for regional /head office use only
TRANSCRIPT
BARODA RAJASTHAN KSHETRIYA GRAMIN BANK
(HEAD OFFICE : AJMER)
CHECK LIST FOR PERSONAL FILE
Name _________________________________________ ROLL NO. : _____________________
Caste/Category :______________ (SC/ST/OBC/PC/EXS/Others) Post:____________________
PWD ______% OF DISABILITY_______
Form No.
For Regional /Head Office Use OnlyMARK ( √ ) or
Comments of Verifying
Officer
1 Copy of Appointment Letter with Acceptance
2 Joining Report
3 Service Entry Record
4 Indemnity Bond with Surety
5 Police Verification Report(if not submitted at the time
of Pre recruitment Formalities)
6 Medical Certificate(Not below the Rank of Medical
Jurist)
7 Original Relieving Order From Previous Employer
8 Assests and Liability Form(only for Officer Cadre)
Forms at RO Level
Gratuity Nomination Form
ID Card Form
Specimen Signature Form
UCMR Form
NPS Form
Signature of Verifying Officer
NAME _____________________
Place: E.C. NO. _____________________
Date : DESIGNATION ____________________
Joining Report
[to be submitted at the time of joining]
The General Manager/ Regional Manager,Baroda Rajasthan Kshetriya Gramin Bank,Head Office/ Regional Office,…………………..
Respected Sir,
Ref: Offer letter for appointment bearing No. HO/2019-20/HRM/ ……….dated ………………..
Reg: Offer of appointment in Baroda Rajasthan Kshetriya GraminBank on the post of Office Assistant (M)/ Officer JuniorManagement Scale-I / Officer Middle Management Scale-II/Officer Middle Management Scale-III
I acknowledge the above offer letter offering me appointment as……………………….…….. in your Bank.
I, hereby, accept all the terms and conditions laid down in the appointmentletter, which I have thoroughly read and understood. I also agree to abide bythe Baroda Rajasthan Kshetriya Gramin Bank (Officers and Employees)Service Regulation, 2010 and amendments made therein for the staff fromtime to time.
In compliance to above offer letter No. HO/2019-20/HRM/………..dated ……………….., after completing all formalities (enclosed) I,hereby, submit my joining report for the post of……………….today i.e.(dd/mm/yyyy) ………………… (forenoon/afternoon).
Kindly allow me to join the Bank.
Thanking you,
Yours faithfully,
_________________( )
Date:--------------------------- Address: ---------------------------------------------------------
Place : ------------------------ ----------------------------------------------------------------------
Mob.:.................................
BARODA RAJASTHAN KSHETRIYA GRAMIN BANK(HEAD OFFICE : AJMER)
lsok izos”k vfHkys[kSERVICE ENTRY RECORD
d-dw-la- EC NO. ____________
1. iwjk uke ¼cM+s v{kjks esa½Full Name (Block Letters) :_______________________________
2. firk dk ukeFather’s Name :_______________________________
3. tUe frfFkBirth Date :_______________________________
4. lkekU; vtk vttk vfio Hkw lSfud(a) Gen SC ST OBC XSM(b) PC OH HL VI %age
5. Religion / /keZ :_______________________________
6. ¼v½ “kS{kf.kd ;ksX;rk(a) Academic Qualification + :_______________________________
¼c½ info ikB;Øe esa fo”ks’k fo’k;(b) Subject of specialization :_______________________________
in Degree Course
7. iwoZ vuqHko ¼;fn gks½Previous experience (if any) :_______________________________
8. Hkk’kkvksa dk KkuLanguages known
9.
dk;Zxzg.k dh rkjh[kDate of Joining Service :_______________________________
10. jkstxkj dk Lo:i ifjoh{kk
Hkk’kk Language cksyuk Speak
MARK ( √ )
i<+uk Read
MARK ( √ )
fy[kuk Write
MARK ( √ )
1.
2.
3.
Nature of employment : Probation
11. inuke Designation :_______________________________
12. vkjfEHkd osru Starting Salary :_______________________________
13. igpku fpUg Identification marks :_______________________________
14. ifjp;nkrk 1-____________________________
Introduced by (Names of Referee) 2.____________________________
15. D;k vki cSad ds fdlh funs”kd vFkok vU;deZpkjh ds laca/kh gS? ;fn gks rks mudk iwjkuke rFkk laca/k dk mYys[k djsaAAre you a relative of any Director :_______________________________
or the employee of the Bank ? If so, _______________________________
please state the full name of such a _______________________________
relative and the nature of relation. _______________________________
+ d`i;k fo”ofo|ky; vFkok fudk; dk uke nsaA+ Please state the name of the University or other body.
16. irk Address orZeku Present :_______________________________
_______________________________
_______________________________
_______________________________
LFkk;h Permanent :_______________________________
_______________________________
_______________________________
_______________________________
17. eksckbZy ua- Mobile No. :______________________________
18- bZ&esy E-Mail address :______________________________
19. PAN Card :______________________________
20. Aadhar Card :______________________________
21- vf/kokl LFkku Place of Domicile :_______________________________
22. gLrk{kj Signature :_______________________________
rkjh[k fooj.k lR;kfirDate : ___________ Particulars verified
vf/kdkjh @Officer
d-dw-la- E.C.no.
