alr AND format for alr for alr and alr usage

alr AND format for alr for alr and alr usage

1. .For Administrative Record BARODA U.P. BANK

Head Office, Buddha Vihar Comm. Scheme,
Taramandal, Gorakhpur-273016, UP
Phone: [phone] email: [email protected]



ALR/BUPB/…… /….


RETURN OF ASSETS AND LIABILITIES

Under Regulation 28 of Baroda U. P. Bank (Officers and Employees) Service Regulations, 2020, as on 31 March…………..

Full Name of the Officer E.C.No.
Designation Present Basic Salary
Place of Posting Grade/Scale
Region
Total Length of Service
As on 31.03… (In Officer’s cadre and also in clerical cadre, if promoted
with date of promotion)

Date of Promotion……………….………….
……..… Years as Clerk
……..... Years as Officer

Officer employees should submit the Return within 30 days of the close of the financial year, every year i.e. 30 April.
Officer employees appointed/ promoted are required to submit the Return as on the date of their appointment/ promotion, as the case may be.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DECLARATION
I hereby declare that the Return enclosed viz. Annexure- A, B, C and D are completely true and correct as on 31
st
March……… to the best of my knowledge and belief in
respect of information furnished by me under the provision of Regulation 28 of Baroda U.P. Bank (Officers and Employees) Service Regulations, 2020.
Date

Place Signature of the Officer

Page 1 of 6

2. For Administrative Record


BARODA U.P. BANK

STATEMENT OF IMMOVABLE PROPERTY

Annexure-A


ALR/BUPB/…… /….

Full Name of the Officer E.C.No.
Place of Posting Designation
Region Grade/ Scale


Name of State,
Distt, Sub Division,
Taluka/ and Village
in which property is
situated
Name and Details of
Property (Housing
land, other Building,
Ag. Land etc. with
area)


In whose name held,
if not in the
employee’s own
name, the relationship
to the employee of
the person in whose
name it is held
How acquired,
whether by purchase,
lease, mortgage,
inheritance, gift or
otherwise/ with date
of acquisition & name
with details of person
from whom acquired
Source of
funds utilized
for the
acquisition
Annual Income
from property, if
any
Cost of
Acquisition
Date of
Disposal
Remarks



















Date

Place Signature of the Officer
P
Page 2 of 6

3. For Administrative Record
BARODA U.P. BANK

Annexure-B


ALR/BUPB/…… /….

STATEMENT OF MOVABLE PROPERTY

Full Name of the Officer E.C.No.
Place of Posting Designation
Region Grade/Scale

1. Particulars of Cash Deposits:
Particulars of cash deposits including deposits with Bank, Any Company, Post Office and Other Deposits with amount
Nature of Deposit

Deposit with

Account No. Amount How
Acquired
When Acquired Income
Derived
Dt. of
Closure
Remarks












2. Shares, Securities, Debentures & Other Investments and Loans/Advances- Particulars of Shares, Debentures & Investments, Loans/ Advances including amount
and name of company (s), individuals etc.
Nature of
Investment

Name of Company/
Individual

No.
of
Units
Face
Value
(Rs.)

Cost of
Acquisition
How
Acquired
Date of
Acquisition
Dt. of
Disposal/
Closure
Whether
Promoters’/
Employees’
Quota
Employee’s
Position at
the time of
Acquisition
If Co. had
any
borrowing or
other facility
at that time
Remarks

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)





Page 3 of 6

4. 3- Other Movables including all articles value of which--
(a) Particulars of articles such as Refrigerators, TV, Ornaments, Jwellery, Furniture, Vehicle etc, value of which individually exceeds Rs.25000/-
Particulars of Items Date of Acquisition Cost of
Acquisition
Source of Acquisition Date of Disposal Remarks
































(b) Lump-sum value of individual articles of value equal or less than Rs.25000/-
Name of Article Date of Acquisition Cost of
Acquisition
Source of Acquisition Date of Disposal Remarks




Note- Articles of daily use such as Clothes, Utensils, Books, Crockery etc. need not be mentioned.

Date


Place

Signature of the Officer
Page 4 of 6

5. For Administrative Record
BARODA U.P. BANK
Annexure-C

ALR/BUPB/…… /….


STATEMENT OF DEBTS AND OTHER LIABILITIES



Full Name of the Officer E.C.No.
Place of Posting Designation
Region Grade/Scale

Name & Address of Creditor Date of Incurring
Liability
Detail of Transaction Sanctioned Limit
(Rs.)
Outstanding (Rs.) Dt. of Liquidation Remarks






















Date

Place Signature of the Officer
Page 5 of 6

6. For Administrative Record


Annexure- D

ALR/BUPB/…… /….


BARODA U.P. BANK






STATEMENT OF SHOWING TRANSACTION OF SHARES, SECURITIES, DEBENTURES AND INVESTMENT IN MUTUAL FUND SCHEMES ETC.
Full Name of the Officer E.C.No.
Place of Posting Designation
Region Grade/Scale

Details of each transaction
made in Shares, Securities,
Debenture, Mutual Fund
schemes etc. during the
financial year

Particulars of the Party/
Firm with whom
transaction is made
Whether party is
(a) Related to applicant
and
(b) Having or likely to have
in near future dealing in
official capacity
Sources from which Financed If sale-
Amount
(Rs.)
Date of
Disposal
Any other
relevant fact
which the officer
may like to
mention
From
Personal
Savings
From Other
Sources
(Indicate
sources)










I hereby declare that the particulars given above are true.
Date

Place Signature of the Officer
Page 6 of 6