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STATEMENT OF ALL THE IMMOVABLE PROPERTIES POSSESSED, ACQUIRED AND DISPOSED OF BY THE GOVERNMENT SERVANT / SPOUSE OR
OTHER PERSON ON HIS BEHALF OR BY ANY MEMBER OF HIS FAMILY FOR THE YEAR ENDING DECEMBER 2013
Situation of
property Held in Date & Mode of price
source of
Sl.No Nameof property (Sur/Mpl.No whose acquisition or paid /
payment
.) with name disposal obtained
extent
1 House
2 Flat
3 Shop
4 House Plot
Note : Details of acquisition of properties standing in the name of Hindu un-divided family or partnership in which the officer holds a
claim or share should be seperately shown in the statement.
ID No.
Name:
DOB
Designation
Zone :
ENT SERVANT / SPOUSE OR ANY
ECEMBER 2013
Whether
information
Annual
given or
Income
sanction
from the
obtain with
property.
ref. No. &
Date
Signature of the
Govt.Servant
p in which the officer holds a
ANNEXURE - II
STATEMENT OF MOVABLE PROPERTY POSSESSED, ACQUIRED AND DISPOSED OF BY SRI OR ANY OTHER PERSON ON HIS BEHALF OR BY ANY MEMBER
OF HIS FAMILY DURING THE YEAR ENDING
Vehicle: Motor
2 Car, Motor Cycle / Scooter any
other vehicle
Jewellery :
4
Ornaments, Vessels etc.,
Investment & Cash:
5 Bank Deposits, Debentures /
Shares, Bank balance etc.,
6 Furniture
7 Live stocks
8 Any other goods
Signature of the Govt.Servant
Note : Details of acquisition of properties standing in the name of Hindu un-divided family or partnership in which the officer
holds a claim or share should be seperately shown in the statement.
ID No.
Name:
Date of Birth:
Designation :
Zone :
RSON ON HIS BEHALF OR BY ANY MEMBER
Source of payment
e of the Govt.Servant
artnership in which the officer
ANNEXURE-III
Intimation of Foreign Currency / Goods received by Govt. Employee Sri
Under Rule 6-A of AP Civil
Services (Conduct) Rules, 1964.
ID No.
Name:
DOB
Designation
Zone :
ee Sri
Under Rule 6-A of AP Civil
4.