Personal

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To The Asstt. Commissioner (W), Delhi Jal Board, Varunalaya Phase-II, Karol Bagh SUB: - Information regarding Cheque Transactions. Sir, It is to inform you that after filing my Annual Property Return up to 31.12.2006 following cheque are received to me :1.

Due to Maturity of FDR for Rs.30000/- received a Cheque bearing no. 958617 from A.P.M. Treasury Ramesh Nagar Post office for Rs.36702/- dt. 21.02.2007 and deposited with Corp Bank on 23.02.2007

2.

Refund from L.I.C. vide cheque no.015945 for Rs. 12500/- deposited with Corp Bank on 24.02.2007.

3.

Consequent upon Closure of Post Office Savings Bank Account received a cheque bearing no. 962890 from A.P.M. Treasuury, Ramesh Nagar Post Office amounting to Rs.49424.20 only and deposited with Corp Bank on 03.03.2007 This is for kind information and record please. Thanking You, Yours faithfully, Dt. 14.03.2007 (DHARM CHAND JAIN) HEAD CLERK C/o EE (SOUTH WEST)-IV

Dolphin account no.7162386 SL. No. MALE MALE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45.

MALE

FEMALE

FEMALE

FEMALE

(Performa for traveling allowance for Election Duty) Traveling Allowance Bill for journey undertaken for performance of Election Duties. 1. 2. 3. 4. 5. 6. 7. 8.

Name _________________________________________ Designation_________________________________________ Basic Pay________________________________________ Headquarters. _________________________________________ Residential Address._________________________________________ Election for which duties performed__________________________________ Date of Election _________________________________________ Details of Journey. AS UNDER : Departure Arrival Mode of Actual Date Date Traveling Distance From & To Time From & To Time

Purpose.

(Signature of Individual) 9. 10.

T.A. Advance drawn, if any It is certified that : a) No Govt. vehicle was provided for the journey for which traveling allowance has been claimed in this bill. b) I have undertaken the journeys by the mode indicated in the bill.

(Signature of Individual) Certified that Sh./Smt./Km. __________________________________Design.____________ Office______________________(Section)_____________ was deputed for election duty to the _______________________Govt. of N.C.T. of Delhi , Govt. of India. It is also certified that Sh./Smt./Km._________________________attended the election training classes held on ____________________and_______________and performed Election Duty as Presiding Officer / Polling Officer / Group ‘D’ staff on ___________ the date of polling. (Signature of the Presiding Officer) Name____________________ Designation________________ Date ___________ Office __________ In case of Presiding Officer Group ‘A’ Officers of Administrative Branch/Section Officer. Counter Signatures of the Controlling Officer. (Performa for traveling allowance for Election Duty)

Traveling Allowance Bill for journey undertaken for performance of Election Duties. 1. Name DHARM CHAND JAIN 2. Designation HEAD CLERK 3. Basic Pay Rs.6025.00 4. Headquarters. E.E.(SOUTH WEST)-IV, DWARKA 5. Residential Address. WZ-596, Palam Village, N.D.-110045 6. Election for which duties performed M.C.D. ELECTIONS. 7. Date of Election 05.04.2007 8. Details of Journey IS AS UNDER: Departure Arrival Mode of Actual Purpose. Date From Date From Traveling Distance & To & To Time Time

9. 10.

Signature of Individual) T.A. Advance drawn, if any It is certified that : a) No Govt. vehicle was provided for the journey for which traveling allowance has been claimed in this bill. b) I have undertaken the journeys by the mode indicated in the bill.

(Signature of Individual) Certified that Sh./Smt./Km. ____________________________________Design.____________ Office______________________(Section)_____________ was deputed for election duty to the _______________________Govt. of N.C.T. of Delhi , Govt. of India. It is also certified that Sh./Smt./Km._________________________attended the election training classes held on ____________________and_______________and performed Election Duty as Presiding Officer / Polling Officer / Group ‘D’ staff on ___________ the date of polling. (Signature of the Polling Officer) Name____________________ Designation________________ Date ___________ Office __________ In case of Presiding Officer Group ‘A’ Officers of Administrative Branch/Section Officer. Counter Signatures of the Controlling Officer.

BANARSIDAS CHANDIWALA INSTITUTE OF MEDICAL SCIENCES Chandiwala Estate, Maa Anandmai Ashram Marg, Kalkaji, New Delhi-110 019 Ph.:26826204, 26826237, 38, 39 Fax : 91-11-26826205 E-Mail : [email protected]. Website : www.chandiwalaestate.org (ISO 9001: 2000 Certified)

ESSENTIALITY CERTIFICATE SERIAL NO.: __________________ Reg. No.

:

136399

Date

: 10 APR 2007

This is to certify that MR. / Ms. / MAST. S/o

Rohit Jain

Shri Dharm Chand Jain

Resident of WZ-596, Near Jain Temple, Palam Village, New Delhi-110045 Was brought to casualty suffering from he

Head Injury and low B.P. as

fall down from bus for which it was essential to treat by stitching, dressing, and was advised Drug and Bed rest from 21.03.2007 till 02.04.2007. She / He is fit from 02.04.2007 for regular activities.

Signature of Patient

Signature of Medical Officer

To The Director, Social Welfare, Govt. of NCT of Delhi, 1-Canning Lane, Kasturba Gandhi Marg, New Delhi-110001 SUB: - Application for honorary work as member (CWC). REF: - Your adv. In the Times of India daily dt. 08.07.2007. Sir, In response to above referred subject and reference, as an applicant, I would like to submit my bio-data (enclosed) for kind consideration please. Thanking you, Yours faithfully,

(MRS. SUNITA JAIN ) W/o Sh. Dharm Chand Jain, R/o-WZ-596, Near Jain Temple, Village and P.O. Palam, New Delhi-110045. Contact: Mobile No. 9968092153.

