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BCC:BR:96:265 CIRCULAR TO ALL BRANCHES / OFFICES IN INDIA ISSUED BY HRM Department Baroda Corporate Centre, Mumbai Dear Sir,

Re : Master Circular Staff Welfare

08.07.2004

This circular is in the series of Master Circulars being issued in the area of Human Resources Management. The Staff Welfare Fund is created with a view to promote welfare activities for the staff members and their family. The Bank allocates every year a certain segment of its profits towards this fund which is managed by a Committee comprising representatives of Management and Employees organizations. At present the following activities are conducted under the auspices of staff welfare fund: Establishment of Holiday homes: Providing scholarships to the children of employees: Providing special assistance to the employees having physically/ mentally handicapped children/ spastic children: Providing financial aid to the family members of the employees who die in harness: Providing incentives to employees for promoting small family norms. Extending financial assistance to the employees who are on loss of pay on account of major and special operations/major diseases. Presentation of mementos to retiring employees (Abhinandan Yojana) Canteen Subsidy Financial assistance for purchase of artificial limbs to physically handicapped staff members and/or their handicapped children. Financial assistance for purchase of hearing aid to physically handicapped staff members and/or their handicapped children. Health check up for full time confirmed employees above the age of -45years.

Details of each of the above schemes/activities alongwith the procedure for applying for the same, prescribed proforma, etc., are stated in the Annexure. Besides the above activities, the Bank has made arrangements at all Zonal Centres for reservation of Hospital beds for staff members, the details of which can also be seen from the Annexure. In addition to the above, Bank has introduced a scheme for retired employees named Bank of Baroda Contributory Medical Assistance Scheme for retired employees which is meant to defray the cost of medical expenses incurred by the retired staff members. Details of this Scheme too are given in the Annexure. The Bank has also agreed to lend administrative support to the ESCORT SCHEME and the FAMILY BENEFIT SCHEME for the cause of employees. The administrative procedural details in respect of these 2 Schemes are included in the Annexure. In case you require any further clarifications, you may get in touch with us on email at hrm.bcc@bankofbaroda.com (HRM Deptt. at BCC) or at osrir.ho@bankofbaroda.com (HRM Deptt. at HO). A copy of this Circular be displayed on the Notice Board for information of all staff members of the Branch / Office. Yours faithfully, (Gurudas Chakrabarty) General Manager (HRM) Encl: a.a.
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ANNEXURE TO MASTER CIRCULAR NO. BCC:BR:96:265 HOLIDAY HOMES At present -42- holiday homes are functioning as per the list given below. The controlling branch/ office for these holiday homes will be the nearest branch/office of the centers as shown in the list. RAJASTHAN ZONE: SR.NO HOLIDAY HOMES 1. MOUNT ABU Hotel Tirupati Cottage 14, Janta Colony, Near Bus Stand Mount Abu-Ph-(02974)-238743 2. UDAIPUR Hotel Padmini Palace 27, Gulab Baug Road Udaipur-313 001 Ph-(0294)-2414191, 2416301 3. JAIPUR Hotel Ratnavali 138, New Colony, Nr. Panch Batti Jaipur-302 001 Ph-(0141)-2363217,2377487, 2367530 NATHDWARA Hotel Krishna Darshan Near Sundar Vilas, Jharna Darwaja, Nathdwara, Dist. Rajsamand. Ph.No. 02953 234531 CONTROLLING BRANCH Bank of Baroda Mount Abu-307501 Dist. Sirohi Ph-(02974) 222060 Bank of Baroda Udaipur Main Branch Opp: Town Hall Udaipur0313 001 Ph-(0294)-2421673, 2420671 Bank of Baroda Park Street Branch 7, Park House Scheme Jaipur-302 001 Ph-(0141)-2379812, 2369685 Bank of Baroda Nathdwara Branch, Nathdwara, Dist. Rajsamand. Ph.No. 02953 - 232914, 234108, DATED 08.07.2004

NORTHERN ZONE 5 SIMLA Hotel Dreamland The Ridge, Simla. Ph-(0177)-253005, 257377, 206897 6 MANALI Hotel Anupam Palace The Mall, Manali-175 131 Ph-(01902)-252181 NEW DELHI Hotel Swarna Palace 15-A/33, W.E.A. Ajmal Khan Rd., Karol Baug New Delhi-110 006 Ph-(011)-25748727, 25748727 KATRA Hotel Malti Palace Panthal Road, Katra, Jammu. Ph-(0191)-232094, 233073 DALHOUSIE Hotel Surya Resort Dalhousie Road, Baloon Church Road, Bathri View Estate Dalhousie (HP). Ph-(01899),242158 AGRA Hotel Amar Yatri Nivas, Fatehabad Road, Agra Ph-(0562)-2233030,2233031 HARDWAR Hotel Kailash Shivmurthy Railway Road Hardwar. Ph-(0133)-227789

Bank of Baroda Simla Branch Shri Guru Singh Sabha Cart Road, Simla. Ph253153. Bank of Baroda 167/3, Hospital Road Mandi-175 001 (HP) Ph-(01905)-222074

(0177)-

7.

Bank of Baroda Karol Baug Branch 15-A/14, Ajmal Khan Road New Delhi-110 005 Ph-(011)-25752442, 25723585 25720425, 25751650 Bank of Baroda Gandhinagar Branch Gole Market, Gandhinagar Jammu-180 004. Ph-(0191)2751481, 2437572 Bank of Baroda Pathankot Branch Dalhousie Road, Pathankot-145 001 Dist. Gurdaspur (Punjab) Ph-(0186)-221150 Bank of Baroda 13, M.G. Road Agra. Ph-(0562)-2364362, 2364822 fax-0562-2364345 Bank of Baroda Upper Road, Rly Road Hardwar-249 401 Dist. Saharanpur, Ph-(0133)227535,226671

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WESTERN U.P. & UTTARANCHAL ZONE 10

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12 NAINITAL Hotel Abhiruchi The Mall, Tallital, Nainital. 05942-232512 MUSSOORIE Himalay Club Hotel Landour, Mussoorie-248 179 Ph-(0135)-2632805, 2632762 VRINDAVAN Mor Atithi Bhavan "Shri Banke Bihari Mandir Marg, Aheerpada, Vrindavan, Dist. Mathura-281 121. Phone No.(0565)- 2442011 MATHURA Hotel Mansarovar "Mansarovar Crossing, Chauki Bag Bahadur, Mathura-281 001. Phone No.(0565), 2408686,2409966 Bank of Baroda Mallital, Mall Road, Nainital-263 001, Dist. Nainital Ph-(5942)-236285, 236841 Bank of Baroda Regent House Kurli, Mussoorie-248 179 Ph-(0135)-2632356, 2631756 Bank of Baroda, Aheerpada, Vrindavan, Dist. Mathura. Pin-281 121 Ph. No. - (0565) - 2442424,2445336

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Bank of Baroda. Kotwali Road, Mathura, Pin 281001 Phone: 0565-2405969

EASTERN U.P.ZONE 16 VARANASI Hotel Siddharth D-58/94, Sigra, Varanasi-UP Ph-(0542)-2221961,2220861 LUCKNOW Grand Hotel (Nr. Novelty Theatre) 4, Lalbaug, Lucknow Ph-(0522)-2224229/2214022-23 ALLAHABAD Hotel Prayag Raj B1/104, Dr. Katju Road (New Rly. Station) Allahabad. Bank of Baroda 177/1, Lanka Assi Road Lanka, Varansi-211 005 Ph-(0542)-2367283,2366741 Bank of Baroda 4-A,Park Road, Narhi, Lucknow 226 001 Phone: 0522- 2271427, 2287443 Bank of Baroda Regional Office, Allahabad Region, 21/25 A, Banerjee Building, Civil Lines, Lal Bahadur Shastri Marg, Allahabad-211001. Phone: 0532-2623163, 2622731, 2622317. Fax No. 0532-2622726

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SOUTHERN ZONE 19 OOTY Sri Vigneswara Nilayam 421, H2 Victoria Hill, 2nd floor, Ettines Road, Ooty. Ph. - (0423)2450196 20 KODAIKANAL M/s Sornam Apartments Fern Hill Road Kodaikanal-724 001 Ph-(04542)-240421, 240562 KANYAKUMARI Laxmi Tourist Home East Car Street, Nr. Sea Shore Kanyakumari-629 702 Ph-(04652)-271353, 271570 MYSORE Hotel Chalukya Rajkamal Talkies Road Dhanvantri Road Cross Mysore Ph-(0821)-2427374, 2427197

Bank of Baroda Coonoor Branch, P.B.No.22, 57, Grays Hill, Coonoor Ph. No.(0423)-2231721, 2236721 Bank of Baroda Madurai Main Branch PB No. 142 5, East Avani Moola Street Madurai-625 001, Ph-(0452)2622938 Fax-(0452)-2622038 Bank of Baroda Parvathipuram Branch Nagarcoil-629 003 Ph-(04652)-232445 Bank of Baroda Mysore Branch,Gandhi Square Mysore - 570 001 Ph-(0821)-2521266 Fax-2441542

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23 TIRUPATI Hotel Bhimas Paradise 33-37 Renigunta Road, Tirupati - 517501 Ph-(08574)-2225747, 2225002 Fax No. (08574)-25568 THIRUVANANTHPURAM Hotel High Land Manjalikulam Road, Thampanoor, Trivandrum - 695023 Kerala Ph-(0471)-2333200 Fax-(0471)-2332645 CHENNAI Sterling Holiday Resorts (I) Ltd. Old No. 19, New No. 35, 9th Lane Dr. Radhakrishnan Road Chennai - 600 004 Phone: (044) 28472070, 28472628 Bank of Baroda Tirupati branch,15-3-481 B, V. V. Mahal Road, Tirupati - 517501 Telephone No. : 08574-2222242 Fax No. 08574-2227651 Bank of Baroda Fort Branch, P.B.5096 Karimpanal Arcade, East Fort, Trivandrum- 695023 Ph-(0471)-2471144/ 2450986 Fax No.(0471)-2460546 Bank of Baroda Alwarpet Branch 252-A, TTK Road, Alwarpet, Chennai - 600 018 Phone: (044) 24990010, 24990406 (Fax) e-mail : szalwarp@vsnl.net

