INDEX OF VARIOUS FORMS -----------------------------------------------------------------------------------------------------------SL PARTICULARS PAGE NO.. NO. -----------------------------------------------------------------------------------------------------------1.

2 CHANGE OF VEHICLE FOR DRAWING CONVEYANCE REIMBURSEMENT APPLICATION FOR NOC FOR OBTAINING RENEWING THE PASSPORT/GOING ABROAD ON LEAVE PERMISSION FOR PURSUING HIGHER EDUCATION APPLICATION FOR REIMBURSEMENT FEE FOR PROFESSIONAL BODY STATEMENT OF MOVEABLE PROPERTY ON JOINING THE COMPANY APPLICATION FOR TA ADVANCE (TRANSFER) TRANSFER TA BILL APPLICATION FOR REIMBURSEMENT OF EXPENDITURE INCURRED ON REPAIRS IN RESPECT OF COMPANY LEASED ACCOMODATION APPLICATION FOR REIMBURSEMENT OF CONVEYANCE EXPENDTURE CLAIM FOR REIMBURSEMENT OF INTERNET CHARGES. APPLICATION FOR ALLOTTMENT OF COMPANY QUARTER EXCHANGE OF NIGHT DUTY FOR NDOs GUEST LUNCH REQUISITION REQUISITION FOR SALARY CERTIFICATRE SALARY DEPOSIT REQUISITION 03 04, 05

3 4 5. 6. 7. 8.

06 07 08 09 10, 11, 12 13

9. 10. 11. 12. 13. 14.

15.

14 15 16, 17 18 19 20 21

16.

INTEREST SUBSIDY ON PC LOAN22 MONTHLY CLAIM FORM ------------------------------------------------------------------------------------------------------------

-----------------------------------------------------------------------------------------------------------SL PARTICULARS PAGE NO.. NO. -----------------------------------------------------------------------------------------------------------17. 18. 19. 20. 21. 22. 23. 24. 25. REIMBURSEMENT OF CONVEYANCE EXPENDITURE (MONTHLY CLAIM) REIMBURSEMENT OF EXPENDITURE ON NEWS PAPER (MONTHLY CLAIM) REIMBURSEMENT OF ENTERTAINMENT EXPENDITURE (MONTHLY CLAIM) LOCAL CONVEYANCE REIMBURSEMENT CLAIM CONTINGENT CLAIM CLAIM FORM FOR REPAIRS/MAINTENANCE OF LEASED ACCOMODATION APPLICATION FOR SEEKING PERMISSION FOR VEHICLE LOAN APPLICATION FORM FOR RESERVATION OF ACCOMODATION IN HOLIDAY HOME FORM FOR INTIMATION/SEEKING SANCTION OF THE COMPETENT AUTHORITY IN RESPECT OF TRANSACTIONS/PROPOSED TRANSACTIONS IN IMMOVABLE/MOVABLE PROPERTY UNDER RULE 16, BHEL CONDUCT, DISCIPLINE & APPEAL RULES LEAVE APPLICATION APPLICATION FOR CLAIMING PROFESSIONAL TAX EXEMPTION APPLICATION FOR CLAIMING LEAVE TRAVEL ASSISTANCE 23 24 25 26 27 28, 29 30 31 32, 33

26. 27 28

34 35 36, 37

--------------------------------------------------------------------------------------------------------------------

From Name Staff No. Designation Department To Manager(HR) BHEL EPD BANGALORE-560 012 Thro Proper channel : : : :

Sub: Change of Vehicle for drawing conveyance reimbursement. I have been drawing conveyance reimbursement of Rs.________ for vehicle Registration No.______________(Scooter/Moped/Car). Now I have sold /not sold this vehicle to Shri _________________________________________________Staff No._______________. Also, I have purchased another vehicle(Scooter/Moped/Car) on _____________ by Availing loan/not availing loan bearing Regn. ____________________ from _____________________________________. Kindly sanction the conveyance reimbursement for the new (Scooter/Moped/Car) Vehicle Registration No.___________________________with effect from ______________.I have also enclosed the RC Book for the vehicle for verification for verification and return please. Thanking you, Yours faithfully,

