dt: 11/3/2013 todt: 11/3/2013 to all the su ffices under pcda, blore located in blore all sect"...
TRANSCRIPT
IMPORTANT CIRCULAR NoANIIIl043ECAllotDADHTA 00 The PCDA
Agram Post BANGALORE - 560 007
Dt 1132013
To All the Su ffices under PCDA Blore located in Blore All Sect ns in Main Office PCDABlore
I -Offices under different Controllers in Blore
Sub- Preparation of Fresh Roster for allotment of DAD Quarters amp Hostel Type Accommodation
Ref- Rule 6 of Allotment of GovtResidences(DAD Pool) Rules 1986 as amended
It has been decided by the Estate Officer to prepare a fresh Roster of
applications for allotment of Quarters in DAD Pool and also Hostel Type Accomn with effect from APRIL 2013 Only names in the fresh Roster will be considered for fresh allotment as well as for allotment of entitled higher type of quarters Hence every person whose name appears in the existing Roster should apply afresh failing which hisher name will not be reckoned for allotment
2) Applications are invited in the Proforma (separate for regular DAD and Hostel Accomn) enclosed to this letter from Officers and Staff of this department serving in Bangalore who intend to or willing to occupy DAD quartersHostel type Accomn The last date for receipt of applications duly completed in all respects is 28-3~2012 The Officers and Staff who are transferred to Bangalore may however submit their applications within one month of the date of their reporting duty
3) The individuals who are allotted DAD Quarters Hostel Accomn but have surrendered the same due to one reason or the other should have completed one year cooling period from the date of surrender of the quarters
4) The individuals furnishing incorrectfalse information with a view to secure allotment of DADHTA accommodation are liable for disciplinary action under CCS Conltluct Rules
5) Applications received after the stipulated date ie 28-3-2013 will not be considered till applications are called for again by this office Those delayed applications will be summarily rejected till next circular calling for fresh applications is issued
6) Heads of OfficeSections are requested to ensure that applications duly completed in all respects are forwarded in one batch and in time to avoid un-necessary delays Forwarding of applications in piece-meal will not be entertained
Contd 2shy
bull
- 2 shy
7) Individuals who are already been allotted DADHTA accommodation and are eligible for their entitled type must also apply afresh in the format duly indicating the quarter in which they are staying at present In case fresh applications for seeking accommodation for entitled type is not received it will be assumed that they are not interested in the Accomn of their entitled class and they cannot subsequently claim Accomn of their entitled type as the previous present Roster is closed once the revised Roster is prepared
8) After the due date stipulated above except for transfer-in cases (subject to the condition that applications received within one month of their reporting for duty in the station) and cases covered under Para 3 above fresh applications will not be entertained
