APPLICATION FOR HOUSE BUILDING ADVANCE
Name of the Applicant (in block letters) _______________________________
2. Designation (Gazetted/Non Gazetted) ________________________________
3. Father’s/Husband's Name ________________________________
4. Name of Deptt./Branch _______________________________
5. Emolument on which the loan is admissible ____________________________
6. (i) Basic Pay Rs..____________________
(ii) Dearness Pay Rs.__________________
(iii) Special Pay/NPA Rs._______________
(iv) Total (i) to (iii)__________________________
Head of Account _________________________
(i) G.P Fund Accont No.__________________
(ii) Salary Bank _____________________& Account No.__________________
8. Amount of advance applied for________________________________
Recoverable in _________________instalments of Rs.____________
9. Purpose of advance now: applied for_________________________________
10. Whether any advance has been drawn previously for house
building/repairs/Extension of house under any rules/scheme if so:
i. Date of drawal of the advance ___________________________
ii Purpose for which the advance was drawn. ___________________________
iii Amount of advance drawn
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