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MAHARASHTRA & GOA ZONE 26 AURANGABAD Hotel Kartiki Opp: Siddharth Garden Lal Bahadur Shastri Marg Aurangabad-431 001 Ph-(0240)-2337671-72 MARGAO Mangirish Co-op. Housing Society Behind HDFC Bank, Nr. Babu Naik's House, Aquem, Margao PANAJI All Seasons Gateway M/s Golden Goose Lodging & Boarding, F-1, La Campala Colony, Meera Marg, Panaji-403001, Ph-(0832)-2221915 LONAVALA Hawabai Bunglow Nr. Mumbai-Pune Highway Amberwadi, Lonavala Dist: Pune-410 401 Ph-(02144)-272707 MAHABALESHWAR Hotel Shreyas Opp: S.T. Bus Station, Mahabaleshwar - 412 806, Dist. Satara, Maharashtra. Ph-(02168)-260365, 260603 SHIRDI Nisarga Cottage Resorts Shirdi - Ahmednagar Road Shirdi - 423 109, Maharashtra Ph-(02423)-255633, 255115, 256151 NASIK "Trimbak", Bank of Baroda Holiday Home, G-1, Duplex Flat, Thakkars Retreat, Old Gangpur Naka, Nasik. Phone: 0253- 2582881 Bank of Baroda Samrathnagar Branch Aurangabad-431 001 Ph-(0240)-2334208,2362276

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Bank of Baroda Regional Office, Goa Region, Plaza Chambers, Panaji-Goa, Ph-08322224003, 2228367 (08342)-22496, 20955 Bank of Baroda P.B. No. 236, Opp: Azad Maidan, Panaji-403 712, Goa Ph-(0832)-2224565, 2228475 Fax-(0832)-2228367 Bank of Baroda Lonavala Branch Gawaliwada Mumbai-Pune Highway Lonavala-410 401 Ph-Fax-(02114)-273726 Bank of Baroda Maharashtra & Goa Zone Zonal Office, Sharda Centre West wing, 2nd Floor, Khilare Path, 11/1, Erandwane Pune-411 005 Ph-(020)-25466917, 25466907 Kopergaon Branch Kopergaon Peoples Bldg., Road, Kopergaon - 423 601, Dist: Ahmednagar, Ph-(02423)-222301, 225581 Bank

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Bank of Baroda, Gangapur Road Br., 7-B, Torna Complex, Maniknagar society, Nasik -422 013. Ph. - (0253) -2570722

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EASTERN ZONE 33 DARJEELING Chalet Hotel 3, Chow Rasta, The Mall Darjeeling. Ph-(0354)-2254072 34. GANGTOK Travel Lodge, Tibet Road, Gangtok East Sikkim-737 101 Ph-(03592)-223858 GUWAHATI Hotel President GNB Road, Pan Bazar, Guwahati-781 001, Assam. Ph. 0361-2638141, 142 KOLKATA Anjan Apartment, C/O Shri Gautam Banerjee, 4- Harish Mukherjee Road, Kolkata 700020 Phone: 033-2235255, 8202, 1761, 1762

Bank of Baroda 15, H.D. Lama Road Darjeeling-734 101 Ph-(0354)-2254644 Bank of Baroda Gangtok Branch Top In Town Bldg., M.G.Marg Nr. Gandhi Statue, Gangtok-737 101 Ph-(03592)-223216 Bank of Baroda, A.T. Road Branch, A.T. Road, Guwahati-781 001, Dist. Kamrup Assam. Ph.No. 0361-2540477, 2633964, Fax : 0361-2548684 Bank of Baroda, Lansdowne Market Br., 63/3/B Sarat Bose Road, 1st Floor, Kolkata 700 025 Phone: 033- 24759649, 24860332

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BIHAR, JHARKHAND & ORISSA ZONE PURI 37 Puri Hotel P. Ltd., Sea Beach, Puri-752001 Ph-(06752)-222114, 223609 38 BHUBNESHWAR Hotel Priya A-30/1, Unit-3, Kharvelnagar, J.N. Marg, Bhubneshwar-751 001 Ph-(0674)-2405844/2408430 PATNA Hotel Linkway Capital Tower, Besides B.S.F.C. Building, Fraser Road, Patna - 800 001 Ph. - (0612) 2201198, 2221729

Bank of Baroda Swargdwar Branch Puri-752 001 Ph-(06752)-223051 Bank of Baroda Bapuji Nagar Bhubneshwar-751 009 Ph-(0674)-2530018/2532214 Bank of Baroda, Zonal Office, Bihar, Jharkhand & Orissa Zone, 8th floor, B.S.F.C. Building, Fraser Road, Patna-800 001 Ph.: (0612) 2236425, 2221296 Fax : (0612) 2236426 Bank of Baroda Regional Office, B&D Reg., Mahalaxmi Aptt.,Tithal Road Bulsar-396 001 Ph-(02632)-253035/244210 Fax-(02632)-263321

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SOUTH GUJARAT ZONE 40 SAPUTARA Hotel Chitrakoot, Saputara-Dang Ph-(02631)-237221/237237

NORTH GUJARAT ZONE 41 DIU Hotel Prince Main Bazar, Diu (Union Territory). Ph: 02875) - 252765, 252265 42 VERAVAL Hotel Madhuram S.T. Road, Veraval - 362 266. Dist: Junagadh. Ph: (02876) - 221938, 223938

Bank of Baroda Veraval Branch, Station Road, Desha Shrimali Vanic Gnati Vadi, Veraval - 362 265, Dist. Junagadh. Ph-(02876) - 220155 Bank of Baroda Veraval Branch, Station Road, Desha Shrimali Vanic Gnati Vadi, Veraval - 362 265, Dist. Junagadh Ph. - (02876) - 220155

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PROCEDURE: ELIGIBILITY: All full-time confirmed employees and retired employees of the bank are eligible to avail the facility of holiday homes established by the bank at various centres. Employees who have opted for BOBEVRS-2001 will be eligible for the Holiday Home facility on reaching the age of superannuation only. i.e. 60 years. CRITERIA FOR ALLOTMENT OF HOLIDAY HOMES: The allotment of holiday homes to the employees will be done by the Manager of the Office/Branch (hereinafter called the 'Controlling Branch/Office') where the holiday home is situated. The Branch Manager of the Controlling Branch will make the allotment of holiday home on the following basis. (i) The employee desiring to avail the facility of holiday home will have to apply in prescribed Proforma (as per Annexure I) maximum six months in advance to the controlling branch where the holiday home is situated, through the branch/office where he is working. While applying for reservation of holiday home, the applicant employee should indicate at least two/three period / dates (in order of preference) during which period he would like to avail the facility of the holiday home. The controlling branch will maintain a register with serial number and all applications received will be given a continuous serial number on the basis of the date of receipt of application in the Branch. The controlling branch will allot the holiday home on the basis of 'first come first served', according to the serial number given to the application and according to the dates of reference given by the applicant depending upon the availability of the holiday home. If more than one applications are received on the same day for the same duration for the holiday home, then in that case, the employee having taken less number of days of leave (of any kind except casual leave) in the last two years would be given preference. (Prescribed proforma has columns for this detail wherein branch will certify about his leave availment of last -2- years.) If the applicant mentions in his application about his desire to keep his name on waiting list, his name will be kept on waiting list and he will be informed at the earliest about the next period during which the holiday home will be available to him. The employee has to give his acceptance/rejection within -7- days failing which he will be treated as 'not interested' and the next applicant in waiting list will be offered the chance. In case the applicant does not desire to keep his name on waiting list, and/ or, if the holiday home is not available for the dates required by him, he would be informed accordingly and he would be required to make fresh application for reservation of holiday home as and when desired by him. Even in case of waiting list if one offer is made and is rejected by the applicant, then the same will be treated as cancelled and he would be required to make fresh application next time. On allotment of holiday home, the controlling branch will intimate the same to the applicant as early as possible, through the branch/office where he is working and issue him a reservation slip. A copy of the reservation slip will be sent to the caretaker of holiday home concerned. The employee concerned would be required to carry the original reservation slip with him for identification purpose. The caretaker will not allow the holiday home facility to the concerned employee in the absence of the reservation slip. As soon as the holiday home is allotted to an employee and he is advised to that effect, he should send the remittance regarding rental charges to the Branch by MT/TT, within -7-days, failing which the reservation will be treated as cancelled and the holiday, home will be allotted to the next applicant.

(ii)

(iii)

(iv)

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

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(xii) The amount of rental charges will not be refunded if the applicant desires to change or cancel his reservation of holiday home, unless he has given at least -30-days' notice, from the proposed commencement of stay at holiday home. In case 30 days' notice is given, the amount so remitted will be refunded to him. The controlling branch will keep waiting list of applicants for allotment of holiday home for a maximum period of -6- months only. The reservation can be made only -6months in advance, and not beyond that.

CHANGE IN RESERVATION DATES: No change in reservation dates will be allowed, once the allotment is made to an employee. However if the applicant gives at least -30-days notice to that effect it may be allowed at the sole discretion of the controlling branch, provided the change in reservation dates does not conflict with that of others in the waiting list. If it conflicts with that of others in waiting list, then the controlling branch will allot the holiday home to the next applicant in the list. If cancellation is done without giving -30-days notice, no refund of rental charges will be made. If the holiday home is not vacated on the date of expiry of reservation, the employee will be charged a penalty Rs.30/- per day for the period of unauthorized occupation of the premises besides being liable for not being considered eligible for the holiday home facility at any center in India for the next -3-years. PERIOD OF STAY: The allotment of holiday home will not be made for less than -2- days and not exceeding -7- days at one occasion. The 'Check-out' time for the holiday home will be fixed separately for each holiday home by the controlling branch. The occupants of the holiday home will be required to vacate the holiday home on the said 'Check-out' time on the day their reservation expires. The in-coming occupants will be allotted the holiday home on the said 'Check- out' time on the day their reservation of holiday home commences. Even if the incoming occupant occupies the holiday home after the said 'Check-out' time, the day will be counted from ' Check-out' time on day. RENT: The rent for holiday home (for one suite) would be as under at present. Category of staff Officers Clerical Staff Subordinate staff OCCUPATION REGISTER: A register will be maintained at each holiday home wherein each visitor would enter the time of his arrival and departure at appropriate time under his signature. SUPERVISION AND CONTROL: The caretaker provided at each center / home will do the day-to-day supervision and the maintenance of holiday home. This caretaker would be under the direct supervision of the controlling branch. The branch would look after the day-to-day running of the holiday home; it's maintenance, etc. For obtaining the feed back of the employees using the Holiday Home, it is also desired that while leaving the Holiday Home, the employee fill up the ' Visitors Response Form ' and mail the same directly to Asst. General Manager (HRM), Head office, Baroda. Rent per day Rs.10.00 per day Rs. 7.50 per day Rs. 5.00 per day