9) Contents of this circular may please be brought to the notice of the staff serving in your officesection including those who are on leavetemporary dutyattachment and their dated signature obtained and recorded at your end A copy of this circular may please be displayed in your office Notice Board also bull
10) It is also reiterated that no plea that the individuals were not aware of this circular and hence could not apply before the stipulated date will be accepted subsequently and they have to wait till a circular is again issued calling for fresh applications
11) Criteria for allotment of DAD Qtrs at Ulsoor is Date of Seniority in service(ie Date of initial appointment) and the Grade Pay for different types of Quarters are as follows
1YPE A RS1300Rs1400Rs1600Rs1650 amp Rs1800 1YPE B Rs1900Rs2000Rs2400 amp Rs2800 1YPE C RS4200Rs4600 amp Rs4800 1YPED Rs5400 to Rs6600 1YPE E Rs7600 amp above
12) Criteria for allotment of Hostel Type Accomnat KaggadasapuraCVRaman Nagar is Station Seniority amp date from which the prescribed Grade Pay is being drawn continuously amp the same for different types of Hostel are as follows
SINGLE ROOM SUITE (With Kitchen-Rs4200- amp above(RELAXED Rs1900 amp above) DOUBLE ROOM SUITE -Rs5400- amp above(RELAXED Rs2800 amp above)
13) APPLICANTS ARE REQUESTED TO INDICATE SEPARATELY THE BLOCK AND FLOOR PREFERENCE IF ANY IN THE APPLICATION AS FAR AS DAD QTRS IS CONCERNED AND THEIR NAMES WILL BE CONSIDERED ONLY FOR THAT PREFERENCE AS AND WHEN THE VACANCY ARISES AND NO CORRESPONDENCE IN THIS REGARD WILL BE ENTERTAINED ONCE THE QUARTER IS ALLOTTED TO AN IMMEDIATE JUNIOR IN THE WAITING LIST
This has approval of CDA
Please acknowledge receipt
get
(MR KRISHNA) ACDA(ADMIN)
~ - OA Cell For uploading the Circular on PCDA Bangalore Web Site
(Local)
tLlt-middot
APPLICATION fOR INITIAL AlLOTMENT QfBE3ImmlAL ACCOMMODADQD (DADPOOY
Piease read the instr(tctionscarefuily before filling the form
o~1 NAI1E OF THE APPUCANT 2 GDE I ACCOUNT NUr4BER shy
3 DATE OF BIRn~ shy
4 OFFICE ltVHERE SERVING shy
5 OFFICE TELEPHONE NUMBER
6 WHETHER BELONGS TO SCSf
7 WHETHER TEvtPO~YPER1ANENT
S DATE FROM WHICH CONTINUOUSLY
Erv1PLOYED UNDER CENTRAL GOVT~
9 rAJ YOU OR YOUR rilIFE OVvN A HOUSE IrJ THE STATION shy
1Qo DATE OF SUPERANNUATION
lL fa) WHETHER RESIDIN iN GOVTACCOMN J O~~ pR 0 1 P bull1U I f QI ~VJYf VVLJ v cnht 00 shy
JI bull ~f middotRI=S t__ bull - I~~J 1- WH~C bulltt) fVJJgt UtAVMJ1 TV 14 1 n
PRESEiiTtY STAYING (H) POOL FROM WHICH ALL01TED
0shy(DAD POO OR CPvVD)
12 BASIC PAY AS ON 1ST JANUARY shy
13 GRADE PAY ASON 1ST JANUARY i 4 TiPE OF ACCOMNTO WHICH EliGIBLE shy
is ARE YOU VJn i iNG FOR QUARTERS OF THE NEXT BELOW TYPE IN C~SE QUARTERS OF EliGIBLE TyvE IS rJOT AVAILABLE
- 2 shy
I certify that I or my wifehusband or minor children do not own a houseown a ht)us~ in Bangaiore as defined in Allotment of (3t)vtResidences(DAD Pool) Rules 1986 Details of house owned_~~_
- agree to abide by the Allotment of Govt Residences (DAD Pool) Rules 19M as J r -
amenaeo rrorn trrne to trrneshy
