Immovable Property return form - IGRMS

afnjk xka/kh jk"Vªh; ekuo laxzgky; Indira Gandhi Rashtriya Manav Sangrahalaya
o"kZ ------------------- ds fy, vpy fooj.k dk C;kSjk ¼fnukad 1-1-2010 rd½
Statement of immovable property return for the year ………(As on 01-01-2010)
1. vf/kdkjh dk iwjk uke Name of Officer (in full) : ........................................ 2. dSMj Cadre %................................................
3. orZeku in Present post held : ........................................ 4. orZeku osru Present Pay:.......................................
ftyk] milaHkkx@ rkyqdk
o xkao@’kgj tgka laifRr
fLFkr gS ¼LFkku] o Mkd dk
irk½
Name of District, Sub-
Division, Taluka &
Village or City in which
property is situated(full
vkoklh; Hkwfe ,oa
vU; Hkouksa bR;kfn
laifRr dk uke ,oa
fooj.k nsa
Name &
Details of
property, Housing
lands and
fuekZ.k@vtZu dh dher
¼Ø; o"kZ½ vxj edku gs
rks Hkwfe dh dher Hkh
n’kkZ,sa
Cost of construction/
Acquirement (and year
when purchased)
including of land in
orZeku ewY;
Present
value
vxj Lo;a ds uke ij
ugha gs rks ftlds uke
ij gS mldk ’kkldh;
deZpkjh ds lkFk laca/k
crk;sa
If not in own name,
state in whose name
held & his/ her
fdl rjg izkIr dh xbZ% Ø;] tht]
ca/kd] laifRr] fojklr] migkj] vFkok
vU; izdkj ls½ ftlls izkIr dh xbZ
gS ml O;fDr@O;fDr;ksa dk fooj.k
lfgr uke
How acquired whether by
purchase lease**, mortgage,
inheritance, gift or otherwise
location & postal other buildings case of house
relationship to the with date of acquisition & name
address)
Govt. servant with details of person(s) from
whom acquired
laifRr ls okf"kZd vk;
Annual income
from the property
1 2 3 4 5 6 7 8
fjekdZ
R
E
M
A
R
K
S
gLrk{kj Signature: ..................................
uke Name : .... ...............................
in uke Designation : ..............................
frfFk Date : ......................................
fo’ks"k% d`Ik;k izi= bUnzkt djus ls iwoZ fiNys i`"B ij vafdr fooj.k i< ysaA Note: Please read the notes overleaf before filling up the form.

fVIi.kh&
1- *;fn lgh dher dk vkadyu laHko u gks rks orZeku fLFkr ds vk/kkj ij vuqekfur dher crkbZ tk;sA
2- **vYikof/k yht Hkh ’kkfey djsaA
3- vkpj.k fu;ekoyh ds izko/kku ds varxZr lewg d ,oa lewg [k ds izR;sd lnL; iwjk ?kks"k.kk i= esa tkudkjh Hkjdj izLrqr djuk
vko’;d@visf{kr gSA ’kkldh; lsok esa izFke fu;qfDr rFkk mlds ckn] izR;sd ckjg o"kZ ds varjky esa dz;] vtZu] vFkok fojklr esa yht vFkok
eksVZxst ij] Lo;a vFkok ifjokj ds fdlh lnL;k vFkok ’kkldh; vf/kdkfj;ksa ij fuHkZj dksbZ vU; O;fDr ds uke ij yh xbZ vpy laifRr dk C;kSjk
nsaA
4- ÞifjorZu ughaÞ vFkok ÞvfrfjDr dz; ughaÞ vFkok Þfoxr o"kZ dh rjgÞ tSls ’kCnksa@okD;ka’kksa dk iz;ksx u djsa rFkk foLr`r fooj.k nsaA
NOTES
1. *In case where it is not possible to assess the value accurately, the approximate value in relation to present conditions may be
indicated.
2. **Includes short-term lease also
3. The declaration form is required to be filled in and submitted by every member of Group-A and Group B services under relevant
provision of Conduct Rules and the first appointment to the service and thereafter, at the interval of every twelve months, giving
particulars of all immovable property owned, acquired or inherited by him or held by him on lease or mortgage, either in his own name at
in the name of any member of his family or in the name of any other person dependent on Government servant.
4. The wording 'No change or No addition or as in previous year' may be avoided and all details filled up.