st STATEMENT OF IMMOVABLE PROPERTY RETURN FOR THE YEAR 2017 AS ON 01 January 2018

1. Name of Officer (in full) : Mr.TEJLAL SAW

2. Service to which the Officer belongs : SSS

3. Cadre & Batch : CENTRAL SERVICES - 2013

4. Present Pay : 37600

SL Name of Name & Cost of Present value* If not in own name, How acquired Annual income from Remarks NO. Khasra No., Details construction/ state in whose whether by property Village/City, of Property Acquirement name held and his/ purchase, lease**, Taluk, Sub- (Description) (and year her relationship to mortgage Division, when the Govt. Servant inheritance, gift or District purchased) otherwise with in which including of date of property is land in case acquisition and situated (full of house name with details location & of postal address)

1 2 3 4 5 6 7 8 9 1 House 32 12 LAKHS 16 LAKHS No SHREE Inheritance - NIL DISMILL LAKHAN SAW KHORIMAHUA FATHER JAMUA BAGHMARA at- Baghmara, p.o- Chittardih, p.s- Jamua dist- Giridih Jharkhand 815318

2 JHARKHAND Land 2 ACRE 22 LAKHS No SHREE Inheritance - 25,000 THIS LAND IS GIRIDIH LAKHAN SAW AND CULTIVABLE KHORIMAHUA SMT. LOKANI DEVI LAND AND JAMUA FATHER AND OWNED BY BAGHMARA MOTHER MY PARENTS

SL Name of Name & Cost of Present value* If not in own name, How acquired Annual income from Remarks NO. Khasra No., Details construction/ state in whose whether by property Village/City, of Property Acquirement name held and his/ purchase, lease**, Taluk, Sub- (Description) (and year her relationship to mortgage Division, when the Govt. Servant inheritance, gift or District purchased) otherwise with in which including of date of property is land in case acquisition and situated (full of house name with details location & of postal address)

1 2 3 4 5 6 7 8 9 at-Baghmara, p.o- Chittardih, p.s- Jamua dist- Giridih Jharkhand 815318

3 JHARKHAND Land 6.0 2006 1 LAKH No SHREE Purchase - 4500 THIS LAND IS GIRIDIH DISMILL LAKHAN SAW CULTIVABLE KHORIMAHUA FATHER AND OWNED JAMUA BY MY RUPIDIH At- FATHER Rupidih, p.o- Chittardih, p.s- Jamua dist- Giridih Jharkhand 815318 4 JHARKHAND Land 40 1998 8.5 LAKHS No SHREE Purchase - 5000 THIS IS GIRIDIH DISMIL LAKHAN SAW AGRICULTURE KHORIMAHUA FATHER LAND AND ITS JAMUA PURCHASE BY PATROGUNDI FATHER AT- PATROGUNDI, P.S-JAMUA ,P.O- CHITTARDIH , DIST- GIRIDIH 815318

7043 Tejlal Saw Date : 12-01-2018 Signature JUNIOR STATISTICAL OFFICER

NOTES: 1) * In case where it is not possible to assess the value accurately, the approximate value in relation to present conditions may be indicated.

2) ** Includes short term leases also.

3) The declaration form is required to be filled in and submitted by every member of Class I and Class II services under relevant provisions of Conduct Rules and the first appointment to the Service and thereafter, at the interval of every twelve months, giving particulars of all immovable property owned, acquired or inherited by him or held by him on lease or mortgage, either in his own name or in the name of any member of his family or in the name of any other person dependent on Government Servant.

4) The wording ‘No Change or No Addition or As in previous year’ may be avoided and all details filled up.

5) All Officers are requested to fill the form in duplicate.