ANNUAL STATEMENT OF ASSETS & LIABILITIES (For Officer Employees) As on : 31.03.

2011 Name of the Officer: Designation: Place of present posting: Previous place of posting: Shri. R.T.Parulekar Sr. Manager Scale: 29.04.2011 Region Region III Mumbai City

Biodata File No: P.F.No.

Since:

Ahmedabad Region

ASSETS
STATEMENT OF IMMOVABLE PROPERTIES
Including the property in the name of members of family as desired under Reg. 20 of Conduct Regulations 1976

LAND
1 3 4 5 Total area of land 6 Classification of land viz. Agricultural/ Residential/ Commercial NIL 7 Date of acquiring/ purchase

Location of land viz. State/ District/ Village

Registered Extent of owner of the Ownership Property

Total

BUILDINGS
1 Location of Building viz. State/ District/ Village 3 4 Registered Classificatio owner of the n of Property Buildings whether Residential/ Commercial 5 Total covered area 6 When acquired 7 How acquired whether inherited or purchased

URBAN URBAN

SELF SELF

Resi Resi

800SQ. FT. 475 Sq. Ft.

2006 Purchased 1989 Purchased

Total Date

STATEMENT OF MOVABLE PROPERTIES INSURANCE/ ULIP

1 Date of Insurance 02.02.1995 01.03.1990 02.02.2001 10.06.1995 28.03.2001 19.01.2009 18.02.2011

2 Policy No. 881903819 921589047 921174591 921785005 921282082 924654405 925458220

3 Sum assured 100,000 50,000 2300000 25000

75000 150000 100000

4 Annual Premium 1,368 1,652 9,988 1,692 8,216 25,762 10,529

Total

JEWELLERY (This will also include silver and other precious metals, stones not forming part of jewellery)
1 Date of purchase/ acquisition 1991 Total 2 Mode of acquisition if purchased source of Salary 3 Approximate total weight 25 gms

STOCK & SHARES/ DEBENTURES/ MUTUAL FUNDS PURCHASE TRANSACTIONS

1 Date of purchase of Shares 3 4 Description Name of of share Company 5 6 Held in the Purchase value of name of each share self or family members 7 Total Purchase value of shares

2004 1995 2010 Sub total Total (A)

200 BOM 75 BEML 50 Shipp Corp

SELF SELF Self

4600 13125 5300

4600.00
13,125

5300.00
23,025

STOCK & SHARES/ DEBENTURES/ MUTUAL FUNDS SALE TRANSACTIONS

1 Date of sale of shares 3 4 Description Name of of share Company 5 6 7 Held in the Sale value of each Total Sale name of share value of self or shares family members Self Sub Total Total (B) 0

Grand Total (A B) : (Net outflow of funds)

23,025

I declare that I do not have any Stock and shares of any company allotted under Employees/ promoters quota.

Date DEPOSITS Bank deposits / NSC/ NSS/ or other Postal / Govt. securities/ Cash in hand / Any other deposits including Saving A/c 1

2 Amount Deposited/ Balance outstanding in a/c Date of Deposit/Account opening 53,570 1988 23,246 1990 14,311

3 With whom deposited

4 % rate of interest

BOM BOM BOM BOM

5% 5% 5% 5% 5% 8%

5 Whether the deposit stands in the name of self or family member SELF SELF SELF SELF SELF SELF

2007 1995 2008 1998 Total

25,944 194,082 BOM 248,999 BOM 460,102.00 5,000

Cash on hand
465,102

Items costing above Rs 5,000/- per piece e.g. Refrigerator, Tape recorder, Air 1 Description of Articles 2 Purchased in the name of self 3 When purchased 4 Purchase value 5 Source of Funds

Total OTHER ITEMS PART A

Furniture

Feb-10

60,000 Furniture scheme& self

Part A Total Part B - Total Consolidated value of items costing upto Rs 5,000/- (Other than articles of daily Total i.e. PART A + PART B

60,000 nil 60,000

Date The officer must mention whether he is enjoying credit card if so the name of the Bank and its date of expiry.

