Application form for HBA

1.

Name (in Block Letters):

In Ministry/Office:

2.

Post held (i)     Permanent:

In Ministry/Office:

(ii) Temporary / Official:

In Ministry/Office:

(iii) Length of service on the date of application:

3.

Present pay as defined in Rule 4 (b) and scale of pay:

4.

Whether governed by Pension Rules:

5.

Date of superannuation:

6.

Amount of Provident Fund/any other advance/final withdrawal taken for purchase of land/construction (an attested copy of the sanction to be enclosed):

PARTICULARS RELATING TO ADVANCE:

7.

If advance is needed for purchase of a plot and/or for construction of a new house, please give the following information :-

A. Plot

Location with address

(1)

Rural/Urban

(2)

Is it clearly demarcated

and

developed

(3)

Approxi-mate are (in sq. mtrs.)

(4)

(a)Cost

(b)Amount actually paid

(5)

If not purchased when proposed to be acquired

(6)

Unexpired portion of lease if not freehold

(7)

(a)

(b)

B. Construction

Floor-wise

area to be constructed

in (sq. mtrs.)

(8)

Estimated

cost

(9)

Amount of advance required (for land/

construction/both)

(10)

No. of instalments

for repayment

(11)

G. Floor:

 I  Floor:

II  Floor:

8.

If advance is required for enlarging the existing house, please state-

Location with address

(1)

Plinth area (in

 sq. mtrs.)

(2)

Plinth area proposed for enlarge-ment (in sq. mtrs.)

(3)

Cost of construc-tion/acquisi-tion of existing house

(4)

Cost of proposed enlarge-ment

(5)

Total plinth area (2+3)

(6)

Total cost (4+5)

(7)

Amount of advance required

(8)

No. of instal-ments for re-pay-ment

(9)

9.

If advance is required for purchasing a ready-built house/flat, please state-

Location with address

(1)

Plinth area (in sq. mtrs.)

(2)

When con-structed

(3)

Price

settled

(4)

The Agency from whom to be purchased

(5)

Amount

(a)already paid

(b)to be paid

(6)

Amount

of advance required

(7)

No. of installments for

repayment

(8)

(a)

(b)

MISCELLANEOUS

10.

If you or any dependent member of your family already own(s) a house, please state-

Location

with address

(1)

Plinth area

 (Floor-wise)

(2)

Present fair

market value

Rs.

(3)

Reason for acquiring another house or enlarging the

existing house

(4)

11.

Have you enclosed – (a) the relevant construction plan approved by the Municipal Authority concerned; and

(b) Detailed construction estimates base on Central/State PWD Schedule, prevailing in the area corrected as per relevant cost of index duly signed by qualified Engineer.

Declaration

1.

I solemnly declare that the information furnished by me in reply to the various items indicated above is true to the best of my knowledge and belief.

2.

I have read the rules regulating the grant of advances to Central Government servants for purchase of land and purchase/construction of buildings, etc., and agree to abide by the terms and conditions stipulated therein

3.

I certify that¹ –

(i) My wife/husband is not a Central Government servant/my wife/husband who is a Central Government servant, has not applied for and/or obtained an advance under these rules;

(ii) Neither I nor my wife/husband/minor child has applied for and/or obtained any loan or advance for acquisition of a house in the past from any Government source (3e.g., Ministry of Rehabilitation or under any Central or State Housing Scheme

(iii) The construction of the house for which the advance has been applied for, has not yet been commenced.

Station:

Signature of the Applicant:

Dated:

Designation:

Department/Office in which employed: