.,

1m! Yi. 1Form No.1

r~1JW!I ~ tR n'm ~ ~ crcf em 1 ~ Cfi't 3!<2 ~ <PI FcrcffuT I ~(~: ~. ¢WlRI. ~ a\-Q ~ ~) ./'"

statement showing details of Immovable property on first appointment and also on 1sl January 01 each calendar year(e.g. Lands, House, Shop, other Buildings etc.)

1.

2.

3.

4.

5.i.,..

"lPlName

I . I

Location Nt3Lu i)[i?A1/ - 1Il.f7) 0 '\,

w.R ~ o'm ~ <PI Fcfcf\rur ~ 3/'lR ;r)lf tR ~T -~- aIR Cfli! ~q)f~'. W<l'f-H1¥l tcu:ru11S.No. /<2lRJ (~ ~ 1f1l' oTIc 'fl. 1 m~"lPl~tl'In . 3!fum em ~ (91<) ~ 1f1l' ~3lm Remarks

'0i 5 ~ l1illR/lN-l/~ <i.) ~~'ifil~ (91<) ~ ~ one 'fl. 3~) Total annualDetails/Description of ~~~ml one 'fl. 2 ~ Value of the income fromproperty and its location. If not in own name, 6~) property the property(see notes 1&5 below stale in whose name How and (see note 3house/Building/Lend No.) held and his/her whon below)

relationship, if any to acquiredthe employee (See notes

2&6 below)

\. r<..tn ;\JD K-I\,9/ ,

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<;;ect 4" tr) ItfJ .sA ...,e I.-F-f.r{LG Ct./!; 'j cr,: huM,J)GV/ (c,(Yl P Le X.

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kl'ff.jsw f\1...., «stn III 'J(..Mwfrl-/

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-.nc 1, <1ft "ffJQ-fu lluf ~ -~ rn 'fT1l tR "'f6f i m WR q:) 1ffii[ em GW~ INote 1. If the property is not wholly owned the extent of share may also be indicated. "

~ 2. ~ 4-$ ~ $,'~ c4tuf mG.<m ~ ~ ~ ~ qtf ~ 3Ifmn ~ ~ $ ~ ~~ cpT ~ cnfup tm-mrr ~ I ~, .~ ~ ~ eft c4tuf ~ m- ~ CIi1<f ~.

~ ~ ~ m- Wq eft"\11TIft t m ~ ~ em ~ <IT~ ~ ~ m ~ mG em~ ~ ~ ~ ~ ~.~~ 1tff ~ ~ ~ 3fR~ m-1fTaR<Ift ~ ~ ~ m~ m'l

Note 2, For the purpose of Col. 4 the term lease would mean a lease of immovable property fromyear to year or for any term exceeding one year o(r~serve yearly rent. \Vhen, however,'the lease of immovable property is obtained from a person having official dealings with .the employee, such a lease should in this column irrespective of the term of the lease •whether it is short term or long term, and the periodicity of the payment of rent.

;fic: 3, ~ 5 ~ f.i""'lfC:lftJ<1 ~ \ifRT • :Note 3. In col.S should shown,

(-q,) -mIT~ W<l, ~ 3RfCIT <'fivllR c;fi 1l1f Irt, ~ 3f\iR'em 'TffiR'fcpm TT<IT'~.'3l~

~(A) Where, the property has been .acquired by purchase, mortgage or lease, the price or- ..".

premium paid for such acquisition.("~) ~ ~ <4lvr lR fBm TT<ITJ ffi \rnCPT ~ fct;wrr 'Jft I(B) Where it has been acquired by lease the total annual rent there of also and(rr) ~ ~ <m ~ 'di1~I~<t>I~,~ 3RfCIT ~ ~ ~ <1ftrri m ffi ~ ~ em

~~I(e) Where the acquisition is by inheritance, gift or exchange the approximate value of the

property so acquired ..

~ 4. 1 ~ ~ 3I"iTI1' ~ <m cnfup fcIcRur 'Jft *m \ifRT ~ INote <1.The annual return in respect of immovable property may also be submitted in this form

st .,as on 1 January.'

