ANNEXURE - 5 FORM FOR INFORMATION UNDER SPECIAL REWARD SCHEME CODE - ACB 413 (Three Alphabets & Three Numerical) (To be decided by the informant) 1. Name,Designation & Present Post of Suspected Officer : 2. List & address of Assets (i) (Viz.Land,Buildings, Apartments, Farm House, Cars, Motor Cycles etc., ) (ii) (iii) (iv) 3. Details of Bank Account numbers if any : 4. Location of Bank Lockers if any : 5. Places that need to be searched : 6. Particulars of Chits, Investiments, Shares if any : 7. Foreign Trips if any : 8. Marriages & Dowry : 9. Club memberships or visits : 10. Purchase & Sales of Assets if any : 11. Persons close to the Suspect Officers : 12. Any other Information, attach a leaf, if required. : Name / Assumed name & Signature of facilitator (optional)
