Application Form For Allotment of Government Accommodation PDF
Application Form For Allotment of Government Accommodation PDF
6. Name of Department:
12. Details of family members: (Additional sheet can be used for more than 5 members).
S.No. Name Relation Age
1
(d d m m y y y y) (d d m m y y y y)
13. Date of entry into Govt.Service: 14. Date of posting at present station:
Mohallah: City:
(d d m m y y y y)
18. Status of house: a) Govt.owned b) Hired house: 19. Date of Occupation:
(d d m m y y y y)
20. Expected date of vacation / vacated the present accommodation on:
Mohallah: City:
(d d m m y y y y)
22. Status of house: a) Govt.owned b) Hired house: 23. Date of Occupation:
(d d m m y y y y)
24. Expected date of vacation / vacated the present accommodation on:
Mohallah: City:
(d d m m y y y y)
27. Date of completion of house
28. Please ensure that the THREE COPIES of following documents have been attached with application in the following order duly attested:
Yes No
a) Vacation report of previous house:
b) Copy of N.I.C. of allottee (FGS):
c) Copy of last pay slip / last pay bill:
d) Three Photos including the pasted one
Signature ___________________________
Name ______________________________
Designation and Department with complete
address (Official stamp to be fixed)