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(See RULE 24)

For the financial year:2023-2024

DECLARATION FORM FOR PROPERTY HELD BY


EMPLOYEE OF THE ORGANISATION AND HIS/HER FAMILY MEMBERS UNDER
THE 24 OF THE HARYANA CIVIL SERVICES (GOVERNMENT EMPLOYEES CONDUCT) RULES,
2016.

Name(Current Desgination) : PUSHPA DEVI(C&V Teacher Sanskrit)


Designation During Finacial Year : Sanskrit Teacher
Department and Office: Education ( Elementry),GGSSS Hansi (Hisar) [1442]
Date of Submission: 05/04/2024 10:32:18

ANNEXURE-A
Statement made on:
(1) Cash, jewellery, deposits, insurance policies, share, securities and debentures;
(2) Loans and advances by such employee of the organisation whether secured or not;
(3) Motor-cars, motor-cycle, horses, or any other means of conveyance; and
(4) Refrigerators, radiograms and other electronic goods.

Description: (a)
Movable Property

S.No. Desrp. item Value Of Member Name Benamida Date of Acq. Manner Remark
Acq. (in r(If any of Fresh
Rs.) whose Acq.
name the during the
assets year
held)
1 Cash 20000 Self 31/03/2024 Salary Nil
2 Jewellery 300000 Self 31/03/2020 Gift Nil
3 Deposits 350000 Self 31/03/2024 Salary Nil
4 Insurance 86238 Self 21/09/2013 Salary Nil
Policies
5 Insurance 64020 Husband 28/03/2001 Salary Nil
Policies
6 Motor Cars 70000 Husband 11/2018 Cash Not
7 Motor Cycle 13000 Husband 2017 Cash No

PUSHPA DEVI

C&V Teacher Sanskrit


9355312475

Page 1 of 4 05/04/2024 22:32:18


(See RULE 24)

For the financial year:2023-2024

DECLARATION FORM FOR PROPERTY HELD BY


EMPLOYEE OF THE ORGANISATION AND HIS/HER FAMILY MEMBERS UNDER
THE 24 OF THE HARYANA CIVIL SERVICES (GOVERNMENT EMPLOYEES CONDUCT) RULES,
2016.

Name(Current Desgination) : PUSHPA DEVI(C&V Teacher Sanskrit)


Designation During Finacial Year : Sanskrit Teacher
Department and Office: Education ( Elementry),GGSSS Hansi (Hisar) [1442]
Date of Submission: 05/04/2024 10:32:18

Note:
(i) Cash, jewellery, deposits, insurance policies, share, securities and debentures;
(ii) Motor-cars, motor-cycle, horses, or any other means of conveyance; and
(iii) Refrigerators, radiograms and other electronic goods.

Description: (b)
(iv) Detail of Loans
S. Loan is Secur Member Nature of the Loanee Loanee Date with Remark
No Amt. Loan Name who Security with Name Description other
. has appropriate particulars
Rs. Advanced value of the
Loan Loan
1 64800 Yes Self Educatio House 22/08/2014 Nil
0 n
Depratm
ent

Note:- Members of the organisation of employee's family are those as mentioned in rule 3(c) of
the Haryana Civil Services (Government Employees Conduct) Rules, 2016..

PUSHPA DEVI

C&V Teacher Sanskrit


9355312475

Page 2 of 4 05/04/2024 22:32:18


(See RULE 24)

For the financial year:2023-2024

DECLARATION FORM FOR PROPERTY HELD BY


EMPLOYEE OF THE ORGANISATION AND HIS/HER FAMILY MEMBERS UNDER
THE 24 OF THE HARYANA CIVIL SERVICES (GOVERNMENT EMPLOYEES CONDUCT) RULES,
2016.

Name(Current Desgination) : PUSHPA DEVI(C&V Teacher Sanskrit)


Designation During Finacial Year : Sanskrit Teacher
Department and Office: Education ( Elementry),GGSSS Hansi (Hisar) [1442]
Date of Submission: 05/04/2024 10:32:18

ANNEXURE-B

Description: (C)
(v) Detail of Immovable property

S. Type of Name of Plot/Ag Building Mode of Details whether Annual Remark


N Property State,Distri ricultur (i)constructe acquisitio of held in income s
o. A. Type ct, e land d area n person/a own name from each
of land Village or (i) Cost (ii) No of (Whether uthority of property
area/plot city in of land floors by from employee in A and B
size which (ii) (iii) cost of purchase/l whom or category
B.Buildin property is Year of construction ease/Mort property dependent (Rs.)
g with located acquisit /building gage/Inhe acquired
plot size ion ritance
etc)
1 Type of State: Year of ((i) Purchase Bimla Devi 0
Property: HARYANA Aquisiti Constructed W/o
Residential District: on: 2008 Area:0 Harish
Land Hissar Cost of (ii)No. Of Kumar
Area172 Address: Land: Floor:0 and Rekha
sq. yd Hanuman 600000 (iii)Cost Of W/o
Colony Rs. Building:0 Suresh
Hansi-125033 Rs.) Kumar R/o
Multan
Colony
Hansi

PUSHPA DEVI

C&V Teacher Sanskrit


9355312475

Page 3 of 4 05/04/2024 22:32:18


(See RULE 24)

For the financial year:2023-2024

DECLARATION FORM FOR PROPERTY HELD BY


EMPLOYEE OF THE ORGANISATION AND HIS/HER FAMILY MEMBERS UNDER
THE 24 OF THE HARYANA CIVIL SERVICES (GOVERNMENT EMPLOYEES CONDUCT) RULES,
2016.

Name(Current Desgination) : PUSHPA DEVI(C&V Teacher Sanskrit)


Designation During Finacial Year : Sanskrit Teacher
Department and Office: Education ( Elementry),GGSSS Hansi (Hisar) [1442]
Date of Submission: 05/04/2024 10:32:18

Note:
(i) All interest in land of a permanent nature whether ownership, mortgage or hereditary
occupancy, should be entered also dwelling houses in State, District, Village or City.
(ii) Members of the organisation of employee's family are those as mentioned in rule 3(c) of the
Haryana Civil Services (Government Employees Conduct) Rules, 2016. and in showing the holding of
each, if a holding is Benami, the name of the Benamidar should also be mentioned.

PUSHPA DEVI

C&V Teacher Sanskrit


9355312475

Page 4 of 4 05/04/2024 22:32:18

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