DELHI METRO RAIL CORPORATION(A Joint Venture of Govt. Of India & Govt. Of Delhi)

Sub: Statement of Annual lmmovab.Ic Property Ryturn for the Year Ending 31112113

1. Name of Officer (in Full) : LI'L kun1c)-r c;2. Employee Number : 0 Pj o33. Date of Birth (dd/mm/yy)co- 7-6

4. Department : r ..J Tlltd5. Present Designation6. Present Basic Pay (Rs.) 0 I2 oi-

7. Present PayscaleS. Nature of Employment (Direct 1truit1Deputation/Reemployed): J' ri9. Parent Organisation (if Deputationist) -10. Date of Joining DMRC as an Executive (dd/mm/yy)

S.No. Name & Location Present If not own Mode of Acquiring Annual RemarksDetails of Details Value name, state Property, whether Income (if any)Property of in the owner's by purchase, lease, from

Property Rupees name and mortgage, Propertyrelationship inheritance, gift or (Rs.)with Govt. otherwise with dateEmployee of acquisition and

name details ofpersons from whomitisacquired

2 3 4 5 6 7 8

j - 3 cc86, L 20 00

N isL L3'FL

LP.)r Lo'

r I. C4.j o (L.. Loo-' I

Certified that I have been regularly submitting the Immovable Property and no returnfor any year is outstanding.

Signature)Date:

Mobile No.:

• Strike Out the Columns which are not applicable

• Use an extra sheet for additional information

DELHI METRO RAIL CORPORATION LTD.Form for giving prior intimation or seeking previous sanction under

Rule 18 (2) in respect of immovable property (other than for building ofor additions and alterations to a house).

[GI., Dept of Pers. & 'rrg., O.M. No. 1101 3/11/85-Ests. (A), dated the 23 d June, 1986.1

1. Name and Designation

2. Scale of Pay and Present Pay

3. Purpose of application-sanction fortransaction/prior intimation of transaction

4. Whether property is being acquired or disposedof

5. Probable date of acquisition/disposal of

6. Mode of acquisition/disposal7. a) Full details about Size/Area of plot/house &

location viz., Municipal no. Street! Village/Taluk! District and State in which situatedb) Description of the property, in the case ofcultivable land, dry or irrigated landc) Whether freehold or leaseholdd) Whether the applicants interest in theproperty is in full or part (in case of partialinterest, the extent of such interest must beindicated)e) In case the transaction is not exclusively inthe name of the Government servant,particulars of ownership and share of eachmember

8. Sale/Purchase price of the property ( Marketvalue in the case of Gifts)

9. All immovable property held before and afterjoining DMRC in the name of employee,spouse & dependents. (including those underconstruction for which approval alreadyobtained from DMRC

10. Properties acquired since joining the DMRC.11 . in case of acquisition, source or sources from

which proposed to be financed.(-rtyF Pc*.,boF

PrffocLi)

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*NOTE:1. For personalpersonal savings, proof to be furnished by way of photo copy of Bank

statement/FD/mutual fund etc.2 For interest free loan from close relatives, similar proof as well as a declaration

from such relative on stamp paper of Rs. 10/- along with their financial status isrequired to be produced.

EM

12. In case of disposal of property, was requisite/sanction/intimation obtained] given for itsacquisition? (A copy of the

_Jsanction/acknowledgement should he attached)13. a) Name and address of the party with whom

transaction is proposed to be made

h) Is the party related to the applicant? If so,state the relationship.c) Did the applicant have any dealings with theparty in his official capacity at any time, or isthe applicant likely to have any dealings withhim in the near future

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d) How was the transaction arranged?(Whether through any statutory body or aprivate agency through advertisements orthrough friends and relatives. Full particulars tobe given) ____________In case of acquisition by Gift, whether sanctionis also required under Rule 13 of CCS(conduct) Rules, 1964Any other relevant fact which the applicantmay like to mention.

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DECLARATION

L................., hereby declare tbthe particulars given above aretrue, I request that 1 may be given permission to acquire/i.i. ,,w of property as describedabove from/to the party whose name is mentioned in Item No. 13 above.

OR

I. ........................................... ............... hereby intimate the proposed acquisition/disposal ofproperty by me as detailed above. I declare that the particulars given above are true.

Station: Signature:

Date: )j °1 I ).OI Ll Designation:.Q

NOTE 1- In the above form, different portions may be used according to requirementNOTE2-Where previous sanction is asked for, the application should be submitted at least30 days before the proposed date of the transaction.

UNIBERA DEVELOPERS PVT. LTD. RECEIPT

CORPORATE OFFICE: A- hA [Ind Floor, SECTOR-58, NOIDA, UP Phone 0120-4807450Website www.unibera.com / Email: info@unibera.com

DEVELOPERS PVT LTD

Service Tax no. AABCU3968PSDO01No. ....... J.613.a

Received with thanks from

with Co-ApplRantls ... ... ................... ............................. ..................... .......