BHARAT HEAVY ELECTICALS LIMITED,ELECTROPORCELAINS DIVIION BANGALORE-56012 APPLICATION FOR NO OBJECTION CERTIFICATE FOR OBTAINING/RENEWING THE PASSPORT/GOING ABROAD ON LEAVE

01 03 05

Name: Designation: If under bond, give details: Duration

02. Staff No. 04 Department ET/FOREIGN TRAINING/STUDY LEAVE From____________ To____________

06 07 08

Countries proposed to visit Reasons for applying for Passport If the reason is to meet the relative on a social visit, furnish full details regarding them. (Name, Occupation, Place of their residence and country). If already in possession of a passport, furnish details. a) Number: b) Date of issue c) Date of expiry

09

10 11

Details of countries visited earlier with dates Leave applied(current visit) Nature of Leave Probable date of travel Probable date of return Period of stay abroad From ____________ to __________

12

13

The approximate expenditure on the visit and now the visit is likely to e financed both for onward and return travel and for stay abroad Have you taken HBA, if so, the consent of the sureties should be obtained and attached.
Contd..2..

--2-

I request that a No Objection Certificate for the purpose mentioned above may please be issued to me to obtain/renew passport/proceeding on leave for going abroad. I hereby, undertake that during my visit abroad on holiday/leave, I will not accept any employment and in the event of my leaving the service of BHEL, I will give proper notice and get the relief as per extant rules in force from time to time and pay the amount to BHEL as specified in the bond executed between myself and BHEL.

Signature of the employee Date Specific recommendations of the Head of Department ( to be sent in Area Personnel Executive).

Dated: EPD:HR:PF

Signature of the HOD with Official Seal Date:

Sr Manager/Security & Vigilance is requested to arrange to give vigilance clearance. Note: The individual has not used our earlier NOC & the same is enclosed in original.

Signature of the Personnel Executive

Remarks of the Vigilance Department

Signature of the Vigilance Executive

APPLICATION FOR PURSUING HIGHER STUDIES From:

To:

Manager(HR) BHEL EPD Bangalore-560 012

Dear Sir, I propose to pursue higher studies leading to the award of Degree/PG Degree /Diploma/PG Diploma in ________________________through regular/correspondence /evening classes commencing from the academic year _______________. My efforts in pursuing these studies will not effect my work in the Department and I shall not make any request for any shift adjustment or sanction of excessive leave for this purpose.

Signature Name:___ __________________________________ Staff No.___________________________________ Department._________________________________ Date

ENDORSEMENT BY HOD The study will not be affecting the working of the Department. Hence , permission is recommended.

Signature of HOD Date

ANNEXURE FORM FOR CLAIMING REIMBURSEMENT OF FEE FOR PROFESSIONAL BODY/INSTITUTION

1 3 5 Name Designation Name of the professional Body/Institution with complete address of which the Executive has been permitted to become member. Category of Membership. Amount of Membership/admission fee paid Amount of Annual/Periodical subscription paid. 2 4 Staff No. Department

6 7 8

Signature
Date I certify that I have paid an amount of Rs.__________ as Membership Admission fee and Rs.__________as Annual/periodical subscription as_____________________ _____________________________________________________________________ (Name of the professional body/Institution) Necessary vouchers and receipts are enclosed herewith. Sanction for becoming member of the said Professional body/Institution was accorded by the sanctioning authority on ________________ Signature of the Controlling Officer Signature of the Employee

FOR USE IN THE ACCOUNTS DEPARTMENT Passed for payment of Rs. _____(Rupees____________________________________-------------------------------------------------------------)

Signature of the Accounts Executive Received Rs.__________Rupees____________________________________ ________________________________________________________________. Signature of the employee

