IMMEDIATE

F. No. 21/2/2014-CS.I (PR)
Ministry of Personnel, Public Grievances \& Pensions
Department of Personnel \& Training
CS.I Division

$2^{\text {nd }}$ Floor, Loknayak Bhawan, Khan Market, New Delhi

Dated: 7.1.2015

OFFICE MEMORANDUM

Subject: The Lokpal and Lokayktas Act, 2013 – Submission of declaration of assets and liabilities by the public servants

Ministries/ Departments may refer to CS.I Division, DoPT’s O.M. of even number dated $31^{\text {st }}$ July 2014 and $9^{\text {th }}$ September 2014 on the subject mentioned above.
2. The Government has since amended the Public Servants (Furnishing of Information and Annual Return of Assets and Liabilities and the limits for Exemption of Assets in Filing Returns) Rules, 2014 under the Lokpal and Lokayuktas Act, 2013 vide Notification No.G.S.R. 918(E) dated $26^{\text {th }}$ December 2014, in terms of which, the last date of revised returns of assets and liabilities by public servants has been extended to $30^{\text {th }}$ April 2015. The Notification is available on the website of this Department. Further, the Govt. have also modified Form No.II and Form No. IV for filing of the returns. The revised formats are attached herewith. Accordingly, all the CSS Officers shall be required to file the revised declarations, information as on the 1.8.2014 by 30.4.2015.
3. The extended date and the modified formats for filing of the returns may be brought to the notice of all CSS Officers. Ministries/ Departments are also requested to forward the declarations, information, returns submitted by US and above level officers of CSS to CS.I Division, DoPT for records.

Encl.: As above
Joint Secretary (Admn.)
All Ministries/ Departments

Return of Assets and Liabilities on First Appointment or as on the $1^{\text {st }}$ August, 2014/31 ${ }^{\text {st }}$ March 20……* (Under Sec. 44 of the Lokpal and Lokayuktas Act, 2013)

1. Name of the Public servant in full (in block letters)
2. (a) Present public position held
   (Designation, name and address
   of organization)
   (b) Service to which belongs
   (if applicable)

Declaration:

I hereby declare that the return enclosed namely, Forms I to IV are complete, true and correct to the best of my knowledge and belief, in respect of information due to be furnished by me under the provisions of section 44 of the Lokpal and Lokayuktas Act, 2013.

Date $\qquad$
Signature $\qquad$
*–In case of first appointment please indicate date of appointment.

Note 1: This return shall contain particulars of all assets and liabilities of the public servant either in his/her own name or in the name of any other person. The return should include details in respect of assets/liabilities of spouse and dependent children as provided in Section 44(2) of the Lokpal and Lokayuktas Act, 2013.
(Section 44(2): A public servant shall, within a period of thirty days from the date on which he makes and subscribes an oath or affirmation to enter upon his office, furnish to the competent authority the information relating to –
(a) The assets of which he, his spouse and his dependent children are, jointly or severally, owners or beneficiaries;
(b) His liabilities and that of his spouse and his dependent children.)

Note 2: If a public servant is a member of Hindu Undivided Family with co-parcenary rights in the properties of the family either as a ‘Karta’ or as a member, he should indicate in the return in Form No.III the value of his share in such property and where it is not possible to indicate the exact value of such share, its approximate value. Suitable explanatory notes may be added wherever necessary.

Note 3: “dependent children” means sons and daughters who have no separate means of earning and are wholly dependent on the public servant for their livelihood. (Explanation below Section 44(3) of Lokpal and Lokayuktas Act, 2013

FORM No.I

Details of Public Servant, his/her spouse and dependent children

*– Add more rows, if necessary.

Statement of movable property on first appointment or as on 1.8.2014/31st March 20…. ( Use separate sheets for self, spouse and each dependent child )

Name of public servant/spouse/dependent child:

| S.No. | Description | Remarks, if any |
| — | — | — |
| (i)* | Cash in Bank Balance | |
| (ii)** | Insurance (Premia paid) | |
| | Fixed/Recurring Deposit(s) | |
| | Shares/Bonds | |
| | Mutual Fund(s) | |
| | Pension Scheme/Provident Fund | |
| | Other investments, if any | |
| (iii) | Personal loans/ advance given to any person or entity including Firm, Company, Trust, etc and other receivables from debtors and the amount (exceeding two months basic pay or Rupees One lakh as the case may be) | |
| (iv) | Motor Vehicles
(Details of Make/registration number / year of purchase and amount paid) | |
| (v) | Jewellery
[Give details of approximate weight (plus or minus 10 gms in respect of gold and precious stones, plus or minus 100 gms in respect of silver)] | |
| | Gold | |
| | Silver | |
| | Precious metals and precious stones | |
| | Composite items
(indicate approximate value)*** | |
| (vi) | Any other assets [Give detials of movable assets not covered in (i) to (v) above] | |
| | (a) Furniture | |
| | (b) Fixtures | |
| | (c) Antiques | |
| | (d) Paintings | |
| | (e) Electronic equipments | |
| | (f) Others | |
| | [Indicate the details of an asset, only if the total current value of any particular asset in any particular category (e.g. furniture, fixtures, electronic equipments, etc.) exceeding two months basic pay or Rs 1.00 lakhs, as the case may be] | |

Date $\qquad$ Signature $\qquad$ *– Details of deposits in the foreign Bank(s) to be given separately. **– Investments above Rs. 2 lakhs to be reported individually. Investments below Rs. 2 lakhs may be reported together. ***– Value indicated in the first return need not be revised in subsequent returns as long as no new composite item had been acquired or no existing items had been disposed of, during the relevant year.

FORM No.III

Statement of immovable property on first appointment or as on the 1st August, 2014/ 31st March 20….. (e.g. Lands, House, Shops, Other Buildings, etc.)

[ Held by Public Servant, his/her spouse and dependent children ]

Date : ************_____

Signature ************_____

Note 1: For purpose of Column 9, the term “lease” would mean 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 Government servant, such a lease should be shown in this Column irrespective of the term of the lease, whether it is short term or long term, and the periodicity of the payment of rent.

FORM No.IV Statement of Debts and Other Liabilities on first appointment or as on 1.8.2014/31st March 20…..

| S.No. | Debtor
(Self/Spouse or Dependent
Children) | Name and Address of Creditor | Nature of debt/liability and amount | Remarks |
| — | — | — | — | — |
| 1 | 2 | 4 | 5 | 7 |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |

Date $\qquad$ Signature $\qquad$ Note 1: Individual items of loans not exceeding two months basic pay (where applicable) and Rs.1.00 lakh in other cases need not be included.

Note 2: The statement should include various loans and advances (exceeding the value in Note 1) taken from banks, companies, financial institutions, Central/State Government and from individuals.”