SIGNATURE OF TH~ APPUCANT
PART-B
TO BE COMPLETED BY THE HeAD OF THE OffiCE Of IHEmiddotmiddotAPPllCAND shy
~ facts tated by the applicant have been verified endfqund corred Hisjher declaration abo~t Basic PayjGrade Pay middot and ownership of house have been specificalrl middotarifi-A Jitlh rJar- nc_ t- t-h_ auailaht- r-rordc bull n~ C1middot bull - loti - f
DATE SIGrJATURE
DESIGNATION
OFFICE
IN$TRUCTIQNS
ENTITLEMENTSshy
The etJtJement to varIous tfpas ot accommodatIon middot Is determIned on the basis of the emoluments drawn by the appHcant as on 1-1- The Pay ranges for dIfferent typas of accommodatIon are fndlcated belowshy
e - Mt f ro Grade Pay of Rs1300 ~_ii4centO RS1OOO RS16SO and RS1IJOO
TYPES Grade Pay of 161900 Rs2000 Rs2400 and RS2BOO ~
HC - Grade Pay of RS4200 RS4600and Rs4S00 TYPE 0 Grade Pay of Rs5400 to Ramp6600 V r c Grade Pay of Rs7600and aoove
PATE Of PRIORITYshy
n_middotpIO-lbullbull t_ -~-p--- middotf p- a 0 r- Ac-om- t1e amiddot~te f-om ~llhl-hucut VI II lILy III I) ~ v ry tM Oil C tHI) II g I Jr 11 I
the applicant ha~ been eontinuously in service under the Central Govt including the peftcjof fOffner serVic~
If l~AME OfTH~middot~CANT
~ --
3 QAlE of BIRTH
middot
4 OmcE WHeRE SEtMNG bull
5 OffiCf lfiBHONe NObull ~
6 WHErifERBELONGSTO$CISTmiddot
~
shy
bullbull J ~ 7 DATffRO~WttlOI ~ave iN SrAlION ~ -
~ ~
8 WHErHER~IPERMANENT gt - (
g~~ DATEmiddotFRtiM WHlcHmiddotcotmNuOUstvmiddotmiddot
EMPLOYED UNOiR tt~middotaovr~ shy ~
bull bull bull bull omiddot bull
-
lODO voU ORYOUR WIfE OWN A House
middot INnfl STAlJON
11~ WHETHER REsiDutG bull GOVTACCDMJI
AlLOTTED fROM CPWo OR DERNCE POOL -
-
-
middot12 MS1CPAY AS oN tSt JMtJARy
13tgtAlEfROMWHiCHTHE~~ ~~ GRADEPAY Of RS4200 aRS5400middotASmiddot1lE bull
CASE MAYBEISaaNG DRAWN~f
14middot1YPE OF ACCOMN~TO WH~EtiGmu v bull
middot (SINGLE RO()H OR DOOBLE ROOM~) ~
~
(SDfGl)ROOM sum - MYmiddotRS4200)
-~ middot (OOU~middotROoM SUITE - GRADE rAY ~S400 ~
- QIs1 ApeDAl
l certify tJlat lOt my _ndormiddotrRtoOrdlrrer()not~~CWna house I~ 10Isof amue oWned Is ~ bull
~
middotIt04ilIIIdemiddotU1e~~HOsteI~(DADmiddotPooJf~l~~-middotmiddotmiddot middotfImended tmmtlme to tfme gt - lt
~
I
- bull r
middotDATE SiGNA_ ~
middotmiddot DESGNmiddotmiddot =
~~bull ~~
bull
- 2 shy
7) Individuals who are already been allotted DADHTA accommodation and are eligible for their entitled type must also apply afresh in the format duly indicating the quarter in which they are staying at present In case fresh applications for seeking accommodation for entitled type is not received it will be assumed that they are not interested in the Accomn of their entitled class and they cannot subsequently claim Accomn of their entitled type as the previous present Roster is closed once the revised Roster is prepared
8) After the due date stipulated above except for transfer-in cases (subject to the condition that applications received within one month of their reporting for duty in the station) and cases covered under Para 3 above fresh applications will not be entertained