BHARAT HEAVY ELECTRICALS LIMITED UNIT: Statement of Movable Property on joining the Company. 1. Employees a) Name _______________________ ______ b) Staff No. _______________________ ______ c) Grade _______________________ ______ d) Designation _______________________ _______ 2. Value of (inherited, owned, held or acquired in his/her own name and/or in the name of any member of his/ her family or in the name of any other person). a) Shares b) Securities c) Debentures d) Cash( including bank deposits) Total 2( a+b+c+d) 3. Value of(inherited, owned, held or acquired in his/her Own name and/or in the names of any member of his/her Family or in the name of any other person). a) Jewelry b) Insurance Policies(The annual premia of which Exceeds Rs.5000/- or one sixth of the total annual Emoluments received from Co whichever is less). c) Loans advanced(whether secured or not) d) Vehicles(Motor car/Motor-cycle/Scooter/cycle/Horse or any other means of conveyances). e) Electrical/Electronic items f) Other items (the value of other items of movable Property worth less than Rs.10,000/-may be added and Shown as lumpsum.The value of articles of daily use Such as clothes, utensils, crackery,books etc., need not Rs.___________ Rs.___________ Rs.___________ Rs.___________ Rs.___________

Rs.___________ Rs.___________ Rs.___________ Rs.__________ Rs.__________ Rs.__________

be involved). Total 3(a+b+c+d+e+f) 4. Debts or any other liabilities incurred directly or indirectly Net(2 +3 + 4)

Rs.__________ Rs.___________ Rs.__________

BHARAT HEAVY ELECTRICALS LIMITED Application for TA Advance (Transfer) 1 2 3 4 5 6 7 8 9 Ag Sl No. Name Relationship e Name(in block letter) Staff No. Designation Department Scale of Pay Basic pay Office & Station to which transferred Authority Details of members of family performing journey

10 No. of tickets 11 12 13 14 15 16

Fare claimed Fare

Class

Rate per Tkt

Amount Rs. Ps.

Incidentals Transport of Baggage(approximate weight) & Conveyance Mileage Allowance for transport of personal effects at ole & New stns. Transfer grant Special Disturbance Allowance Total(10 +15) Amount of advance required Rs. Sanctioned Rs. Signature of Applicant (For use in Accounts Department)

Passed for payment of Rs._________(Rupees ______________________ _______________________________________________ only).

Assistant

Accountant

Accounts Officer

Received payment of Received payment of Rs.-----------------Rupees Signature of the payee

BHARAT HEAVY ELECTRICALS LIMITED Unit:____________________ Transfer TA Bill

Name Designation Department Office and Station from from which transferred Certified that 1. (a) I and members of my family who are entirely dependent upon me performed the Journeys on transfer by the cass and mode of travel indicated below: Details of members of family Performing the journey(Name----------------------------------------------------------------------------------------------------------relationship to employees and Departure Arrival Class No.of Amount Remarks age to be given ) ---------------------------------- ----------------------- & fares Station Time Date Station Time Date mode Of travel --------------------------------------------------------------------------------------------------------------------------------------------------1 2 3 4 5 6 7 8 9 10 11 1. 2. 3. 4. 5. 6. Staff No. Scale of Pay Basic Pay Authority: Head Quarters:

Total fare ________________

page..2/-

Page..2/(b) Brothers and sisters for whom the TA has been claimed are living with me and are entirely dependant upon me. The incme of my parents for whom TA is claimed is less than Rs.676pm they are living with me and are dependent upon me. 2. A sum of Rs._____________was incurred on account of transport of baggage and conveyance as per details given below: Date Details of baggae/ Conveyance Weight Mode of transport Amount Particulars of receipts attached

a) Baggage b) Conveyance 3. Details of claim for incidentals:No. of D.As. Rate Amount 4. Details of claim of mileage allowance for transportation of personal effects at the old and new stations as shown below:Station Weight of personal Distance between Residence Rate & Amount Effects Railway Station a) b)

Total___________ ______

page..3/-

Page..3/Rs. 5. Calculation of travelling allowance due A. (I) Fare (ii) (i) Transport of Baggage (b) Transport of conveyance (iii) (iv) (v) (vi) D.A. Mileage allowance for personal allowance Transfer Grant Special disturbance allowance Total __________________ __________________ _________________ _________________ _________________ _________________ _________________ _________________

B. Less amount of advance taken on _______________at____________Rs.__________________ Netamount Rs.____________ Rs. _________being unadjusted TA advance was remitted to the Company vide money receipt No.__________ dated _________________/ may be recovered from my pay bill for

Counter signed Controlling Officer

Signature of the employee Date

(For use in Accounts Department)

Passed for payment/recovery for Rs._____________(Rupees______________________________________ Only).

