Application for Advance Motor Car, Computer etc

1.

Name of Applicant:

2.

Applicant’s designation:

3.

District and Section:

4.

Basic Pay:

5.

1. Anticipated price of Motor Car/Motor
2. Cycle Scooter/ Personal Computer:

6

Amount of advance required:

7.

3. Date of superannuation or retirement
4. or date of expiry of contract in case of
5. a contract officer.:

8.

6. Number of installments in which the

advance is desired to be repaid:

9.

7. Whether advance for similar purpose
8. was obtained previously and if so-

(i)

date of drawal of the advance

(ii)

the amount of advance and/or interest thereon still outstanding, if any

10.

   Whether the intention is to purchase-

(a)

a new or an old Motor Car / Motor

Cycle / Scooter/ Personal Computer

(b)

if the intension is to purchase Motor Car / Motor Cycle /Scooter Personal Computer from a person having official dealings with the Government servant, whether previous sanction of the competent authority has been obtained as required under Rule 18(3) of the Central Civil Services (Conduct) Rules, 1964

11

   Whether the officer is on leave or is               a about to proceed on leave-

(a)

The date of commencement of leave

(b)

The date of expiry of leave

12.

10. Are any negotiations or preliminary
11. enquiries being made so that delivery
12. may be taken   of the Motor Car/Motor
13. Cycle / Scooter/Personal Computer
14. within one month from the date of
15. drawal of the advance?:

13.

13. (a) Certified that the information given above is complete and true.

(b)        Certified that I have not taken delivery of the Motor Car / Motor Cycle /Scooter/Personal Computer on account of which I apply for the advance, that I shall complete negotiations for the purchase of pay finally and take possession of the same before the expiry of one month from the date of drawal of the advance

Date:

Applicant’s Signature