9) Contents of this circular may please be brought to the notice of the staff serving in your officesection including those who are on leavetemporary dutyattachment and their dated signature obtained and recorded at your end A copy of this circular may please be displayed in your office Notice Board also bull
10) It is also reiterated that no plea that the individuals were not aware of this circular and hence could not apply before the stipulated date will be accepted subsequently and they have to wait till a circular is again issued calling for fresh applications
11) Criteria for allotment of DAD Qtrs at Ulsoor is Date of Seniority in service(ie Date of initial appointment) and the Grade Pay for different types of Quarters are as follows
1YPE A RS1300Rs1400Rs1600Rs1650 amp Rs1800 1YPE B Rs1900Rs2000Rs2400 amp Rs2800 1YPE C RS4200Rs4600 amp Rs4800 1YPED Rs5400 to Rs6600 1YPE E Rs7600 amp above
12) Criteria for allotment of Hostel Type Accomnat KaggadasapuraCVRaman Nagar is Station Seniority amp date from which the prescribed Grade Pay is being drawn continuously amp the same for different types of Hostel are as follows
SINGLE ROOM SUITE (With Kitchen-Rs4200- amp above(RELAXED Rs1900 amp above) DOUBLE ROOM SUITE -Rs5400- amp above(RELAXED Rs2800 amp above)
13) APPLICANTS ARE REQUESTED TO INDICATE SEPARATELY THE BLOCK AND FLOOR PREFERENCE IF ANY IN THE APPLICATION AS FAR AS DAD QTRS IS CONCERNED AND THEIR NAMES WILL BE CONSIDERED ONLY FOR THAT PREFERENCE AS AND WHEN THE VACANCY ARISES AND NO CORRESPONDENCE IN THIS REGARD WILL BE ENTERTAINED ONCE THE QUARTER IS ALLOTTED TO AN IMMEDIATE JUNIOR IN THE WAITING LIST
This has approval of CDA
Please acknowledge receipt
get
(MR KRISHNA) ACDA(ADMIN)
~ - OA Cell For uploading the Circular on PCDA Bangalore Web Site
(Local)
tLlt-middot
APPLICATION fOR INITIAL AlLOTMENT QfBE3ImmlAL ACCOMMODADQD (DADPOOY
Piease read the instr(tctionscarefuily before filling the form
o~1 NAI1E OF THE APPUCANT 2 GDE I ACCOUNT NUr4BER shy
3 DATE OF BIRn~ shy
4 OFFICE ltVHERE SERVING shy
5 OFFICE TELEPHONE NUMBER
6 WHETHER BELONGS TO SCSf
7 WHETHER TEvtPO~YPER1ANENT
S DATE FROM WHICH CONTINUOUSLY
Erv1PLOYED UNDER CENTRAL GOVT~
9 rAJ YOU OR YOUR rilIFE OVvN A HOUSE IrJ THE STATION shy
1Qo DATE OF SUPERANNUATION
lL fa) WHETHER RESIDIN iN GOVTACCOMN J O~~ pR 0 1 P bull1U I f QI ~VJYf VVLJ v cnht 00 shy
JI bull ~f middotRI=S t__ bull - I~~J 1- WH~C bulltt) fVJJgt UtAVMJ1 TV 14 1 n
PRESEiiTtY STAYING (H) POOL FROM WHICH ALL01TED
0shy(DAD POO OR CPvVD)
12 BASIC PAY AS ON 1ST JANUARY shy
13 GRADE PAY ASON 1ST JANUARY i 4 TiPE OF ACCOMNTO WHICH EliGIBLE shy
is ARE YOU VJn i iNG FOR QUARTERS OF THE NEXT BELOW TYPE IN C~SE QUARTERS OF EliGIBLE TyvE IS rJOT AVAILABLE
- 2 shy
I certify that I or my wifehusband or minor children do not own a houseown a ht)us~ in Bangaiore as defined in Allotment of (3t)vtResidences(DAD Pool) Rules 1986 Details of house owned_~~_
- agree to abide by the Allotment of Govt Residences (DAD Pool) Rules 19M as J r -
amenaeo rrorn trrne to trrneshy
SIGNATURE OF TH~ APPUCANT
PART-B
TO BE COMPLETED BY THE HeAD OF THE OffiCE Of IHEmiddotmiddotAPPllCAND shy
