Form 1 (Page 1)

FORM-1
Form for giving prior intimation or seeking previous sanction in respect of
acquisition/ disposal of Immovable/Movable property
(Under Rule 21 of BSNL Conduct, Discipline and Appeal Rules, 2006)

(1) Name (in Full):
(2) Designation:
(3) Posting details: (i) Place of Posting:
(ii) SSA :
(iii) Name of Circle:
(4) Pay Details:
(i) Scale of pay with effective date:
(ii) Present basic pay :
(5) Purpose of application:
(i) Sanction for transaction, or:
(ii) Prior intimation of transaction:
(6) Whether property is being acquired
or disposed off :
(7) Probable date of transaction:
(8) Mode of acquisition/disposal (sale/
purchase, gift, mortgage, lease or otherwise):
(9) In case of Immovable property:
(a) Full details about location, viz., Municipal
No., Street/Village/Taluk/ District and
State in which situated:
(b) Extent of property and description, in case
of cultivable land wet, dry or garden land:
(c) Whether freehold or leasehold:
(d) Whether the applicants interest in the
property is in full or part (in case of partial
interest, the extent of such interest must be
indicated):
(10) In case of Moveable property:
(a) Description of Motor vehicle:
(i) Type of Vehicle:
(ii) Make :
(iii) Model:
(iv) Registration No.:
(b) Description of property other than Motor vehicle:
(i) Type of Vehicle:
(ii) Make :
(iii) Model:
(11) Total price of the property:
(Market Value, in case of gifts)