Rrkinri ,rar n/ In Imf / Part Pnimnt /riincf Unit Jr Cf Q

Date.. Lo h)-a'^:'/-?

Floor BIockJTQWr Type 3

.... . . .............. ...................................... project IVIV 7OLc

having approximate super area of............Sq.ft. An Amount of Rs .....IL.. ..i.i.j. ........

id Service Tax amount, cacuated© -..... ,j. ... (considering abatement). Rs a

Totai sum of Rs----------

.i..flø4Jide cash! ceque/ D.D. No ------- -- Dated ... JJJ3.....

/ For U1'1. DEVELOPERS P'jLTDI / '

Rs i /-Note Receipt issued IS subject to encashment of the cheque / DD 5 Auhorised Signatory

4? VALID FOR THREE MONTHS ONLY1CICI Sank AIVILEGE New Delhi Branch 6 o i 6 1 0OA, Phelps, Connaught Place,NEW DELHI -110001.RTGS / NEFT IFSC Code: ICIC0000007 D D M M Y Y Y V

Pay Or Bearer

Rupees TP- Lca.t 7&ar+y N ' - I cr-ci c.IA/c No.

000701513364 \cn SBKIT CBS

PERSONAL BANKING: SAVINGS ACCOUNT 4Payable at par at all branches of IC[CI Bank Limited in India

S0

IILLlI' 1102290021: 5113i[^Lo l 3L

RAJESH KUMAR SINGHP:ease SO

K9)

'a

Tv ",-iGovt Employees WeIl-,re

Housing Organization

PARTICULARS OF FIVF

'-(of U'V7#t

('OSTDERILSOFFIi\t

Rate per S(I. Ft. AmountParticular (in Ks.) in Ks.)

(A)Basic Sale Pi-ice Ill 23 3 /9S, 5UD

(B) (her Caaree - tI (i) tferentiaI Laneat loll (ii ames

J,oj2. 1- - 90—

(ii) Power Rick-up 1< 'A KVA K '/11 FAftR

(iii) IT(' (F-ii Iihtii (itaices!I

(is,) LFC (ietiial ldeeti;lieiittoii (liarges)

(vi IFMS ()iiteist Fice Maintenance Securit y ) 9

(si) Car Parngki (i civeriisenint) I1

• d1

dVV(vii) Club Mentership -

OV

(vii)- 14 C2- 32-6-

/Total (B)

Grand Total A+B (in figures)35 9 3,2b

Grand Total (In Vs onis:) Th . c t1 4- v i—c.. c 'n t H --t- tl-o u 1orG( 'Tu_ho Ku to(JttCI

a ic lisi S lc Pi ise shall be ic computed Oil the i)Os101 actual supcialea it the time ci pOsSCsSiOfl.

Fiisl ttaiislci lice on the sante terms& eoitdilIfs on cancel the flat, no tied ucti on on deposit mone\ a ni tiev refund withi ii 1 5 days front the date ofeancellation

l'A\1\lE\I PLANS: (lick as applicable)

I)os ii Pa inent l'Ian Flexi Pa\ iiieut Plait

('onstruction I inked Pay went Plan I-

Remarksrks

nature\ant Sig2. Co-Applicant(s) Signature

,',113are

GOVT. EMPLOYEE'S WELFARE HOUSING ORGANIZATION

Corporate Address.: 401 IV Floor, Ocean Complex, Sector-1 8, Noida-201 301

Mob.: 9286384421, 981 851 5260, 981 0636461

Website : www.gewho.com qmail : gewhoindia@gmail.cOm

TtT-. 1) tib( 'tA. Govt. Employees Welfare

Housing Organization

1-300 K I N (IF

F()RJ\1Application No. - -

çFili in Block Letter)

Date -. -

Please affix passportsize photograph of the

To, I Co-Applicant

GOVT. EMPI.OVEES \VELIaRE HOUSING ORGANIZATION (GEWIIO)(' orporate Address. 401, IV Floor. Ocean Complex,Sector- I S. Noida 21)1 0 1

I Vb request that I ss e mas be considered for allotment idan Apartments Tlat. Situated at p

lot No. - I W. Sector-] . Greater Noida (Noida Fxtn.

I we opt to pa's' the sale price oftlre satd Apartment flat as per the folloss ing plan: (tick any one)

Doss n Pa merit Plait ) Hem Plan X e, Construction Linked Plan I

I we remit her ewith a sum of Es. 6 O I RupeesJ

onE I

ft ('ash 1)1) ('Iteque No.- q 6 Dated I 61, 0 C Drawn on CE __ fa \: ouino1\1/s Govt. I:mplovec's Welfare Housing Organization. Berg the Booking Amount payable at Mathura.

