| 1. | Name of the bank |
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| 2. | Fraud number |
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| 3. | Details of the branch
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| (a) Name of the branch |
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| (b) Place |
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| (c) District |
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| (d) State |
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| 4. | Name of party/account |
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| 5. | (a)Area of operation where the fraud has occurred |
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| (b) Whether fraud has occurred in a borrowal account |
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| 6. | Nature of fraud |
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| 7. | Total amount involved |
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| 8. | (a) Date of occurrence |
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| (b) Date of detection |
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| (c) Reasons for delay, if any, in detecting the fraud |
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| (d) Date on which reported to RBI |
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| (e) Reasons for delay, if any, in reporting the fraud to RBI |
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| 9. | Brief history/modus operandi |
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| 10. | Fraud committed by |
| (a) Staff |
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| (b) Customers |
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| (c) Outsiders |
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| 11. | (a) Whether the controlling office (Regional/Zonal) could detect the fraud by a scrutiny of control returns submitted by the branch |
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| (b) Whether there is need to improve the information system |
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| 12. | (a) Whether internal inspection/ audit (including concurrent audit) was conducted at the branch(es) during the period between the date of first occurrence of the fraud and its detection.
|
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| (b) If yes, why the fraud could not have been detected during such inspection/audit. |
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| (c) What action has been taken for non-detection of the fraud during such inspection/audit |
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| 13. | Action taken/proposed to be taken
|
| (a)Complaint with Police/CBI |
| i) Whether any complaint has been lodged with the Police/CBI |
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| ii) If yes, name of office/ branch of CBI/ Police |
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| iii) Date of reference |
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| iv) Present position of the case |
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| v) Date of completion of Police/CBI investigation |
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| vi) Date of submission of investigation report by Police/CBI |
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| vii) If not reported to Police/CBI, reasons therefor |
|
| (b) Recovery suit with DRT/Court |
| i) Date of filing |
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| ii) Present position |
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| (c) Insurance claim |
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| i) Whether any claim has been lodged with an insurance company |
|
| ii) If not, reasons therefor |
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| (d) Details of staff-side action |
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| i) Whether any departmental enquiry has been/is proposed to be conducted |
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ii) If yes, give details as per format given below:
| No. | Name | Desgn. | Whether suspen-ded | Date of issue of charge sheet | Date of commen-cement of domestic inquiry | Date of comple-tion of inquiry | Date of issue of final orders | Punish-ment awar-ded | Details of prosecution/ conviction/ acquittal, etc. | | | | | | | | | | | |
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| iii) If not, reasons therefor |
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| (e) Steps taken/proposed to be taken to avoid such incidents |
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| 14. | (a) Total amount recovered |
| i) Amount recovered from party/parties concerned |
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| ii) From insurance |
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| iii) Amount written off |
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| (b) Extent of loss to the bank |
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| (c) Provision held |
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| 15. | Suggestions for consideration of RBI |
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(This part is required to be completed in respect of frauds in all borrowal accounts involving an amount of Rs. 5 lakh and above)