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Proforma of the 'Response Form' is as under: BANK OF BARODA- STAFF WELFARE FUND HOLIDAY HOME AT: 1. Name of the Visitor 2. Employee Code No. 3. Branch/Office 4. Region 5. Duration of Visit From to PLEASE TICK MARK APPROPRIATE REPLY: DURING MY VISIT TO THIS VERY SATISFACTORY DIRTY/ NOT HOLIDAY HOME, I/ WE HAVE GOOD SATISFACTORY/ OBSERVED THE NON FOLLOWING: COOPERATIVE A. GENERAL CLEANLINESS IN THE ROOMS AND SURROUNDINGS B. CLEANLINESS OF BATHROOM/ TOILET C. LINENS/ BED SHEETS PROVIDED IN THE ROOM D. QUALITY OF FOOD/ BREAKFAST/ TEA ETC. IF SERVED E. COST OF FOOD/ BREAKFAST/ TEA ETC. IF SERVED F. QUALITY OF SERVICES PROVIDED BY THE CARETAKER G. CO-OPERATION FROM LANDLORD/ HOTEL AUTHORITY H. ANY OTHER OBSERVATIONS/ SUGGESTIONS FOR HOLIDAY HOME

(Signature of visiting staff) RULES REGARDING CONDUCT AND BEHAVIOUR: The employees and their family members who are allotted holiday homes will be required to observe certain rules of conduct and behaviour during their stay at holiday homes. The rules for this purpose are as under: (i) (ii) (iii) (iv) (v) Gambling of all type will be strictly prohibited. Singing, dancing and playing a transistor/ radio in loud tone, disturbing other occupants of the holiday home will be strictly prohibited. No unauthorized guests will be allowed. The employee concerned would be responsible for keeping cleanliness during his stay and he should hand over the premises in reasonably clean condition. The employee will be responsible for any damage/breakage of the furniture and other items provided at holiday home and he will have to make good the amount of damage/breakage as may be decided by the Manager of the controlling branch. The employee will maintain decorum during his stay at holiday home. Any employee, who does not observe any of these rules will be liable to be debarred from allotment of holiday home not only at particular center but at all the centers in India for a specified period as may be decided by the Managing Committee of the Staff Welfare Fund at Central Office/Head Office. The Managing Committee of the Staff Welfare Fund has power to amend/alter or introduce new rules in this regard as well as in other matters relating to the holiday homes from time to time.

(vi) (vii)

(viii)

The employees are requested to enter into only minimum correspondence with the controlling branch in regard to holiday home reservation and other related matters.

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The controlling branch will either allot the holiday home or reject the application for want of availability. The controlling branch will not be able to enter into lengthy correspondence with each and every applicant. The 'Controlling Branch' should arrange for the following at the holiday home premises: (i) (ii) (iii) (iv) A suitable signboard showing 'Bank of Baroda Holiday Home'. A copy of the rules of allotment etc. of holiday home should be displayed on the notice board to be placed at the holiday home premises. A 'Suggestion Box' at holiday home premises be provided and the suggestions received be sent directly to Head Office, Baroda with comments, if any. The Regional Authority concerned should arrange to have quarterly inspection of the holiday homes premises concerned so as to see whether all arrangements are in order or not.

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SCHEME FOR SANCTION OF SCHOLARSHIPS TO THE CHILDREN OF EMPLOYEES NUMBER AND AMOUNT OF SCHOLARSHIPS: The Managing Committee has decided to allot the following number and amount of scholarships: No. of Scholarships
1526 1526 102

Amount of each Scholarship p.a.


Rs. 1000/Rs. 1500/Rs. 2000/-

For
Secondary education (from passing of Std. IV up to SSC level) College education (Post SSC education up to 1st graduation) Post graduate / professional Degree courses (for the disciplines/ courses as stated below)

THE LIST OF POST GRADUATE/DEGREE COURSES/DISCIPLINES COVERED UNDER THE SCHEME: (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) Post Graduate in Engineering/Technology (M.E./M. Tech.) Post Graduate in Medicines (M.S./M.D.) MBA from the recognised University. Post Graduate Degree course in Banking & Research in Banking. Post-Graduate Degree courses in Computer Management/Science. Master of Finance & Control -3- year course. Master of Business Finance -2- year course. Master of Social Works (MSW) -2- year course. Master of Environment Management -2- year course. Post Graduate Course in Chartered Financial Analysts (from the Institute of Chartered Financial Analysis of India, Hyderabad) Post Graduate degree course from IIT. Cost Accountant course. Post Graduate Degree course in Company Secretary. Chartered Accountant course.

(The P.G. courses of M. A., M. Com., M. Sc., not covered in the approved list.) (Circular No. HO: BR: 91/34 dated 05.02.1999) CRITERIA: The main criteria for awarding scholarship would be merit, i.e. percentage of the marks obtained in the previous examination by the concerned student. The scholarships would be granted on the results of the examinations held at the close of the previous academic year. ELIGIBILITY: Full time confirmed employees (from the Academic Year 1999-2000, permanent part time employees also) in service of the Bank as on 31st December of previous calendar year would be eligible for sanction of scholarships for their children under the scheme provided the child continues higher studies. Ex-patriate officers are also eligible to apply for scholarship in respect of their children studying in India. Part- time employees would not be eligible under the scheme. Amount of each scholarship p.a. Rs. 1000/Rs. 1500/Rs. 2000/PARTICULARS Min % Marks 50% 55% Total emoluments Ceiling (Rs. Per Mth.) Rs.9000/No ceiling No ceiling

Secondary Education (From Passing of STD IV up to SSC level) College Education (Post SSC Education up to Ist Graduation) Post Graduate / Professional Degree Courses (for the disciplines/courses as stated above)

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ALLOCATION OF SCHOLARSHIPS: The total number of scholarships in each category i.e. for secondary education, college education and post-graduate courses would be distributed and allocated to each region in proportion to the total number of employees (officers and award staff) posted in the region as on 31st December of the previous year. PROCEDURE: (i) The eligible employees who desire to avail the above facility should apply in the prescribed proforma as per Annexure II through the branch/office to their Regional Office. The last date of submission of such application will be informed by the concerned Regions. Separate applications should be submitted for each son/daughter if more than one son/daughter is eligible for such scholarship. The eligible employees should submit a true copy of the mark sheet of the previous annual examination duly certified. If any of the subjects is not to be included for calculating percentage then specific mention of the same should be made duly certified by the school/college/university authorities. Original mark sheet should be returned to the employee after verification by the branch/office and the true copy should be forwarded along with the application to the concerned Region. The date of examination and results should be invariably mentioned in the application. Applications, which are incomplete and not submitted in time, will be rejected. The concerned Regional Authority would advise the branches about the sanction of the scholarship in due course.

(ii) (iii)

(iv) (v) (vi)

Note: Branch authorities are requested to forward the applications after due verification within the time limit to Regional office for necessary action.

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SCHEME FOR PROVIDING SPECIAL ASSISTANCE TO THE EMPLOYEES HAVING PHYSICALLY / MENTALLY HANDICAPPED CHILDREN / SPASTIC CHILDREN ELIGIBILITY: (i) (ii) All full-time confirmed permanent employees of the Bank are covered under the scheme. Parent employees of such children who are having serious spastic/ mentally handicapped like mental retardness, total blindness, deafness and dumbness, etc. and who require education/training/correctional therapy at the special schools/college meant for them are eligible to apply under the scheme. Such assistance would be extended so long as the physically/ mentally handicapped child is required to be in the special school/college for the purpose of education/training/correctional therapy. The purpose of the scheme is to extend financial assistance to defray a part of expenses incurred by the parent employees on such children. Beneficiaries of the scheme would not be debarred from securing financial assistance from other sources, and such assistance would have no bearing on the scholarship to be sanctioned by the Bank.

(iii)

(iv)

PROCEDURE: Applications under the scheme up to an amount of Rs.2000/- per year will be considered/sanctioned by the branches at their level after adhering to the following procedure. Branches should obtain from the eligible staff members applications in the prescribed form (ANNEXURE III) along with supporting documents like true copy of medical certificate, copy of the receipt for the expenses incurred on correctional therapy at the special school/ college/ institute/ authorities certifying the following. (i) Admission/ continuance of the child in such school/Institute. (ii) Nature of physical/ mental handicap of the child. (iii) Their fees Such a certificate will have to be submitted every year along with application form. After scrutiny/processing the applications, the branches should sanction the applications found in order and allow payment up to Rs.2, 000/- per annum under the scheme by debiting "HEADOF A/C-Staff Welfare Fund" and should send their debit advice by using Schedule M along with application form and enclosures to Staff Welfare & Sports Dept., Head Office, Baroda for necessary reimbursement. Applications under the scheme for an amount exceeding Rs.2000/- SHOULD NOT BE SANCTIONED AT BRANCH LEVEL BUT IT SHOULD BE SENT TO HEAD OFFICE, BARODA FOR CONSIDERATION. No time limit has been prescribed for submission of application for the respective academic session/ year. A separate application should be submitted for each such eligible child.

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SCHEME FOR SANCTION OF FINANCIAL AID TO THE FAMILY MEMBERS OF THE EMPLOYEE WHO DIES IN HARNESS OBJECTIVE: The main objective of the scheme is to provide immediate financial relief to the family of an employee who dies in harness. ELIGIBILITY: All full time as well as part-time confirmed employees (in all categories) are covered under this scheme. This will be applicable for the families of the employees who expired/expire in harness irrespective of the fact whether the employee dies while on duty or outside duty hours. QUANTUM OF FINANCIAL AID: When an eligible employee dies in harness, his/her next kith/kin will be given immediate financial aid of Rs.50, 000/- through the branch/office where the concerned employee was working. PROCEDURE: (i) When an eligible employee dies in harness, his/her next kin would be required to make an application for the financial aid in the prescribed proforma. (ANNEXURE IV) Next to kin of the employee concerned will submit the application to branch/ office where employee concerned was working last. In case of married employee, the spouse will be entitled to get this financial aid and in case of unmarried employee, the parents will get the financial aid, in case of unmarried employee whose parents are not alive, next kin will get the aid. On receipt of application in prescribed proforma, the Branch/ Office Manager would disburse the amount of financial-aid of Rs.50, 000/immediately. The amount of financial aid of Rs.50,000/- disbursed should be debited to Head Office Baroda - Attention -Staff Welfare Fund Department. The claim for the same should be raised in M Schedule and forwarded to Asst. Gen. Manager (HRM), Head Office, Baroda House, Mandvi, Baroda. A copy of the death certificate, money receipt of Rs. 50,000/-, Schedule M debiting HEADOF and covering letter should invariably be attached with the application.