.,rc 5. ~ ftlii \iR'QG, ~', ~ 3tR Tffq ~ ~ t ~ fcIcRur ~ ~ tprr5 msm ~ 2ll~vrMt~ I •

Note 5. Name of District, Division Taluka & Village in which the property is situated and also itsdistinctive number etc. will be given in Col.No, 2,

;f)c 6.~,~, Btvr, ~<PR, \3lffiR 3RfCIT \3RrlIT 'QCPR em fc1cRur~ ~ / ~ em "fill ~~ -it 3m eft rri t I ~ ~ if ~ Clffcffi / ~ <m tfffi ~ ~ mi<r <m 'Jft ~

....•..._f$<,rr VfRT ~ I,",-,"-~

Note 6. Whether by purchase, mortgage, lease, inheritance, gift or otherwise & name with detailsof person/persons from whom acquired Address & connection, if any with theperson/persons concerned are also to be given in Column.

~ / Signature ~(}:-:::•.;....~_._'-'='_--===....:::::=_. _~

~ / Date: ......->--tl1_,L-T-!_b>_/.-.;'{~ _I I

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IJl{3 <T. 2Form No.2

q~ ~ lfi qR~1l<lRW1 ~ ~ (3fT.IM ~ 1fi'r ~) <'l'1n' ~ ~ ~ qft 1 ~ lfil trt·1 $Ut;"<1T <fiT fOqxll'{ IStatement showing details of assets (other than immovable property) & Liabilities on first appointment and alsosubmission of return on ls1 January of each calendar year.

1. g(2/~ ~/L NA'-N,)(-J-- (j-eTO)~i-

'WIName

2. W'Wl'Designation

3. Wro-!Organisation

4. ~qft~Date of Joining

J 6· -:ru to 2...tDIO

5. 1!RrnBasic Salary •

. 6~ Nlr'P-'!i1c'12-AJ 12.E", [./1J ( ~A-(-i)A-I2-:::JVfI.JL, hP-l'o'1LTNt.>'Ttu i:>r3LHI- Ifoc>o3

<'1lT'lLocation

t

.." "'i ?<l~',,--6ssets Liabilities

(iP) ~ 4R'HRlRl q ~ ("GflTf ~'~ ~ tft ~)(A) Liquid Assets & Investments (including deposits & lie Policies)fcrcRuT m/~~ ~;w:r~~~ ~ CR6 3lFvm ~3lm 1. ~./ fcrfft<T ~Description Amount! ~ How acquired Annual q;1~ I

Original Held in the name income 1. Liabilities to thePrice of & relationship derived Bank/Financial

1 2 3 4 5 institutionLie. rou cy ~! i 0 7U>/1- p.c;. $I,;jt,p S"fWl,vt; s NIL- If DF-L-k 1/Z2/1'tb/2...ill!') IIZ.~·74'1'1 filp·:,,-v(l.; r'1 .41 01\ 'i)c? c. 2tJ/ Lj) -; I lot 07.,;, ''ig--

e.. I, l·p, Q'llIl).•.. "' .. 1~/'c/'l-D13 •

1..1 c. fl f57...1 (,'7 t, 2t:\-3"'>J~i·t;· (!a[- ~4-v/"'t( S NIL-NO . '33. U. 71( t.,Jo (;T e0n P 1..;17" J 5;,[:- R-f tc i-MJ1DTI3:1.<tN 2c11) 1"10) ')Il J~ u>2.f ,

L./c ()Ol..-Icy f2-'!. 0,) 'f (,f)~j\ <1. (J1l/Jrtv Av ~f/7JM- S4V,,ut,j, NIL- 2.~~~~rAI 0 nss 2.·H3 s·a. as ',\O,Lrn}. (S;c}lNJ •J>T 2-13 ft:j 202fO

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·/c/1.J'r) )ef!6HT' ~ C,,61) j c!l5D/~ S'a1- g-Av,p/is, \ e; 4.,,:;cJ7.fiJ)z.. 2. liabilities toe