CREDIT CARD NO NAME OF THE BANK & BRANCH DATE OF EXPIRY OF CREDIT CARD

5420 3450 0145 2002

BOM 12-May

LIABILITIES A) Liabilities of Officer Employee

BALANCE OUTSTAND ING AS ON 31.03.2011 (Rs) 872493

Nature of Liability

AMOUNT SANCTIONED (Rs)

1 LOAN FROM BANK a) Housing I b) Housing II c) Vehicle d) E.P.F. e) Consumer f) Society Loan g) Agril. Loan h) Other Loan if any (Please specify)

980000

i) Cash Credit Account at Pune Main Br 2 LOAN FROM OTHERS a) Loan Liability under Credit Card, including Loans b) Loan from family members 3 OTHER LIABILITIES a) As Guarantor b) Other Liabilities

500000

400000
1272493

B) Liabilities of family members of the Officer employee

1 a) Loan from Banks b) Loan from Financial Institutions c) 2 Other Liabilities (Please specify) TOTAL Rs Rs Rs Rs Rs

NIL NIL NIL NIL NIL

1) In case spouse is in employment her/ his annual earnings 2) Name of the Employer

no NA

Name Designation P.F. No.

R.T.Parulekar Sr. manager 16691

Date of Submission Date 15.06.2011

SUMMARY (To be filled by Officer Employees)

As on 31.03.2010 (Previous A Land Building LIC/ULIP Premium paid during the year Jewellery Stock/Shares/MFs Deposits/NSCs 0.00 12.42 0.00 0.10 0.18 5.15 As on 31.03.2011 (Reporting B 0.00 12.42 0.59 0.10 0.23 4.65 Increase/ Decrease (B-A) Source other than Salary (Intt. Premium,

Assets and Liabilities

Particulars 0.00 Dividend 0.00 Interest 0.59 Fest Advance 0.00 0.05

-0.50

Articles Total increase/ decrease in Assets Add Loan amount repaid during the year (Net)*** Less fresh loan availed during the year for creation of asset Net Increase

0.60 X 0.00 X

0.60 X X 0.00 X

0.00 0.14 0.00 0.14 Total

Signature of the Officer Employee Name: R.T.Parulekar.

FOR OFFICE USE ONLY CHIEF VIGILANCE OFFICER / DY. GENERAL MANAGER (1) In view of the above increase in Assets is within reasonable limits, we may file the return. (2) We may seek the clarifications from the officer on the subject for the under noted points -

ILITIES (For Officer Employees) 2011

Biodata File No:

16691

29.04.2011

8 How acquired whether inherited or purchased

10

Price/ Market Value Rs (give market value in Source of funds if case of inherited purchased property)

8 Price/ Market Value Rs (give market value in case of inherited property)

9 Monthly rent, if any received

10 Source of funds if purchased

11.00Lakhs 1.42 Lakhs No

NO

Hsg Loan Hsg Loan

12.42 Lakhs Signature

4 Annual Premium 1,368 1,652 9,988 1,692 8,216 25,762 10,529

5 Source of funds Salary Salary Salary

Salary Salary Salary

Salary

59207

4 Value at the time of acquisition/ purchases (Rs) 10,000 10,000

8 Source of funds

9 Is the party/ Co. related to the applicant

Salary Salary Salary

NO No NO

8 Total Income from Sale

Signature

6 Source of funds

7
Account Number

salary salary salary salary salary salary

20049339753 20049339061 20059395648 20049381739

60017067357 20059022777

Furniture scheme& self

Signature

d its date of expiry.

Signature R.T.Parulekar Sr. manager

15.06.2011 Signature

Rs, in Lakhs

Amount 0.03 0.05 0.35

0.43