GOVERNMENT OF MIZORAM

DIRECTORATE OF INFORMATION & COMMUNICATION TECHNOLOGY

AIZAWL :: MIZORAM

 

APPLICATION FOR GRANT OF FESTIVAL ADVANCE

 

 

1.

Name in full (in block letters) :

 

2.

Designation:

 

3.

Emp. Code No. :

 

4.

Intercom/Telephone No. :

 

5.

E-Mail Address:

 

6.

Present Pay (Basic only) :

 

7.

Amount of advance required:

 

8.

Number of installments in which you would like to repay it. (Not exceeding 10 months):

 

9.

Festival for which advance is required and the date on which the festival falls:

 

10.

Whether permanent, Quasi-permanent or temporary If permanent state name of post:

 

11.

If temporary, state name of the surety with his designation. (Also enclose the surety bond):

 

12.

Did you take a similar advance, previously, if so state the month and year in which it was taken:

 

13.

If answer to 11 above is `yes' please state when the  advance has been fully repaid:

 

 

I certify that the facts stated above are true and correct to the best of my knowledge and belief.

 

 

 

 

Date:

 

 

 

(Signature of applicant)

 

 

 

 

____________________________________________________________________________________

Secretariat Annex -1, Aizawl – 796001, Mizoram.

Ph: 0389-2310888/2319637 Fax: 2319632