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Government of India

Directorate of Estates
Nirman Bhawan, New Delhi
DE-2 FORM
DoE Copy
Application for General Pool Residential Accommodation (Online Submission)
Date of Receipt :
(To be filled in by the Estate Office)
Date of Application
Registration No

:
:

27-03-2015
10202218

Application No :
AAN No
:

504737

Form Status
:
Form Category :

FINAL
General Pool

Personal Details
Name of Applicant
:
Name of Father / Spouse :
Designation
:
Date of Birth
:
Date of Retirement
:
PAN Card Number
:

SUNDER SINGH RAWAT


CHANDNI RAWAT
LOWER DIVISION CLERK
24-03-1963
31-03-2023
ANOPR9454J

Employee Code
Marital Status
Category
Date from which continuously employed in Govt. Service
Date from which continuously posted in the present City
Aadhaar Number
:

:
:
:
:
:

MARRIED
GENERAL
26-02-1987
26-02-1987
8977136489
98

Pay Details
Pay 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
Group of Service

Service :

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

Office Details
Office
:
Attached/Sub. office :
Department
:
Ministry / State Govt:
Office ID

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

: 1300301013 Office Eligible for GPRA : YES

Details of House allotted by Directorate of Estates


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

Details of House allotted from Departmental Pool / State Government


Are you / your spouse occupying accommodation allotted by / from Departmental Pool / State Government Pool ? : NO

Own House Details


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

House Type(s) Applied


House Type(s)

Date of Priority (DoP)

Pool(s)

26-02-1987

GP

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

Debarment Details
Are you debarred from Allotment of Government Residence ? : NO

Working Address Details


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

Permanent Address Details


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Address : C.G.H.S. EAST ZONE


: LAXMI NAGAR
City
: DELHI
Phone :
Mobile :
9560272749

Pin
:
Fax
:
E-mail :

Address : VILLAGE - KOCHIYAR


: POST - DHUMAKOT
City
: PAURI GARHWAL, UTTARAKHAND
Phone :

110092

Pin

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


Office ID

1300301013

Office

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

Endorsement No.

Date

Name of Applicant

SUNDER SINGH RAWAT

Designation

LOWER DIVISION CLERK

Category of Office
(Please tick)

Central Government
Ministry

Department

Attached Office

Subordinate Office

State Government
Autonomous Body

Statutory Body

Others

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

http://gpra.nic.in

DOE-NIC

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