DR Vinod Kumar

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RETURNOFASSESTSAND LIABILITIESAS ON 31.12.2011
) ..:
1. Name of Government Servant in full (in block letters) : VINOD KUMAR
2. Service to which he/she belongs:
HIMACHALPRADESHANIMALHUSBANDRY& VETERINARY(CLASS-I)SERVICES
3. Total length of service as on date:
(i) In Non-Gazetted rank: NIL
(Ii) In Gazettedrank: 8 YEARSAND6 MONTHS
4. Present post and place of posting: VETERINARYOFFICER,VETERINARYHOSPITAL,MANIKARAN, DISTT.KULLU(H.P.)
5. Total annual income from all sources during the calendar year immediately preceding the 1stJanuary 2012: Rs. 2,56,604-00 (01.01.2011 to 31.12.2011)
DECLARATION:
of information
I herebydeclarethat the particularsfrom FORM I to V are complete, true and correct as on 31.12.2011, to the best of my knowledgeand belief, in respect
due to be furnished by me under the provisions of Sub-Rule (i) of Rule 18 of the Central CivilService (Conduct) Rule,1964.
Date:-13.02.2012
Note:
Signature: ~~d'J ~
1. This return shall contain particulars of all assets and liabilities of the Government servant either in his own name or in the name of any other person.
2. If a Government servant is a member of Hindu undivided Family with coparcener rights in the properties of the family either as a "Karta" or as a member, he should
indicate in the return in item No. I the value of such share in such property and where it is not possible to indicate the exact value of such share its appropriate value
suitable explanatory notes may be added wherever necessary.

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FORM
STATEMENT OF THE IMMOVABLE PROPERTYAS ON 31.12.2011 (i.e. LANDS, HOUSE, SHOPS AND OTHER BUILDINGS ETe.)
NO-'-
r-S~:-~lDescription
of property
i No
i
,
i 1
j I
I
! '
1 I
I
I
I
1
1
~- ,
I 2
i
'
i
'
13t--Hou;e
, '
I
I
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, ,
" 'I
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2
Ancestral
House
House
rl- L'~dl
L_~__,_,;---~
Date, -13.02.2012
I
Precise location (Name of district,
division, ti:hsil and village in which
the property is situated and also its
distinctive number etc.
3
Village & PO Shansha, Tehsil
Lahoul, Distt. Lahoul & Spiti
Village Aleo, Post Office Manali,
Distt. Kullu
House No 491, Ward No 6,
Village Chhareda, Post Office
Mohal, Near r1elia01ce Mobile
- Tower, ~~t~~{IJII~__-
Village & PO Shansha, Tehsil
Lahoul, Distt. Lahoul & Spiti
Area of land (in
case of land
and building)
4
4 Biswas
3 Biswas
8 Biswas
Nature of land
(in case of
landed
property)
I
1
I
At;-;;'di-r-
1 I
Biswas
,
5
Agriculture
Land
A'b;;diT-
Land.
Extent
of
interest
INL
NIL
NIL
Nil
29 Bighas 2 L. Agric;;Tturer
"
, I
If not in own name
state in whose name
held & his/her
relationship if any,
with the Govt. servant
7
Sh Chhering Tandup
(Father) and Sh
Chhering
Dorje
-- (Uncle) -~
Sh Chhering Tandup
(Father) and Sh
Chhering Dorje
(Uncle)
Sh Chhering
(Father)
Tandup
-'
Sh Chhering Tand
(Father) and Sh
Chhering Dorje
(Uncle) -
Date of
acquisition
8
N.A.
NIL
NIL
I
~r=lpNIL
How acquired
(whether by
purchase, mortgage,
lease, inheritance,
gift or otherwise)
and name with
details of person(s)
from whom acquired
(address and
connection with
Govt. Servant if any,
with the
person/persons
concerned (please
see note l/Jelowl
9
N.A.
Value of
property (see ....
note 2 below)
10
N.A.
Parlic~lars
of sarictions
of:::, :
pr~scribed
aut,hority,if
any
11
N.A.
NIL NIL - NIL
NIL"~
~I NIL
r-NiI. ~. NIL I NIL
~-'.Z, :';
Signature:
I
,
'
,
N
:
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-:
IL -
,
Total annual
income from
the property
12
-~~
I
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, I
I
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I I
1.
2,
For purpose of column 9 of the term (lease would on a lease of immovable property from year to year or for any term,exceeding one year or reserving a yearly rent. Where, however, the lease of immovable property is obtained
from a person having official dealings with the Govt. servant, such a lease should be shown in this in respect of the term of the lease whether it is short term or long term and periodically of the payment of the rent.
In Col. r;o, 10 should be shown (a) where the property has been acquired by purchase, mortgage or lease, the price or premium paid for such acquisition (b) where it has been acquired by lease the total annual rent thereof also

