Computer/ Motor car/ Motor Cycle advance form for Central Government Employees

APPLICATION FORM FOR AN ADVANCE FOR THE PURCHASE OF MOTOR CAR/MOTOR CYCLE/PERSONAL COMPUTER FOR THE YEAR:.....................

1.         Name of Applicant                                                       :

2.        Applicant’s Designation                                       :

3.         District and station                                               :

4.         Basic Pay      a) Pay in the Pay Band                  :

                                 b) Grade Pay                                 :

5.         Anticipated price of Motor Car/Motor Cycle/        :

            Personal Computer

6.         Amount of advance required                                :

7.         Date of superannuation or retirement or date

            of expiry  of contract in case of a contract officer :

8.         Number of installments in which the advance is  :

            desired to be repaid

9.         Whether advance for similar purpose 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 /

           Personal Computer

(b)        if the intention is to purchase Motor Car/                     :

           Motor Cycle/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 about to  :

            proceed on leave-

(a)        The date of Commencement of leave

(b)        The date of expiry of leave                                                                  

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12.        Are any negotiations or preliminary enquiries            :

being made so that delivery may be taken of

the Motor Car/Motor Cycle/Personal Computer

within one month from the date of drawal

of the advance?

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/ 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                                       

Certified that

1.  Coloumn 1 to 4, 7, 9 and 10 have been verified.

2. It will be useful –Public service of the official to whom the advance is proposed

     to be sanctioned for the performance of his official duties.

3.  The official has the capacity to repay the Advance.

 

RECOMMENDATIONS OF THE HEAD OF THE OFFICE/UNIT

       

                                     

                                                         Signature of the Head of Unit/Division

Date: