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Cur 20200709151717 Advt132020

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DECLARATION UNDER PARA 2(B) OF FINANCE DEPTT

Memo. No. 6038-F dated 22.05.84 read with Memo.


Nos. 1925-F, dated 21.10.1984 and 46-F, dt. 9.1.75.

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 :……………………………………………………………………………………………………..

B. HOUSE RENT PAID:

Date: …………………………………

Signature…………………………………………………………….

Name ………………………………………………………………….

Designation ………………………………………………………..

Please strike out which is not Department ……………………………………………………….


applicable Office …………………………………………………………………

Hereby declare that the particulars given above are true.

Signature of wife/husband of
the Government employee
Name ………………………………………………………………
Designation …………………………………………………….

Department ……………………………………………………

Office ……………………………………………………………..

Date: ………………………………….

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