(ii) (iii)

(iv)

(v)

(vi)

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SCHEME FOR INCENTIVE TO EMPLOYEES FOR PROMOTING SMALL FAMILY NORMS

As per the government guidelines, the employees are being paid sum of Rs.500/(Rupees Five hundred only) towards incentive for small family norms. It has been decided to pay a sum of Rs. 1500/- to the employees towards incentive for promoting small family norms over and above the incentive of Rs. 500/- being given by the Government, against application as per Annexure V. (Medical Certificate should be submitted along with the application) For making payment under this scheme, strictly as per the guidelines in this circular, the branches are requested to adopt the same accounting procedure, which is being followed at present for payment for handicapped children of staff members. In other words, the branch should release payment to the eligible staff members to the debit of staff welfare account HO. Baroda and send the Debit advice along with the prescribed application format and medical certificate, to Staff Welfare Department, Head Office, Baroda. The said department at HO would respond the same to the branch.

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SCHEME FOR EXTENDING FINANCIAL ASSISTANCE TO THE EMPLOYEES WHO ARE ON LOSS OF PAY ON ACCOUNT OF MAJOR AND SPECIAL OPERATIONS/DISEASES It has been decided that the employees, who are required to remain on leave on loss of pay (due to non-availability of leave of any kind, to their credit), due to major and special operations, be given financial assistance at the rate of Rs. 2000/-p.m. subject to a maximum of Rs. 24,000/- per year. The necessary bills, certificates/s from hospital, should support the claims. The concerned employee will have to apply for the financial assistance as above, in the prescribed proforma at Annexure VI through the branch with recommendations of the Branch Manager, to Head Office, Branches are advised to forward such applications of staff members enclosing therewith the relevant supporting details and papers to Staff Welfare Department, Head Office, Baroda who will allow/authorize for payment under the scheme with detailed instructions. Medical Certificate, clearly showing the details of disease/ operation, duration of sickness, recommendation of leave on medical ground, should be attached with the applications in the prescribed form. While forwarding and recommending applications, the Branch/ Office should also check that there is no discrepancy in the dates mentioned in the medical certificate and the application. Branch Authority should clearly mention, the number of days with duration, while recommending under the scheme. The applications under the scheme should be forwarded through concerned Regional Office.

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CANTEEN SUBSIDY Canteen subsidy is payable to all employees at the following rates per working day. A working day shall mean the day on which an employee attends Office. Full-time employees Permanent part-time employees : Rs. 10/- per day : Rs. 5/- per day

The canteen subsidy shall be in the nature of reimbursement subject to the above limits. For the purpose of canteen subsidy, a "working day" shall mean the day on which the employee has attended the branch/ office. CLARIFICATIONS: (i) (ii) (iii) (iv) Canteen subsidy is not payable to the employees when they are on tour/ duty/ deputation and is paid halting/ diem allowance. Canteen subsidy is not payable to the employees when they are attending training/ seminar/ workshop either locally or outstation. However, representatives of employees are eligible for the days, they attend structured meeting. The days when the employee is absent or on leave of any kind, including special leave, would not be eligible for canteen subsidy for that day/ period as the canteen subsidy is being paid only for the "WORKING DAY".

ACCOUNTING PROCEDURE: a. Canteen Subsidy should be paid to the debit of G/L Suspense A/c- Canteen Subsidy to Staff (Code No. 2813) b. Branches should debit the above balance to the base branch of their Regional Office using Z Schedule along with the statement in the proforma given below: (Proforma of the Statement to be sent by the branches to the Regional Office) The Regional/ Asst. Gen. Manager/ Dy. Gen. Manager, Bank of Baroda, Regional Office, _________________. Statement of Canteen Subsidy paid to employees to the debit of G/L Suspense A/c Canteen Subsidy to Staff (Code No. 2813) for the half-year ending_____________. Sr. No Month Officers 1 2 3 TOTAL 1. 2. Z Schedule No. ________ dated _________ for Rs. ____________drawn on __________ is enclosed. We confirm that there is no outstanding in the G/L Suspense A/c- Canteen Subsidy to Staff (Code No. 2813) at our branch on ____________. Sd/Branch Head Regional Office in turn should respond the said schedules received from the branches in the region and raise one Z Schedule on HEADOF and submit the same to Staff Welfare Department, Head Office, Baroda along with the statement in below mentioned proforma. Number of Employees Clerks Full Time sub staff Part-time sub staff Total Staff Total Amount Remarks

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Statement of Canteen Subsidy paid to employees to the debit of G/L Suspense A/cCanteen Subsidy to Staff (Code No. 2813) for the half-year ending___________. Sr.No. Branch Alpha Officers 1 TOTAL Number of Employees Clerks Full Time Sub staff Part Time Sub staff Total Staff

_________________ DRM / Sr. Manager /Manager Region

PROFORMA FOR CLAIMING CANTEEN SUBSIDY The Chief/ Sr./Br./Manager Bank of Baroda, ___________Branch/Office, ________________. Dear Sir, Re: Canteen Subsidy I refer to the Bank's circular No: CO: BR: 91: 272 dated 4.9.1999 in the above connection. I hereby undertake that I have incurred a sum _______(Rupees______________) during the month of _____200 ____working days and request payment of canteen subsidy. Yours faithfully, (Signature of the employee) Muster No: Folio: Name: EC No: Designation: of , Rs. for

-----------------------------------------------------------------------------------------------FOR OFFICE USE Certified that Mr/Mrs/Ms. _______________ attended office for month of ______200 . -days in the

HEAD OF THE DEPARTMENT Passed for payment of Rs. ________ SR.MANAGER

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FINANCIAL ASSISTANCE FOR PURCHASE OF ARTIFICIAL LIMBS TO PHYSICALLY HANDICAPPED STAFF MEMBER AND/OR THEIR HANDICAPPED CHILDREN

Under the Scheme, a needy staff member has to apply in the prescribed application form as per proforma attached with this at Annexure III-A, giving full details about his/his ward's handicappedness and forwarding therewith a supporting medical certificate and quotation for the cost of artificial limbs. All such applications are to be submitted through branch concerned. The branch should forward such application along with its recommendations to the Asstt. Gen. Manager (HRM).

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FINANCIAL ASSISTANCE FOR PURCHASE OF HEARING AID APPARATUS TO STAFF MEMBERS AND/OR TO THEIR HANDICAPPED CHILDREN

Needy staff members have to apply in prescribed application form (Annexure III B) giving full details about his/her wards handicappedness and forwarding therewith a supporting medical certificate and a quotation for the cost of hearing aid. The application is required to be forwarded to AGM (HRM), HO, Baroda duly recommended by the Regional Authority.

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PRESENTATION OF MEMENTOS TO RETIRING EMPLOYEES (ABHINANDAN YOJANA) Presentation of memento to the retiring employees under the auspices of Staff Welfare Fund (effective form 1.1.1995) Under the Scheme, Silver memento having the Banks' Emblem engraved on one side and name of the employee, branch and date of retirement engraved on the other side, is to be presented to all retiring employees who retire on Superannuation but not on resignation / termination, including those employees who retire voluntarily from Bank's Service on completion of -30-years of service or -55-years of age or who dies after completion of 30- years of service or 55- years of age. In that case, memento is given to their family. The retirees of BOBEVRS-2001 are also covered under this scheme provided he/she has completed 30- years of service on 31st March, 2001. The felicitation function should be organised in the last week of the month in which employees are retiring.

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SCHEME FOR HEALTH CHECK UP FOR FULL TIME CONFIRMED EMPLOYEES ABOVE THE AGE OF -45- YEARS Bank has devised various schemes to ensure the physical and mental well being of the employees and their families through various staff welfare measures. Of late, it was observed that there is an increase in the instances of death of employees in harness. Hence, it was felt that introduction of a health check-up scheme would amount to a pro-active and equally preventive step on the part of the Bank. Keeping above in view, the Board of Directors of our Bank has approved a Scheme for Health Check-up for full time confirmed employees above the age of -45- years. The scheme was initially made operative in four Metro centres i.e. Mumbai, Delhi, Kolkata & Chennai and now it has been extended to all other centres. The salient features of the scheme are as under: All full-time confirmed employees above the age of -45- years are eligible. The health check-up for the staff members under the scheme shall be voluntary and it will be once in two years. The cost of such check-up will be restricted to Rs. 1000/- per employee irrespective of the cadre.

DRAFT OF THE LETTER TO BE ISSUED TO ELIGIBLE STAFF MEMBER TO AVAIL THE HEALTH CHECK UP UNDER THE SCHEME. The Hospital/ Diagnostic Centre, Dear Sir, Re: Scheme for Health Check Up for full time confirmed employees above the age of 45- years. Mr./ Mrs./ Miss_________________________ is a full time confirmed employee of the Bank and has been registered for Health Check Up with your hospital/ Diagnostic Centre on. Mr./ Mrs./ Miss_____________________________ will be directly paying you the amount of Rs. 1000/- for undergoing the various tests under the scheme offered by you. Please issue him a money receipt accordingly for enabling him/her to submit the same to us for reimbursement. The signature of Mr./ Mrs./ Miss_____________________ is appended below. Thanking you, Yours faithfully, (COMPETENT AUTHORITY) Signature of Mr./ Mrs./ Miss______________________ Verified by ______________________ Name ______________________ Designation ______________________

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SCHEME FOR VOLUNTARY CONTRIBUTION OF OFFICERS TOWARDS COMPENSATION TO THE FAMILY OF AN OFFICER WHO DIES IN HARNESS. (ESCORT SCHEME) At the request of the All India Bank of Baroda Officers' Association, Bank has agreed to provide administrative support to the scheme for providing compensation to the family of an officer who dies in harness, for which purpose, each officer would contribute an amount of Rs.10/-. All officers were advised to submit an irrevocable letter of authority as per proforma attached with HO Circular No. HO: BR: 87/261 dated 21.11.1995 (copy reproduced here) addressed to the Bank whereby the Bank is authorised to deduct Rs.10/- per officer who dies in harness (from his/her salary or Savings Bank A/c) towards the compensation to be paid to the family of the deceased officer. With a view to have smooth administration of the above scheme; the following procedure is prescribed; 1. Officers desirous of becoming a member of the Scheme may submit their letter of authority, as per proforma given below, to the branch/office where he / she works. 2. Such letters of authority are required to be kept in the branch but a list of such officers who have given the authority with their names, EC Nos., Designations should be forwarded to their respective Regional Office who in turn will compile a consolidated list and send it to AGM (HRM), Head Office, Baroda. 3. Based on the number of authority letters so received, Head Office would arrange to remit an amount equivalent to Rs.10/- multiplied by the number of officers who have authorised such deduction to the family of the officer who dies in harness through the branch concerned. In such an event, Head Office would thereafter issue a suitable circular to all branches/offices requesting the Branches/Offices to arrange to deduct Rs.10/- towards the contribution in respect of the deceased officer. 4. On receipt of such circular, the branch should arrange to deduct Rs.10/- from the salary/savings bank account of the officers who have authorised such deduction and credit the amount in the newly opened "G/L Contribution to death in harness A/c - code 4911. REVERSE this entry preferably on the same day or the next day, as under: Debit: G/L Contribution to death in harness A/c Code 4911 Credit: Schedule "I" drawn on the BASE BRANCH of the Regional Office Send the above Schedule "I" along with the statement as per Proforma "A" annexed hereto to the Regional Office within -3- days, positively. Branches should ensure that their realisation advices of "I" SCHEDULE is received from their Regional Offices within a week from the date of the schedule. IN NO CASE, ANY BRANCH SHOULD SEND CREDIT ADVICE DIRECTLY TO HEAD OFFICE. Actions to be taken by Regional Offices: 1. Credit advices received from the branches of the Region should be responded promptly after due scrutiny and credited in the "G/L Contribution to Death in Harness A/c, Code -4911 already opened with their Base Branch. Regional Office should send realisation advices of "I" Schedule to the branches without any delay. 2. Regional Offices should make constant follow up with those branches from which the credit advices and the statements are not received. 3. After receiving credit advices from all the branches, the Regional Office should pass the following entry for the consolidated amount.