Assistant

Accountant

Accounts Officer

BHARAT HEAVY ELECTRICALS LIMITED ELECTROPORCELAINS DIVISION BANGALORE-560 012

Certificate for Reimbursement of Expenditure incurred on repairs/cost of spare parts in respect of vehicles owned and maintained by the employees.

CERTIFICATE
Certified that I ______________________________________Designation__________________ Staff No.______________ have incurred an expenditure of Rs.___________(Rupees ___________ ___________________________________________________only) towards purchase of spares and repairs of my vehicle No.____________________during the financial year ________________ Also certified that the amount spent by me during the said period is not less than Rs._____________ ie.., the monthly rate of conveyance reimbursement allowed to me.

Date

Signature of the employee

Countersigned

Controlling Officer

BHARAT HEAVY ELECTRICALS LIMITED ELECTROPORCELAINS DIVISION BANGALORE-560 012 Scheme for reimbursement of conveyance expenditure Application form (Rule 6)
To Through Head of Department General Manager (Sanctioning Authority)

Name of the Applicant Staff No Designation Salary Grades & Basic pay Department Type of Vehicle owned and used for official Work Registration Number Date of purchase of vehicle Date from which vehicle is being used for Official Journeys Place where posted I have gone through and understood the rules and conditions governing admissibility of monthly reimbursement of conveyance expenditure as detailed in the Scheme. I do hereby undertake that if reimbursement of conveyance expenditure s granted under the scheme, I will obide by the terms and conditions laid down therein. Date FOR OFFICIAL USE ONLY Signature of the Candidate

I have duly examined the application with reference to the conditions of eligibility prescribed under the relevant rules. I am satisfied that the applicant is eligible for reimbursement of conveyance expenditure under the scheme. Date: Department Signature of the Head of the

The applicant Shri__________________________may be granted reimbursement of conveyance expenditure subject to a maximum of Rs.__________per month with effect from ________________.

Date:

Signature of General Manager/ Sanctioning Authority.

BHARAT HEAVY ELECTRICALS LIMITED ELECTROPORCELAINS DIVISION BANGALORE-12

CLAIM FOR REIMBURSEMENT OF INTERENET CHARGES

Name Designation Staff No. Telephone No. Period Internet charges for Receipt No. From

Deptt/Divn., EPABX No. Basic pay Rs

To

Hrs., Bill paid: MTNL/VSNL date. The expenditure of Rs.

(Rupees Only) may be reimbursed.

Employees Signature Controlling Officer Date & Designation Verified by HR Department

Date Accounts Department.

Designation

Electroporcelains Division

Application for Allotment of Quarters

1. Name : Shri/Smt 3. Date of Joining:

2. Staff No. 4. Present Grade & Basic Pay Rs.

6. Whether you belong to SC/ST Married/ Not Married SC / ST / NO

5. Date of Entry into Present Grade: 7. Marital Status:

8. If married, indicate number of Children with age: Age Sl.No. Name i) Ii) Iii) Iv) 9. Do you own a House/Flat in Bangalore If yes, give details: 10. Do you own a house site in Bangalore If yes, give details: 11A. Does your Spouse own a House/Flat in Bangalore If yes, give details:

Studying/Working

* Yes / No

* Yes / No

* Yes / No

11B. Does your Spouse own a House Site

in Bangalore If yes, give details:

* Yes / No

12A. Do any of your parents own a House/ Flat in Bangalore? If yes, give details:

* Yes / No

Page2/-

Page.2. 12B. Do any of Parents own a House Site in Bangalore If yes, give details
13. What is the status of your present Residential accommodation.

* Yes / No

Tick (3 ) for which is applicable Staying in 14. 15. 16. 17. 18. 19.

1. 2. 3. 4.

Parents House Rented/Leased House Own House Others, Please specify

* Yes / No

Have you taken House Building Advance? Are you in receipt of Interest Subsidy? Have you applied for Interest Subsidy? Do you intend availing House Loan? Do you intend availing Interest Subsidy? Have you availed NRPF * Yes / No Advance? 1. Construction of House If so, purpose for which availed. 2. Purchase of Flat 3. Purchase of House 4 Others, Please specify.