(To be submitted at the time of joining by Office Assistant)
INDEMNITY BOND WITH SURETY
(To be stamped of as per State Stamp Rules and Notarized)
This Indemnity is made and executed at ___________________ day of __________2019 by
Sh./Smt./Miss____________________________________________________________
Son/Daughter of Shri ___________________________________________________ a
permanent resident of _______________________________________________________
___________________________________________________________ hereinafter called
“Selected candidate”, the party of the First Part which expression shall unless repugnant to
the subject or context mean and include legal heirs, representatives and assigns, has been
offered an appointment for the post of Office Assistant (Multi-purpose) vide letter No.
HO/2019-20/HRM/.......... dated . . . . . . . . . . . by the Employer Bank, i.e. Baroda
Rajasthan Kshetriya Gramin Bank. AND
Shri ______________________________________S/o Shri ______________________ a
permanent resident of _______________________________________________________
________________________________________________________________ hereinaftercalled “Surety”, the party of the Second Part which expression shall unless repugnant to the
subject or context mean and include legal heirs, representatives and assigns, have at the
request of the First Part stand as Surety to the Financial Bond extended by First Part
(Selected candidate) in favour of Baroda Rajasthan Kshetriya Gramin Bank, a body
corporate constituted under the Regional Rural Banks Act, 1976 (21 of 1976), Regional
Rural Banks amendment Act,2015 and Gazette Notification dated 01.01.2013 issued by the
Government of India, Ministry of Finance, Department of Economic Affairs (Banking Division)
having its Head Office at Ajmer hereinafter called “Employer Bank” which expression shall
unless repugnant to the subject or context shall mean and include their successors,
executors and administrators.
…….2.
(2)
WHEREAS the Candidate has been selected for appointment as Office Assistant(Multipurpose) in the service of the Employer Bank.
WHEREAS an Offer of Appointment containing the terms and conditions of the appointmentas Office Assistant (Multi-purpose) has already been issued to the Selected candidatevide letter No. HO/2019-20/HRM/………......... dated . . . . . . . .. of the Employer Bank.
WHEREAS the acceptance of the terms and conditions of the appointment has alreadybeen communicated to the Employer Bank on dated ________________ by the Selectedcandidate.
WHEREAS one of the terms and conditions of the appointment is that the Selectedcandidate has to serve the Employer Bank i.e. Baroda Rajasthan Kshetriya GraminBank for a minimum period of two years active Service from the date of joining thebank service, has to execute an indemnity with surety in favour of Employer Bank.
NOW THIS INDENTURE WITNESSETH as under:
1. In compliance of the aforesaid condition in the Offer of Appointment subject to
which the Employer Bank has agreed to give appointment to the Selected
candidate, the Selected candidate hereby undertakes to serve the Employer
Bank for a minimum period of two years active service.
2. The Selected Candidate agrees and undertakes, to indemnify the Employer Bank
that in case he/she commits breach of the above condition and resigns from or
leaves/abandons the service and/or neglects in performance of the duty assigned
to him leading to termination of his/her service as per Rules and Regulations by
the Employer Bank for all losses, costs, charges and expenses upto extent of Rs.
_____________ and pay an amount of Rs. __________ (Rs.
____________________________) only with the interest thereon @ 12 per cent
per annum from the date of breach of the above till payment as liquidated
damages/cost of training including on the job training, the expenses which the
Bank has incurred/may have to incur in recruiting another Selected Candidate at
his/her place, and also on account of business loss suffered/to be suffered by
Employer Bank during intervening period.
3. The party of the second part i.e. Sh.____________________________ S/o
Sh.___________________ agrees to stand as Surety for the due performance of
the obligation of the Selected Candidate under this agreement of indemnity.
4. The party of the Second Part undertakes and declares that he/she is having
satisfactory and adequate means, and stands as Surety for the due performance
of the obligation by the Selected Candidate under his bond. In case of breach of
the terms of this indemnity by the Selected Candidate and failure to indemnify the
Bank, to pay the amount of Rs. 1,00,000/- + GST as per rate applicable (Rs.
one lac + GST as per rate applicable) together with interest thereon @ 12% per
annum from the date of breach to Employer Bank immediately on demand. The
Surety shall be jointly and severally liable to pay the aforesaid amount to the
Employer Bank.
Contd……..3
(3)
5. Notwithstanding anything contained herein above, furnishing of this indemnity willnot create any right in favour of the Selected Candidate to continue in the serviceof Employer Bank for the aforesaid term of two years active service, and theEmployer Bank shall always have the right to take appropriate action against theSelected candidate as per terms of the appointment letter and/or the Rules andRegulations of the Employer Bank as applicable, in case of commission of anymisconduct by the Selected Candidate.
6. The amount specified above shall constitute a debt owing to the Employer Bankand shall be recoverable from the Employee and the Surety jointly and severallywith interest thereon at the rate specified above till payment.