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Debit: Base Branch - Regional Office A/c G/L Contribution to death in harness A/c. (Code 4911) Credit: H.O. Baroda - HEAD OFFICE A/C (HEADOF) G/L Suspense compensation to deceased Officers' Family A/c. (Code 2859) Regional Offices should thereafter send a consolidated credit advice alongwith the statement as per Annexure B to Head Office. by Regd. Post or through approved courier in a separate envelope addressed to the Asstt. General Manager (SA, R&P & HRD) mentioning on the top of the envelope "Escort Scheme Credit Advice" - " List". Regional Office should send one and only one credit advice. 4. Regional Office should not send the Annexure received from the branch to Head Office, because it is for use of the Regional Office only. 5. MMO, ZOs, CBBs, ZICs, RTCs, Staff College & Subsidiaries like BOBCARDS and BOB Housing Ltd. where our Bank's officers are on deputation etc. are requested to send their credit advice directly to Head Office within the prescribed time limit. Branches and Regional Offices are requested to take a careful note of the above instructions and should act strictly as per these instructions to help in efficient administration of this scheme.

IRREVOCABLE LETTER OF AUTHORITY The Branch Manager/Chief Manager, Bank of Baroda _______________ Dear Sir, Re: Voluntary scheme for contribution at the rate of Rs.10/- per deceased officer, towards compensation to the family of an officer who dies in harness.

I am willing to contribute under the aforesaid scheme and accordingly hereby authorise the Bank to deduct an amount of Rs.10/- per officer who dies in harness, as my contribution towards compensation to the family of the deceased officer. If for some reasons such deduction is not made form my salary for the relevant month, I hereby also authorise the Bank, to deduct the said amount from my salary in the next month or from my Savings Bank Account to which my salary is credited. I hereby declare that this authority shall not be revoked by me. Yours faithfully, ________________ Signature Name EC No. Cadre Branch/Office Place Date : : : : : : _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

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VOLUNTARY CONTRIBUTION OF EMPLOYEES TOWARDS COMPENSATION TO THE FAMILY OF THE EMPLOYEE WHO DIES IN HARNESS (FAMILY BENEFIT SCHEME). The Executive Management Committee held on 27th August 2001 and Board of Directors in their meeting held on 27th September 2001 have resolved to provide administrative support to the scheme on the lines of "ESCORT" for Officers. The salient features of the scheme are as under: i. ii. iii. iv. The scheme is called "Family Benefit Scheme". It shall come into effect from 1st January 2002. The scheme shall be open to all permanent employees of the Bank. Membership would be voluntary and obtained through an irrevocable letter of joining the scheme. An employee willing to join the scheme shall pay an initial amount of Rs. 100/- towards enrollment fee. List of employees who become members of the scheme shall be sent to Head Office through Regional/ Zonal Office. An employee-member of the scheme shall contribute Rs. 5/- per death by way of deduction from his salary. In case no salary becoming payable in a particular salary month; contribution shall be deducted from the salary of subsequent month. Only the family of the deceased permanent employee-member of the scheme would be eligible for the benefit under the scheme. The scheme shall operate from Mumbai. For the purpose, the All India Bank of Baroda Employees Federation shall open an account with Mumbai Main Office. The scheme and the account shall be operated and monitored by the "Federation", for which purpose, they shall form a committee of -4members. The Committee shall also undertake to deliver cheques for the compensation amount to the family of the deceased member of the Scheme.

v. vi.

ADMINISTRATIVE SUPPORT FROM BANK: a. Upon receipt of information of death of a member of the Scheme by Head Office, either from All India Bank of Baroda Employees Federation or from the branch/ office, Head Office shall issue a circular to the branches/ offices in India informing about the death of the member employee and instructing the branches/ offices to deduct a sum equivalent to the number of deaths at the rate of Rs. 5/- per death from the salary payable to the employee who is a member of the scheme. The branch shall remit the sum to Regional Office, which shall in turn remit the consolidated amount to the account opened at Mumbai Main Office, Mumbai for Family Benefit Scheme by the All India Bank of Baroda Employees Federation. Members posted at Zonal Offices and other offices that fall under the administrative jurisdiction of the Zonal Office shall remit the amount to this account directly. Branches should collect Rs. 100/- towards enrollment fee from an employee willing to join the scheme alongwith irrevocable letter of authority, in triplicate, as per proforma enclosed herewith. One copy of letter of authority may be kept in personal file of employee and remaining two copies of authority letter alongwith list of employees who have given authority with their names, EC Number and designation should be forwarded to their respective Regional Office, who in turn, will compile a consolidated list (preferably alongwith such data on floppy) and send it to Asstt. General Manager (HRM), Head Office, Baroda along with authority letter in duplicate. The Zonal Office should send such list in respect of staff at Zonal Office, ZIC, Training Centre etc., directly to Asstt. General Manager (SA, R&P & HRD), Head Office, Baroda along with floppy containing such list and authority letter in duplicate. The enrollment fee may be remitted to Regional Office which shall in turn remit the consolidated amount to the Savings Bank Account "Family Benefit Scheme", opened at Mumbai Main office, Mumbai by the All India Bank of Baroda Employees Federation, along with copy of list of employees who have given authority. Zonal Office may remit the amount to the above account at Mumbai Main Office directly, along with list of employees.

b.

c. d.

e.

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IRREVOCABLE LETTER OF AUTHORITY PROFORMA The Branch/Chief Manager, Bank of Baroda, __________________Branch/Office, __________________. Dear Sir, Re : Family Benefit Scheme.

I am willing to enroll as a member of the captioned scheme and remit herewith Rs.100/- as enrollment fee. I am also willing to contribute under the aforesaid scheme and accordingly hereby authorise the Bank to deduct an amount of Rs. 5/- per member employee who dies in harness, as my contribution towards compensation to the family of the deceased employee. If for some reasons, such deduction is not made from my salary for the relevant month, I hereby also authorise the Bank to deduct the said amount from my salary in the next month or from my savings bank account to which my salary is credited. I shall abide by the rules and procedure prescribed under the scheme by the bank from time to time. I hereby declare that this authority shall not be revoked by me. Yours faithfully, ______________ Signature Name EC No. Cadre Branch/Office Place Date : : : : : : _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

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BANK OF BARODA CONTRIBUTORY MEDICAL ASSISTANCE SCHEME FOR RETIRED EMPLOYEES SCHEME: The scheme will be called the "Bank of Baroda Contributory Medical Assistance Scheme for Retired Employees." EFFECTIVE DATE: The Scheme will be effective from 1st September 2000. OBJECTIVE: To provide financial assistance to meet the medical expenses incurred by the retired employees of the Bank for self and/or their spouses. COVERAGE: Retired employees of the Bank and his/her spouse only will be eligible under the scheme. On the death of the retired employee, the spouse will continue to be covered under the scheme. MEMBERSHIP: The membership of the scheme is open for the following: 1. Those who have retired from the Bank's service on superannuation; 2. Those who have been allowed to retire/ resign from the Bank's service on medical ground; 3. Those who have taken voluntary retirement from the Bank's service in terms of the provisions of Bank of Baroda (Officers') Service Regulations, 1979 and who are not gainfully employed; 4. Those who have taken voluntary retirement from the Bank's service in terms of the provisions of Bank of Baroda (Employees') Pension Regulations, 1995 and are not gainfully employed; 5. Spouses of those retired/ resigned employees mentioned above, if they are not gainfully employed; 6. Spouses of those employees who die in harness & who are not gainfully employed; CLARIFICATIONS: 1. Spouse means legal spouse. 2. Employees who have been discharged / dismissed / removed from service/ compulsorily retired or their services have been terminated on grounds of misconduct will not be eligible. 3. The retired employees who have taken up commercial employment or whose spouses are in employment are also not eligible for medical benefit. 4. Gainful employment means those who are in employment and monthly salary/ wages is Rs.1500/- or more. * The reimbursement of medical expenses will be considered for the expenses incurred by members on or after the effective date of the Scheme. i.e. amount spent prior to the effective date will not be considered for reimbursement. CONTRIBUTION TOWARDS MEMBERSHIP: To acquire the membership of the scheme, retired employees or spouse of the deceased retired employees shall have to make one time lump sum contribution towards membership fees i.e. equal to 50% of (the basic pay, last drawn) + special pay (if applicable)). If self and spouse both are employees of the bank, then only one of them needs to become a member of this scheme.

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AILMENTS: All ailments are covered under this scheme. BENEFITS UNDER THE SCHEME: a). The members of the scheme are eligible for reimbursement of medical expenses ranging between Rs.1000/- to Rs.2000/- as per the basic pay slabs given hereunder in a year on declaration basis. Members who are pensioners/ family pensioners of the Bank will have to submit their claims only to the Pension Paying Branch. Other members who are not pensioners/ family pensioners will have to identify a branch of the Bank, convenient to them, for submission of claims and getting payment therefrom. Proviso: The reimbursement will be on yearly basis and no carry forward facility will be allowed for the amount remaining unutilised / un-drawn for the future years. b) Hospitalisation expenses for treatment of all ailments will be reimbursed, subject to the aggregate limits shown in the under mentioned table under the scheme, for life, for both the members i.e. self and his/her spouse. ----------------------------------------------------------------------------------------Basic pay (last Reimbursement Hospitalisation drawn) + special for domiciliary expenses limit pay, if any treatment per (for life time year for both the for both the members i.e.self members i.e. and his/her spouse self and his/ her spouse. ----------------------------------------------------------------------------------------Below Rs.4000/Rs.1000/Rs.2.00 lakh Between Rs.4000/to Rs.8050/Above Rs.8050/Rs.1500/Rs.2000/Same as above Rs. 2.50 lakh for executives in the rank of DGM & above.

