Cur 20200709151717 Advt132020
Cur 20200709151717 Advt132020
Cur 20200709151717 Advt132020
I hereby declare for the purpose of para 6 of appendix 20 of W.B.S.R. Part-II that:
A. I AM NOT MARRIED:
My wife/husband IS NOT IN SERVICE under the Govt. of India, or any state Govt. or Undertaking or any Statutory
or Local Body, Educational Institution. Etc.
OR,
(a) My wife/husband IS IN SERVICE and following are the particulars of her/him
Name and address of her/his office : …………………………………………………………………………………………………….
………………………………………………………………………………………………………
(b) Present pay per mensem : …………………………………………………………………………………………………….
(c) House Rent Allowance drawn
by her/him per mensem :……………………………………………………………………………………………………..
Date: …………………………………
Signature…………………………………………………………….
Name ………………………………………………………………….
Designation ………………………………………………………..
Signature of wife/husband of
the Government employee
Name ………………………………………………………………
Designation …………………………………………………….
Department ……………………………………………………
Office ……………………………………………………………..
Date: ………………………………….