FORM
Form for giving intimation or seeking previous sanction under Rule 18(3)
for transaction in respect of movable property |
| 1. |
Name of the Government Servant |
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Name of the Government servant |
| 2. |
Scale of pay and present pay |
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Scale of pay, |
| 3. |
Purpose of application - sanction for transaction/intimation of
transaction |
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Purpose of application |
| 4 |
Whether property is being acquired for deposed of |
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acquired /disposed off |
| 5. |
(a) Probable date of acquisition or disposal of Property |
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Probable date |
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(b) If the property is already acquired/ disposed of - Actual date
of transaction |
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actual date of transaction |
| 6. |
(a)Description of property (e.g., Car/Scooter/Motor
Cycle/Refrigerator/Radio/Radiogram/Jewellery/Loans/Insurance Policies
etc) |
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Description of property |
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(b) Make, Model(and also Registration Number in case of vehicle ),
where necessar4y |
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Make |
| 7. |
Mode of acquisition/disposal(purchase/sale, gift, mortgage, lease or
otherwise) |
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mode of acquisition |
| 8. |
Sale/Purchase price of the property (Market Value in the case
of gifts) |
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sale purchase |
| 9. |
In case of acquisition, source or sources from which
finance/proposed to be financed: |
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source |
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(a) Personal savings |
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Per. savings |
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(b) Other sources giving details. |
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other sources |
| 10. |
In the case of disposal of property, was requisite
Sanction/intimation obtained/given for its acquisition( A copy of the
sanction/acknowledgement should be attached.) |
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sanction |
| 11. |
(a). Name and address of the party with whom transaction is proposed
to be made has been made. |
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Name & address of
party |
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(b) Is the party related to the applicant? If so, state the
relationship. |
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is the party |
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(c) Did the applicant have any dealings with party in his official
capacity at any time, or is the applicant likely to have any dealing
with him in the near future? |
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official dealings |
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(d) Nature of official dealings with the party. |
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Nature of official dealings |
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(e) How was the transaction arranged? (Whether through advertisement
or through friends and relatives. Full particulars to be given) |
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How was the transaction arranged. |
| 12. |
In case of acquisition by gift whether sanction is also required
under Rule 13 of CCS(Conduct) Rules, 1964 |
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is required under Rule 13 |
| 13. |
Any other relevant fact which the applicant may like to mention. |
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| DECLARTATION |
| I,
------------------------- hereby declare that the
particulars given above are true. I request that I may be given
permission to acquire/dispose of property as described above from to the
party whose name is mentioned in Item 11 above. |
| OR |
| I,
----------------------- hereby intimate the
acquisition /disposal of property by me as detailed above. I declare
that the particulars given above are true. |
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Station: |
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Signature |
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Date: |
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Designation |
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Note1: In the above form, different portions may be used according
to requirement. |
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Office |
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Note 2: Where previous sanction is asked for, the application should
be submitted at lease 30 days before the proposed date of transaction. |
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