7. Apart from this indemnity, if the Selected candidate desire to leave the services ofthe Bank, he will have to give one month notice under probation and afterconfirmation three month’s notice to the Bank, failing which, Selected candidateshall be liable to pay to the Employer Bank as compensation a sum equal to hispay for the period of notice required.
Signed and delivered by the Party of the First Part i.e. the Employee having perused andunderstood the contents terms of this Agreement.
Signed and delivered by the Party of the Second Part i.e. the Surety having perused andunderstood the contents/terms of the Agreement.
IN WITNESS whereof, the Selected Candidate and the Surety have put their signaturesin the presence of the witnesses.
Photo ofCandidate
& Signatureacross
Signature of CandidateName :_____________________
Photo ofSurety
& Signatureacross
Signature of SuretyName :_____________________
WITNESS:1. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
WITNESS:2. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
(To be submitted at the time of joining By Officer Junior Management Scale-I )
INDEMNITY BOND WITH SURETY
(To be stamped of as per State Stamp Rules and Notarized)
This Indemnity is made and executed at ___________________ day of __________2019 by
Sh./Smt./Miss____________________________________________________________
Son/Daughter of Shri ___________________________________________________ a
permanent resident of __________________________________________________________________________________________________________________ hereinafter called
“Selected candidate”, the party of the First Part which expression shall unless repugnant to
the subject or context mean and include legal heirs, representatives and assigns, has been
offered an appointment for the post of Officer Junior Management Scale-I vide letter No.
HO/2019-20/ HRM/.............. dated . . . . . . . . . . . by the Employer Bank, i.e. Baroda
Rajasthan Kshetriya Gramin Bank. AND
Shri ______________________________________S/o Shri ______________________ a
permanent resident of _______________________________________________________
________________________________________________________________ hereinafter
called “Surety”, the party of the Second Part which expression shall unless repugnant to the
subject or context mean and include legal heirs, representatives and assigns, have at the
request of the First Part stand as Surety to the Financial Bond extended by First Part
(Selected candidate) in favour of Baroda Rajasthan Kshetriya Gramin Bank, a body
corporate constituted under the Regional Rural Banks Act, 1976 (21 of 1976) Regional Rural
Banks amendment Act,2015 and Gazette Notification dated 01.01.2013 issued by the
Government of India, Ministry of Finance, Department of Economic Affairs (Banking Division)
having its Head Office at Ajmer hereinafter called “Employer Bank” which expression shall
unless repugnant to the subject or context shall mean and include their successors,
executors and administrators. Contd……..2.
(2)
WHEREAS the Candidate has been selected for appointment as Officer JuniorManagement Scale-I in the service of the Employer Bank.
WHEREAS an Offer of Appointment containing the terms and conditions of the appointmentas Officer Junior Management Scale-I has already been issued to the Selected candidatevide letter No. HO/2019-20/HRM/………......... dated . . . . . . . . .. of the Employer Bank.
WHEREAS the acceptance of the terms and conditions of the appointment has alreadybeen communicated to the Employer Bank on dated ________________ by the Selectedcandidate.
WHEREAS one of the terms and conditions of the appointment is that the Selectedcandidate has to serve the Employer Bank i.e. Baroda Rajasthan Kshetriya GraminBank for a minimum period of two years active service from the date of joining thebank service, has to execute an indemnity with surety in favour of Employer Bank.
NOW THIS INDENTURE WITNESSETH as under:
1. In compliance of the aforesaid condition in the Offer of Appointment subject to
which the Employer Bank has agreed to give appointment to the Selected
candidate, the Selected candidate hereby undertakes to serve the Employer
Bank for a minimum period of two years active service.
2. The Selected Candidate agrees and undertakes, to indemnify the Employer Bank
that in case he/she commits breach of the above condition and resigns from or
leaves/abandons the service and/or neglects in performance of the duty assigned
to him leading to termination of his/her service as per Rules and Regulations by
the Employer Bank for all losses, costs, charges and expenses upto extent of Rs.
_____________ and pay an amount of Rs. __________ (Rs.
____________________________) only with the interest thereon @ 12 per cent
per annum from the date of breach of the above till payment as liquidated
damages/cost of training including on the job training, the expenses which the
Bank has incurred/may have to incur in recruiting another Selected Candidate at
his/her place, and also on account of business loss suffered/to be suffered by
Employer Bank during intervening period.
3. The party of the second part i.e. Sh.____________________________ S/o
Sh.___________________ agrees to stand as Surety for the due performance of
the obligation of the Selected Candidate under this agreement of indemnity.
4. The party of the Second Part undertakes and declares that he/she is having
satisfactory and adequate means, and stands as Surety for the due performance
of the obligation by the Selected Candidate under his bond. In case of breach of
the terms of this indemnity by the Selected Candidate and failure to indemnify the
Bank, to pay the amount of Rs. 2,00,000/-+ GST as per rate applicable (Rs.
Two lac + GST as per rate applicable) together with interest thereon @ 12%
per annum from the date of breach to Employer Bank immediately on demand.
