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Shri Mahadeo Singh Khandela MoS for Tribal Affairs

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    D E C L A T A T ION OF A SSE T S A N D L IA B IL IT E S B Y ME M B E R S OF L OKSA B H AFORM I

    A.1.

    ASSETS AND LIABILITIES OF MEM BERName of the MemberAHADEO SINGH KHANDELA( in block letter)2. Father's/ Husband's nam e SHRI MAN BHAR RAM (LATE)3. Permanent Address VILLAGE DULEHPURA,VIA: KHANDELA,

    TEH: SRIMO DHPURDISTT. SIKAR, RAJASTHA N

    Dehli Address NO .52, LOD HI ESTATE,NEW DELHI

    5. Party affiliation INDIAN NA TIONAL CONGRESS6. Date of election 07.05.20097 Date of taking oath/makingaffiliation in theHouseI. Details of imm ovable property(1 ) Nam e of the State, District, Sub divisionAn d village in which property is situated.

    AS PER ANNEXURE-A

    (2 ) Details of propertyS PER ANNEXURE-A1

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    (a) Ho use and building and theirPresent value(b) Land and their present value

    (3 ) W hether held as owner of beneficiary

    (4) W hether held jointly or severally . ifproperty held jointly withanother person share of property held.If not held in M ember's own nam e, statein whose name held andhis/her relationship with the member

    (6) How Acquired(whether by Pu rchase , lease, mortgage ,inheritance gift of otherwise dateof acquisition and nam e of person formwhom acquired)

    Any other relevant information whichthe mem ber may l ike to mentionII Details of movable property

    Description of the Property(i.e. car /motorcy cle/jewellery/investment in Bank/stock/markets/companies/ financial institutions/Insurance po licies etc.)

    (2) Make model (and also registrationNo. in case of vehicles)where Necessary

    (5)

    (7)

    OwnerNA.

    N.A.

    AS PER ANNEXURE-A

    NIL

    AS PER ANNEXURE -BAS PER ANNEXURE -B

    AS PER ANNEXURE -B

    AS PER ANNEXURE -B(3) Mode of acquisition(purchase/gift/mortgage lease o r otherwise)

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    (4)( 5 )

    Purchase price of the propertyIn case of purchase, source or sourcesfrom which financedAS PER ANNEXURE -BAS PER ANNEXURE -B

    (a ) personal saving(b ) other sources

    (6) Any other relevant information which the -M ember m ay like to furnishIII Details of Liabilities of the m emb er to public Financial Institution/Central

    Governments and state Government(1) Details of loans raised from BO B- Rs.995912.00Bank C om panies/ Finical Institutions/ RGB- Rs.412147.00Central/ State Go vernments

    (2 ) Am ount of loans raised in each case N IL

    (3) The period for which these loanswere raised in each caseN IL

    3

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    B. INFORMATION REGARDING IMMOVABLE AND MOVABLPROPERTIES HELD BY MEM BER' S SPOUSE

    1 Nam e of the Mem ber's Spouse SMT. PARVATI SINGH( in block letters)2 Father's/ Husband's Nam e SHRI MAHA DEO SINGH KHANDELA3 Permanent Address VILLAGE DULEHPURA,

    VIA: KHANDELA,TEH: SRIMO DHPURDISTT. SIKAR, RAJASTHA N

    4 Delhi Address

    I.etails of imm ovable property(1) Name of the State, District, Sub divisionAn d village in which property is situated.(2) Details of property(a) House an d building and theirPresent value(b ) Land and their present value

    (3) W hether held as owner of beneficiary(4) Whether held jointly or severally .if property held jointly w ith

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    another person share of property held.(5 ) If not held in M ember's own nam e, statein whose name held andhis/her relationship with the m emb er(6 ) How Acquired(whether by P urchase , lease, mortgage ,inheritance gift of otherwisedate of acquisition and nam e of personform whom acquired)

    (7 ) Any other relevant information whichthe mem ber may l ike to m ention

    II Details of movable property(1) Description o f the P roperty(i.e. car /motorcycle/jewellery/investment inBank/stock/markets/companies/financial institutions/Insurance po licies etc.)

    (2 ) M ake m odel (and also registrationNo . in case of vehicles) whereNecessary

    (3) M ode of acquisition( purchase/gift/mortgage lease orotherwise)

    N IL

    Purchase/Gifts

    (4) Purchase price of the propertyVP Rs.1.00 L acs.Insurance Policy Rs.1.07 Lacs(5 ) In case of purchase, source or sourcesfrom which financed 30 Tola G old JwelleryRs.4.50 Lacs and2 Kg S ilver Rs. 0.42 LacKV P Rs.1.71 LacsInsurance Policy R s.1.10 Lacs.Bank B alance Rs. 0.98 LacsDebtors Rs.2.50 Lacs,Cash R s. 0.76 Lacs5

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    (a) personal savingersonal saving(b) other sourcesift from Parents, In-laws & relatives.

    (6 ) W hether held as owner or beneficiarywner(7 ) Whether held jointly. or severally(8 ) Any other relevant information which themember may like to furnish

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    C. INFORMATION REGARDING IMMOVABLE AND MOVABLPROPERTIES HELD BY M EM BER'S DEPENDENT CHILDREN1 Nam e of the Mem ber's dependent childrenHRI GIRI RAJ SINGH( in block letters)

    Father's/ Husband' s Nam e3ermanent Address SHRI M A H A D E O S I N G HVILLAGE DULEHPURA,VIA: KHAN DELA,TEH: SRIMODH PUR

    DISTT. SIKAR, RAJASTH AN

    4 Delhi Ad dress

    I .etails of im m ovable property(1) N am e of the State, D istrict, Su b divisionAnd village in wh ich property is situated.(2) Details of property(a ) Hou se and building and theirPresent value

    (b ) Land an d their present value(3 ) W hether held as owner of beneficiary(4) W hether held jointly or severally.if property held jointly w ithanother person share of property held.

    As per Annexu re AAs per Annexure A

    As per Annexure A

    As per Annexure AO w n

    (5) If not held in M em ber's own n am e, state.A .in whose name held andhis/her relationship with the member7

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    (6) How Acquired(whether by P urchase , lease, mortgage ,inheritance gift of otherwisedate of acquisition and n am e of person formwhom acquired)

    As per Annexure A

    (7) Any other relevant information whichthe mem ber may l ike to m ention

    II Details of movable property(1) Description of the Prope rty(i.e. car /motorcycle/jewellery/investment inBank/stock/markets/companies/financial institutions/Insurance policies etc.)(2) Mak e mo del (and also registration

    No . in case of vehicles) whereNecessary(3) Mo de of acqu isition( purchase/gift/mortgage lease orotherwise)(4) Purchase price of the property(5) In case of purchase, source or sources

    from w hich financeda. personal savingb. other sources

    (6) Whether held as ow ner or beneficiary

    As per Annexure BAs per Annexure B

    As per Annexure B

    As per Annexure B

    As per Annexure BAs per Annexure B

    Owner8

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    (7) Whether held jointly or severallyw n(8) Any other relevant information which them em ber may like to furnish

    DECLARATION

    I, Maha Deo Singh, hereby declare that the information given above is trueand correct to the best of my knowledge and belief.In the event of any change in the information given above. I undertake to intimatethe Speaker as provided under the rules.

    Your faithfully

    Date A6 6' 201 1 Signature/thumbImpression of mem ber

    9

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