GOVT OF INDIA, MINISTRY OF DEFENCE

CANTEEN STORES DEPARTMENT

_______________
INDENT FOR PURCHASE OF CAR/VAN
1. Personal No _____________________________________________________________________
2. Rank/Designation________________________________________________________________
3. Name___________________________________________________________________________

* 4. Identity Card No_________________________________________________________________
5. Unit/ormation__________________________________________________________________
!. Corres"onden#e $ddress % &ele No ________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
'. (asi# Pay in#l)ding Rank Pay. Please atta#* t+o ,ero- #o"ies o. "ay sli"__________________
/PP0 .or Retired 0..i#ers1
** 2. 3ention yo)r Permanent $##o)nt No. /$&&$C4 56R07 C0P81______________________
9. Colo)r_______________________3odel No_________________C:D C0D6______________
1;. Dealer Name____________________________________________________________________
CERTIFICATE
11. / a1 Certi.ied t*at I *a<e not ")r#*ased any <e*i#le .rom t*e C:D .or t*e last t+o years .
/ =1 Certi.ied t*at t*e <e*i#le a""lied is .or my "ersonal )se and +ill not =e sold/trans.erred to any
"erson d)ring t*e ne-t t+o years .
/ # 1 I #erti.y t*at I *a<e "ersonally read t*e a=o<e terms and t*ese are a##e"ta=le to me .
/ d 1 I a..irm t*at t*e a=o<e details are #orre#t to t*e =est o. my kno+ledge .

Pla#e______________
Date______________ Signature o A!!"i#ant
12. It is #erti.ied t*at in.ormation / "arti#)lars gi<en =y a=o<e a""li#ant are <eri.ied and .o)nd #orre#t .

COUNTERSIGNED

$$$ Signature o Unit CO/Station Co%%an&er
D' Dire#tor o (i"a Saini) *oar&
AFFI+ ROUND STAMP
Rank_______________________________

Name_______________________________

Date________________________________
TERMS AND CONDITIONS
1. )ll "ayment is to =e made =y (ank Dra.t ")r#*ased .rom a nationalised =ank in
a .a<o)r o. > C$N&66N :&0R6: D6P$R&36N& PU(?IC UND $CC0UN&
/3$IN1 > "aya=le at $3($?$/4I:$R/$436D$($D/@$?$ND4$R Cantt . or
Payment =y DD 0 Non Nationalised (ank $)t*ority ?etter +ill =e iss)ed only a.ter
amo)nt is a#t)ally #redited in Canteen :tores De"artment P)=li# )nd $##o)nt /3$IN1.
2. $ll #ommissioned o..i#ers o. t*e armed .or#es are eligi=le.
3. In#om"lete .orm +ill not =e a##e"ted.
4. I. yo) +ant to #*ange t*e model a.ter =ooking t*e <e*i#leA a s)m o. Rs 5;;/B +ill =e
ded)#ted .rom yo)r ad<an#e . 8o)r seniority +ill start .rom ,ero.
5. Please ens)re t*at t*e .orm is "ro"erly .illed in t*e a""ro"riate #ol)mns. C)tting i. any
m)st =e #o)ntersigned =y t*e 4ig*er $)t*ority.
!. &*e a""li#ation .orm m)st =e #o)ntersigned =y t*e Commanding 0..i#er o. t*e
Unit/.ormation. Retired 0..i#erCs .orm m)st =e #o)ntersigned =y t*e :tation Commander
/at least Col or 6D)i<alent Rank1 or =y t*e Dy Dire#tor o. 5ila :ainik (oard lo#ated nearest
to *is "la#e o. residen#e.
'. &*e <e*i#le +ill =e deli<ered as "er t*e s#*ed)le o. t*e .irm.
2. Pri#e +ill =e #*arged as a""li#a=le at t*e time o. deli<ery.
9. Canteen :tores De"artment +ill not =e res"onsi=le .or any delay.
1;.&*e #)stomer s*o)ld "ersonally #olle#t all t*e rele<ant do#)ments .rom t*e de"ot.
4e/:*e s*o)ld =ring 4is/4er Identity Card A Dis#*arge Certi.i#ate A Pension (ook / Pension
Payment 0rders /i. retired1ADri<ing ?i#ense and ne#essary $..ida<it +it* regard to marital
stat)s in #ase o. Eido+ . IN CASE OF SERVING OFFICERS ON,Y A in e-#e"tional
#ases A +*ere t*e o..i#er is )na=le to #ome in "erson d)e to <alid reasons A "ro"er a)t*ority
letter +it* signat)re o. t*e nominee d)ly attested =y t*e o..i#er and #o)ntersigned =y t*e
Commanding 0..i#er / :tation Commander /4ig*er $)t*ority #an =e a##e"ted at t*e
dis#retion o. t*e D6P0& .

AUTHORITY LETTER
To
The Manager,
CSD Depot,
__________,
__________.
REF.: COLLECTION OF CAR THROUGH CSD
Dear Sir,
. !"ea#e re$er to %& in'ent $or p(r)ha#e o$ a ____________)ar $ro%
M*#.____________________,____________ + thro(gh &o(r 'epot. Sin)e I ,i"" not -e
a-"e to )o""e)t per#ona""& the )ar '(e to (na.oi'a-"e )o%%it%ent# ,hi)h are -e&on'
%& )ontro" , %a& I re/(e#t &o( to 0in'"& han' o.er the 'o)(%ent# a# ,e"" a# the .ehi)"e
to Na%e________________________
Hi#*Her three #pe)i%en #ignat(re# are appen'e' -e"o, p"ea#e : 1
______________ _______________ ______________
Than0ing &o(,
2o(r# $aith$(""&,
Signat(re____________________
Ran0 ____________________
Na%e ____________________

Date : Co(nter Sign o$ Unit CO*Station C'r
!"a)e: 3ith Appoint%ent Sta%p 4#a%e a# on
In'ent5
Ran0666666..

Na%e666666.

Date6666666
Ro(n'
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