~:WII..JC. \R1!" [:r:/ftLC ~,;n :::. ..1t.t2r'76 i /2- friends & relatives·/~-{l.m DGi'tb/l' M JQ,Uj)C/~ (<!r) ~ "sc.t c t g.frJ"" (B) Movable Properties1~ .••••• 2 3 4 5

t;'67.--j) ~ 3,IPC, cv» h. . set» (JvUi1.11b' ~I'- 3. 3RT ~ <rfu»c» C, JlfliI~. ANR.cy.. C ~fhr;."'t: l.) -q,W m IeM- t.o1ft;.c')J tJ... /2I ], 4o,V1J'I)/ L <;G&F II ,"> I L- 3. Other liabilities, ifUv~ 14 2,J.OIt..~j.. anyCAP- Z-B"N seu- I, ,'\,)/L)..CD" Urn. J1lh-v)

~-flIL, (j'{!)Mt'L .~ ~2, aso), ~e-/'~ /,/,>1 L

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lal:lJ/s/tnJ f2-t :J2., (,rso J 'i'

<;,,9>'7 C ')..et17), Date Signature

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~~ Ul'R ~:- \Jfif ~~ m ~ q;;t ~ IN.B. Additional sheets may be attached where necessary.lY 6ilL.G 2erf6 f.I!).fl;pY"D Ii ~af I'

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1Tc 1."ilm',~, ~ ~ em fcrcRur ~ <P't ~ ~ ~ ~ mvrR ~ ulT~Note 1. In the case of share, securities, debentures etc. face value and approximate

market value as on the date of statement may be mentioned .

.,-Tc: 2. vftcR <ftlIT q I ~ \'1"1 q) ~ 3R'flfu ffffu '+tT eft 'GiRt ~ INote 2. In the case of Life Insurance Policies the date of maturity may also be stated.

-.nc 3. "{Q"$ 3RJ'Tfu- (q'l) fl / mot ~ "Wl ~ ~ "$1 -qc:T m- ~ -if WAT ~ <t; ft;l~ ~

~ G'iR, ("{Q) ~ ~ "Wl ~ ~ <fUR (TC) ~ ~ ~, Tf6"i, ~

~ un 'Wl1"$ X'iq ~i ~ em fcIcRuT ~ fcf><n VfRT ~ I (i) q;j'{ (ii) ~/~.~ (iii) ~RhJl~c:,</'~ cf;1%~1'l'< / m1lT / ~l%q)~11Of/ eff!fc)\Jj'l k crm 3RT ~~ ,ftmq;r ~ ~ ~15 gvm' ~ 3lfFrq; ~ em'~ ~ ~ VfRT ~ I

Note 3. Under B information may be given regarding items like (a) gold/gold ornamentsapproximate weight only be stated. (b) Silver including ornaments etc.(approximate weight) (c) Other precious metals, items of jewellery, preciousstones forming part of [ewellery etc. Approximate value to be stated (i) car (ii)Scooter/Motor Cycles (iii) RefrigBrator/Air' Conditioners, Radio/Radiogram!Television sets and any other articles the value of which individually is more thanRs. 15,000/-.

'.

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..nc 4. ~ 4 -if ~ ~ '~ ~ ~ ~ 1fm ~ WI 3f\il";1 WlT, ~ ~ 3Rrln '\l1:Il'R~ fq;'lff Tf<lT m em ~ fq;'lff UfAT ~ I

Note 4. In column 4, may be indicated whether the property was acquired by purchase,gift, or otherwise.

-;fie 6.~;if <t;- 3T-cflITf ~ fcIcRuT ~ V!Rf ~ INote 6. Under liabilities, brief details should be given .

.~ I Date : _rs_I+-)_J2-f--/_~_'/_l _• J I

~ I Signature +...,~-+_=.-__

"

2.

3.

4.

5.

\\ 6. ,

7.

1l'f'.'I~. 3F6rm No.3

~ ~ mt 1llt 1 ~ em ~ I~ m-.m-cr 1>;JR't'Tkl ~ofi1ltzti'il> ~"'fflllfl n~ll1R11 q;;.fl3l'i, 3nl4!n il;:;tt\

c);"'ffll~x~ll~mm/~tP.Il q>JOO1J'( I -

Detailed statement in respect of Shares debentures purchased urider promoters/employees quota as onl "'- Januaryof each calendar year in officers own name and also those held the names of spouse and dependent children.

gfliti ~'L N~~1t- (lEI i)j1. "'ffllName

llGoWI

Designation ._

WJo:l

Organisation~~ d1fW( J( f§~l(t!f·,&P b 0

16:JA-rJ ~J Q<:mfUlf.nl; .~ ~.~ <!l'l~Date of joining the PSU

W'~., ,Basic Salary

~ ~ '!i'qlfj -msznP.F. Index No.