* Yes / No * Yes/ No * Yes / No * Yes / No * Yes / No * Yes/ No * Yes / No

20. Any other information the employee likes to submit:

Signature

:___________________

Staff No.:________ Section:_________

Date: _________

Designation :__________ Department :____________ Shop No : __________ Internal Phone No._______

Station: _______________

Forwarded to Estate Officer Signature of the HOD_____________________________ Of the Department (Seal of the Office)

Date:

* Strike off whichever is not applicable.

Electroporcelains Division Bangalore-56012

Exchange of Night Duty

We hereby agree to exchange our Night Duty as follows: Details of employee Seeking change 1 2 3 4 5 6 To: Sr Manager/HR - for further necessary action. Staff No Name Required to attend Night duty on After exchange will attend night duty on Signature Date Agreeing for change

Electroporcelains Division Bangalore-56012

LUNCH REQUISITION
Name of the Indentor Internal telephone No. Date on which lunch required No. of Guests No. of BHEL Personnel Guests representing the company/place: Indentors signature Date Dept/code Type of Menu : Total Approved by

A/ B/ C/ D

Date: To: Canteen Supervisor

Head of the Department with seal Approved

Menu available for Guest Lunch Menu A (Approving Authority) HOD - Canteen Regular Meals Menu B (Approving Authority)HOD- Canteen Regular Meals with sweet & Banana Menu C (Approving Authority - HOD FOR FOREIGNERS ONLY Lunch comprising of 1. French fries-Finger chips 2. Boiled Vegetables 3. Chees, sandwitchs(one plate) or beg sandwitches(one plate) 4. 2 vegetable cutlets 5. One banana. Menu D Approving authority - HOD 1. Roti/Poori 2. One North Indian Vegetable dish 3. One Vegetable dish from canteen (available on that day) 4. Curd bath 5. Pickle 6. Pappad 7.banana 8. Sweet. Note:-1. Requisition shall be sent to the canteen in charge one day in advance 2. Guest Lunch will be arranged between 12.00 1300 hours except for Menu A

FORM NO.1 Electroporcelains Division REQUISITION FOR SALARY CERTIFICATE Bangalore-56012 --------------------------------------------------------------------------------------------------------------------------NAME --------------------------------------------------------------------------------------STAFF NO.------------------------------------(IN BLOCK LETTER) DESIGNATION_____________________________________________ DEPT__________________________ I request you to please issue me Salary Certificate for the purpose of______________________________________________________________________________________ __________________________________________________________________________________ . . Date: Signature

___________________________________________________________________________________ Request of the employee is recommended. Date: Controlling Officer with seal

Request of the employee may please be complied with. Forwarded to Finance. Date: Manager/HR ----------------------------------------------------------------------------------------------------------------------------------------------------

Electroporcelains Division SALARY DEPOSIT REQUISITION FORM NO.2 Bangalore-56012 --------------------------------------------------------------------------------------------------------------------------NAME --------------------------------------------------------------------------------------STAFF NO.------------------------------------(IN BLOCK LETTER) DESIGNATION_____________________________________________ DEPT__________________________ I wish to receive my salary earned through bank and request you to deposit my Net Salary to my SB A/c in Name and Address of the

Bank____________________________________________________________________________________

_____________________________________________..SB Account No.___________________. This arrangement may please be continued till further advise. Signature of the employee ---------------------------------------------------------------------------------------------------------------------------------------------------Request of the employee is recommended. Request of the employee may please be complied with . Forwarded to Finance

Date: Controlling Officer HR Department ----------------------------------------------------------------------------------------------------------------------------------------------------

BHARAT HEAVY ELECTRICALS LIMITED, BANGALORE 560 012 Electroporcelains Division CERTIFICATE FROM CLAIMING INTEREST SUBSIDY ON PC LOAN CLAIM FOR THE MONTH OF: Name Dept Grade No. of EMIs : : : : 84 months Staff No. Designation Amount Claimed Amount of EMI : : : Rs. : Rs.

I had availed loan for purchase of PC and Peripherals from ___________________________ Bank, for which interest Subsidy has been sanction to me. I hereby certify that I am in possession of the PC and Peripherals purchased by me for my residence and the same are being used by me and my family members. I also hereby certify that the PC and Peripherals purchased by me for my residence has not been sold as on date. I am enclosing herewith the proof of payment of installment paid to the above paid to the above Bank / the EMI is being recovered through my salary *.