The Surety shall be jointly and severally liable to pay the aforesaid amount to the
Employer Bank.
Contd……..3.
(3)
5. Notwithstanding anything contained herein above, furnishing of this indemnity willnot create any right in favour of the Selected Candidate to continue in the serviceof Employer Bank for the aforesaid term of two years active service, and theEmployer Bank shall always have the right to take appropriate action against theSelected candidate as per terms of the appointment letter and/or the Rules andRegulations of the Employer Bank as applicable, in case of commission of anymisconduct by the Selected Candidate.
6. The amount specified above shall constitute a debt owing to the Employer Bankand shall be recoverable from the Employee and the Surety jointly and severallywith interest thereon at the rate specified above till payment.
7. Apart from this indemnity, if the Selected candidate desire to leave the services ofthe Bank, he will have to give one month notice under probation and afterconfirmation three months notice to the Bank, failing which, Selected candidateshall be liable to pay to the Employer Bank as compensation a sum equal to hispay for the period of notice required.
Signed and delivered by the Party of the First Part i.e. the Employee having perused andunderstood the contents terms of this Agreement .
Signed and delivered by the Party of the Second Part i.e. the Surety having perused andunderstood the contents/terms of the Agreement.
IN WITNESS whereof, the Selected Candidate and the Surety have put their signaturesin the presence of the witnesses.
Photo ofCandidate
& Signatureacross
Signature of CandidateName :_____________________
Photo ofSurety
& Signatureacross
Signature of SuretyName :_____________________
WITNESS:1. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
WITNESS:2. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
(To be submitted at the time of joining By Officer Middle Management Scale-II )
INDEMNITY BOND WITH SURETY
(To be stamped of as per State Stamp Rules and Notarized)
This Indemnity is made and executed at ___________________ day of __________2019 by
Sh./Smt./Miss____________________________________________________________
Son/Daughter of Shri ___________________________________________________ a
permanent resident of _______________________________________________________
___________________________________________________________ hereinafter called
“Selected candidate”, the party of the First Part which expression shall unless repugnant to
the subject or context mean and include legal heirs, representatives and assigns, has been
offered an appointment for the post of Officer Middle Management Scale-II vide letter No.
HO/2019-20/ HRM/.............. dated . . . . . . . . . . . by the Employer Bank, i.e. Baroda
Rajasthan Kshetriya Gramin Bank. AND
Shri ______________________________________S/o Shri ______________________ apermanent resident of _______________________________________________________
________________________________________________________________ hereinafter
called “Surety”, the party of the Second Part which expression shall unless repugnant to the
subject or context mean and include legal heirs, representatives and assigns, have at the
request of the First Part stand as Surety to the Financial Bond extended by First Part
(Selected candidate) in favour of Baroda Rajasthan Kshetriya Gramin Bank, a body
corporate constituted under the Regional Rural Banks Act, 1976 (21 of 1976) Regional Rural
Banks amendment Act,2015 and Gazette Notification dated 01.01.2013 issued by the
Government of India, Ministry of Finance, Department of Economic Affairs (Banking Division)
having its Head Office at Ajmer hereinafter called “Employer Bank” which expression shall
unless repugnant to the subject or context shall mean and include their successors,
executors and administrators.
Contd……..2
(2)
WHEREAS the Candidate has been selected for appointment as Officer MiddleManagement Scale-II in the service of the Employer Bank.
WHEREAS an Offer of Appointment containing the terms and conditions of the appointmentas Officer Middle Management Scale-II has already been issued to the Selected candidatevide letter No. HO/2019-20/HRM/………......... dated . . . . . . . . .. of the Employer Bank.
WHEREAS the acceptance of the terms and conditions of the appointment has alreadybeen communicated to the Employer Bank on dated ________________ by the Selectedcandidate.
WHEREAS one of the terms and conditions of the appointment is that the Selectedcandidate has to serve the Employer Bank i.e. Baroda Rajasthan Kshetriya GraminBank for a minimum period of two years active service from the date of joining thebank service, has to execute an indemnity with surety in favour of Employer Bank.
NOW THIS INDENTURE WITNESSETH as under:
1. In compliance of the aforesaid condition in the Offer of Appointment subject to
which the Employer Bank has agreed to give appointment to the selected
candidate, the selected candidate hereby undertakes to serve the Employer Bank
for a minimum period of two years active service.
2. The Selected Candidate agrees and undertakes, to indemnify the Employer Bank
that in case he/she commits breach of the above condition and resigns from or
leaves/abandons the service and/or neglects in performance of the duty assigned
to him leading to termination of his/her service as per Rules and Regulations by
the Employer Bank for all losses, costs, charges and expenses upto extent of Rs.
_____________ and pay an amount of Rs. __________ (Rs.
____________________________) only with the interest thereon @ 12 per cent
per annum from the date of breach of the above till payment as liquidated
damages/cost of training including on the job training, the expenses which the
Bank has incurred/may have to incur in recruiting another Selected Candidate at
his/her place, and also on account of business loss suffered/to be suffered by
Employer Bank during intervening period.