In the e\ emit ofthe Company agreeing to allot inc usan Apailnient Flat Iwe agree to future installments ofBastc Sale Price and other

charges as per terms & conditions of the company herein contained and irs P po merit plan opted by me / us. I \\L have read and

understood the terms and conditions of allotment as detailed in House Bib er Agreement, appended to with this application and a gree to

abide by the same.

If howe's er I 'Vie fail to pay further installments as aforesaid, the Compan y shall he entitled to treat this Application as cancelled and to

forfeit the Earnest Money as per terms & conditions as of I louse HuyerAgr cement. Which! Vid shall raise no objection ofany kind.

1/We agree that the acceptance ofmv our application do not entitle ne us to ans right in the Apartment Flat until all pa yments to'ss ads

basic sale price and other charges, in frill have been paid b y rue us on or before the due dates.

I We further :igr cc that I Vile shall abide b the ret ins and conditions o 'the Cotupairv that are in tlrce or that ma y he brou ght into force front

tinic to time, by the coinpans.

I Vie understand that 0t ci mp:in\ rcser's c's absolute li ght to accept i -eject e the present application without assigning any reason

at soc's ci'

%4V/Our mirticulms ire g iven below:

jRTlCl,iJ.AR OE FIRST/ SOLE APPLICANT

ApphrcantIs Name fi'3fS) ri N G1i 1-atherls Name . ROccupation - Nationality Resident indian Non-Resident Indian

Date of Birth Age - 31-01-TI-4- Marital Status - Nlamed Single U

permanent Address J . NO3 LA U E NO1 iii.) In S I-Li .,CHPLKL4 PP JLo PThL.fiB T5L400 ?8° "

Correspondence Addres's j9 1 9j!i C &NEP) riL 2EDEPo7J;Telephone Nos. Residence - O f — -_______ Office

Mobile Phone 9 2& Email ID _ dkari No. * \'ard Circle No.

V.

l,A cant Signature

2. Co-Applicant (s) Signature

Page 1 of 2

0ICICI Bank

Your Details With Us:

MR RAJESH KUMAR SINGH

A-41 DMRC STAFF QUARTESNEAR YAMUNA BANK METRO STATION, LAXMINAGARDELHIDELHI - INDIA - 110092

Operate Your Account through I'iobiIe Bankin!Bsl9nce inqi.liry Type I SALLast Hires trarisactions Type ITRAN

Send ittcCheclue Book Request Type [CUP.

5676766Stop Cheque Request Type 5fF,Checirie Statl.40 Iriccu:tv Tytte ISCI

our.e

r7 171800011Your Base Branch: 9-A, PHELPS BUILDING,CONNAUGHT PLACE,100001

Summary of Accounts held under Cust Id :504078515 as on 31-05--2012

I. Operative Accounts in INR

II. Term Deposits in INR

# Deposit amount shown is as on 01-06-2012

$ Maturity value is subject to change due to payment of Tax Deducted at Source (TDS) wherever applicable

* Includes accrued interest if any

Statement of transactions in Savings account number: 000701513364 in INR For the period 01-05-2012 To 31-05-2012

01-05-2012 B/F - - 552,727.66Cr

05-05-2012 ATM/CASH WDU05 . 0512,1.57.15i0 - 3000.00 5,49,727.66 Cr

14-05-2012 NFS/CASH WDL11 3-05-12 10000.00 5,39,727.66 Cr

14-05-2012 NFS/CASH WDLJ13-0512 10,000.00 5,29,727.66 Cr

14-05-2012 NFS/CASH WDLJ1 3-05-12 1,000.00 5,28,727.66 Cr

14-05-2012 NFS/WDL RVSL/130512/000701513364 1,000.00 5,29,727.66 Cr

14-05-2012 BY CASH - NEW DELHI - BARAKHAMBA 11,000.00 5,40,727.66 CrRAOD

14-05-2012 NFS000701 513364-0377-1 3.05.12 2,000.00 5,42,727.66 Cr

17-05-2012 ATMICASH WDLI1 7-05-1 2117:11:3310 3,000.00 5,39,727.66 Cr

19-05-2012 BY CASH - NEW DELHI - BARAKHAMBA 10,000.00 5,49,727.66 CrRAOD

21-05-2012 REV OF TXN 377 DT 13.05.12 2,000.00 5,47,727.66 Cr

22-05-2012 B1LI0003200041 82IMay-biII/523951 131642600 353.00 5,47,374.66 Cr

Note:As per Income Tax guidelines, failure to provide PAN or wrong PAN details will attract a penalty on the assessee. He/she will not be able to claim the credits of TDS. Please update your PANdetails at any IdOl Bank branch in case:• Tax has been deducted at source (TDS) from your accounts.• Your future interest income from us is liable to TDS.