Signature of the Employee Date: To: Strikeout whichever is not applicable SAO/Finance (Establishment) BHEL-EPD, Bangalore

Thro Controlling Officer

BHEL

Electroporcelains Division

Reimbursement of Conveyance Expenditure Certificate of Monthly Claim (Rule 8 / Rule 9)

To: The Manager/Finance ----------------------------------------------------------------------------------------------------------1. Name & Designation of Employee : 2. Staff No. 3. Basic 4. Wage Period 5. Period of non-utilisation of Vehicles/Absence on leave (Rule 5 Rule 6) 6. Amount Claimed 7. Shop No. : : : : : : Rs.

Rs.

----------------------------------------------------------------------------------------------------------I do hereby certify that I have maintained my Car/Scooter/Motor Cycle Moped registered No.____________________________ in proper running condition and utilised the same in the performance of official journeys, Expenditure incurred on the maintenance and running of the vehicle during the above period was in excess of the amount claimed. Also certified that the Vehicle was brought to the place of work for at least 10 days during the wage period for which the claim has been made.

Signature of Claimant Date

BHARAT HEAVY ELECTRICALS LIMITED EPD BANGALORE REIMBURSEMENT OF EXPENDITURE INCURRED FOR NEWS PAPERS Unit Name Designation Electroporcelains Division Dept: Staff No. Scale of pay

This is to certify that I have incurred expenditure of not less than Rs. ______towards Newspapers during the Month of ________________ and the same may be reimbursed to me.

Signature Date :

CERTIFICATE Certified that I have incurred an estimated expenditure of more than Rs._______________(Rupees ____________________________________ only) towards entertainment of the official guests at my residence during the period from 25th 2002 to 24th 2002. It is requested that the above amount may kindly be reimbursed to the undersigned. Signature____________________ Staff No.

Electroporcelains Division LOCAL CONVEYANCE REIMBURSEMENT CLAIM Bangalore-56012 --------------------------------------------------------------------------------------------------------------------------I hereby certify that I have incurred a sum of Rs.__________ being the local conveyance charges as detailed below and further certify that the company vehicle was not available when the journey was performed on official purpose. The claim is in order and within the schedule/scale of charges of conveyance which may be reimbursed. Name________________________________________________Date________________________________ Saff No.______________________________________________ShopNo______________________Grade/Desig. ________________.

Signature of the claimant Sl No,. Date(s) visited Gate Pass No. & Date 1 2

Date Place of duty visited 3 4 Distance covered 5

Approved by HOD with Seal Mode of Amount conveyance claimed 6 7 Remarks/ purpose of visit 8

Total

Electroporcelains Division CONTINGENT CLAIM Bangalore-56012 --------------------------------------------------------------------------------------------------------------------------1. I have incurred an expenditure of Rs.__________________towards ________________________________________________________________________________________ ________________________________________________________________________________________ . 2. The relevant voucher is enclosed. 3. The amount may be reimbursed to me.

Signature Name Staff No. Designation Group Date

:_______________________________ :_______________________________ : _______________________________ :_______________________________ :_______________________________

Approved and counter signed by HOD

Electroporcelains Division Banagalore-560 012

Claim for reimbursement of expenditure incurred on repairs/maintenance etc., in respect of Company Leased Accommodation.
1 2 3 4 5 6 7 8 Name Designation Staff No. Department Address of the Leased Accommodation Commencement and period of Leave Rent of the leased premises Total expenditure incurred on maintenance and repairs(details to be given in a separate sheet along the date (s) on which the repairs/maintenance were claimed out)

I hereby certify that the expenditure of Rs. ______________ was incurred by me on the repairs /maintenance etc., of the company leased accommodation occupied by me as per details and on the dates mentioned in the enclosed statement.

Counter signed of the Controlling Officer

Signature of the employee

Date --------------------------------------------------------------------------------------------------------------------------------------------------Verified and forwarded to Accounts Department. The individuals normal rental entitlement is Rs.______________pm. Sr Manager/HR-LLX P.T.O

FOR USE IN THE ACCOUNTS DEPARTMENT

Voucher No.____________________________ Date__________________________ Cash flow code____________ Passed for Rs._______(Rupees__________________________________________ __________________________).