HOSPITALISATION EXPENSES - REIMBURSEMENT: Hospitalisation expenses will be reimbursed to the retired employee and/ or his/her spouse on production of bills / receipts and its verification, by the Competent Authority. The Competent Authority will examine and decide about allowing reimbursement of post hospitalisation expenses within the overall limits so fixed as above for hospitalisation expenses. PROCEDURE FOR BECOMING MEMBER: i) Persons desirous of becoming members of the scheme would have to apply for membership in the prescribed membership -cum -declaration form (Annexure VII), which would be available with all branches/ offices of the Bank, and submit the same to the branch from which they are drawing their pensionary benefits or to a branch from where they would like to avail of benefits under the scheme. ii) Subscription/ membership fees should be paid by means of a bank draft drawn in favour of The Bank of Baroda Contributory Medical Assistance Scheme for Retired Employees payable at Service Branch, Baroda - Code SERBAR. Cash or cheques or payment in any other kind would not be acceptable. iii) Membership of the scheme would take effect only on receipt of the contribution/ membership fees and its acceptance at Head Office by Asst. Gen. Manager (HRM).

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PROCEDURE FOR SUBMISSION/ REIMBURSEMENT OF CLAIMS: i) For lodging claims for reimbursement of expenses incurred for domiciliary treatment and/ or hospitalisation, members who are pensioners/ family pensioners of the Bank would have to submit their claims to the pensionpaying branch. Other members who are not pensioners/family pensioners would have to identify a branch of the Bank convenient to them for submission of claims and reimbursement of the same. ii) For reimbursement of expenses incurred for domiciliary treatment, members would have to submit their claims in Annexure VIII to the pension paying branch/ branch of their choice who would scrutinise the applications and sanction the eligible amount and make reimbursement of the claims. iii) For reimbursement of hospitalisation expenses, members should have to submit, within six weeks from the date of their discharge from the hospital / nursing home, their claims in Annexure IX to the pension paying branch/ branch of their choice for onward transmission to the Zonal Authorities who would thereafter scrutinise/verify, if necessary, and authorise for reimbursement of the same. iv) Claims for reimbursement of hospitalisation expenses should invariably be accompanied by all relevant bills/receipts/cash memos etc. duly authenticated by the attending physician/ surgeon and the hospital discharge certificate clearly indicating: a) the name of disease, b) period of hospitalisation with exact date of admission & discharge and c) the exact name and nature of the operation if any performed. DETAILED ACCOUNTING PROCEDURE: 1. At Branch Level: (i) For domiciliary Treatment: The branch pension paying branch/ branch of choice would scrutinise the claim and allow reimbursement within the prescribed limit, to debit of G/L Medical Aid to retired Employees/ Spouse Account (A/c Code No. 2927). To be reported under the Other Assets - Others on Assets side of Balance Sheet (F. No. 153). The branch will obtain reimbursement of such claims paid from their respective Zonal Offices. (ii) For Hospitalisation Expenses: The pension paying branch/ branch of choice would receive the claims for hospitalisation expenses in the prescribed format from a retired employee and after proper scrutiny send the same to the respective Zonal Office for sanction. After such claims are received back from the Zonal Office duly sanctioned, the branch would allow payment of the sanctioned amount within the overall prescribed limit to the debit of the G/L Account and obtain reimbursement thereof from the Zonal Office. The branches will make entry of each claim paid in the Identify card-cum-passbook of the individual retired employees for both types of claims. 2. At Regional Office Level: (i) The Regional Office would allow reimbursement to the branches for the amounts reimbursed by them for (a) domiciliary treatment and (b) for the amount of hospitalisation expenses sanctioned by Regional Office (within the stipulated overall limits) to the debit of G/L Medical Aid to Retired Employees/ Spouse reimbursed to branches (A/c - Code No. 2928) to be reported under the Other Assets - Others on Assets side of Balance Sheet (F No. 153). (ii) The Regional Offices would obtain reimbursement of total amounts paid/ reimbursed to branches under the scheme from Head Office once every six months, i.e. in March and in September in a year in a single lot providing detailed statement of such payment made.

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(iii) The Regional Office, would recover the payments made to each retiree for both types of claims at their end and would periodically tally the same with the branches to ensure that payment of claims are made strictly within the overall limit for domiciliary and hospitalisation treatment. 3. At Head Office Level: The Head Office would reimburse the amount of total claim received by it from the Regional Offices once in every six months i.e. in March and September every year, to the debit of G/L Corpus for Medical Aid to retired employee/ spouse (A/c Code No. 4943) to be reported under Other Liabilities - Others on Liabilities side of Balance Sheet (F. No. 153). GENERAL: i) Members must ensure that the nursing home/ hospital in which they seek admission is recognised/ registered and also maintains proper records in respect of admission, treatment given and payments received there for. Members of the scheme are requested to submit claims only for genuine and reasonable amounts so that the purpose behind introduction of the scheme is not defeated. The Bank shall not be liable to make any payment under this scheme in respect of any claim, if such a claim is found to be fraudulent or supported by any fraudulent statement or device, whether by the member or by his/her spouse or any other person on his behalf. Such an act, if found out and proved to be correct, would result in termination of his membership and the consequent benefits available under the scheme forever. Membership fees paid would also be forfeited. Regional Offices would have to obtain reimbursement from Head Office every six months i.e. in March and September every year by submitting a consolidated detailed statement of the payments made under the scheme. The Bank would not be responsible for any tax liability that may devolve on a member on account of reimbursement of medical expenses under the scheme. Any dispute arising on account of interpretation/ implementation of the scheme or rules framed there under would be referred to the Asst. Gen. Manager (HRM) at Head Office whose decision would be final. Any amendment to the scheme would be done only with the prior approval of the Board of Directors of the Bank.

ii)

iii)

iv)

v)

vi)

vii)

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ARRANGEMENT FOR RESERVATION OF BEDS IN HOSPITALS SITUATED AT ZONAL CENTRES At present the Bank has arranged reservation of hospital beds at the following Zonal centers, the names of which and the details of the arrangements are given as under : Sr. No 1. Centre Mumbai Name of the Hospital 1. Bombay Hospital No. Of Beds reserved -1- A. C. single room A classTo be used for Executives in the rank of DGM and above. -2- Non A. C. single rooms B class to be used for officers up to Scale V. -4- Non A. C. twin sharing rooms D class to be used for Award Staff. No specific number of beds. Terms are being negotiated. -6- Non A. C. Single rooms B class for officers & Award Staff A. C. twin sharing rooms D class to be used for officers Non A. C. twin sharing rooms D class to be used for Award Staff -1- A. C. single room -2 Semi-special beds in AC room -2- non-AC Semi-special beds. A. C. single Deluxe Twin sharing A. C. A. C. General Ward (Only for treatment of major diseases and no specific number of beds reserved) A. C. Single bed General Ward (Only for major neurological ailments and no specific number of beds reserved). -3- Beds

2. Bhatia Hospital

General

3. Cumballa Hill Hospital

3. 4.

Baroda New Delhi

1. Bhailal Amin General Hospital 1. Indraprastha Hospital Apollo

2. Vidyasagar Institute of Mental Health and Neurosciences (VIMHANS) 4. Chennai 1. Voluntary Services 2. Madras Mission 5. 6. 7. Kolkata Patna Lucknow Health

Medical

Semi private rooms (No specific number of rooms) No specific bed reserved. -2- A. C. Special Beds -4- Non-A.C. beds. -2- A. C. Single rooms -1- A. C. room, -1- A.C. Twin sharing room -1- Ordinary single room -1- Ordinary Twin sharing room -1- Single Deluxe room -3- Beds in General Ward -1- Single A. C. room -1- Single Air Cooler room No specific number of rooms reserved Admission up to -5- Beds -1- Deluxe Room -1- Special room -2- A C rooms with double bed -2- ordinary Twin sharing rooms.

3. Apollo Hospital Mission of Mercy Hospital & Research Centre Indira Gandhi Institute of Medical Sciences Avadh Hospital & Heart Care Centre Soni Hospital, Jaipur K.K. Hospital & Kidney Centre Choithram Hospital KEM Hospital, Pune Sheth P. T. Surat General Hospital, Surat. Gujarat Research & Medical Institute (Rajasthan Hospitals)

8. 9. 10. 11. 12. 13.

Jaipur Bareilly Indore Pune Surat Ahmedabad

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COVERAGE : The employees and their dependent family members can avail of the facilities. The patients are admitted to banks reserved beds on the recommendation of the Banks medical officer/identified doctor. The patients admitted to beds are provided services, medicines by the hospital as per terms and conditions of such reservation with respective Hospitals. Family, for the purpose will include spouse and dependant children (whose monthly income does not exceed Rs. 1500/-) only. Wholly dependant parents are not covered under the scheme. GENERAL : The Executive Management Committee, while reviewing the scheme of Ex- Gratia Medical Aid has directed as under: ALL STAFF MEMBERS MUST FIRST AVAIL OF WALK-IN WALKOUT FACILITY, WHEREVER PROVIDED, BEFORE GOING FOR COSTLY HOSPITAL, NURSING HOME. Hence, all endeavours have to be made for first availing the facility of reserved beds, as far as possible, before going in for any treatment from other Hospitals, etc. For securing admission to Bank's reserved bed, the employee must carry his / her Identity Card issued for the purpose by the Bank.

