Formno.2

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FORM –II, STATEMENT OF LIABILITIES HELD BY GOVERNMENT SERVANT 1) Cash and Bank Balance exceedings three months 2) Deposits,loans and inverstments (Such as shares securities, debentures etc.,) Sl.No.

(1)

Description Name and address of Company, bank etc.

(2)

(3)

: :

Amount If not, in own name & address of person in whose name held and his/her relationship with the Govt.Servant (4) (5)

Annual Remarks Income derived

(6)

(7)

NIL

Signature Note: 1) In column 7 particulars regarding sacntions obtained or report made in respect of the various transactions may be given. 2) The term “Emoluments” means the pay and all advances received by the Government Servant.

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