FORM B

(See rules I2(2),19(2) and 22(2)

Statement of Professional and commercial engagement or

involvernent on first appointment and at the time of demitting office

S Relation Name Professional position Commercial

No held in last three years en gagements/involveme
from the date of nt held in last three
declarations, if any years from the date of
declarations, if any
1 Self Dr. Anil I(hurana DDG / Director General, None
CCRH
Member / Chairman,
BOG, CCH
2 Spouse Dr. Manju Khurana Private Practitioner,
Private Clinic
J Depgndent-1

(Dr. Anil
Chairperson, NCI{
 t

FORM B

-..-_. . $_e.e,_r"ule-s 12.(-il,-19 p) a;rd 22 (2)

rc.LeJrcn!_ar

S No" Relation Name Professi onal position held Commercial

in last three years from the engagements/invo lve me nt
date of declarations, if any held in last three years from
the date of declarations, if
an
1 Self Dr.Tarkeshwar Registrar, Homoeopathy Pa rtner, RajHomoeo Stores
Jain University till AS /01 / zOZt since 2014
(Joined as Registrar on
04/0L/20L0)
Consultant, Dr.Reckeweg
LIrntc st nce 2001
') Spouse Smt.Premlata NIL NIL
Jain
3 Dependent Arihant NIL NIL
1 Jain(Son)
4 Dependent Simran Jain NIL NIL
2 (Daughter)

(Dr.Tarkeslrwar Jain)
President
,/---\ (,ll;-"9 7

l{omoeopatlry Education Board, NCH

 FORM B

(See rr-rles 12(2). 19121 anrJ 72(2)

r"-tt' clr
/ {l'l

$" No. Relation Name Irrof,ession:r tr p*sirion dlornmercial

helct in last tirrae en g:r gemi cfi tslinvolvrment
years lronr 6he da{c of itl Iasf thrcc years f,rcm
{relcl
if *n3, the date ol"dee larations, if anv
- _elgg!*r*tions,
l Se ll' Ilr. l{. R. i. Retd. Principal, I\fl,
.lanerdcnan Nair N I-{RIh,I I i. Kttttayam
2. Sr. Consultant" Vl;rr
Sleeva lVleilicitir, Falai,
I(otta,vam
2 Spor-rsc Smt. Ja,vanthi N II, N II,
Nair
3 Depenilent Mr'. Hrishikesh h]IL L\ u_
.i. lriair

\ \tz\ tr
(llr" h. I{. .}anari{anan l,iair)
Itresiclenl
h,{edical i\ssesslnent & Rating Board. NCH
 FORM B

(See rules tZ(21,19 (2)and 22 (2)

S No. Relation Name Professio nal position held in Cornnnercial

last three years from the e ngage rn e nts/i nvo lve m e nt
date of declaraiions, if any held in last three years from
the date of declarations, if
1
an
Self Dr.Pinakin N l.Director, Smt A J Sawla l.SriArbud aDevlopers,
' Trivedi HMC, Mehsana. (Since May 2018)
Basna

F',il os/07/2021) 2.Sri MarutiUpvan

2.Consultant physicia n, (5ince Dec.'2020)
Aastha M ultispecia lity
Homoeopathic e-Clinic
1999
2 Spouse Smt.Shilpa p NIL 1.P artner, KunalHomoeo
Trivedi
Pharmacy, Ahmedabad
(Since 1988)
2,Sraddha Homoeo&
Organics, Mehsana
? ce March Ma rch 2021
Dependent Poojan P Trivedi NIL NIL
1
4 Dependent -Eed
Shraddha P NIL NIL
2 I flVedl "t

(Daugh!er)

rtA fi
(Dr al<in N Trivedi) *L I
pres[dent
Board of Ethics and Registration, NCH