~ facts tated by the applicant have been verified endfqund corred Hisjher declaration abo~t Basic PayjGrade Pay middot and ownership of house have been specificalrl middotarifi-A Jitlh rJar- nc_ t- t-h_ auailaht- r-rordc bull n~ C1middot bull - loti - f
DATE SIGrJATURE
DESIGNATION
OFFICE
IN$TRUCTIQNS
ENTITLEMENTSshy
The etJtJement to varIous tfpas ot accommodatIon middot Is determIned on the basis of the emoluments drawn by the appHcant as on 1-1- The Pay ranges for dIfferent typas of accommodatIon are fndlcated belowshy
e - Mt f ro Grade Pay of Rs1300 ~_ii4centO RS1OOO RS16SO and RS1IJOO
TYPES Grade Pay of 161900 Rs2000 Rs2400 and RS2BOO ~
HC - Grade Pay of RS4200 RS4600and Rs4S00 TYPE 0 Grade Pay of Rs5400 to Ramp6600 V r c Grade Pay of Rs7600and aoove
PATE Of PRIORITYshy
n_middotpIO-lbullbull t_ -~-p--- middotf p- a 0 r- Ac-om- t1e amiddot~te f-om ~llhl-hucut VI II lILy III I) ~ v ry tM Oil C tHI) II g I Jr 11 I
the applicant ha~ been eontinuously in service under the Central Govt including the peftcjof fOffner serVic~
If l~AME OfTH~middot~CANT
~ --
3 QAlE of BIRTH
middot
4 OmcE WHeRE SEtMNG bull
5 OffiCf lfiBHONe NObull ~
6 WHErifERBELONGSTO$CISTmiddot
~
shy
bullbull J ~ 7 DATffRO~WttlOI ~ave iN SrAlION ~ -
~ ~
8 WHErHER~IPERMANENT gt - (
g~~ DATEmiddotFRtiM WHlcHmiddotcotmNuOUstvmiddotmiddot
EMPLOYED UNOiR tt~middotaovr~ shy ~
bull bull bull bull omiddot bull
-
lODO voU ORYOUR WIfE OWN A House
middot INnfl STAlJON
11~ WHETHER REsiDutG bull GOVTACCDMJI
AlLOTTED fROM CPWo OR DERNCE POOL -
-
-
middot12 MS1CPAY AS oN tSt JMtJARy
13tgtAlEfROMWHiCHTHE~~ ~~ GRADEPAY Of RS4200 aRS5400middotASmiddot1lE bull
CASE MAYBEISaaNG DRAWN~f
14middot1YPE OF ACCOMN~TO WH~EtiGmu v bull
middot (SINGLE RO()H OR DOOBLE ROOM~) ~
~
(SDfGl)ROOM sum - MYmiddotRS4200)
-~ middot (OOU~middotROoM SUITE - GRADE rAY ~S400 ~
- QIs1 ApeDAl
l certify tJlat lOt my _ndormiddotrRtoOrdlrrer()not~~CWna house I~ 10Isof amue oWned Is ~ bull
~
middotIt04ilIIIdemiddotU1e~~HOsteI~(DADmiddotPooJf~l~~-middotmiddotmiddot middotfImended tmmtlme to tfme gt - lt
~
I
- bull r
middotDATE SiGNA_ ~
middotmiddot DESGNmiddotmiddot =
~~bull ~~
APPLICATION fOR INITIAL AlLOTMENT QfBE3ImmlAL ACCOMMODADQD (DADPOOY
Piease read the instr(tctionscarefuily before filling the form
o~1 NAI1E OF THE APPUCANT 2 GDE I ACCOUNT NUr4BER shy
3 DATE OF BIRn~ shy
4 OFFICE ltVHERE SERVING shy
5 OFFICE TELEPHONE NUMBER
6 WHETHER BELONGS TO SCSf
7 WHETHER TEvtPO~YPER1ANENT
S DATE FROM WHICH CONTINUOUSLY
Erv1PLOYED UNDER CENTRAL GOVT~
9 rAJ YOU OR YOUR rilIFE OVvN A HOUSE IrJ THE STATION shy
1Qo DATE OF SUPERANNUATION
lL fa) WHETHER RESIDIN iN GOVTACCOMN J O~~ pR 0 1 P bull1U I f QI ~VJYf VVLJ v cnht 00 shy
JI bull ~f middotRI=S t__ bull - I~~J 1- WH~C bulltt) fVJJgt UtAVMJ1 TV 14 1 n
PRESEiiTtY STAYING (H) POOL FROM WHICH ALL01TED
0shy(DAD POO OR CPvVD)
12 BASIC PAY AS ON 1ST JANUARY shy
13 GRADE PAY ASON 1ST JANUARY i 4 TiPE OF ACCOMNTO WHICH EliGIBLE shy
is ARE YOU VJn i iNG FOR QUARTERS OF THE NEXT BELOW TYPE IN C~SE QUARTERS OF EliGIBLE TyvE IS rJOT AVAILABLE
- 2 shy
