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3.PLEASE STATE:
Whether you are a Your permanent post Date of Birth & Date which If your wife/husband a
permanent non if any and the name Age next Birth you will State Govt. Servant if so
permanent State of office and day. attain the her/his name and
Govt.Servant and Department age of 58 Designation etc.
the Length and concerned. years.
Service rendered
under the Govt.of
Tamil Nadu (2)
(1) (3) (5)
(4)
4. Do you for does not wife/husband/minor child already own a house (se rules 2(b)
if so please state.
Station where Floor Area (in Its approximate Reasons for
situated square mtr.) valuvation designation own
another house.
(2) (3) (4)
(1)
5.A) Do you require the advance for building new house or for puchasing a plot and
constrcting a building there on if so, please indicate:
Approximate Estimated Cost Amount of No.of years
floor area of Advance the advance
the house Cost of Cost of Total with interest
proposed to land Building is proposed
be to be repaid.
constructed
(in SQ,Ft.)
(1) (3) (4) (5) (6)
(2)
NO
b)_ Whether you are already in possession of the land, if so please state.
Name of the City Whether you wish Area of the plot in Name of
or Town where it to settle there after SQ.FT. Municipality or any
has locate. retirement. other local authority
(If any, in whose
jurisdiction it is
(1) (2) (3) located.
(4)
Plot No :
Land :
Floor Area :
Amount :
ii.) Have you satisfied yourself that the Yes
transaction would result in your acquiring an
undisputable title to the house
NOTE: A plan of the house should accompany the application.
1. Solemnly declare that the information furnished by the reply to the various
items indicated above is true to the best of my knowledge and belief.
2. I have rend the rules regulating the grant of advances to Government Servants
for building of house and agree to abide by them and the terms and conditions
stipulated therein.
3. I certify that
i) My husband is not a State Government Servant
ii) Neither I nor my husband who is a State Government has applied for and/or
obtained an advance under these rules.
iii) NBeither I nor my husband has applied for obtained advance of loan from any
other Government source for the acquisition of a house.
iv) The house proposed to be purchased/constructed enlarged is reuired for my
bonafide personnel use.
v) The construction of the house for which the advance has been applied for, use
got yet been commenced.
vi) I do not own any house whether in my name or in the name of my wife or in the
name of my minor children.
vii) I agree to pay of the entire Government advance during the service period from
my pay leave salary and DCRG payable to me.
viii I shall meet the difference amount form my private sources and complete the
) construction with the advance
ix) I shall meet the difference amount between the cost of the house/plot and the
amount to be sanctioned from my private sources and purchase of house flat
and produce the documents within the time allowed.
x) I do not own any house/flat either in my name or in the name of my wife or in
the name of minor children except the instant house proposed for enlargement/
improvement.
OFFICE SEAL :
UNDERTAKING
I, Thiru ------------------------------------------- confirmed bonofied State
Government Employee ----------------------------------------- undertake to repay the
entire House Building Advance together with interest payable thereon during my
service period from m6y Leave Salary and Death-Cum-Retirement gratuity payable to
me. I shall repay the private loan raised by me immediately after drawing the advance
and execute necessary mortgage deed mortgaging the property free from my
Encumbrance as stipulated in the House Building Advance Rule.
I, hereby declare that the difference amount the estimate and the sanctioned amount
will be borne by me from my private resources and the construction will be completed
within the time allotted as per rules.
SIGNATUR
E OF APPLICANT
WITNESS:
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