I
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FORM-II
STATEMENT OF LIQUID ASSETSAS ON 31.12.2011
(!) CASH AND BANI( BALANCE EXCEEDING 3 MONTHS EMOLUMENTS (II) DEPOSITS, LOANS, ADVANCES AND INVESTMENTS. (SUCH AS SHARES, SECURITIES AND
DEBENTURES He.)
p;-r-:-NO l~--~~-.'~,Descripti~
I . i
rN~;"e and address of r--Amou~-T
company, bank etc. I
I
I
I
'
I
If not in own name,
address of the persol
in whose name held
and his/her
nnual income
I A derived
I
Remarks
'
l
I
I I relationship
.
with the
--~-3---~ ---'-'-4--~- Govt.sservan!"--
f--i 1 -. SAVIN-G ACCOUNT ,--- --I ~~~~~~::;~~~AL-is()~542-19 --- - .
i r .' I BAZAAR KULLU . ~
2--j UNIT LINKEDPENSION PLAN (LIFE ~ICI PRUDENTIAL 1S000-00 I - -
1 STAGE PENSION) POLICYNO. I
t- 3 ~~- I UNIT LINKEDPENSION PLAN (lIFE- ṂAXNEWYORKLIFE 18000-00 -
I
. I
.
INSURANCE
i i SMART INVESTPENSION SUPER
!
I
08185060 (REGULAR)PLAN POLICYNO
I
I i 783778715 I
I
~~--
I
+-
I
I I
I
! I
I
i
6 7
.._----
- BALANCEAS ON
29.12.2011
- * Amount invested
up to 31.12.2011
during current year
- * Amount invested
w.e.f 01.04.2011 to
31.12.2011 @ Rs.
2000/- p.m.
J
i
Date: - 13.02.2012
Signature:
Name: VINODKUMAR
1. In column 7, particulars regarding sanctions obtained or report made in respect of the various transactions may be given.
2. The term "emoluments' means the pay and allowances received by the Govt. servant

FORM-III
STATEMENT OF MOVABLE PROPERTYAS ON 31.12.2011
-.
------,
Description of the ite..;,---r-Price or value at the time of If not in own name, then How acquired with ' . Remarks
Sr. No acquisition and/or the total name and address of the approximate date of
I
payment made up to date of person in whose name acquisition
! return, as the case may be, in case held and his/her
.of articles purchased on hire a relationship with the
I
-
purchase of installment basis Govt. Servant.
1---_.
1 2 3 4 5 6
1 Nokia X-6Mobile (1 No) Rs. 14,000-00 -
Purchased in August -
2010
2 GoldJewelry=30 X10 gm Rs.6 Lakh Smt. Babita(Wife) Giftedby relatives in -
--..-.- -----..----- ---- _. -- f--- marriae (2004)
3 Televisions (2 No) Rs. 10,000 each Sh Chhering Tandup Purchased (1999 and
. -
---- - -- (Father) 2010)
4 Refrigerator (2 No) Rs. 10,000 each Sh Chhering Tandup Purchased (2002 and
-
1--- (Father) 2010)
5 Maruti-800 Car (1 No) Rs. 2.5 Lakh Sh Chhering Tandup Purchased (2006) -
-. (Father) -
6 HP-Laptop (1 o) Rs. 20,000 - Purchased (2011) -
1---- .-. --- .-------.--- -- -- f--._-_.-
.7 Washing Machine (1 No) Rs.20,000 Sh Chhering Tandup Purchased (2009)
-
(Father) -.
8 I Miscellaneous House Hold Articles Approximately worth Rs. 1.00 Sh Chhering Tandup Purchased from time to
"
-
I Lakh (Father) time
-- .
Date: - 13.02.2012
s;gnature'~
Name: VINODKUMAR
1. In this form/information may be given regarding items like (a) jewelry owned by him (total value) (b) Silver and other precious metals and precious stones owned by him not forming part of
2.
3.
jewelry (total value), (c) (i) Motor Cars (ii)Scooters/Motor Cycles (iii)Refrigerators/Air-Conditions (iv)Radios/Radiograms/Television sets and any other articles, the value of which individuallyexceeds
Rs. 1000/- (d) Value of items of movable property individually worth less than Rs. 1000/- other than articles of daily use such as clothes, utensils, books, crockery etc. added together as lump sum.
In column 5 may be indicated whether the property was acquired by purchase, inheritance gift or otherwise.
In column 6 particulars regarding sanctions obtained or report made in respect ot various transactions may be given

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FORM-IV
'I
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STATEMENTOF PROVIDENT FUND AND UFE INSURANCE POLICY(AS ON 31.12.2011)
Sr.No Insurance Nameof insurance Sum Amount of PROVIDENT FUND
policyNo.and company insured/date of annual Typeof provident Closingbalance Contribution Total Remarks,Ifany
date of policy maturity premium fund and account as on last s made (Ifthere is
number period by subsequently dispute
AO/Audlt
regardingdoslnE
alongwlth date
balancethe
of such balance
figureaccording
to the Govt.
Servant should
be mentioned In
this column)
1 2 3 4 5 6 7 8 9 10
1 10803387 Reliance Life Rs. 50,000-00 Discontinued is-year Public Balance as on Nil Rs.43,297-oo -
26.06.2007 Insurance Company w.e.f. Provident Fund 31.03.2011 =
31.10.2011 (SBI) Rs. 43,297-00
after
AlC No.
receiving 30054985934
surrender
value of Rs.
47,194-19 on
dated
31.10.2011 in
myPNB
Savings
Account
2 768247082 Max New York Life Rs. 2,00,000-00 Rs. 20,000-00
31.12.2009 Insurance
Date: 13.02.2012
Signature'
Name: VINODKUMAR
l

, ,
., FORM.V
.~ ~
STATEMENT OF DEBTS AND OTHER LIABILITIES AS ON 31.12.2011
Sr.No Amount Nameandaddressof creditor Date of incurring liability Detailsof transactions Remarks
1 2 3 4 5 6
NIL NIL NIL NIL NIL
Date: -13.02.2012
Name: VINOD KUMAR
1. Individual items of loans not exceeding three months emoluments of Rs.1000/- whichever is less need be included.
2. In column 6, information regarding permission, if any, obtained from or report made to the competent authority may also be given.
3. The term "emoluments" means pay and allowances received by the Govt. employee.
4. The statement should also include various loans and advances available to Govt. employees like advance for purchase of conveyances, house-building advance etc.
(other than advances of pay and traveling allowance) advances from the G. P.Fund and loans on Life Insurance policies and fixed deposit