&&&&&&&&&

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ANNEXURE I PROFORMA FOR APPLICATION TO RESERVE THE BANK'S HOLIDAY HOME (To be submitted through Branch/ Office) To, The Branch Manager Bank of Baroda _________________Branch ___________. Dear Sir, Re: Reservation of Banks Holiday Home situated at _________________. Name of the employee EC No. Status (existing employee/ Ex-employee). In case of Ex-employee, please specify cessation is on account of superannuation/ voluntary retirement along with date of cessation) Present/ Last branch Date of Birth I desire to reserve the Banks Holiday Home situated at_______________ for any of the following duration: a) From_______________to______________(First preference) b) From_______________to______________(Second preference) c) From_______________to______________(Third preference) d) For_________days on any other dates in next -3- months during which the Holiday Home is available. I may also state that the following members will accompany me during my visit to the said Holiday Home: Sr.No. Name Relationship

I fully understand that reservation of the aforesaid Holiday home would not confer upon me any right as regards sanctioning of leave for aforesaid period by the branch/ office where I am working. I am a confirmed employee of the Bank and my leave record for last two years is as under: Period No. of days Type of leave (excluding CL) a)_________to________ b)_________to________ c)________ to________ ____________________ (Signature of employee)

Full Name________________________ Designation_______________________ Department_______________________ NOTE: In case you want to mention more than one period, please mention the specific dates. Please also indicate specifically about your preference mentioned at d). TO BE FILLED IN AND CERTIFIED BY CHIEF MANAGER/ OFFICER-IN-CHARGE This is to certify that Shri/ Miss/Mrs. ______________________is a confirmed full time employee of the Bank and his records as mentioned above is correct as per our record. CHIEF/ SENIOR MANAGER/ OFFICER IN CHARGE ____________DEPARTMENT _________________________ (Stamp of Branch/ Office)

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ANNEXURE II APPLICATION FOR SANCTION OF SCHOLARSHIP TO CHILDREN OF EMPLOYEES 1. 2. 3. 4. 5. Name of Employee E. C. Number Designation Branch/ Office, where working Branch Code

6. Date of joining in Bank's service 7. Date of confirmation 8. Gross salary as of __________

ALPHA CODE 8 DIGIT CODE Basic DA HRA CCA Other Gross Rs. Rs. Rs. Rs. Rs. Rs.

9. Name of Student- Mr/Miss 10. Standard which he/she has passed A. Date & Year of passing Annual Exam. B. Date of declaration of result 11. A. Whether the study is continued this YES/NO year B. Presently studying in Std. 12. Maximum marks (Total marks of ** Exam) Total marks obtained Exact %age of marks( up to -3decimal point) 13. Applying for which category of Scholarship Rs. 1000/- for secondary education Rs. 1500/- for college education Rs. 2000/- for Post Graduation (Please strike out whichever not applicable) ** Marks of last annual examination be mentioned (________________) Signature of applicant Date: FOR OFFICE USE This is to certify that Mr./Mrs. _____________________is a full time confirmed employee of our Bank as on _______________ and the true copy of mark sheet enclosed herewith is duly verified by us with the original one and the same is found correct. We recommend the request. BRANCH MANAGER

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ANNEXURE II-A STATEMENT SHOWING SCHOLARSHIPS SANCTIONED TO CHILDREN OF EMPLOYEES Name of Employee Name of student Standard % of marks obtained

NOTE :The above statement should be prepared category-wise i.e. School, College and Post Graduate courses.

ANNEXURE II -B SUMMARY STATEMENT SHOWING SCHOLARSHIPS SANCTIONED TO CHILDREN OF EMPLOYEES: Category Total No. applications received of No. of applications considered favourably No. of applications rejected due to cut off point

ANNEXURE II -C DETAILED STATEMENT SHOWING APPLICATIONS OF SCHOLARSHIP REJECTED DUE TO CUT OFF POINT (PLEASE ADVISE THE CUT OFF POINT) Name of Employee Name of student Standard % of marks obtained

NOTE :The above statement should be prepared category-wise i.e. School, College and Post Graduate courses.

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ANNEXURE III PROFORMA OF APPLICATION FOR SPECIAL ASSISTANCE TO THE EMPLOYEES HAVING PHYSICALLY/MENTALLY HANDICAPPED CHILDREN / SPASTIC CHILDREN Asst. General / Chief Manager (HRM) Bank of Baroda, Head Office, Mandvi, Baroda - 390 006 Dear Sir, I request you to sanction me financial aid/scholarship of Rs.______________ (Rs. _________________________________) under the modified scheme, for my physically/ mentally handicapped child. I furnish the necessary particulars hereunder: 1. Name of the employee : 2. E. C. No. : 3. Date of joining the bank : 4. Designation 5. Name of branch/office : 6. Name of child : 7. Nature of handicap (as certified in medical report). : 8. Name and address of the school/ : College/Institute where the handicapped child is receiving education/ training/correctional therapy. 9. Details of expenses incurred by the parent employees for their children : having serious retardness total blindness, total deafness and dumbness towards their education/ training/correctional therapy at the special schools/colleges/institute covering their fees and other correctional therapy expenses incurred. (please enclose necessary supporting documents i.e. receipts etc.) PLACE: DATE: Yours faithfully, ( ____________ )

Enclosure: Certificate from the concerned School/college/institute certifying the following : 1. Admission/continuance of the child. 2. Nature & degree of physical/mental handicap of the child. FORWARDED THROUGH: BRANCH MANAGER/ REPORTING AUTHORITY This is to certify that Mr./Ms. ______________ is a full time confirmed permanent employee of our Bank. Above particulars are verified. RECOMMENDATIONS: BRANCH MANAGER REGIONAL MANAGER

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ANNEXURE IV APPLICATION FOR FINANCIAL AID TO THE FAMILY MEMBERS OF THE EMPLOYEES DYING IN HARNESS FROM STAFF WELFARE FUND (To be submitted to the Branch where employee was working last) From:Date: The Chief/ Sr./ Br. Manager, Bank of Baroda, _____________, _____________. Dear Sir, I write to advise that Shri/ Smt./ Kum. _____________________________ (EC No. ) was working as a sub-staff/ clerk/ Officer in Grade/Scale _____ in your Branch/ Office expired suddenly on __________ due to ______________________________________(Reason of death). Shri/ Smt./ Kum. _____ ____________________ was my _____________. (Relationship) I request you to grant me financial aid from the Staff Welfare Fund of your Bank at the earliest. I further state that I am legally entitled to receive any dues of Shri/ Smt./ Kum. ______________________________ In case of any dispute about the financial aid by any of the other relatives of the deceased employee, I undertake to repay the amount of financial aid back to the Staff Welfare Fund. Yours faithfully,

(Name of the Applicant) Full Address of the applicant. _______________________ _______________________ ________________________

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ANNEXURE V PROFORMA OF APPLICATION FORM FOR INCENTIVE TO EMPLOYEES FOR SMALL FAMILY NORMS UNDER STAFF WELFARE FUND To, Asst. General / Chief Manager (HRM) Bank of Baroda, Head Office, Baroda House, Mandvi, Baroda Dear Sir, I refer to Banks' circular No: HO: BR: 89: 45 dated 01.03.1997 and hereby request you to pay me a sum of Rs. 1500/- (Rupees One thousand five hundred only) towards the incentive for small norms. I furnish hereunder the required particulars : 1. 2. 3. 4. 5. 6. 7. Name of the employee : EC No. : Date of joining : Designation Name of branch/office : Whether the employee has undergone the operation or the spouse. * Recommendations of the branch : * [Copy of the certificate in respect of Vasectomy operation/ nonpuerperal tubectomy operation (as the case may be) to be attached.]

Yours faithfully,

PARTICULARS VERIFIED

______________________ Signature of the employee

BRANCH MANAGER STAMP :

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ANNEXURE 'VI' PROFORMA OF APPLICATION FOR FINANCIAL ASSISTANCE TO EMPLOYEES WHO ARE ON LOSS OF PAY ON ACCOUNT OF MAJOR AND SPECIAL OPERATIONS / DISEASES To, The Asst. General / Chief Manager (HRM) Bank of Baroda, Head Office, Mandvi, Baroda - 390 006 ------------------------Dear Sir, Re: Request for financial assistance on account of leave on loss of pay. I am required to remain on leave on loss of pay (on account of non-availability of leave of any kind to my credit) due to my treatment consequent upon the major/ Special operation as detailed in the enclosed bills/certificate of the hospital. I furnish below the necessary particulars: 1. 2. 3. 1. 5. 6. 7. 8. 9. 10. Name of the employee: Employee code No.: Date of joining the bank: Designation Name of the branch/office: Details about the major/special operation and treatment: Period of loss of pay : from: Balance of sick leave/ privilege leave: Amount of financial assistance claimed: Recommendations of the attending Doctor. :

to:

I hereby declare that the above information is true and correct. Please disburse me the permissible amount of financial aid. Yours faithfully,

______________________ Signature of the employee PARTICULARS VERIFIED

BRANCH MANAGER STAMP :

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ANNEXURE VII-A APPLICATION FOR FINANCIAL ASSISTANCE FOR PURCHASE OF ARTIFICIAL LIMB/S TO PHYSICALLY HANDICAPPED STAFF MEMBERS AND/OR THEIR HANDICAPPED CHILDREN To, The Asst. Gen. / Chief Manager (HRM) Bank of Baroda, Head Office, Mandvi, Baroda-6. Dear Sir, I hereby apply for a grant of Rs. ______________________ (Rupees___________) only, for purchase of Artificial Limb costing about Rs._______ from the dealers as per proforma invoice attached under the above scheme for staff members. The said artificial limb/s is/are required for me/my __________________ who is solely dependent on me. The necessary medical certificate is enclosed. 1. Name in Full _____________________________ (In Block Letters) 2. Designation __________________ Emp. Code No. _____________ 3. Name of the branch/ office where working 4. Date of joining the service: Confirmed/ Unconfirmed 5. Birth Date: _______________ Age: _______ 6. No. of Dependents: _____________ 7. Salary per month: For ____________ 200 DEDUCTIONS P.F. : Rs. Vol.P.F. : Rs Income Tax : Rs. Prof. Tax : Rs Insurance : Rs Medical : Rs Cr. Soc. : Rs. Total Deductions : LOANS Housing Loan Vehicle Loan Trustees Loan Personal Loan Fridge Loan Festival Loan Others Rs.

Basic : Rs. DA : Rs. H.R.A. : Rs. Spl. Pay : Rs. CCA : Rs. Other All.: Rs. Total : Rs. Less Deductions : Rs. Net Salary : Rs.

: Rs. : Rs. : Rs : Rs : Rs : Rs. : Rs

Verified Office/Manager 8. Details of The artificial Limb/s to be Purchased __________________________________________________________ Sr. No Particulars about Limb/s Name of the dealer Purchase Price Rs. __________________________________________________________ ___________________________________________________________ (Proforma invoices are attached herewith) 2. I declare that I have not received any financial aid for purchase of the above mentioned limb/s form any other sources. 3. That the statements given by me are true and made with the knowledge you will rely thereon. 4. That I understand that the payment of the above limb be made by the Bank's pay slip/ pay order directly to the dealers. Receipt for which will be submitted to me within a week's time. (Signature of the Applicant) Place: Date:

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Branch/ Office use Only

1. The above particulars are verified by us 2. We recommend.

(Round Stamp of the Branch)

Branch/ Sr. Br. Manager

For Head Office use only

The above application was considered by the Managing Committee, Staff Welfare Fund at its meeting held on __________ and a grant of Rs. _________________ was approved for the same. The Branch was advised about approval of the Managing Committee vide our letter No. HO: HRM: H: date ______________ 200 .