3. The party of the second part i.e. Sh.____________________________ S/o
Sh.___________________ agrees to stand as Surety for the due performance of
the obligation of the Selected Candidate under this agreement of indemnity.
4. The party of the Second Part undertakes and declares that he/she is having
satisfactory and adequate means, and stands as Surety for the due performance
of the obligation by the Selected Candidate under his bond. In case of breach of
the terms of this indemnity by the Selected Candidate and failure to indemnify the
Bank, to pay the amount of Rs. 2,00,000/-+ GST as per rate applicable (Rs.
Two lac + GST as per rate applicable) together with interest thereon @ 12%
per annum from the date of breach to Employer Bank immediately on demand.
The Surety shall be jointly and severally liable to pay the aforesaid amount to the
Employer Bank.
Contd……..3
(3)
5. Notwithstanding anything contained herein above, furnishing of this indemnity willnot create any right in favour of the Selected Candidate to continue in the serviceof Employer Bank for the aforesaid term of two years active service, and theEmployer Bank shall always have the right to take appropriate action against theSelected candidate as per terms of the appointment letter and/or the Rules andRegulations of the Employer Bank as applicable, in case of commission of anymisconduct by the Selected Candidate.
6. The amount specified above shall constitute a debt owing to the Employer Bankand shall be recoverable from the Employee and the Surety jointly and severallywith interest thereon at the rate specified above till payment.
7. Apart from this indemnity, if the Selected candidate desire to leave the services ofthe Bank, he will have to give one month notice under probation and afterconfirmation three months notice to the Bank, failing which, Selected candidateshall be liable to pay to the Employer Bank as compensation a sum equal to hispay for the period of notice required.
Signed and delivered by the Party of the First Part i.e. the Employee having perused andunderstood the contents terms of this Agreement .
Signed and delivered by the Party of the Second Part i.e. the Surety having perused andunderstood the contents/terms of the Agreement.
IN WITNESS whereof, the Selected Candidate and the Surety have put their signaturesin the presence of the witnesses.
Photo ofCandidate
& Signatureacross
Signature of CandidateName :_____________________
Photo ofSurety
& Signatureacross
Signature of SuretyName :_____________________
WITNESS:1. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
WITNESS:2. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
(To be submitted at the time of joining By Officer Middle Management Scale-III )
INDEMNITY BOND WITH SURETY
(To be stamped of as per State Stamp Rules and Notarized)
This Indemnity is made and executed at ___________________ day of __________2019 by
Sh./Smt./Miss____________________________________________________________
Son/Daughter of Shri ___________________________________________________ a
permanent resident of _______________________________________________________
___________________________________________________________ hereinafter called
“Selected candidate”, the party of the First Part which expression shall unless repugnant to
the subject or context mean and include legal heirs, representatives and assigns, has been
offered an appointment for the post of Officer Middle Management Scale-III vide letter No.
HO/2019-20/ HRM/.............. dated . . . . . . . . . . . by the Employer Bank, i.e. Baroda
Rajasthan Kshetriya Gramin Bank. AND
Shri ______________________________________S/o Shri ______________________ apermanent resident of _______________________________________________________
________________________________________________________________ hereinafter
called “Surety”, the party of the Second Part which expression shall unless repugnant to the
subject or context mean and include legal heirs, representatives and assigns, have at the
request of the First Part stand as Surety to the Financial Bond extended by First Part
(Selected candidate) in favour of Baroda Rajasthan Kshetriya Gramin Bank, a body
corporate constituted under the Regional Rural Banks Act, 1976 (21 of 1976) Regional Rural
Banks amendment Act,2015 and Gazette Notification dated 01.01.2013 issued by the
Government of India, Ministry of Finance, Department of Economic Affairs (Banking Division)
having its Head Office at Ajmer hereinafter called “Employer Bank” which expression shall
unless repugnant to the subject or context shall mean and include their successors,
executors and administrators.
Contd……..2
(2)
WHEREAS the Candidate has been selected for appointment as Officer MiddleManagement Scale-III in the service of the Employer Bank.
WHEREAS an Offer of Appointment containing the terms and conditions of the appointmentas Officer Middle Management Scale-III has already been issued to the Selectedcandidate vide letter No. HO/2019-20/HRM/………......... dated . . . . . . . . .. of the EmployerBank.
WHEREAS the acceptance of the terms and conditions of the appointment has alreadybeen communicated to the Employer Bank on dated ________________ by the Selectedcandidate.
WHEREAS one of the terms and conditions of the appointment is that the Selectedcandidate has to serve the Employer Bank i.e. Baroda Rajasthan Kshetriya GraminBank for a minimum period of two years active service from the date of joining thebank service, has to execute an indemnity with surety in favour of Employer Bank.
NOW THIS INDENTURE WITNESSETH as under:
1. In compliance of the aforesaid condition in the Offer of Appointment subject to
which the Employer Bank has agreed to give appointment to the selected
candidate, the selected candidate hereby undertakes to serve the Employer Bank
for a minimum period of two years active service.