I certify that I or my wifehusband or minor children do not own a houseown a ht)us~ in Bangaiore as defined in Allotment of (3t)vtResidences(DAD Pool) Rules 1986 Details of house owned_~~_
- agree to abide by the Allotment of Govt Residences (DAD Pool) Rules 19M as J r -
amenaeo rrorn trrne to trrneshy
SIGNATURE OF TH~ APPUCANT
PART-B
TO BE COMPLETED BY THE HeAD OF THE OffiCE Of IHEmiddotmiddotAPPllCAND shy
~ facts tated by the applicant have been verified endfqund corred Hisjher declaration abo~t Basic PayjGrade Pay middot and ownership of house have been specificalrl middotarifi-A Jitlh rJar- nc_ t- t-h_ auailaht- r-rordc bull n~ C1middot bull - loti - f
DATE SIGrJATURE
DESIGNATION
OFFICE
IN$TRUCTIQNS
ENTITLEMENTSshy
The etJtJement to varIous tfpas ot accommodatIon middot Is determIned on the basis of the emoluments drawn by the appHcant as on 1-1- The Pay ranges for dIfferent typas of accommodatIon are fndlcated belowshy
e - Mt f ro Grade Pay of Rs1300 ~_ii4centO RS1OOO RS16SO and RS1IJOO
TYPES Grade Pay of 161900 Rs2000 Rs2400 and RS2BOO ~
HC - Grade Pay of RS4200 RS4600and Rs4S00 TYPE 0 Grade Pay of Rs5400 to Ramp6600 V r c Grade Pay of Rs7600and aoove
PATE Of PRIORITYshy
n_middotpIO-lbullbull t_ -~-p--- middotf p- a 0 r- Ac-om- t1e amiddot~te f-om ~llhl-hucut VI II lILy III I) ~ v ry tM Oil C tHI) II g I Jr 11 I
the applicant ha~ been eontinuously in service under the Central Govt including the peftcjof fOffner serVic~
If l~AME OfTH~middot~CANT
~ --
3 QAlE of BIRTH
middot
4 OmcE WHeRE SEtMNG bull
5 OffiCf lfiBHONe NObull ~
6 WHErifERBELONGSTO$CISTmiddot
~
shy
bullbull J ~ 7 DATffRO~WttlOI ~ave iN SrAlION ~ -
~ ~
8 WHErHER~IPERMANENT gt - (
g~~ DATEmiddotFRtiM WHlcHmiddotcotmNuOUstvmiddotmiddot
EMPLOYED UNOiR tt~middotaovr~ shy ~
bull bull bull bull omiddot bull
-
lODO voU ORYOUR WIfE OWN A House
middot INnfl STAlJON
11~ WHETHER REsiDutG bull GOVTACCDMJI
AlLOTTED fROM CPWo OR DERNCE POOL -
-
-
middot12 MS1CPAY AS oN tSt JMtJARy
13tgtAlEfROMWHiCHTHE~~ ~~ GRADEPAY Of RS4200 aRS5400middotASmiddot1lE bull
CASE MAYBEISaaNG DRAWN~f
14middot1YPE OF ACCOMN~TO WH~EtiGmu v bull
middot (SINGLE RO()H OR DOOBLE ROOM~) ~
~
(SDfGl)ROOM sum - MYmiddotRS4200)
-~ middot (OOU~middotROoM SUITE - GRADE rAY ~S400 ~
- QIs1 ApeDAl
l certify tJlat lOt my _ndormiddotrRtoOrdlrrer()not~~CWna house I~ 10Isof amue oWned Is ~ bull
~
middotIt04ilIIIdemiddotU1e~~HOsteI~(DADmiddotPooJf~l~~-middotmiddotmiddot middotfImended tmmtlme to tfme gt - lt
~
I
- bull r
middotDATE SiGNA_ ~
middotmiddot DESGNmiddotmiddot =
~~bull ~~
- 2 shy
I certify that I or my wifehusband or minor children do not own a houseown a ht)us~ in Bangaiore as defined in Allotment of (3t)vtResidences(DAD Pool) Rules 1986 Details of house owned_~~_
- agree to abide by the Allotment of Govt Residences (DAD Pool) Rules 19M as J r -
amenaeo rrorn trrne to trrneshy
SIGNATURE OF TH~ APPUCANT
PART-B
TO BE COMPLETED BY THE HeAD OF THE OffiCE Of IHEmiddotmiddotAPPllCAND shy
~ facts tated by the applicant have been verified endfqund corred Hisjher declaration abo~t Basic PayjGrade Pay middot and ownership of house have been specificalrl middotarifi-A Jitlh rJar- nc_ t- t-h_ auailaht- r-rordc bull n~ C1middot bull - loti - f