Sr Accountant

Accountant

Received Rs.__________(Rupees_________________________________________ ______________________________)

Signature of claimant

BHEL INTEREST SUBSIDY SCHEME FOR EMPLOYEE OWNED VEHICLE (Application for seeking permission for taking loan )

1 2 3 4 9

Name Staff No. Grade Designation

5 6 7 8

Shop No. Department Date of birth Date of Joining A

Whether any advance was drawn from the company earlier for the purchase of Yes No Car/Scooter/Motor cycle/Moped 10 If yes, furnish details a) Amount drawn Rs. b) Date of drawal c) Whether loan amount & Interest there Yes No on is cleared. 11 Loan required for purchase of CAR/SCOOTER/MOTOR CYCLE/MOPED 12 Amount of loan applied for Rs. 13 Name & address of lending agency

I am interested in availing loan for purchase of Car/Motorcycle/Scooter/Moped from the above mentioned lending agency on which I would like to avail interest subsidy from the company as per the BHEL Scheme for regulating Interest subsidy on Loan for purchase of Vehicle communicated vide Corporate Personnel Circular No.29 of 1999(herein after referred as the scheme) and agree to abide by the said Scheme as amended from time to time. The lending agency fulfils the relevant conditions laid down under point 3 of the Scheme and the lending agency has agreed that in the event of sanction of loan it will not seek any commitment from BHEL not stipulated under the said scheme. I undertake to inform the company after drawal of loan and submit the documents prescribed in Point 7 of the Scheme. I may be permitted to avail the loan as above. Date: (Countersigned by Controlling Officer) Signature of the Applicant

Name______________________ Designation_________________ Verified & Permitted subject to the terms and conditions of the scheme.

(Signature of the concerned officer of the HR Department) Name:____________________ Designation________________

APPLICATION FORM FOR RESERVATION OF ACCOMODATION IN HOLIDAY HOME AT _______________________________________________ A. Particulars of employee: -----------------------------------1. Name 2. Staff No. 3. Unit/Division 4. Address for sending the Confirmation/regret B. Particulars of persons accompanying the employees: Name Relationship ----------------------1. 2. 3. 4. 5. C. Duration of Stay: From _____________________ To_______________________ _________________________________ AM/PM

D. Date and Time of Arrival :

E. Date and Time of Departure: _________________________________ AM/PM F. Receipt No. of reservation Deposit:

(Signature of Employee) Date: (Signature of Controlling Officer) Name: Date: Design:

BHARAT HEAVY ELECTRICALS LIMITED UNIT______________________ Form for intimation/seeking sanction of the competent authority in respect of transactions/proposed transactions in immovable/movable property as required under Rule 16 of the BHEL Conduct, Discipline and Appeal Rules. 1. Employees a) b) c) 2 3 4 5 Name d) Designation Staff No e) Department Grade Application/Intimation in respect of .: Acquisition/Disposal . Nature of Property Movable/Immovable Date of Acquisition/Disposal/Alteration In case of Disposal of property, was Yes/No sanction obtained /intimation given : a) If yes, attach copy of acknowledgement and mention date : b) If No, furnish details: Item Name(with details ) Price/Mkt.Value at acquisition time Date of acquisition Reasons of not intimation Mode of acquisition/disposal Purchase/Sale/Gift/Motgage/Lease/ others(Please specify)---------------------------------------------------In case of Immovable Property, details Newly built house/flat/lived in house/flat a) Type of property /Residential plot/Agricultural/cultivable land /Godown/Commercial flat/any others(Please specify_________________________ b) Address/location of property - House/plot/survey No -Street/Colony/Village -City /District -State c) Whether Free/Lease hold d) Area of Immovable property e) % of share of the employee in the property. 8 In case of Movable Property, details a) Type & Details of movable property (if value exceeds Rs.10,000)

:Freehold/lease hold

: Make____________Model______________ Regn No._______________in case of Vehicle.