2. The Selected Candidate agrees and undertakes, to indemnify the Employer Bank
that in case he/she commits breach of the above condition and resigns from or
leaves/abandons the service and/or neglects in performance of the duty assigned
to him leading to termination of his/her service as per Rules and Regulations by
the Employer Bank for all losses, costs, charges and expenses upto extent of Rs.
_____________ and pay an amount of Rs. __________ (Rs.
____________________________) only with the interest thereon @ 12 per cent
per annum from the date of breach of the above till payment as liquidated
damages/cost of training including on the job training, the expenses which the
Bank has incurred/may have to incur in recruiting another Selected Candidate at
his/her place, and also on account of business loss suffered/to be suffered by
Employer Bank during intervening period.
3. The party of the second part i.e. Sh.____________________________ S/o
Sh.___________________ agrees to stand as Surety for the due performance of
the obligation of the Selected Candidate under this agreement of indemnity.
4. The party of the Second Part undertakes and declares that he/she is having
satisfactory and adequate means, and stands as Surety for the due performance
of the obligation by the Selected Candidate under his bond. In case of breach of
the terms of this indemnity by the Selected Candidate and failure to indemnify the
Bank, to pay the amount of Rs. 2,00,000/-+ GST as per rate applicable (Rs.
Two lac + GST as per rate applicable) together with interest thereon @ 12%
per annum from the date of breach to Employer Bank immediately on demand.
The Surety shall be jointly and severally liable to pay the aforesaid amount to the
Employer Bank.
Contd……..3
(3)
5. Notwithstanding anything contained herein above, furnishing of this indemnity willnot create any right in favour of the Selected Candidate to continue in the serviceof Employer Bank for the aforesaid term of two years active service, and theEmployer Bank shall always have the right to take appropriate action against theSelected candidate as per terms of the appointment letter and/or the Rules andRegulations of the Employer Bank as applicable, in case of commission of anymisconduct by the Selected Candidate.
6. The amount specified above shall constitute a debt owing to the Employer Bankand shall be recoverable from the Employee and the Surety jointly and severallywith interest thereon at the rate specified above till payment.
7. Apart from this indemnity, if the Selected candidate desire to leave the services ofthe Bank, he will have to give one month notice under probation and afterconfirmation three months notice to the Bank, failing which, Selected candidateshall be liable to pay to the Employer Bank as compensation a sum equal to hispay for the period of notice required.
Signed and delivered by the Party of the First Part i.e. the Employee having perused andunderstood the contents terms of this Agreement .
Signed and delivered by the Party of the Second Part i.e. the Surety having perused andunderstood the contents/terms of the Agreement.
IN WITNESS whereof, the Selected Candidate and the Surety have put their signaturesin the presence of the witnesses.
Photo ofCandidate
& Signatureacross
Signature of CandidateName :_____________________
Photo ofSurety
& Signatureacross
Signature of SuretyName :_____________________
WITNESS:1. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
WITNESS:2. Signature ___________________Name : ____________________Son/Daughter of : _______________Full Address _________________________________________________
BARODA RAJASTHAN KSHETRIYA GRAMIN BANK
(HEAD OFFICE : AJMER) Medical Fitness Report (At the time of Joining)
Affix passport size photograph
duly attested by Medical
Officer
Full Name Shri / Smt. / Miss ____________________________________S/o, W/o, D/o
______________________________________, address _________________________
_______________________________________________________________________
age _______ years, date of birth ____________, height ________ weight __________.
COMPLAINT
_______________________________________________________________________
_______________________________________________________________________
Throat ______________ Eyes ______________ Temperature ____________________
Tongue ___________ Joints __________ Pulse ___________ Teeth ______________
Glands ___________ Resp ________________ Respiratory system ______________
Circulatory system __________________________________ Centro Urinary system
_____________________ Nervous system _________________________ Pregnancy
____________________ Identification Mark ________________________________
Remarks (regarding fitness) _____________________________________________
_____________________________________________________________________
Dated : ___________ Signature of the Doctor with Seal
Blood Group___________.
