APPLICATION FORM FOR ALLOTMENT OF LEFTOVER F - TYPE PLOT- PMHS SANJWAL CANTT

POF Officers BS-17 & 18 (04-7-2011 to 31-10-2017)

Please tick:
Serving Retired

To : Chairman POFs Board

Through : Director Admin

I submit application for allotment of plot as per allotment policy for PMHS Sanjwal Cantt as published in
POF Khabarnama No. 45 Dated 08-11-2017 and I agree with all the terms and conditions thereof. Affidavit on judicial
paper is attached with application. My particulars are as under:

Name: __________________________________ Father’s Name ________________________ Pl. No. ___________ Post

held: ______________________ BPS______ Section_____________ Factory/Group _____________________
Date of Birth ________________ Date of Appointment _________________ Date of Retirement _______________
CNIC No. _______________________Ph. No. (Res./Mobile) ______________________________ (Off.) _________
Address: Present: _______________________________________________________________________________
Permanent: _____________________________________________________________________________

Signature ___________________________
Name ______________________________
Date _______________________________
For verification of service record –Admin Factory/Group
Initial Appointment ________________________ BPS ___________Date __________________
Present Designation _______________________ BPS___________ Date__________________
Total Service up to 31-10-2017 : _______________________ (Y-M-D)
(Add) Contract service : _______________________ (Y-M-D)
(Minus) E.O.L. (Extra Ordinary Leave) : _______________________ (Y-M-D)
Net qualifying service for pension : _______________________ (Y-M-D)

Signature _____________________ Signature ______________________

E.O.-HRM (Officers) A.M.-HRM (Officers)

Counter Signatures __________________________ (G.M.- HRM)

UNDERTAKING: I, Mr. ________________________________ have gone through the above mentioned detail
and I have no objection.

Signature by applicant (Verification) ___________________

(Attached documents: 1) Affidavit on judicial paper 2) CNIC-Photocopy)