Shri S. Gandhiselvan MoS for Health and Family Welfare

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    (3 ) (4 )

    FO R M I[See rule 31

    A . Information regarding assets & liabilities of members1. Name of the Member S . GANDHISELVAN

    (in block letters)2. Father's Name Shri K. Sellappan3. Permanent Address 144-A, A.S Pettai, Nammakkal, Tamilnadu

    State4. Delhi Address 3, Motilal Nehru, New Delhi5. Party Affiliation DM K6. Date of Election 16.05.20097. Date of taking oath/making

    affirmation in the House01/06/2009

    I . Details of immovable property(1 ) Name of State, District, sub-division

    and Village in which property issituated

    (2 ) Details of property(a ) House and buildings and their

    present value

    (b ) Lands and their present value

    Whether held as owner or beneficiaryWhether held jointly or severally. Ifproperty held jointly with anotherperson share of property held.

    If not held in member's own name,state in whose name held and his/ herrelationship with the memberHow acquired(whetheryurchase,ease,mortgage, inheritance, gift orotherwise with date of acquisition andname of person from whom acquired

    Tamilnadu, Namakkal, Namakkal

    N ilH-24, TNHB Cauvery Nagar, Tiruchy Road,NamakkalLand & House building 3352 sq.ftValue around Rs.39,00,000/-OwnerN.A.

    N.A.

    By purchase

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    (7 )ny other relevant information whichthe member may like to mention.I I .etails of movable property(1 )escription of the property (i.e.

    car/motorcycle/jewellery/Investmentsnank/stockmarkets/companies/financialinstitutions/insurance policies etc. CashLIC Policy No.70118854LIC Policy No.760537445LIC Policy No.702925904Reliance Life Insurance(Policy No.410422648)

    500 Shares India CementsLtdJewellery

    Amount in Rs.2,50,0002,94,040

    94,1302,37,8541,00,000

    1,54,500

    (2 ) Make, model (and also registrationilNo. in case of vehicles) wherenecessary(3 ) Mode of acquisition (purchase/gift/urchase and otherwisemortgage lease or otherwise)(4 )

    (5 )

    Purchase price of the propertyIn case of purchase, source or sourcesfrom which financed

    (a ) Personal savings(b ) Other sources

    N.A.N il

    Personal savings

    (6)ny other relevant information whichthe member may like to furnishIII.etails of Liabilities of the member to public

    Institutions/Central Government and State Government(1 ) Details of loans raised from Banks/ilCompanies/Financialnstitutions/Centralovernment/tateGovernment(2 ) Amount of loans raised in each caseil(3 ) The period for which these loans wereil

    raised in each case

    Financial

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    B .nformation regarding immovable and movable properties held bymember's spouse1. Name of the Member's spouse(in block letters)

    2. Father's/Husband Name3. Permanent Address

    4. Delhi Address

    I. Details of Immovable Property(1 ) Name of State, District, Sub-Division

    and Village in which property issituated

    (2 ) Details of property(a ) House and buildings and their

    present value

    (b ) Lands and their present value

    Whether held as owner or beneficiaryWhether held jointly or severally. Ifproperty held jointly with member,share of property heldIf not held in spouse's own name,state in whose name held and his/ herrelationship with the spouseHow acquired(whetheryurchase,ease,mortgage, inheritance, gift orotherwise with date of acquisition andname of person from whom acquired)

    (7 )ny other relevant information whichthe member may like to mention

    S M T . G . V A S A N T H I

    Shri S. Gandhiselvan144-A, A.S Pettai, Nammakkal, TamilnaduState3, Motilal Nehru Marg, New Delhi

    TamilnaduNamakkal,NamakkalHousing Plot Ward C, Block 15, SurveyNo.1217, A4, Block No.51 - 2520 Sq. FeetValue Rs.3,17,800 &House Survey N o335/224 P atta No.2355,Ward C, Block 2 T.S. No.96 2409 Sq.ft- Value Rs.8,79,600/-House No.9, HIG III, Phase III, KondisettiPatti, Namakkal,

    - Value Rs.13,15,000/-

    Owner

    N.A.

    By purchase

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    (1)II. Details of movable property

    Descriptionfheropertyi.e.car/motorcycle/jewellery/investmentsnanks/stockmarkets/companies/financialinstitutions/insurance policies etc.)

    CashLIC Policy No.702147843 -LIC Policy No.702147844 -LIC Policy No.702147845 -LIC Policy No.702147846 -LIC Policy No.702147847 -LIC Policy No.702925716 -

    Bajaj Allianz 97268351Postal Deposit(A/c No.3164404 )Jewellery worth Rs.6,18,000

    Rs.60,000Rs.27,305Rs.28,905Rs.25,875Rs.32,615Rs.30,675Rs.81,498

    Rs.37,500Rs.19,000

    (2 ) Make,odeland alsoegistration N .ANo.nasefehicles)herenecessary.

    (3 ) Mode of acquisition Purchase and otherwise(purchase/gift/mortgageeaserotherwise)

    (4 ) Purchase price of the property N .A(5) In case of purchase, source or sources

    from which financed(a ) Personal savings(b ) Other sources Personal savings

    (6) Whether held as owner or beneficiary N.A( 7 ) Whether held jointly or severally N .A(8) Any other relevant information which

    the member may like to furnishN .A

    C.nformation regarding immovable and movable properties held bymember's dependent children1. Name of the member's dependent. GOWTHAMchildren (in block letters). HARITHA2. Father's name. GANDHISELVAN

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    (3 ) (4 )

    (5 )

    3.ermanent AddressDelhi Address

    Details of immovable propertyName of State, District, Sub-division andVillage in which property situated.Details of property

    (a ) House and Buildings and theirpresent value

    (b ) Lands and their present valueWhether held as owner or beneficiaryWhether held jointly or severally.fproperty held jointly with member, shareof property heldIf not held in the child's own name, statein whose name held and his/ herrelationship with the child

    (6 ) How acquired(whether by purchase, lease, mortgage,inheritance, gift or otherwise with date ofacquisition and name of person fromwhom acquired)

    (7 ) Any other relevant information which themember may like to mention.

    II.etails of movable property(1 ) Description of the property (i.e.car/motorcycle/jewellery/Investmentsnanks/stockmarkets/companies/financialinstitutions/insurance policies etc.)(2 ) Make, model ( and also registrationNo. in case of vehicles) wherenecessary

    (3 ) Mode of acquisition (purchase/gift/mortgage lease or otherwise)

    144-A, A.S Pettai, Nammakkal,Tamilnadu State3, Motilal Nehru Marg, New Delhi

    N .A .NiL

    N .A

    N .A

    N .A

    N il

    LIC Policy No.70118913 - Rs.230527/-Postal A/c No.3162048 - Rs.64,500

    N .A

    Purchase

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    (4) Purchase of price of the property N.A(5) In case of purchase, source or sources

    from which financedN.A

    (a ) Personal savings(b) Other sources

    (6) Whether held as owner or beneficiary N.A.(7) Whether held jointly or severally N.A.( 8 ) Any other relevant information which

    the member may like to furnishN il

    DECLARATIONI, S. Gandhiselvan hereby declare that the information given above is

    true and correct to the best of my knowledge and belief. In the event of anychange in the information given above, I undertake to intimate the Speaker asprovided under the rules.

    Yours faithfully,