FORMAT FOR SUBMISSION OF ANNUAL PROPERTY RETURNS FOR YEAR ENDING 31-12 –

Vigilance Form-III (i)

IMMOVABLE PROPERTY
NEELALCHAL ISPAT NIGAM LIMITED

Name: Designation: Deptt./Shop:

Pl.No: Present Basic Pay:Rs. Grade:
Sl.No. of Location of Property Details of Property Month & Value of Owned in the Acquired by Acqui- Source Annual
Property Name of: House & other Land Area year of Acquisition name of (if I) Purchase red amount net
i) District Bldgs. i) Agricultural Acquisition others, state ii) Lease/ from for income
ii) Sub i) Plinth Area ii) Non- relationship) Mortgage whom acquir-
Divn/City ii) No. of Floors Agric- iii) Inherit- ing
iii) Taluk/Area/C ultural ance
olony (Please mention iv) Gift
iv) Villlage/Stree the above details (Pl. mention
t/with Door No. in full) whichever is
(Please mention the applicable
above details in full)

Note: I) Those acquired during the year only is to be filled up. ii) Immovable property once reported to Vigilance Deptt. need not be reported again. In case property is not
acquired during the year , mention “No. changes As reported”. iii) Any modification to the property during the year is to be reported in the format on overleaf (Form Vig.2).
iv) The above information is in addition to the report to be given within a month of transfer (As per CDA Rules).

Signature: Date:
 FORMAT FOR SUBMISSION OF ANNUAL PROPERTY RETURNS FOR YEAR ENDING 31-12 –
Vigilance Form-III (ii)
IMMOVABLE PROPERTY
NEELALCHAL ISPAT NIGAM LIMITED

MODIFICATIONS/ADDITIONS TO IMMOVABLE PROPERTY DURING THE YEAR

Sl.No. Location of Property Brief Details of Modifications/Additions Amount Spent (Rs.) Source of the Amount (Rs.)

_________________________________________________________________________________________________________________________________________________

Signature: Date:
 FORMAT FOR SUBMISSION OF ANNUAL PROPERTY RETURNS FOR YEAR ENDING 31-12 –
Vigilance Form-III (iii)
MOVABLE PROPERTY
NEELALCHAL ISPAT NIGAM LIMITED

Name: Designation: Deptt./Shop:

Pl.No: Present Basic Pay:Rs. Grade:
Sl.. LIC,FDR, CTD,ULIP, NSC, PPF, VPF, Shares, Debentures and other documents, Other movable property such as TV, Furniture, refrigerator, Jewellery,
No. Silverware, precious stores, car, scooter, electrical gadgets, etc.
Month & Type of documents (Please Total Amount invested Source for Sl. Month & Item Value Source for the amount ( if gift
year also mention Nos. of during the year the amount No Year mention so, with relationship &
Shares/Debentures) address of person who gifted )

Note; 1) For Shares/Debentures etc., please indicate the details after final allotment. 2) If it is in two instalments / payments / adjustments, please indicate against these
documents in two lines with corresponding months. Similarly for three instalments and so fourth, indicate the details. 3) Voluntary contribution of PF for the whole year
may be mentioned. Statutory PF deductions need not be mentioned. 4) LIC and any other Insurance in total is only to be mentioned. 5) Investment or Purchase of
Rs.10,000/- and above against each in a year is to be mentioned as a separate item. 6) Investment or Purchase less than Rs.10,000/- maybe lumped together and
reported. 7) Items / Documents reported in earlier years need not be Reported, but additional investments shall be reported. 8) The above information is in addition to the
report to be given within a month of transaction ( As per CDA Rules)

Signature: Date:
FORMAT FOR SUBMISSION OF ANNUAL PROPERTY RETURNS FOR YEAR ENDING 31-12 –
 Vigilance Form-III (iv)
LIABILITIES
NEELALCHAL ISPAT NIGAM LIMITED
Sl.No. Details of Liabilities Amount settled during the year Amount outstanding as on 31-12- Name of the Organisation / Institution/Bank

DETAILS OF DISPOSALS
(Include also receipts against matured documents)

Sl.No. Month & Year Name of Document/items/Property Name of Company & Nos. (For Shares & debentures Amount Received Disposed to

Certified that the particular given in Form/Vig.III (i),(ii), (iii) & (iv) are true to the best of my knowledge and belief.

Signature: Date: