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Neelam Rani

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L*<br />

4) That I give herein below the details of the assets ( immovable, movable,<br />

balaree e.te')of my self, my spurse ad deper&ats* :<br />

A. Deffi of movatle assefs<br />

( Assets in joint name indicating the extent ofjoint ownership will also have to be<br />

given)<br />

S.No.<br />

Description Self Spouse<br />

Name<br />

Dependent.<br />

1 Nfrfi€<br />

D€pesdent<br />

-2 Name<br />

Depemdent-<br />

3 Nane<br />

(i)<br />

Cash<br />

?oP*f<br />

(ii)<br />

{iii}<br />

(ro<br />

(v)<br />

(vi)<br />

(vii)<br />

Deposits in<br />

Banks, Financial<br />

ffiionsand<br />

NonBauking<br />

Financial<br />

Companies<br />

Bo*ds,<br />

Debentures and<br />

shares in<br />

Companies<br />

Other Finarrcial<br />

instruments, NSS,<br />

Postal Savings,<br />

LIC Policies, etc.<br />

Motor Vehicles<br />

(details of make,<br />

etc.)<br />

Jewellay Gire<br />

details of weight<br />

and value)<br />

etrrer assets, sreh<br />

as values of<br />

claims/interests.<br />

?r'y'-<br />

N-t<br />

lN<br />

N^1<br />

hrtd<br />

a Te(q<br />

1utver<br />

3Tak"<br />

Nrl<br />

Note VaSe of Ronds/shares/debentrre-s as ptr g6s latesf, merket value in stock<br />

exchange in respect of listed companies and as per books in the case of non listed<br />

companies should be given.<br />

*Bsf€r*derrt hre rcansa perso+ substmtially dcpe*r+ts,oa'he ircme ofeandidate' _>.<br />

., rta'z 8ll

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