Page2/-

Page..2/i) ii) iii) iv) Car/M.Cycle/Scooter/Moped/Cycle Electrical/Electronics item(please specify) Jewellery(Gold/Silver/Diamond,Weight etc.,) Insurance Policy(the annual premia of which Exceeds Rs.5,000/- or one sixth of the total annual a Emoluments received from the company whichever is is less). Shares/Security/Debentures/etc(Cases where Transaction in a calendar year exceeds Rs.50,000/Rs.

V 9. 10

11 12

13 14 15

Purchase/Sale price(present market value in case of Rs. Gifts in kind) In case of acquisition ,sources from which financed/ Proposed to be financed i) From personal savings Rs. ii) From other sources(give details(eg., PF loan From relatives/friends etc.,) in case of financed Rs. From other sources If not in own name,mention Name and relationship in Whose name held Name & address of the party from whom acquired /proposed to be acquired -Is the party related to the employee Yes/No Yes/No -Did the employee have any official dealing with Party. Name & address of dealer, if any through whom the Transaction was/is made/proposed to be made Any other related facts which the applicant may like To mention a) I declare that the particulars given in this form are correct. b) I request that the intimation regarding acquisition/disposal of movable property May be taken on record. Or I request that permission to acquire/dispose of movable/immovable property Be granted to me. Date: Signature of the employee

Recommendations of the Controlling Officer. a) The above information may be/may not be taken on record. b) Permission may be granted /may not be granted to the applicant as requested. P.S Please obtain more details Yes/No Signature:____________________________________ Name_______________________________________ Designation__________________________________ Date: To: HR Department

BHEL
Name Designation Type of Leave

Electroporcelains Division

LEAVE APPLICATION

Staff No. Shop No. Department Duration of Leave FROM_______________TO_______________ No. of days._________________ ADDRESS DURING THE LEAVE

(Casual/Earned/Sick) Others REASON IN BRIEF

(Recommended/Not Recommended) (Signature) Designation Date:

(Sanctioned/not sanctioned) (Signature) Designation Date

(Sig of the applicant & Date) (Entered in Leave Register) (Signature) Designation Date

Electroporcelains Division Bangalore-56012

APPLICATION FOR AVAILING PROFESSIONAL TAX EXEMPTION AS PER GOVERNMENT CIRCULAR NO.AE/17/CPT/94 DT.19/03/2001 1 2 3 4 Name of Employee Staff No. Deptt/Section Name of the person who has undergone Sterilization operation and relationship With the employee 5 Date of Operation 6 No. of Children One I hereby certify : a) That my wife/husband who has undergone family planning operation is/ not employed in BHEL or elsewhere where professional tax is being recovered. b) My wife/husband is employed in And he/she is not claiming professional tax exemption from his/her employer (letter to this effect from the employer is enclosed.

Date Signature of employee CERTIFICATION FROM HRM Certified that the above information furnished by the employee is correct as per the records available. This employee may be exempted from paying Professional Tax.

Date

Designation

Signature

Electroporcelains Division Bangalore-56012

APPLICATION FOR LEAVE TRAVEL ASSISTANCE (LTA) Subject to Rules in forces, I opt for availing LTA as per details given below: Name___________________________________________Staff No.________________________ Designation_____________________________________Department/Division_______________ Basic Pay Rs._____________Entitled mode of Travel for LTC Purpose: AIR/RAIL Entitled Class of Travel_______________________________ Block of 2 years/4years for Which LTC/LTA last availed____________________________ Block for which LTA is being claimed____________________ Details of family members including self for whom LTA is being claimed. Sl No. 1 2 3 4 5 Certified that: 1. I and members of l my family for whom LTA is being claimed are entitled to LTC facility under the rules. 2. I and members of my family have not availed LTC/LTA for the block from any other source. 3. My spouse is employed in BHEL/elsewhere (specify_____________) and is not claiming LTC facility in any other form from his/her employer separately. Name Age Relationship Whether full or Half ticket Amount claimed

2/-

-24. 5. I have completed one year of continuous service in the Company. The particulars furnished above are correct.

____________________ Signature of claimant Dated__________________ Counter signature of Controlling Officer FOR use in HRM department Verified Dated_____________ Signature______________________ Designation___________________ For use in Finance Department Passed for payment for Rs._________(Rupees________________________________Vide JV No._________________dated_________________ Signature____________________ Designation____________________ Received Rs. Rupees____________________________________________________________________ Signature of claimant