e-awas allotment - 504737.pdf

Government of India

Directorate of EstatesNirman Bhawan, New Delhi

DE-2 FORM

DoE Copy

Application for General Pool Residential Accommodation (Online Submission)

Personal Details

Pay DetailsPay Band / Scale : PB1: 5200-20200Present Grade Pay (Rs.) : 2000Present Basic Pay (Rs.) : 12220

Date from which continuously drawing present grade pay / pay scale : 01-01-2008

Service Details

Status : PERMANENT

Working in an eligible Office of : CENTRAL GOVERNMENT Are you entitled for HRA ? : YES

Office Details

Office ID : 1300301013 Office Eligible for GPRA : YES

Details of House allotted by Directorate of EstatesAre you / your spouse occupying accommodation allotted by / from Directorate of Estates (DoE) ? : NO

Details of House allotted from Departmental Pool / State GovernmentAre you / your spouse occupying accommodation allotted by / from Departmental Pool / State Government Pool ? : NO

Own House DetailsAre you / your dependent children own a house within the jurisdiction of Local Municipality or any adjoining municipality ? : NO

House Type(s) Applied

Deputation DetailsAre you on deputation to Central Govt. under the Central Staffing Scheme ? : NO

Debarment DetailsAre you debarred from Allotment of Government Residence ? : NO

Date of Receipt :(To be filled in by the Estate Office)

Date of Application : 27-03-2015 Application No : 504737 Form Status : FINALRegistration No : 10202218 AAN No : Form Category : General Pool

Name of Applicant : SUNDER SINGH RAWAT Employee Code :Name of Father / Spouse : CHANDNI RAWAT Marital Status : MARRIEDDesignation : LOWER DIVISION CLERK Category : GENERALDate of Birth : 24-03-1963 Date from which continuously employed in Govt. Service : 26-02-1987Date of Retirement : 31-03-2023 Date from which continuously posted in the present City : 26-02-1987PAN Card Number : ANOPR9454J Aadhaar Number : 8977136489

98

Group of Service : C Service :

Office : DEP. OF HEALTH, C.G.H.S., ADDL. DIRECTOR (EAST ZONE), LAXMI NAGAR, DELHI.Attached/Sub. office : DIRECTORATE GENERAL OF HEALTH SERVICES, NIRMAN BHAWAN, NEW DELHI, PHONE: 91-11-23018438, 91-11-23019063Department : DEPARTMENT OF HEALTH, NIRMAN BHAWAN, NEW DELHI 110011Ministry / State Govt: MINISTRY OF HEALTH AND FAMILY WELFARE, NIRMAN BHAWAN, NEW DELHI - 110108

House Type(s) Date of Priority (DoP) Pool(s)

2 26-02-1987 GP

Working Address Details Permanent Address Details

http://gpra.nic.in DOE-NIC of 2Signature of Forwarding Officer with Seal Signature of Applicant

Signature of Forwarding Officer with Seal Signature of Applicant

Declaration by the Applicant

1. I agree to abide by the Allotment of Government Residence (General Pool in Delhi) Rules, 1963, as amended from time to time, and / or Allotment Rules applicable to

the place where I am posted, as well as the applicable instruction.

2. I am working in an eligible office located in an eligible zone.

3. I am aware of the penalities which can be imposed in the event of refusal of acceptance of allotment of accommodation of the entitled type under Supplementary Rules

(SR) 317-B-10 or furnishing of false information or subletting / misuse of the premises under SR-317-B-21.

Date : 27-03-2015Signature of the Applicant

TO BE FILLED IN BY THE FORWARDING OFFICE

1. Certified that the date of continuous employment under Government Service of the applicant is___________________.

2. Certified that the present Grade Pay of the applicant is Rs.___________ and his / her Basic Pay (Grade Pay + Band Pay) is Rs.___________ as per service records.

3. Certified that the marital status of the applicant is___________________ (single/widow/divorcee/married).

4. Certified that the applicant is employed in an eligible office and has not been debarred from allotment of General Pool accommodation.

5. Certified that applicant is entitled / not entitled to rent free accommodation.

6. Certified that all the information mentioned in the application are verified from the records and found to be correct.

Office Seal Signature with Date

Name :_______________________________________________________

Designation :_______________________________________________________

Phone No. :_______________________________________________________

Fax :_______________________________________________________

E-mail :_______________________________________________________

Documents required :-

1. Pay Fixation Order of 6th Pay Commission

2. Last Promotion Order

3. Recent Pay Slip

Address : C.G.H.S. EAST ZONE Address : VILLAGE - KOCHIYAR : LAXMI NAGAR : POST - DHUMAKOTCity : DELHI Pin : 110092 City : PAURI GARHWAL, UTTARAKHAND Pin :Phone : Fax : Phone :Mobile : 9560272749 E-mail :

Office ID 1300301013 Endorsement No. Date

Office DEP. OF HEALTH, C.G.H.S., ADDL. DIRECTOR (EAST ZONE), LAXMI NAGAR, DELHI.

Name of Applicant SUNDER SINGH RAWAT

Designation LOWER DIVISION CLERK

Category of Office(Please tick)

Central Government State Government

Ministry Department Attached Office Subordinate Office Autonomous Body Statutory Body Others

http://gpra.nic.in DOE-NIC of 2