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

FORM-A1FORM TO BE FILLED BY BSNL EMPLOYEES ABOUT FAMILY DETAILSON FIRST EMPLOYMENT(Under Rule 6 of BSNL Conduct, Discipline and Appeal Rules, 2006)_________________________________________________________________________________(1) Close relatives who are Name Nationality Present Place of Occupation*nationals of/or are address Birthdomiciled in other countries_________________________________________________________________________________(i) Father(ii) Mother(iii) Wife/Husband(iv) Son(s)(v) Daughter(s)(vi) Brother(s)(vii)Sister(s)(2) Close relatives resident Name Nationality Present Place of Occupation*in India, who are of address Birthnon-Indian origin________________________________________________________________________________(i) Father(ii) Mother(iii) Wife/Husband(iv) Son(s)(v) Daughter(s)(vi) Brother(s)(vii)Sister(s)_________________________________________________________________________________I certify that the foregoing information is correct and complete to the best of my knowledge andbelief.Signature…………………Designation……………………Date……………………………*If public service, give full particulars regarding designation of the post held, name ofdepartment/office, etc., where employed and the date of such employment.Note 1. - Suppression of information in this form will be considered a major departmentaloffence for which the punishment may extend to dismissal from service.Note 2. – Subsequent changes, if any, in the above data should be reported to the Head ofOffice/Department, at the end of each year.52BSNL CDA RULES 2006 (Updated upto 24-01-2013)