1- o;fdrxr fooj - jharkhandjharsewa.jharkhand.gov.in/resources/pdf/20/declaration...1- o;fdrxr...
TRANSCRIPT
1- O;fDrxr fooj.k
1 vkosnd@vkosfndk dk uke %&
2 LFkkuh; fuoklh izek.k i= ¼la[;k@fnukad½ %&
3 eksckbZy ua0 ¼;fn gks rks½ %&
4 tUe frfFk %& 5 fyax iq:"k¼ ½ efgyk ¼ ½ VªkaltsaMj ¼ ½
6 tkfr* 7 /keZ %&
8 vkoklh; irk %&
¼d½ LFkkbZ irk %& xk¡o@eqgYyk ----------------------------------------------------------------------------------------------- iz[k.M --------------------------------------------Mkd?kj ------------------------------------
Fkkuk -------------------------------------vuqe.My -------------------------------------- ftyk --------------------------------------------------- fiu ------------------------------------- jkT; ---------------------------------
¼[k½ oÙkZeku irk %&xk¡o@eqgYyk ----------------------------------------------------------------------------------------------- iz[k.M ------------------------------------------------Mkd?kj -------------------------------------------
Fkkuk -----------------------------------------vuqe.My -------------------------------------- ftyk ---------------------------------------------------- fiu ----------------------------------- jkT; --------------------------------------------
9 firk dk uke %& 10 firk dh tkfr %&
11 ekrk dk uke %&
12 ifr dk uke %& 13 ifr dh tkfr %&
2- ifjokj** ds lnL;ksa dh fooj.kh
Ø0la0 lnL; dk uke vkosnd ls lEcU/k vkosnu dh frfFk dks mez PAN
¼i½
¼ii½
3- vkosnu o"kZ ds iwoZ dk foÙkh; o"kZ---------------------------esa lHkh lzksrksa ls ikfjokfjd** vk; ¼;Fkk osru] d`f"k] O;olk;] is'kk
vkfn½ %&
¼i½ osru ls dqy vk;
¼ii½ d`f"k ls dqy vk;
¼iii½ O;olk; ls dqy vk;
¼iv½ is'kk ls dqy vk;
¼v½ vU; lzksr ls dqy vk;
dqy vk;
4- lEifÙk dk fooj.k ¼ifjokj** }kjk /kkfjr fofHkUu LFkkuksa@'kgjksa esa vofLFkr Hkwfe vkSj lEifr dks tksM+dj½ %&
eSa ;g ?kks"k.kk djrk@djrh gw¡ fd ;fn Hkfo"; esa esjh mi;qZDr ?kks"k.kk xyr ikbZ tkrh gS rks blds vkyksd esa
eq>s izkIr vkj{k.k ,oa vU; vkuq"kafxd lqfo/kkvksa dks jn~n djrs gq, /kkjk 193 Hkk0n0fo0 ,oa vU; lqlaxr /kkjkvksa ds
rgr esjs fo:) dkuwuh dkjZokbZ dh tk ldrh gSA
* vkosnd dh tkfr ogh ekuh tk,xh tks mlds firk dh tkfr gSA
** bl iz;kstukFkZ ^ifjokj* 'kCn esa vkosnd] mlds ifr@iRuh] mlds ekrk&firk] 18 o"kZ ls de mez ds HkkbZ&cgu rFkk vBkjg o"kZ ls
de mez dh larku lfEefyr gksaxsA
vkosnd@vkosfndk dk gLrk{kj
¼i½ dqqqqqq qq qy d`f"k ;ksX; Hkwfe¼,dM+ esa½
¼ii½ vkoklh; ¶ySV¼dqy {ks=Qy oxZQhV esa½
¼iii½ vf/klwfpr uxjikfydk {ks= esa vkoklh; Hkw&[k.M ¼ dqy {ks=Qy oxZxt esa½
¼iv½ vf/klwfpr uxjikfydk {ks= ls fHkUu {ks=ksa esa vkoklh; Hkw&[k.M ¼ dqy {ks=Qy
oxZxt esa½
1- O;fDrxr fooj.k ¼vo;Ld gsrq½ %&
1 vkosnd@vkosfndk dk uke %&
2 LFkkuh; fuoklh izek.k i= ¼la[;k@fnukad½ %&
3 eksckbZy ua0 ¼;fn gks rks½ %&
4 tUe frfFk %& 5 fyax iq:"k¼ ½ efgyk ¼ ½ VªkaltsaMj ¼ ½
6 tkfr* %& 7 /keZ %&
8 vkoklh; irk %&
¼d½ LFkkbZ irk %& xk¡o@eqgYyk ----------------------------------------------------------------------------------------------- iz[k.M ---------------------------------------------Mkd?kj ---------------------------------------
Fkkuk -----------------------------------------vuqe.My --------------------------------------------- ftyk -------------------------------------------------- fiu ------------------------------------ jkT; -----------------------------
¼[k½ oÙkZeku irk %& xk¡o@eqgYyk ----------------------------------------------------------------------------------------------- iz[k.M ---------------------------------------------Mkd?kj ------------------------------------
Fkkuk -----------------------------------------vuqe.My --------------------------------------------- ftyk -------------------------------------------------- fiu ------------------------------------ jkT; -----------------------------
