STATEMENT OF IMMOVABLE PROPERTY RETURN FOR THE YEAR 2022 AS ON 01st January 2023

1. Name of Officer (in full) : Dr. SANJAY PATIDAR

2. Service to which the Officer belongs : CHS

3. Cadre & Batch : GENERAL DUTY MEDICAL OFFICER - 2013

4. Present Pay : SMO CHS WC AJMER

SL Name of Name & Details Cost of Present value* If not in own name, state How acquired whether Annual income from Remarks
NO. Khasra No., of Property construction/Acq in whose name held and by purchase, lease**, property
Village/City, (Description) uirement his/ her relationship to mortgage inheritance,
Taluk, Sub- (and year when the Govt. Servant gift or otherwise with
Division, purchased) date of
District including of acquisition and name
in which land in case of with details of
property is house person(s) from whom
situated (full acquired.
location &
postal address)

1 2 3 4 5 6 7 8 9

1 RAJASTHAN, Land, 400000 Yes, Sole, ONE KHATA Purchase, UDAIRAM , NIL PURCHASE AND
JHALAWAR, AGGRICULTURAL 710 IS JOINT INFORM UDAIRAM GURJAR FILLED IN
SUNEL, SUNEL, KHATA NO TO RESPECTINE VILL AND POST PREVIOUS IPR
HEMRA, VAND P 710,711,712 CONTROLLER WHEN HEMRA TEH SUNEL AND INFORMED
HEMRA TEH PURCHASED DIST JHALAWWAR TO RESPECTIVE
SUNUL DIST RAJ - 04/11/2015 CONTROLER BUT
JHALAWAR, 326513 FISRT TIME
ONLINE IPR
FILLED AS
PREVIOUS IPR
WAS OFFLINE
2 RAJASTHAN, House, F 14 14000000, 2018 15000000 Yes, Joint, NIMISHA Purchase, HEMANT NIL INFORM IN
AJMER, AJMER, CHANDRA PATIDAR, WIFE, LAND SHARMA, HEMANT OFFLINE IPR IN
AJMER, F 14 VARDAI NAGAR PURCHASED AND SHARMA NEAR PREVOUS YEARS
CHANDRAVARDAI AJMER RAJ CONTRCTION DONE RAILWAY HOSPITAL I TIME ONLINE IPR
NAGAR AJMER, FROM LOAN FROM SBI AJMER - 14/09/2018 FILLED
305003
3 RAJASTHAN, Others, 650000, 2022 650000 No, NIMISHA PATIDAR, Purchase, NIMISHA nil
JHALAWAR, AGRICULTURAL WIFE PATIDAR, pep kunwar -
SUNEL, SUNEL, 26/05/2022
HEMRA, V AND
 SL Name of Name & Details Cost of Present value* If not in own name, state How acquired whether Annual income from Remarks
NO. Khasra No., of Property construction/Acq in whose name held and by purchase, lease**, property
Village/City, (Description) uirement his/ her relationship to mortgage inheritance,
Taluk, Sub- (and year when the Govt. Servant gift or otherwise with
Division, purchased) date of
District including of acquisition and name
in which land in case of with details of
property is house person(s) from whom
situated (full acquired.
location &
postal address)

1 2 3 4 5 6 7 8 9

HEMRA TEH
SUNEL DIST
JHALAWAR, 326513

TEMP008

Dr. SANJAY PATIDAR

CENTRAL GOVERNMENT HEALTH SCHEME, JAIPUR

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 leases also.

3) The declaration form is required to be filled in and submitted by every member of Class I and Class II services under relevant provisions 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 or 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.

5) All Officers are requested to fill the form in duplicate.