CONDUCT, DISCIPLINE AND APPEAL RULES 2006 - BSNL ...

FORM-4STATEMENT OF ANNUAL RETURN OF IMMOVABLE PROPERTY(Under Rule 21 of BSNL Conduct, Discipline and Appeal Rules, 2006)For the year ending …………….As on ………………(1) Name of officer (in full) and service to which the officer belongs…………………….(2) Present post………………………… Present pay ….…………..Name of Name and details Present If not in HowAnnual RDistrict,Subdivision,Talukof propertyValue OwnName,state inwhoseacquired-(Whether bypurchase,lease,Incomefrompropertyemarand Village Housing & Landname Mortgage, giftkin which Other buildingheld and orspropertyhis/her Otherwise),is situatedrelationshipto thewith date ofacquisitionemployee and name,with details ofpersonsfrom whomacquired1 2 3 4 5 6 7 8Date:Signature:(1) Inapplicable clause to be struck out.(2) In case where it is not possible to access the value accurately, the approximate value inrelation to present conditions may be indicated.(3) Includes short terms lease also.Note: The declaration form is required to be filled in and submitted by every employees ofBSNL as on the 1 st January every year giving particulars of all immovable propertyowned, acquired or inherited by him on lease or mortgage either in his name or in nameof any member or in the name of any other person.48BSNL CDA RULES 2006 (Updated upto 24-01-2013)