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ANNEXURE VII B APPLICATION FOR FINANCIAL ASSISTANCE FOR PURCHASE OF HEARING AID TO STAFF MEMBERS AND/OR THEIR HANDICAPPED CHILDREN To, The Asst. Gen. / Chief Manager (HRM) Bank of Baroda, Head Office, Mandvi, Baroda-6. Dear Sir, I hereby apply for a grant of Rs. ______________________ (Rupees___________) only, for purchase of hearing aid costing about Rs._______ from the dealers as per proforma invoice attached under the above scheme for staff members. The said hearing aid is required for me/my __________________ who is solely dependent on me. The necessary medical certificate is enclosed. 1. Name in Full _____________________________ (In Block Letters) 2. Designation __________________ Emp. Code No. _____________ 3. Name of the branch/ office where working 4. Date of joining the service: Confirmed/ Unconfirmed 5. Birth Date: _______________ Age: _______ 6. No. of Dependents: _____________ 7. Salary per month: For ____________ 200 Deductions DEDUCTIONS P.F. : Rs. Vol.P.F. : Rs Income Tax : Rs. Prof. Tax : Rs Insurance : Rs Medical : Rs Cr. Soc. : Rs. Total Deductions : LOANS Housing Loan Vehicle Loan Trustees Loan Personal Loan Fridge Loan Festival Loan Others Rs.

Basic : Rs. DA : Rs. H.R.A. : Rs. Spl. Pay : Rs. CCA : Rs. Other All.: Rs. Total : Rs. Less Deductions : Rs. Net Salary : Rs.

: Rs. : Rs. : Rs : Rs : Rs : Rs. : Rs

Verified

Office/Manager 8. Details of The Hearing Aid to be Purchased _________________________________________________________ Sr. No Particulars Name of the dealer Purchase Price Rs. _________________________________________________________ _________________________________________________________ (Proforma invoices are attached herewith) 1. I declare that I have not received any financial aid for purchase of the above mentioned limb/s form any other sources. 2. That the statements given by me are true and made with the knowledge you will rely thereon. 3. That I understand that the payment of the above hearing aid be made by the Bank's pay slip/ pay order directly to the dealers. Receipt for which will be submitted to me within a week's time. Place: Date: (Signature of the Applicant)

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Branch/ Office use only 1. The above particulars are verified by us 2. We recommend.

(Round Stamp of the Branch)

Branch/ Sr. Br. Manager

For Head Office use only

The above application was considered by the Managing Committee, Staff Welfare Fund at its meeting held on __________ and a grant of Rs. _________________ was approved for the same. The Branch was advised about approval of the Managing Committee vide our letter No. HO: HRM:H: date ______________ 200 .

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Annexure VIII A ESCORT SCHEME Bank of Baroda _________Branch _________Region

__________ LIST

DETAILED STATEMENT ON DEDUCTION OF CONTRIBUTION UNDER THE CIR. REF.NO. HO:BR: DATED UNDER THE ____ LIST OF ESCORT SCHEME TO BE ATTACHED TO CREDIT ADVICE.

Sr.No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

Name of the Officer (Surname first)

EC No.

Amt. deducted (Rs.)

Remarks

TOTAL Amount remitted by Schedule I No.________________ dated ________ for Rs.___________ drawn on _______________ Branch and submitted alongwith this statement to _______________ Regional Office on ______________ (date). CONFIRMATION We hereby confirm that we have deducted Rs.10/- from each of the ______ (mention number) Officers of our branch who are members of ESCORT Scheme. We confirm that there is no outstanding in the G/L Account contribution to death in harness A/c. Code 4911 at our Branch.

Date:____________

CHIEF/SR./BR.MANAGER _______________ Branch.

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Annexure VIII B ESCORT SCHEME BANK OF BARODA REGIONAL OFFICE ______________ REGION ___________ ZONE DETAILED SUMMARY STATEMENT OF CREDIT ADVICES RECEIVED FROM BRANCHES OF THE REGION PERTAINING TO _____ LIST OF ESCORT SCHEME.

1. 2. 3. 4. 5.

Total no. of branches in the Region. No. of branches from which advices are received. Total no. of Officers in the Region. A list of branches from which credit advices are received as per details overleaf. Details of remittances :

Schedule No: IDate : Amount : Drawee Br. : (Base Br.) (use Br.code) Drawn on : HEADOF

We confirm that there is no outstanding in our R.O.A/c. G/L A/c. Contribution to death in harness A/c.No.4911.

Date:

AGM / REGIONAL MANAGER _________________ REGION _________________ ZONE

P.S.: A consolidated list of Officers showing the Names, EC No. and amount contributed under the Scheme in respect of which I Schedule No._________ dated ____________ has been raised is also enclosed herewith.

=================================================================
A LIST OF BRANCHES FROM WHICH CREDIT ADVICES ARE RECEIVED AND RESPONDED BY R.O.
Sr. Name of the Branch No. (Use Alpha Code only) No. of Officers I-Sch. No. Schedule date Amount (Rs.) Date of responding

Date :

AGM / Regional Manager Region

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ANNEXURE IX BANK OF BARODA CONTRIBUTORY MEDICAL ASSISTANCE SCHEME FOR RETIRED EMPLOYEES APPLICATION FOR MEMBERSHIP 1. 2. 3. 4. 5. 6. 7. Full name of the applicant (In capital letters) Employee Code NO. Last Designation Permanent Residential Address Date of joining the Bank i. ii. : : : : : :

Date of retirement from Bank's service Date of death (if applicable) :

Nature of Retirement a. Superannuation b. Voluntary Retirement c. Retirement on Medical Grounds d. Resignation, Medical Grounds e. Spouse of deceased employee f. Any Other (Please specify) Name of the Branch/Office last worked Last Basic Pay + special pay, if any (Notional as per latest settlement) Whether presently employed If employed, the details thereof i) Name of employer. ii) Monthly salary/wages Pension Particulars a. Retired as Officer/Clerk/Sub staff b. Pension Order No. & date

8. 9. 10. 11.

: : : YES/ NO : : : : : :

12.

13. 14.

Name of the Branch from pension is drawn: In case of family pensioner/ spouse of deceased non-pensioner Name Name of the retired employee Employee Code Number Date of birth Particulars of the spouse a. Full Name b. Date of birth :

15.

16.

Employment details, if any, of the spouse : i) Name of employer. : ii) Monthly salary/wages : Name of the Branch identified for availing benefits under the scheme : Amount of subscription Details of remittance : ________ D. D. No. _____________ dated_____________drawn on Service Branch, Baroda in favour of THE BANK OF BARODA CONTRIBUTORY MEDICAL ASSISTANCE SCHEME FOR RETIRED EMPLOYEES.

17. 18.

19. Three joint passport size photographs, duly attested are enclosed.

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20. DECLARATION: i) ii) I declare that the above information submitted is true and correct to the best of my knowledge. I have read and understood the Bank of Baroda Contributory Medical Assistance Scheme for Retired Employees and agree to abide by the Terms and Conditions mentioned therein. I shall not make any false medical claim from the Bank under the scheme. In the event of our making any false medical claim, I am liable to forfeit the benefits under the scheme as also the membership to the scheme.

iii)

(Signature of the Spouse) Date: Signature Attested 1. 2. 3. 4. Name of branch/office: Name of Br. Manager: Signature: Specimen Signature No:

(Signature of the member) Date:

Date: Place:

Seal of Branch/ Office

FOR OFFICE USE The application form submitted by Shri/ Smt.___________________ has been scrutinized and his/her membership is hereby ACCEPTED. He/ She is allotted membership No._____________________.

Date: Place:

ASST. GENERAL / CHIEF MANAGER (HRM)

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ANNEXURE X BANK OF BARODA CONTRIBUTORY MEDICAL ASSISTANCE SCHEME FOR RETIRED EMPLOYEES Application for reimbursement of medical expenses for domiciliary treatment The Chief/ Sr/ Br Manager Bank of Baroda ----------------------Branch Date:-

1. Full name of the claimant 2. Permanent residential address (In capital letters) 3. Employee Code NO. 4. Membership No. 5. Whether claim for self/spouse 6. Nature of ailment/disease 7. Details of expenses a. Consultation fee/fee of physician b. Cost of medicines/injection c. X-ray/other test charges d. Investigation charge e. Other charges (please give details)

: : : : : : : : : : :

Total Expenses ::________________ (Copies of prescriptions/bills/receipts etc. enclosed herewith) I request you to reimburse me the expenses incurred by me as per details mentioned here above as per my entitlement under the scheme. Yours faithfully,

( Date: Place: FOR BRANCH USE i. ii. iii. iv. Balance available for the current year Amount reimbursed Balance amount available Amount reimbursed in respect of present claim Rs :______________ Rs :______________ Rs :______________ Rs :______________

Seal of the branch Date :-

CM/Sr./Br.Manager Branch Name

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ANNEXURE XI BANK OF BARODA CONTRIBUTORY MEDICAL ASSISTANCE SCHEME FOR RETIRED EMPLOYEES Application for reimbursement of medical expenses for hospitalization expenses for Self/ Spouse. To be filled in by applicant : 1. 2. 3. 4. 5. 6. 7. 8. 9. Name of the member EC Number Permanent Residential Address Name of the spouse Membership No Whether the claim is for Self/ Spouse Date of death of the member (If applicable) Nature of aliment/ disease Period of hospitalization : : : : : : : : :

a) Details of hopitalisation: b) Bed Charges c) Operation theatre charges if any d) Anesthetists charges if any e) Surgeon's fees if any f) Others (please specify) g) Cost of medicines (Bills, receipts prescriptions in respect of all above item to be enclosed without fail) TOTAL 10. Branch for obtaining the Reimbursement of claim : Branch Alpha Code : Encl.: As above Signature of Applicant/Member FOR BRANCH/ OFFICE USE Certified that the claim for reimbursement for hospitalization submitted Shri/Smt._______________________________________ is in order.

by

Relevant prescriptions/ bills/ cash memos/ receipts have been verified and are enclosed. Name of Branch: Date: (Signature of Branch Manager) Seal of the Branch: FOR REGIONAL OFFICE USE Details of sanction: 1. 2. 3. 4. 5. Amount sanctioned towards hospitalisation so far Amount claimed now Amount sanctioned now Amount sanctioned so far (NO.1 plus No.3) Amount in Balance towards hospitalisation expenses (Rs.2, 00,000/- minus amount sanctioned so far i.e. at No.4) : : : : : Rs.__________________ Rs.__________________ Rs.__________________ Rs.__________________ Rs.__________________

6.

Advice No._________DATED FOR RS._______/- Sent on ____________.

Name of the Region: Date: Seal of the Region:

(Signature of the Regional Head)

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