All india Service Conduct rules
( C ) Forms
FORM-1

 [ See Government of India's Decisions (1) and (2) under Rule (6) ]

 Statement of immovable property on appointment / for the year..........

 1.       Name of officer ( in full ) and  service  to which the  officer belongs.

2.       Present post held

3.       Cadre of the  State on which  borne.

4.       Present pay

          Inapplicable clause to be struck out.

Signature...............................

 Date .....................................

 Note :- This  declaration form is  required to be  filled  in and  submitted by  every member of the  IAS/ IPS  under  Rule 16(5) of the  All India Services  (Conduct) Rules, 1968, on first appointment of the  service, and thereafter  at the  owned, acquired  or  inherited  by  him or  held  by him on lease  or  mortgage, either in his  own or in the name  of any  member of his family  or in the name of any  other  person. 

FORM-II
[ See Government of India's Decision (2) under Rule 16 ]

Form for giving prior intimation or seeking previous sanction under Rule 16(3) of the IAS/ (conduct) Rules, 1968 for transaction in respect of immovable property.

1. Name and Designation.
2. Scale of pay and present pay.

1. Includes short-term lease also.
2. Incase where it is not possible to assess the value accurately the approximate value in relation to present conditions may be
    indicated.
3. Purpose of application- Sanction for transaction/ prior intimation of transaction.
4. Whether property is being acquired or disposed of

5. Probable date of acquisition/ disposal of property................................
6. Mode of acquisition / disposal

7 (a) Full details about location, piz., Municipal No., Street/ Village, Taluka, District and State in which situated.
   (b) Description of the property, in the case of cultivable land, dry or irrigated land.
   (c) Whether freehold or leasehold.
   (d) Whether the applicant's interest in the property is in full or in part. ( In case of partial interest, the extent of such interest
         must be indicated.)

8. Sale / purchase price of the property (market value in the case of gifts.)
9. In cases of acquisition , source or sources from which financed / proposed to be financed,-
    (a) Personal Savings.
    (b) Other sources giving details.

10. In the case of disposal of property , was requisite sanction/ intimation obtained / given for its acquisition a copy of the sanction/ acknowledgment should be attached.

11. (A) Name and address of the party with whom transaction is proposed to be made.
      (b) Is the party related to the applicant ? If so, state the relationship.
      (c) Did the applicant have any dealings with the party in his official capacity at any time, or is the applicant likely to have
           any dealings with him in the near future ?.
      (d) How was the transaction arranged ? ( Whether through any statutory body or a private agency/ through advertisement
            or through friends and relatives. Full particulars to the give.)

12. In the case of acquisition by gifts, whether sanction is also required under Rule 11 of the AIS (Conduct) Rules, 1968.
 

DECLARATION

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 him/ to the party whose name is mentioned in item 11 above.
OR
I,......................................... hereby intimate the proposed acquisition/ disposal of property by me as detailed above. I declare that the particulars given above are true.
 

Station : Signature..............
Date : Designation .........
 

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Note :- In the above form, different portions may be used according to requirement.

Note :- Where previous sanction is asked for, the application should be submitted at least 30 days before the proposed date of the transaction.

FORM-III
[See Government of India's Decision (2) under Rule 16)

Form for giving intimation or seeking previous sanction under Rule 16(4) of the A.I.S. ( Conduct) Rules, 1968 for transaction in respect of movable property.

1. Name of the Government Servant.
2. Scale of pay and present pay.
3. Purpose of application, sanction for transaction/ intimation of transaction.
4. Whether property is being acquired or disposal of
5. (a) Probable date of acquisition or disposal of property.
    (b) If the property is already acquired / disposed of actual date of transaction.
6  (a) Description of the property (e.g., Car/ Scooter/ Motor Cycle /Refrigerator/ Radio/ Radiogram/ Jewellery/ Loans/
        Insurance policies, etc.)
     (b) Make, model ( and also registration No.in case of vehicles) Where necessary.

7. Model of acquisition/ disposal ( purchase, sale , gift, mortgage, lease or otherwise)

8. Sale / purchase price of the property ( market-value in the case of gifts.)

9. In case of acquisition, source or sources from which financed / proposed to be financed.
    (a) Personal savings.
    (b) Other sources giving details.

10. In the case of disposed of property, was requisite sanction/ intimation / obtained / given for its acquisition ( A copy of the 
      sanction/ acknowledgement should be a attached).

11 (a) Name and address of the party with whom transaction is proposed to be made / has been made.
     (b) Is the party related to the applicant ? If so, State the relationship.
     (c) Did the applicant have any dealings with the party in his official capacity at any time., Or is the applicant likely to have
          any dealings with him in the near future ?
     (d) Nature of official dealings with the party.
     (e) How was the transaction arranged ? ( Whether through any statutory body or a private agency, through advertisements
          or through friends and relatives, full particulars to be given.

12. In the case of acquisition by gifts, whether sanction is also required under Rule 11 of the A.I.S. ( Conduct) Rules, 1968.

13. Any other relevant fact which the applicants may like to mention.

DECLARATION

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 proposed acquisition/ disposal of property by me as detailed above. I declare that the particulars given above are true.

Station :

Signature..............

Designation.................

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Note :- In the above form, different portions may be used according to requirement.

Note :- Where previous sanction is asked for, the application should be submitted at least 30 days before the proposed date of the transaction.

FORM-IV
[ See Government of India's decision under Rule 16 ]

From of report/ application for permission to the prescribed authority for the building of or addition to house.

From :

Date :

To

Sir,

* This is to report to you that I propose to build a house / to make and addition to my house.
* This is to request that permission may be granted to me for the building of a house / the addition to the house.
The estimated cost of the land and material for the construction / extant ion is given below :

LAND
(1) Location :- :-
     Survey number :-
     Village :-
     District :-
     State :-
(2) Area :-
(3) Cost :-

SL.No. Building materials, etc. Rate Quantity Cost Rs.
1. Bricks.
2. Cement
3. Iron and Steel
4. Timber
5. Sanitary Fittings
6. Electrical Fitting
7. Any other Special Fitting
8. Labour Charges
9. Other charges, if any
Total cost of Land and Building Grand Total

*2. The construction will be supervised by myself. The construction will be done by + ................................................
     * I do not have any official dealings with the contractor nor did I have any official dealings with him in the past.
     * I have/ had official dealings with the contractor and nature of my dealings with him is / was as under :

3. The cost of the proposed construction will be as under.
    Amount Rs.
    (i) Own savings
    (ii) Loan / Advances with full details.
    (iii) Other sources with details.
    Total

Yours faithfully,

.......................

* Strike out the portions not applicable
+ Enter the name and place of business of the contractor.

FORM-V
[ See Government of India's decision under Rule 16 ]

From of report to the prescribed authority after completion of the building/ extension of a house.

From :

Date :

TO

Sir,

* In my letter No......................................., Dated............. I had reported that I proposed to build a house / make an addition
   to my house.
* Permission was granted to me in order No. ....................... ......... dtd..................... for the building of a house / make an
   addition to my house.
+ The house has since been completed and I enclose a Valuation report, dully certified by.........................................

2. The cost of construction indicated in the enclosed valuation report was financed as under.
    (i) Own savings. Amt. Rs.................
    (ii) Loans/ advances with details Amt. Rs................

Yours faithfully,
......................

Note : Variations, if any, between the figures given above and the figures given in form 2 may be explain suitably.