Scribd
Upload
359 views2 pages

PR Form IVb

1. The document is a form for government employees to provide notice of transactions involving movable property. 2. It requests information such as the employee's name, designation, pay scale, and purpose of the transaction (prior notice or approval after the fact). 3. Details about the property being acquired or disposed are also required, such as description, price paid, and financing sources if being acquired. 4. Information is requested about the other party in the transaction and whether they have any relationship to or dealings with the employee.

Uploaded by

Prabhudananda Sahoo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
359 views2 pages

PR Form IVb

1. The document is a form for government employees to provide notice of transactions involving movable property. 2. It requests information such as the employee's name, designation, pay scale, and purpose of the transaction (prior notice or approval after the fact). 3. Details about the property being acquired or disposed are also required, such as description, price paid, and financing sources if being acquired. 4. Information is requested about the other party in the transaction and whether they have any relationship to or dealings with the employee.

Uploaded by

Prabhudananda Sahoo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORM-IV B

(Rule 19.2/19.3)

Form for giving intimation for transaction in respect of Movable Property

1. (a) Name :
(b) Designation/Grade :
(c) Present Place of Posting :
2. (a) Scale of Pay :
(b) Present Pay :
3. Purpose of Application : Prior intimation :
of transaction/sanction for transaction
4. Whether property is being acquired or :
disposed off
5. (a) Probable date of acquisition/disposal :
of property
(b) If the property is already acquired/
disposed , actual date of transaction :
6. (a) Description of the property (e.g. car/
scooter/motor cycle/jewellery etc) :
(b) Make/Model (Regn. No. in case of :
vehicles) where necessary
7. Mode of acquisition/disposal (purchase/ :
sale/gift/mortgage/lease or otherwise)
8. Sale/Purchase price of the property :
(market value in case of gifts)
9. In case of acquisition, sources from
which financed proceed to be financed
(a) Personal Savings :

(b) Other sources giving details :

10. In case of disposal of property, was :


requisite sanction/intimation obtained/
given for its acquisition (attach a copy
of sanction/acknowledgement)
11. (a) Name & 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 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 advertise
ments or through friends and relatives;
full particulars to be given)
12. Any other relevant fact the applicant :
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 off property as described
above from/to the party whose name is mentioned in item no. 11(a) above.
OR
I, , hereby intimate the acquisition/disposal off the property
by me as detailed above. I declare that the particulars given above are true.

Station: Signature :
Date : Name :
Designation :
Unit :

You might also like