9 firk dk uke %& 10 firk dh tkfr %&
11 ekrk dk uke %&
2- ifjokj** ds lnL;ksa dh fooj.kh
Ø0la0 lnL; dk uke vkosnd ls lEcU/k vkosnu dh frfFk dks mez PAN
¼i½
¼ii½
3- vkosnu o"kZ ds iwoZ dk foÙkh; o"kZ---------- esa lHkh lzksrksa ls ikfjokfjd** vk; ¼;Fkk osru] d`f"k] O;olk;] is'kk vkfn½ %&
¼i½ osru ls dqy vk;
¼ii½ d`f"k ls dqy vk;
¼iii½ O;olk; ls dqy vk;
¼iv½ is'kk ls dqy vk;
¼v½ vU; lzksr ls dqy vk;
dqy vk;
4- lEifÙk dk fooj.k ¼ifjokj** }kjk /kkfjr fofHkUu LFkkuksa@'kgjksa esa vofLFkr Hkwfe vkSj lEifr dks tksM+dj½ %&
¼i½ dqy d`f"k ;ksX; Hkwfe¼,dM+ esa½
¼ii½ vkoklh; ¶ySV¼dqy {ks=Qy oxZQhV esa½
¼iii½ vf/klwfpr uxjikfydk {ks= esa vkoklh; Hkw&[k.M ¼ dqy {ks=Qy oxZxt esa½
¼iv½ vf/klwfpr uxjikfydk {ks= ls fHkUu {ks=ksa esa vkoklh; Hkw&[k.M ¼ dqy
{ks=Qy oxZxt esa½
eSa ;g Hkh ?kks"k.kk djrk@djrh gw¡ fd ;fn Hkfo"; esa esjh mi;qZDr ?kks"k.kk xyr ikbZ tkrh gS rks blds vkyksd
esa esjs iq=@iq=h dks izkIr vkj{k.k ,oa vU; vkuq"kafxd lqfo/kkvksa dks jn~n djrs gq, /kkjk 193 Hkk0n0fo0 ,oa vU;
lqlaxr /kkjkvksa ds rgr esjs fo:) dkuwuh dkjZokbZ dh tk ldrh gSA
* vkosnd dh tkfr ogh ekuh tk,xh tks mlds firk dh tkfr gSA
** bl iz;kstukFkZ ^ifjokj* 'kCn esa vkosnd] mlds ifr@iRuh] mlds ekrk&firk] 18 o"kZ ls de mez ds HkkbZ&cgu rFkk vBkjg o"kZ ls
de mez dh larku lfEefyr gksaxsA
firk@ekrk dk gLrk{kj
¼firk@ekrk dk uke %&----------------------------------------------------------------------------------½
¼vkosnd ds vo;Ld jgus dh fLFkfr esa½
¼nks izfr;ksa esa½
lsok esa]
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egk'k;]
eq>s ---------------------------------------------------------------------------- ¼laLFkku@dk;kZy; dk uke½ }kjk
fnukad&------------------------------------------- rd vk; ,oa lEifÙk izek.k i= lefiZr djus dk funs'k izkIr gqvk
gSA lacaf/kr laLFkku@dk;kZy; ds ekax i= dh izfr layXu gSA
vuqjks/k gS fd layXu nLrkostksa dk voyksdu dj esjs i{k esa ^rRdky lsok* dk ykHk
izkIr djus gsrq lR;kiu fuxZr djus dh d̀ik dh tk;A
vuq0&;FkksDrA
fo'oklHkktu]
vkosnd dk gLrk{kj
LFkku&--------------------------------- uke& --------------------------------------------------------
fnukad& ----------------------------- firk@ifr dk uke& ------------------------------------------
LFkk;h irk& -----------------------------------------------------------
--------------------------------------------------------------------------------
eksckbZy ua0& ------------------------------------------------------
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
¼dk;kZy; }kjk Hkjk tk;sxk½
Kkikad&------------------------------
fnukad& ---------------------------
dk;kZy; dk uke&-----------------------------------------------------------------------------------------------
>kjlsok iksVZy ij vk; ,oa lEifÙk izek.k i= ds fy, rRdky lsok izkIr djus ds lEcU/k esa
Jh@Jherh@lqJh ------------------------------------------------------------------------- firk@ifr dk uke ----------------------------------------
irk---------------------------------------------------------------------------------------------------------------------- ds }kjk izLrqr vkosnu rFkk
mlds lkFk vuqyXu lacaf/kr laLFkku@dk;kZy; ds ,rn~ lEcU/kh Kkiu@nLrkost dk voyksdu
fd;kA
budk vkosnu dkfeZd] iz'kklfud lq/kkj rFkk jktHkk"k foHkkx] >kj[k.M] jk¡ph ds i=kad&-------
---------------------] fnukad&-------------------------------------- eas of.kZr izko/kku ds vkyksd esa ^rRdky lsok* vUrxZr
izek.k i= fuxZr djus gsrq Lohdkj djus ;ksX; ik;kA
lR;kiu djusokys inkf/kdkjh
dk gLrk{kj ¼eqgj lfgr½
uke&------------------------------------------------
inuke&-------------------------------------------