( BIO-DATA BY MRS. SUNITA JAIN FOR C.W.C. MEMBER ) 1.

Name

SUNITA JAIN

2.

Father’s Name

Late Sh. Kapoor Chand Jain

3.

Husband’ Name

Sh. Dharm Chand Jain

4.

Date of birth

15-11-1962 (Fifteenth of Nov.’1962)

5.

Residential and Communication address.

WZ-596, Near Jain Temple, Palam Village, New Delhi 110045

5.

Educational Qualification

Post Graduate with M.A. in Sociology from Rajasthan University.

6.

Experience

Years. Working continuously as honorary teacher (Primary Section) with private and government schools having good track record. (Copy of certificates attached)

7.

Social Activities

I use to teach poor children at home with a nominal fee.

8.

Hobbies.

To help the poor children / people of school and locality as well as guide them for their education etc. being a god fearing nature and can handle odd situations peacefully in a pleasant manner.

9.

Other Qualities.

I am from Rajasthan which is famous for its history, culture, patriotism and Songs. I am familiar to all these.

(SUNITA JAIN) R/o WZ-596, Near Jain Temeple, Palam Village, New Delhi, 110045.

UNDERTAKING UNDERTAKING I hereby take responsibility of dropping take responsibility of dropping And collecting my child __________________ my child __________________ Of class V-A of S.K.V. Raj Nagar Part-I on of S.K.V. Raj Nagar Part-I on Scheduled time. time. The child comes to the school and returns child comes to the school and returns Back on his own. The school and the teachers own. The school and the teachers Bears no responsibility of the child after 12.00 responsibility of the child after 12.00 Noon.

I hereby and collecting of class V-A Scheduled The back on his bears no Noon.

Parent’s Signature _______________________. Signature ______________________.

Parent’s

Name: __________________________________ _________________________________

Name:

Address:________________________________ Address:________________________________ Date: _________ :__________-

Date

To The Asstt. Commissioner (W), Delhi Jal Board, Varunalaya Phase-II, Karol Bagh SUB: - Information regarding Cheque Transactions. Sir, It is submitted for your kind information that Due to Maturity of two FDRs each for Rs.20000/- I received a Cheque bearing no. 009480 dt. 23.06.2007from A.P.M. Treasury Ramesh Nagar Post office for Rs.48934/- dt. 23.06.2007 and deposited with Oriental Bank on 27.06.2007. Further, I seek my son admitted to an engineering college for which I shall have to prepare a Demand Draft for Rs.40000/- to 45000/- so that the same may be deposited with the appropriate engineering college. Therefore, permission may be granted for the same. This is for kind information and record please. Thanking You, Yours faithfully, Dt.09.08.2007 (DHARM CHAND JAIN) HEAD CLERK C/o EE (SOUTH WEST)-IV

To The Asstt. Commissioner (W), Delhi Jal Board, Varunalaya Phase-II, Karol Bagh SUB: - Information regarding Cheque Transactions. Sir, It is to inform you that after filing my Annual Property Return up to 31.12.2006 following cheque are received to me :1.

Due to Maturity of FDR for Rs.30000/- received a Cheque bearing no. 958617 from A.P.M. Treasury Ramesh Nagar Post office for Rs.36702/- dt. 21.02.2007 and deposited with Corp Bank on 23.02.2007

2.

Refund from L.I.C. vide cheque no.015945 for Rs. 12500/- deposited with Corp Bank on 24.02.2007.

3.

Consequent upon Closure of Post Office Savings Bank Account received a cheque bearing no. 962890 from A.P.M. Treasuury, Ramesh Nagar Post Office amounting to Rs.49424.20 only and deposited with Corp Bank on 03.03.2007 This is for kind information and record please. Thanking You, Yours faithfully, Dt. 14.03.2007 (DHARM CHAND JAIN) HEAD CLERK C/o EE (SOUTH WEST)-IV

To The Asstt. Commissioner (W), Delhi Jal Board, Varunalaya Phase-II, Karol Bagh SUB: - Information regarding Cheque Transactions. Sir, It is to inform you that after filing my Annual Property Return up to 31.12.2006 following cheque are received to me :1.

Due to Maturity of FDR for Rs.30000/- received a Cheque bearing no. 958617 from A.P.M. Treasury Ramesh Nagar Post office for Rs.36702/- dt. 21.02.2007 and deposited with Corp Bank on 23.02.2007

2.

Refund from L.I.C. vide cheque no.015945 for Rs. 12500/- deposited with Corp Bank on 24.02.2007.

3.

Consequent upon Closure of Post Office Savings Bank Account received a cheque bearing no. 962890 from A.P.M. Treasuury, Ramesh Nagar Post Office amounting to Rs.49424.20 only and deposited with Corp Bank on 03.03.2007 This is for kind information and record please. Thanking You, Yours faithfully, Dt. 14.03.2007 (DHARM CHAND JAIN) HEAD CLERK C/o EE (SOUTH WEST)-IV

To The Asstt. Commissioner (W), Delhi Jal Board, Varunalaya Phase-II, Karol Bagh SUB: - Information regarding transfer of fund from S.B. A/c to F.D.Account. Sir, It is submitted that to avoid monetary loss of interest in saving bank account in corporation bank I have transferred an amount of Rs.75,000/- on 08.09.2007 out of a total of Rs.1,00,131.99 in my savings bank account of corporation bank. A copy of pass book is enclosed herewith. This is for your information and record please. Thanking you, Yours faithfully

(DHARM CHAND JAIN) Head Clerk C/o EE(SW)-IV, DWARKA

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