DATE SIGrJATURE
DESIGNATION
OFFICE
IN$TRUCTIQNS
ENTITLEMENTSshy
The etJtJement to varIous tfpas ot accommodatIon middot Is determIned on the basis of the emoluments drawn by the appHcant as on 1-1- The Pay ranges for dIfferent typas of accommodatIon are fndlcated belowshy
e - Mt f ro Grade Pay of Rs1300 ~_ii4centO RS1OOO RS16SO and RS1IJOO
TYPES Grade Pay of 161900 Rs2000 Rs2400 and RS2BOO ~
HC - Grade Pay of RS4200 RS4600and Rs4S00 TYPE 0 Grade Pay of Rs5400 to Ramp6600 V r c Grade Pay of Rs7600and aoove
PATE Of PRIORITYshy
n_middotpIO-lbullbull t_ -~-p--- middotf p- a 0 r- Ac-om- t1e amiddot~te f-om ~llhl-hucut VI II lILy III I) ~ v ry tM Oil C tHI) II g I Jr 11 I
the applicant ha~ been eontinuously in service under the Central Govt including the peftcjof fOffner serVic~
If l~AME OfTH~middot~CANT
~ --
3 QAlE of BIRTH
middot
4 OmcE WHeRE SEtMNG bull
5 OffiCf lfiBHONe NObull ~
6 WHErifERBELONGSTO$CISTmiddot
~
shy
bullbull J ~ 7 DATffRO~WttlOI ~ave iN SrAlION ~ -
~ ~
8 WHErHER~IPERMANENT gt - (
g~~ DATEmiddotFRtiM WHlcHmiddotcotmNuOUstvmiddotmiddot
EMPLOYED UNOiR tt~middotaovr~ shy ~
bull bull bull bull omiddot bull
-
lODO voU ORYOUR WIfE OWN A House
middot INnfl STAlJON
11~ WHETHER REsiDutG bull GOVTACCDMJI
AlLOTTED fROM CPWo OR DERNCE POOL -
-
-
middot12 MS1CPAY AS oN tSt JMtJARy
13tgtAlEfROMWHiCHTHE~~ ~~ GRADEPAY Of RS4200 aRS5400middotASmiddot1lE bull
CASE MAYBEISaaNG DRAWN~f
14middot1YPE OF ACCOMN~TO WH~EtiGmu v bull
middot (SINGLE RO()H OR DOOBLE ROOM~) ~
~
(SDfGl)ROOM sum - MYmiddotRS4200)
-~ middot (OOU~middotROoM SUITE - GRADE rAY ~S400 ~
- QIs1 ApeDAl
l certify tJlat lOt my _ndormiddotrRtoOrdlrrer()not~~CWna house I~ 10Isof amue oWned Is ~ bull
~
middotIt04ilIIIdemiddotU1e~~HOsteI~(DADmiddotPooJf~l~~-middotmiddotmiddot middotfImended tmmtlme to tfme gt - lt
~
I
- bull r
middotDATE SiGNA_ ~
middotmiddot DESGNmiddotmiddot =
~~bull ~~
If l~AME OfTH~middot~CANT
~ --
3 QAlE of BIRTH
middot
4 OmcE WHeRE SEtMNG bull
5 OffiCf lfiBHONe NObull ~
6 WHErifERBELONGSTO$CISTmiddot
~
shy
bullbull J ~ 7 DATffRO~WttlOI ~ave iN SrAlION ~ -
~ ~
8 WHErHER~IPERMANENT gt - (
g~~ DATEmiddotFRtiM WHlcHmiddotcotmNuOUstvmiddotmiddot
EMPLOYED UNOiR tt~middotaovr~ shy ~
bull bull bull bull omiddot bull
-
lODO voU ORYOUR WIfE OWN A House
middot INnfl STAlJON
11~ WHETHER REsiDutG bull GOVTACCDMJI
AlLOTTED fROM CPWo OR DERNCE POOL -
-
-
middot12 MS1CPAY AS oN tSt JMtJARy
13tgtAlEfROMWHiCHTHE~~ ~~ GRADEPAY Of RS4200 aRS5400middotASmiddot1lE bull
CASE MAYBEISaaNG DRAWN~f
14middot1YPE OF ACCOMN~TO WH~EtiGmu v bull
middot (SINGLE RO()H OR DOOBLE ROOM~) ~
~
(SDfGl)ROOM sum - MYmiddotRS4200)
-~ middot (OOU~middotROoM SUITE - GRADE rAY ~S400 ~
- QIs1 ApeDAl
l certify tJlat lOt my _ndormiddotrRtoOrdlrrer()not~~CWna house I~ 10Isof amue oWned Is ~ bull
~
middotIt04ilIIIdemiddotU1e~~HOsteI~(DADmiddotPooJf~l~~-middotmiddotmiddot middotfImended tmmtlme to tfme gt - lt
~
I
- bull r
middotDATE SiGNA_ ~
middotmiddot DESGNmiddotmiddot =
~~bull ~~