In case of RFC deposit TDS amount is not included in the above statement,

If you are availing of a locker facility from us and have not got your locker key embossed with the branch code yet, please contact your base branch to get it done.

Category of service Banking & Financial Services Registration No.MIV/ST/Bank & FincI4 PAN Bused SIC NO AAACI1 195HSTOO1

REDO ADDRESS LANDMARK, RACE COURSE CIRCLE, VADODARA 390 007, INDIAThis is an authenticated intimation/statement. Customers are requested to immediately notify the Bank of any discrepancy in the statement

MR.RAJESH KUMAR SINGHA-41 DMRC STAFF QUARTESNEAR YAMUNA BANK METRO STATION, LAXMINAGARDELHIDELHI - INDIA - 110092

Your Base Branch: GA, PHELPS BUILDING, INNERCIRCLE,,CONNAUGHT PLACE,,100001

Visit www.icicibankcom

( Dial your Bank 33667777

10-11-2014

25-05-2014

24-09-2014

26-09-2014

24-09-2014

01-10-2014

1 2,17,152.00 9.00 12 Mths 25 Days

39,187.00 9.00 12 Mths 25 Days

1 45,734.00 9.00 590 Days

55,792.00 9.00 19 Mths 13 Days

57,165.00 9.00 19 Mths 13 Days

59,154.00 9.00 12 Mths 25 Days

2,38,828.00

43,099.00

52,825.00

64,44300

66,028.00

65,059.00

FIXED DEPOSITS - INR

000714369177 16-10-2012

000714913787 30-04-2012

000714970548 11-02-2012

000714970574 13-02-2012

000714969822 11-02-2012

000714972246 06-09-2012

TOTAL

2,17,15200 Registered

39,187.00 Not Registered

46,252.00 Not Registered

56,399.00 Not Registered

1)7,81200 Not Registered

59,154.00 Not Registered

4,75,956.00

Page 1 of 2

491CICI Bank I khayaal aapka

AILEGE MHW1 /181011 / /W8/ -M.'103 . 2

Did you know? It's mandatory to be KYC compliant as per RBI guidelines. If you have not submitted your KYC documents, please visit the nearestbranch or contact your Relationship Manager to complete KYC details for your Account.

Summary of Accounts held under Cust ID: 504078515 as on December 31, 2013

ACCOUNT DETAILS - INR

Savings A/c 000701513364 1,60,094.60 0.00 1,60,094.60 Registered

TOTAL 1,60,094.60 0.00 1,60,094.60

# Deposit amount shown is as on 03-01-2014 2 Maturity value is Subject to change due to payment of Tax Deducted at Source (TDS) wherever applicable * Includes accrued interest if any

Statement of Transactions in Savings Account Number: 000701513364 in INR for the period December 01, 2013 - December 31, 2013

01-12-2013 Balance Brought Forward 1,65,662.39

02-12-2013 ICICI ATM ATM/CASH WDL/01 -12-13/17:45:01/0 5,00000 1,60,662.39

02-12-2013 NET BANKING BIL/000518596649/dec-1 3/20351000000892 3,000.00 1,57,662.39

11-12-2013 NET BANKING BIL/0005231 18126/bjli-dec-13/BSE5YAMUNAMICI 300.00 1,57,362.39

13-12-2013 OTHER ATMS NFS/CASH WDL/'I 3-12-13 2,000.00 1,55,362.39

20-12-2013 NET BANKING BIL/000526537736/cc-bil dec-1 3/523951131642600 573.79 1,54,788.60

20-12-2013 ICICI ATM ATM/CASH WDL/20-12-13/20:40.20/0 2,000.00 1,52,788.60

30-12-2013 ICICI ATM ATM/CASH WDL/29-12-13/19:19:23/0 2,000.00 1,50,788.60

30-12-2013 00070151 3364:Int.Pd:01 -09-2013 to 29-12-2013 1,362.00 1,52,1 50.60

31-12-2013 CMS TRANSACTION CMS/ 5324889CMS185970882 40,944.00 1,93,094.60

31-12-2013 NET BANKING BIL/000530484924/Dec-1 3/20351000000892 3,000.00 1,90,094.60

31-12-2013 NET BANKING BIL/000530485992/Last payment/102501B721 5 25,000.00 1,65,094.60

31-12-2013 ICICI ATM ATM/CASH WDL/31-12-1 3/1 6:50.21/0 5,000.00 1,60,094.60

TOTAL 42,306.00 47,873.79 1,60,094.60

Summary of TDS/Interest on Fixed Deposits during the Period December 01, 2013 - December 31, 2013

Opening Balance - - - 12,532.00 1,254.00