Signature of the Candidate
Candidate Name:
'kk[kk@dk;kZy; &&&&&&&&&&&&&&&
ifjlEifÙk;ksa rFkk ns;rkvksa dk fooj.k
Return of Assets & Liabilities
cM+kSnk jktLFkku {ks=h; xzkeh.k cSad ¼vf/kdkjh vkSj deZpkjh½ lsok fofu;e ds varxZr fnukad 31 ekpZ] --------------------------* dh fLFkfr
1- vf/kdkjh dk uke ¼dqy uke izFke½ &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& ¼deZpkjh dwV la-½ &&&&&&&
2- inuke % &&&&&&&&&&&&&&&inLFkkiu dh 'kk[kk@dk;kZy; &&&&&&&&&&&&
3- orZeku ewy osru ¼:-½ &&&&&&&&& Js.kh@osrueku &&&&&&&&&&&& 4- lsok dh dqy vof/k &&&&&&&&&&&&&
i) vf/kdkjh ds :i esa &&&&&&&&&
ii) ;fn inksUur gq, gksa] ¼fyfid ds :i esa½ &&&&&&&&&
* vf/kdkjh izfro"kZ] ml foRrh; o"kZ ds 30 vizSy ls igys ;g fooj.kh izLrqr djsaA fu;qDr@inksUur *vf/kdkjh* dks viuh fu;qfDr@inksUufr dh rkjh[k rd
fooj.kh izLrqr djuh gSA
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
?kks"k.kk
eSa ,rn~}kjk ?kksf"kr djrk gwa] fd cM+kSnk jktLFkku {ks=h; xzkeh.k cSad ¼vf/kdkjh ,oa deZpkjh½ lsok fofu;e] 2010 ds izko/kkuksa ds v/khu esjs }kjk izLrqr dh tkus
okyh tkudkjh ds laca/k esa layXu foojf.k;ksa vFkkZr vuqca/k ,] ch] lh] Mh esa nh xbZ fnukad 31 ekpZ]---------------------- dh fLFkfr laca/kh tkudkjh] esjs Kku vkSj fo'okl
ds vuqlkj iw.kZ ,oa lR; gSA
rkjh[k %
LFkku %
¼vf/kdkjh ds gLrk{kj½
cM+kSnk jktLFkku {ks=h; xzkeh.k cSad
¼iz/kku dk;kZy; % vtesj½
cSad fjdkWMZ ds fy,
'kk[kk@dk;kZy; &&&&&&&&&&&&&&&
vpy lEifÙk dk fooj.k % fnukad 31 ekpZ] ------------
vf/kdkjh dk uke ¼dqy uke izFke½ &&&&&&&&&&&&&&&&&&&& ¼deZ-dwV la-½ &&&&&&&& inuke &&&&&&&&&&&&
Js.kh@osrueku &&&&&&&&&&&&&&&&&&&&& ftyk@{ks= &&&&&&&&&
Ø-
la-
ml jkT;] ftyk]
miizHkkx] rkyqdk
rFkk xkao dk uke]
tgak lEifÙk fLFkr
gS
vpy lEifÙk dk iw.kZ
C;[email protected] @fooj.k@
uEcj
(Details/ Description of
Property/ distinctive
numbers)
;fn vf/kdkjh ds Lo;a
ds uke ls ugha gS] rks
ml O;fDr ls deZpkjh
dk laca/k crk,a
ftlds uke ls lEifÙk
gS
dSls izkIr fd;k \ ¼[kjhnk] ca/kd iV~Vk]
iSr`d HksaV ;k vU; rjhds ls½
izkIr djus dh rkjh[k vkSj mu O;fDr;ksa
ds uke] irk laca/k (Name, Address &
connection) ftuls lEifÙk izkIr dh gS
vkSj bls izkIr djus gsrq fn;s x;s /ku
dk L=ksr
izkfIr dh ykxr@
lEifÙk dk ewY;
Cost of
acquisition/ value
of property
lEifÙk ls
izkIr okf"kZd
vk;] ;fn
dksbZ gks rks
fVIi.kh
rkjh[k % ----------------------------
LFkku % ---------------------------- ¼vf/kdkjh ds gLrk{kj½
uksV %&
1- ;fn lEifÙk ij iw.kZ LokfeRo (Wholly owner) ugha gS] rks ftruk fgLlk gS (Extent of share) dk mYys[k djsaA
2- dkWye ua- 6 esa fuEu dks n”kk;sa %&
(i) ;fn lEifÙk Ø;@cU/kd@iV~Vk }kjk vftZr dh gS] rks bls vftZr djus gsrq Hkqxrku dh xbZ jkf”kA (ii) ;fn yht ¼iV~Vk½ }kjk vftZr dh gS] rks bldk dqy okf’kZd fdjk;k
(Total annual rent)A (iii) ;fn lEifÙk mÙkjkf/kdj (Inheritance), migkj (Gift) ;k vnyk&cnyh (Exchange) ls vftZr dh gks] rks mls vftZr djus dh vuqekfur ykxr
(Approximate value of property so acquired) A
cM+kSnk jktLFkku {ks=h; xzkeh.k cSad
¼iz/kku dk;kZy; % vtesj½
cSad fjdkWMZ ds fy,
vuqcU/k * , *
cM+kSnk jktLFkku {ks=h; xzkeh.k cSad
¼iz/kku dk;kZy; % vtesj½
cSad fjdkWMZ ds fy,
vuqcU/k * ch *
