i
(iii)
(iv)
(v)
(vi)
Remarks, if any
Description
*
i)**
Furniture
Fixtures
Antiques
Paintings
Electronic equipments
Others
[Indicate the details of an asset, only if the total current value of any
particular asset in any particular category (e.g. furniture, fixtures,
electronic equipments, etc.) exceeds two months' basic pay or Rs. 1.00
latch, as the case may be.]
Date
Signature
FORMNO. III
C)
.5 s0
E.
0 0 irs
To
t.
cat o E c
goo
F-' es
6 =
; C 0.
>4 at>
te
b
a'v
a
o
. '0u
11
"
aa).5
5-8-o 0.40 1
>-.
t -6
a
a
so a
E
_ 45 t
o-, a>
d' )4
6 0 P.,
eu j 0 0
, =
,.. TO le 4"
0. > o. tc >
t
01
0 a
E5.
,0 0.0.6.0 E
a - -=
30-g o
0 ,, cl i.,
0 .0 -- 0
s....
a
.... o
5
G '5
a cr.
0g
0
4..^ 0
C
a ..0
a 5 a a oa
E am
1- Is- 5 ea0
c a
0 "
C
%0
=
P. g
1.- o _
-.E. c
sfi 0 0
C ... _
Cn
0
b
0
.... ....
4,4.,borD=007
ti 12'
CC
..--a
be
.4a3
4+ 0 wn.
0
0
5 7 ,
0 .= a
0.
a ..0
g < 40.. a
z0
, .
-o Pei
g
a
u t
Es 0g
-....._ ...
re,
.0
-sa
E. ,..,
2 a: i o
-6 .1-1 0 .=
o
a
s.. lc E 0 t 0
3 00
b , 17). o E
= 0-
0 iel '
0. 40 .4 :
0
g 0 "" cr
E E
an o -o 0 > - c * 2 8
b.c-otosb5o 4_,
aim
:I: a 0 ea to. a Z cs
E cg r_ en .
SI
nn
CID
a
8 ' 7 to d
. - ..
c
a d
t-5
t t
.ca -- 5
1,:,i-0.2 a --
a .0
E
a
d
4.. E a
13 0 ->
a5
5
S ...., Ts = ..c 2 - a 5
p
E- > 3 5. -sZ To -a a
,e
0-1 . -: .C., , 0 CI
g p
a
t o
-* --- ..a
g a g ) = ma .
ft) o......
P-4 X C 1 I 4 Vs
a
ET,' z
ca
t
a' 8
yy
>t 2
0
.c
3
E
g
U
0
5 2
,
E
8
af,
O
c
=E
(7a3
cc
= 0
e5
og
sa
E L'
O
2
t
E
5
O
5 0
s5 g
a *5
3o
3I
e 8 '6
-o
>g
5a
I II
6'
1-
z.
z 171
"FORM No. IV
Statement of Debts and Other Liabilities on first appointment or as on 31 5t March,
20.....
S I.
No.
Debtor (Self/
Spouse or
dependent
children)
2
Date
Nature of debt/
liability and amount
Remarks
Signature
Note 1: Individual items of loans not exceeding two months basic pay (where applicable) and Rs. 1.00
lakh in other cases need not be included.
Note 2. The statement should include various loans and advances (exceeding the value in Note 1) taken
from banks, companies, financial institutions, CentrallState Government and from individuals.".
itc - 1
(f e, 3(1 Vtrq)
)
fdgeuil
\Li 4 cl-f
EMT)
1.,Litir 1. pi-
it
aflrza aitz
Thci
ETTRT 44 (2)
tPrf-d-a(URI 44(2)
z-frt tag
wirr irr ft7f1.
wrizr dlcr)
mct
ftfOriza 3Tcif
&i , 11- I Id-a-Run 4 olcp4ter 3k eilcoildtt a, 2013
7:12In Tr% zrr 4c-11 30 37117 41-671i 71. 3TTW/41R1cTli Th`t 114d
Rita t ri "-iTT/1 a
Ziei=i
TIT
i4Gf l cf 7* I
zu
et)ct) tITT
Slazta.
nr g ZIT
Sr
MR-
&INT
alelcl, et aria:
MO
3174 30 31q#
vram*
Rt4-9-
I
fewur 2. aft ul4 ei co tr-d3TrUTh7t
RIM
g al
# 46 tt-ha
*Ern'z1
157
re14 41 3.
"3TTPAU i MO"
1 qui1
* 3TTR-4 371-41
34
RT'T
01
R,
slf
wi& * I
eau
c
2f
^T
3TTfd - 1
&Tf:4Tu -2
5*
3Trf m - 3
ai r
1184 #0 2
FA
AO
(i)*
(io
t-gr (tie,ccr
44c1
di) :
3f1-481. aTIT :
t4-41413
41ti-4f i4,
I .ftr ( dtt) :
fthwir a
4'34
ei :
, FZIRT 311t gt t
(iv)
di
iendi
chi
t even) :
Wfff I
ti
:
urq(i AT w:62:r1-. :
ffrfAa. gra :
(3T-frfrdu Fr:r a-crafft-6 -.1)***
(vi)
etti tii
(rI ciecil
CEO a (41Zd I )
(3) *tlizitiPch icli ch(
-
M 3.11
'
IviCici
3#
*I"
SIaoS
f s
a*
ea I aid
(3ltfF
d 7t,
Fasz 31#Fr
dim
t 9W
* 411741
r4,
Wt 211t
MnitcH,
a
ifc'f,
er
en
Frtrur
*Far a (at) gr aFraitt .4411trz2r wcr > T situ
f+-e- diLd 2 Frur
caddicitH tr
* At* *
**2
ti WCil t I
far4eaw L trmr ftitt 14,411
trtraciacli fdatflaal ar tiMci cnia tir 311 blmdi
***45et fdaiut gr 39 -cffia-
cturi cbli at 471-4vr Tr(
tridici a
AT 1-44
7-0t
14,e41 7rzrr zt I";
facewiri grdt a r faticiit
Fet
"Mr Tit 4
2
g #0
*Lull frcied
1-IcA
" 4:111U
ZIT Mirka"
LIT/c,acci
FP:f S war
tAt
Sr
' ;IC
Q A411 Ii
atiT ictm
caloch)
1
IFFIT497
fu r 1 : 3urlt
Trer
e)
onto!
Orin I