RETURN OF ASSETS AND LIABILITIES ON FIRST APPOINTMENT

AS ON TODAY DTD.31st December 2015.

1. Name of the employee in full MR.DEEPAK CHANDRABHAN TUPE

(in BLOCK letters)

2. Employee No. 11015

3. Total length of service upto

Date 25 YEARS & NINE MONTHS

4. Present post held and place of ASSTT.ENGINEER. PEM(M&EE).

Posting

5. Total annual income from all

Sources during the calender 13,22,884=00
Years immediately preceding
The 31st day of December 2015,

6. Declaration

I hereby declare that the return enclosed, Form I to V, are

complete, true and correct as on
to the best of my knowledge and belief, in respect of information
due to be furnished by me under the provisions of sub-Regulation
(1) of Regulation 16 of the Jawaharlal Nehru Port Trust
Employees(Conduct) Regulations, 1988.

Date:10/02/2016 Signature

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NOTE:1 This return shall contain particulars of all assets and

liabilities of the employee either in the name of any other
person.

NOTE: 2 If an employee is a member of Hindu Undivided Family

with coparcenary rights in the properties of the family either as
a ‘Karta’ or as member, he should indicate in the return in Form
No.1 the value of his share in such property and where is not
possible to indicate the exact value of such share, its
approximate value. Suitable explanatory notes may be added
wherever necessary.
 FORM No. – I

STATEMENT OF IMMOVABLE PROPERTY ON FIRST APPOINTMENT

/ AS ON 31ST DEC 2015
(E.G. LANDS, HOUSES, SHOPS, OTHER BUILDING, ETC.)

1.Sr.No. 1 2 3
2.Description of the Farm Land &
2 BHK Flat Plot/Land
Property 2House&Shops
3.Precise Location,
HARMONY Co-Op.Hsg. At Post LONI Tal-
(Name of District, Division At Post LONI Tal-Ra-
Flat No.507,Plot No.06, Ra-
Taluka & Village in which hata Dist-A.Nagar
Sector-01,Khanda hata Dist-A.Nagar
the property is situated & Talegaon Road
colony New Panvel Talegaon Road
also its distinctive number, PIN-413713
(west) PIN-413713
etc.)
4.Area of land (in case of 1.25 Acers Aprox. 2000 sq.ft.
855 Sq.Ft.
Land & Building) &1600SFt&500SFt
5.Nature of Land (in case of
---- Farming ----
landed property)
6.Extent of interest ---- ---- -----
7.If not in own name, state
in whose name held, and his/
---- ---- -----
her relationship, if any
to employee
Year-
8.Date of acquisition FEB -2004 Year-09/2013
1970&2010&2006
9.How acquired *and name with
details of person/persons
By Inheritance
from whom acquired address Hi-Tech Purched from Mr
Construction
and connection of the Engg.Construction .Balasaheb
MadeSelf B.Aher LONI
employee if any with the New Panvel
person(s) concerned. (Please
see Note 1 on reverse side)
10. Value of property Rs.10,00,000/-
Rs.12,60,275=00 Rs.55,00,000=00
(See Note 2 on reverse side)
11. Particulars of sanction of
----- ------ ------
prescribed authority if any
12. Total annual income from
------ ---- -----
the property

13. Remarks --- ---- ------

Date: 10/02/2016 Signature and name MR.DEEPAK C.TUPE

Employee No. 11015
Designation & Department ASSTT.ENGINEER / PEM (M&EE)
* Whether by purchase, mortgage, lease, inheritance or
otherwise.

Note 1 - For purpose of column 9 the term “lease” would mean a

lease of immovable property from year to year or for any term
exceeding one year of reserving a yearly rent. Where, however,
the lease of immovable property is obtained from a person having
official dealings with the employee. Such a lease should be
shown in this column irrespective of the term of the lease.

Note 2 - In column 10 should be shown:

(a) Where the property has been acquired by purchase, mortgage

or lease, the price of premium paid for such acquisition.
(b) where it has been acquired by lease, the total annual rent
thereof also, and
(c) Where the acquisition is by inheritance, gift or exchange,
the approximate value of the property so acquired.
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 FORM NO. II
STATEMENT OF LIQUID ASSETS ON FIRST APPOINTMENT/
AS ON TODAY 31/12/2015
(1) Cash and Bank balance exceeding 3 months emoluments:
(2) Deposits, loans advanced and investments (such as
shares, securities, debentures, etc.)

If not in own
name, name &
address of
Name & Add. Amount person in Annual
Sr. Description of Company whose name income Remark
No. BANK , ETC. In Rs. held & his/her derived
relationship
with the
employee
1 2 3 4 5 6 7
Saving SBI New
Rs.87,701=00& As
1 Panvel& JNPT ---- ----
A/C RS. 13,971=00 31/12/15
Township Br.
Saving Abhy C Bank As on
2 Rs-3621=00 ----- -----
A/C New Panvel 31/12/15
Saving CBI New
Rs.2814=00& As on
3 Panvel&Union ---- ----
A/C Rs-1412=00 10/02/15
Bank

4 ----

5 -----

Various
MUTAL companies
6 FUND Market values Rs2,01,000=00 ---- ---- From Salary
(SIP) as on
31/12/2013
SBI&ACB New
8 F.D. Rs 82412=00 Self ---- From Salary
panvel Branch
9 BONDS L&T Rs-20000=00 Self --- From Salary
10 RD Abhy.c Bank Rs-1,32,000=00 Self --- From Salary
Rs-11000/-PM New Panvel

Date: 10/02/2016 Signature

Note: In column 7, particulars regarding sanctions

obtained or report made in respect of the various transactions
may be given. The term emoluments’ means the pay and
allowances received by the employee.

