I. This document is an OKM form for declaring liabilities and other loans on the date of initial appointment or as of March 31st. II. It requires providing details of loans such as nature, address, date incurred, and signature of the individual. III. Notes specify that small individual loans less than two months basic pay (where applicable) and Rs. 1,000 in other cases need not be included. Larger loans and advances from the employer like house building advances should be included.

1. I.OKM No. IV
$lAternguloLQSb.ls a:rd Othqr LiabtUlies on lilst aplokttment or as on 3lltUlarch, 20.....
llatrre ancl acldr:ess Date of irrourriug
l,iabiiity
Dal.e Signature.
Note t : Inciividual ilenrs of loans not e:<ceer.ling t ro uronths basic pay (u,here applicable) ancl lls. 1,00
laldr irr olher ,cuscs rrr':etl not b,: trrclucled,
Nole 2, 'fhe statement sitoulcl also inclilde various loins and aclvances (exceedirig the valne in Note 1) ,
available fi'our the eurp)oyer li!.e adt,ance t-or purr:hase of conveyance, house buikling advance, etc. (cther
than advances oti pa-v ancl t.rav';ling allo*,vaace), lrlvturce:froru lhe GP Frucl and J.oans on Life lnsurance
Policies ancl fixecl dcposits, .i* li:i