<WRLocation

iI>.~. cj;q;ft i!i1 'lJ1l mm<!l'l 3~ 3luR<ift ~Rrc./~c); ~ arFum 3fVt;j 1>; W!<l mfuI' .1fil'S.No. Name of the m.m ~ 'ffilm' Cf>tt ~ ~7J1( 3M ~I ~ <1>'1,HI

Company No. of Face Cost of Whether promoters! How .. WTQ <IlTIf '3Itl1T In 3f.(j' .

shares value acquisition employees quota acquired ~~~IPosition held at thetime of acquislon andit the company hadany borrowing orother facilities at thattime.

1 2 3 4:,. 5 6 7 8

. • ,r----) / L ~..,---------

,.

.. . •

- ...•.•"",-t<l<t / Self

l1ftf / tWft ~ ~ <tffl .'Spouse and dependent -Children "

..tJ A..

8. 1 ~ q;T ~ ~ 'RJ'+T / mf.I' "if %/~ ippztr(f f.r~cRI"g- IAny additions/deletions to this statement as on 1sl January . i»4profit/loss in'curred by me are given below.

and the

~ / Place : __ /I..)-:f:;::;....:w__ "j)_b_[ .•.It~r__

~ / Date : __ <:3.;::.·.:....i +-,1,,,,,2--'-+01 ~_~_'-=-2--__ -:-_

/he;___=_~ / Signature : _~~....:::~_ .••_= _

qc;-;rr:r I. Designation: _.....;:CA-P=...;..;.._I _

•. . ., ..••..•. ~_.,L

---I,\

;ffi: 1.~'t<R.~, ~ ~.Q7[ fcrcRuT ~ <P't ~ ~ ~ ~ ~ ~ ulT~Note 1. In the case of share, securities, debentures etc. face value and approximate

market value as on the date of statement may be mentioned.

'11c 2. ~ ~ 1lTfum<n -m- 3Rf1fu ~ '+ft eft \1IT91 ~ INote 2. In the case 01' Ufe Insurance Policies the date of maturity may also be stated.

-.nc: 3. ~ -ij) 3Rflffi (q'i) 'fWn / ~ cf; 'TI0 qlT ~ qft "1<IT* "fi<fu +1' ~ ~ cf; ~~ \R<l'i1~ qur;:r, .((3f) ~ ~ ~ ~ ~ qur;:r (Tf) ~ ~ ~, ~, ~~ \iJl1W1T.'~ 'WI ij~~ em fcrcRuT ~ fcnm VfT'TI ~ I (i) ffi (ii) ~/~~ (iii) trn?~ l~~ *r~!ll'i,( I mm I ~~4)l]llj / e.~fc)\Jjj 'tc Gm aA ~CffiJ ftm<m t:prq:; ~ ~15 rvm ~ 3TfFrq; i cpT ~ ~ fG<n VWfT ~ I

Note 3. Under B information may be given regarding items like (a) gold/gold ornamentsapproximate weight only be stated. (b) Silver including ornaments .etc.(approximate weight) (c) Other precious metals, items of jewellery, preciousstones forming part of [ewellery etc. Approximate value to be stated (i) car (Ii)Scooter/Motor Cycles (iii) Refrigerator/Air Conditioners, Radio/RadiogramlTelevision sets and any other articles the value of which individually is more thanRs. 15,000/-.

-.nc: 4. ~ 4 ij ~ ~ ...•~ '\;fAT ~ ~ qm ~ <PI ~ W1T, ~ ~ ~ \Tim'{~ fcnm Tf<IT ~ Q7[ ~ fcnm iJTAT ~ I •

Note 4. In column 4, may be indicated whether the property was acquired by purchase,gift, or otherwise.

-.ftc 6. ~3l'i <)J 3rnlhnt~ fclcRur ~ urrrr ~ INote 6. Under liabilities, brief details should be given .

~ / Signature ~ _ .~ / Date: _3_1-1-/_1 2..-+-1_· ~_J2 _

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