FORM No.III
STATEMENT ON MOVABLE PROPERTY ON FIRST APPOINTMENT
AS ON 31/12/2015,

Sr. Description Of Price or value at the If not in How acquired Remarks

 time of acquisition own
and/or the total Name,
payments made upto Address of
the date of return The person
with
as the case may be in whose
approximate
No items in case of articles name held
date of
purchased on hire and
acquisition
purchase or his/her
installment basis relationship
with the
employee
1 2 3 4 5 6
Purched
1 Moter Cycle Rs.44,000/- --- NOV-1996
From savings
Marriage
Rs.7,50,000/-
2 Gold350 gms. --- Gift & Self From1990to2012
savings

Air Purched
3 conditioner Rs.18,500/- --- April-2005
From savings

Washing Purched
4 Machine Rs.12,500/- --- Nov-1998
From savings
Personal Purched
5 Computer Rs.70,000 --- Dec-2003
From Loan
Purched
6 LCD T.V. Rs.66,800/- --- Oct-2011
From savings
Purched
Car
7 Rs.3,30,000/- --- From savings Oct-2005
ALTO
& carloan
Purched Year-2014
8 Gold 20 gms Rs.60,000/- ---
FromSalary

HERO HONDA
9 Rs-48,000=00 --- From Salary JULY-2011
PLEASURE

10 LAP TOP Rs-45,000=00 --- From Salary Dec-2012

HOUSE
11 FURNITURE Rs-55,000=00 ---- From Salary April-2010

13 MOBIL.02 NOS Rs-36,000=00 From Salary Oct-- 2014

Date 10/02/2016 Signature

Note 1 : In this Form information may be given regarding items

like (a) jewellery owned by him (total value); (b) silver and
other precious metals and precious stones owned by him not
forming part of jewellery (total value); (c) (i) Motor Cars (ii)
Scooters/Motor Cycles; (iii) refrigerators/air conditioners (iv)
radios/radiograms/television sets and any other article, the
value of which individually exceeds Rs.15000/- Rs.10,000/- as the
case may be (d) value of items of movable property individually
worthless than Rs.10,000/- as the case may be other than
articles of daily use such as clothes, books, utensils, crockery,
etc. added together as lump sum.

Note 2: In column 5, may be indicated whether the property was

acquired by purchase, inheritance, gift or otherwise.

Note 3: In column 6 particulars regarding sanction obtained or

report made in respect of various transactions may be given.

FORM NO.IV
STATEMENT OF PROVIDENT FUND AND LIFE INSURANCE POLICY ON FIRST APPOINTMENT/AS ON
TODAY 31/12/2015
INSURANCE POLICIES

1.Sr.No. 1 2 3 4 5
Policy No.
921858730 922170008 MH306988CC 00357143 33032499105
and date of
policy 28/01/1997 14/05/2005 08/12/05 12/08/11 05/01/2010

Name of
Insurance LIC LTD. LIC LTD. POST UNION BANK SBI -LIFE
Company
Sum Rs1.50,000/- Rs150,000/- Rs.1,50,000/- Rs.20000/- Rs-
insured 28/01/2017 14/05/2023 08/12/2022 1,50000/-
/date of
 maturity
Amount of
annual -
premium
Remarks

B. PROVIDENT FUNDS
1. Sr. No. 1.

2. Type of provident funds/ GPF

GPF/CPF & Account No.

3. Closing balance as last Rs 5,85,838/- Up to Dec-2015

Reported by Audit/Accounts
Officer along with date of
Such balance

4. Contributions made 1,51,752/- (APPROX)INT.

Subsequently

5. Total Rs. 7,37,590/-

6. Remarks (if there is

dispute regarding closing

balance the figures according
to the employee should also
be mentioned in this column)

Date-10/02/2016 signature

FORM NO.V

STATEMENT OF DEBTS AND OTHER LIABILITIES ON FIRST APPOINTEMNT/ AS

ON TODAY

Sr. Amount Name & Address of Date of Details of Remarks

No. Creditor Incurring Transaction
Liability
1 2 3 4 5 6

Date : 10/02/2016 Signature

Note 1:Individual items of loans not exceeding Rs.15000/- Rs.10,000/-

as the case may be need not be included.
Note 2 : In column 6, information regarding permission, if any obtained
from or report made to the competent authority may also be
given.

Note 3 :The term ‘emoluments’ means pay and allowances received by the
employee.

Note 4 : The statement should also include various loans and advances
available to employee like advance for purchase of conveyance,
House Building Advance, etc. (other than advances of Pay and
Travelling Allowances), advances from the GPF/CPF, and loans on
Life Insurance Policies and fixed deposits.

STATEMENT SHOWING NEW LIABILITIES DURING THE CURRENT

YEAR 2015.

Sr. Amount Name & Address of Date of Details of Remarks

No. Creditor Incurring Transaction
Liability
1 2 3 4 5 6
Housing Loan
Central Bank Of India EMI Rs.15,000/-
1 Rs.8,11,000/- OCT-2013 Against
New Panvel Branch (For 10 Years) Repair&Interior of
House

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Date- 10/02/2016 Signature