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
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DOE-NIC
Permanent Address Details
Page 1 of 2
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
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DOE-NIC
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