'kk[kk@dk;kZy; &&&&&&&&&&&&&&&
py lEifÙk dk fooj.k] fnukad 31 ekpZ]--------------------
vf/kdkjh dk uke ¼dqy uke izFke½ &&&&&&&&&&&&&&&&& ¼deZ-dwV la-½ &&&&&&&&& inuke &&&&&&&&&&&&&&&&&
Js.kh@osrueku &&&&&&&&&&&&&&&&&&&&& ftyk@{ks= &&&&&&&&&&&&&&&
Ø-
la- fooj.k laLFkk dk uke
[kkrk la-@ikfylh
ua-@ “ks;j ua- @
fMcsUpj ua-@ la[;k
jkf'k
(Amount)
dc vkSj dSls
izkIr dh x;h
(How & when
acquired)
blls izkIr vk;
(Income
derived)
1 udn tek jkf'k dk fooj.k
cSad esa tek,sa] thou chek ikWfylh] Mkd?kj esa tek] ih-
ih-,Q-] fdlh daiuh] udn tek ;k dksbZ vU; tek
jkf'k dk fooj.k
2 'ks;j] izfrHkwfr;ak] fMcsUpj rFkk vU; fuos'k] rFkk fn;s x;s _.k]
vkfn %
'ks;j] fMcsUpj rFkk fuos'k] fn;s x;s _.k] vkfn dk fooj.k
ftlesa jkf'k] daiuh ;k O;fDr dk uke Hkh fn;k tk,A
3 vU; py lEifÙk;kWa] mu lHkh oLrqvksa lfgr]
ftlesa izR;sd dk ewY; `25000@& ls vf/kd gksA
¼v½ oLrqvksa dk fooj.k ;Fkk&jsfÝtjsVj] Vh-oh-]
ysiVkWi] dEiwVj] ,-lh-] QuhZpj vkfn
lksuk] pkanh] xgus] ghjs tokgjkr vkfn
okgu (Vehicle)
¼c½
`25000@& ls de ewY; dh izR;sd oLrq dk
,deq'r ewY; (Lump-sum Value)
uksV% izfrfnu dke esa vkus okyh oLrq,a ;Fkk diM+s] crZu] fdrkcsa] phuh ds crZu] vkfn dk mYys[k djuk vko';d ugha gSA
rkjh[k % ----------------------------
LFkku % ---------------------------- ¼vf/kdkjh ds gLrk{kj½
'kk[kk@dk;kZy; &&&&&&&&&&&&&&&
_.k rFkk vU; ns;rkvksa dk fooj.k] fnukad % 31 ekpZ]------------------
vf/kdkjh dk uke ¼dqy uke izFke½ &&&&&&&&&&&& ¼deZ-dwV la-½ &&&&&&&&& inuke &&&&&&&&&&&&&&&&&&
Js.kh@osrueku &&&&&&&&&&&&&&&&&&&&&&&&&&&&& ftyk@{ks= &&&&&&&&&&&&&&&
Ø-
la-
_.knkrkvksa ds uke rFkk irs
(Name & address of
creditors )
ns;rk vkjEHk gksus dh
rkjh[k (Date of incurring
liability)
ysunsu dk fooj.k
(Details of
transaction)
Lohd`r lhek
(Sanctioned
Limit)
cdk;k jkf”k
(Outstanding
Amount)
fVIi.kh (Remarks)
[ _.k dk mi;ksx ,oa
iquHkqZxrku (Use of Loan &
repayment terms etc.)]
rkjh[k % ----------------------------
LFkku % ---------------------------- ¼vf/kdkjh ds gLrk{kj½
cM+kSnk jktLFkku {ks=h; xzkeh.k cSad
¼iz/kku dk;kZy; % vtesj½
cSad fjdkWMZ ds fy,
vuqcU/k * lh *
'kk[kk@dk;kZy; &&&&&&&&&&&&&&&
'ks;j] izfrHkwfr;ksa] fMcsapj ,oa ikjLifjd fuf/k;ksa dh ;kstukvksa vkfn esa ysu&nsu n'kkZus okyk fooj.k] fnukad 31 ekpZ]---------
vf/kdkjh dk uke ¼dqy uke izFke½ &&&&&&&&&&&&&&&& ¼deZ-dwV la-½ &&&&&&&&& inuke &&&&&&&&&&&&&&&&&&&
Js.kh@osrueku &&&&&&&&&&&&&&&&&&&&&&& ftyk@{ks= &&&&&&&&&&&&&&
foRrh; o"kZ ds nkSjku 'ks;j]
izfrHkwfr;ak] fMcsapj]
ikjLifjd fuf/k;ksa dh
;kstuk,a vkfn esa fd, x,
izR;sd ysu&nsu dk C;kSjk
ftl ikVhZ@QeZ ls
ysu&nsu fd;k x;k]
mldk uke
v½ D;k ikVhZ vkosnd dh
fj'rsnkj gS vkSj
c½ D;k mlls vf/kdkjh
{kerk ls ikVhZ ls dksbZ
laO;ogkj fd;k gS ;k fudV
Hkfo"; esa djus okyk gS\
foRr izkIr djus dk L=ksr
vU; lacaf/kr rF;] tks fd
vf/kdkjh@deZpkjh n'kkZuk pkgrk gks O;fDrxr
cpr ls
vU; L=ksr
ls ¼L=ksr
n'kkZ,a½
eSa ,rn~}kjk ?kksf"kr djrk@djrh gwa fd mDr fooj.kh lgh gSA
rkjh[k % ----------------------------
LFkku % ----------------------------
¼vf/kdkjh@deZpkjh ds gLrk{kj½
cM+kSnk jktLFkku {ks=h; xzkeh.k cSad
¼iz/kku dk;kZy; % vtesj½
cSad fjdkWMZ ds fy,
vuqcU/k * Mh *