GOVERNMENT OF NCT OF DELHI LAND & BUILDING DEPARTMENT VIKAS BHAWAN : NEW DELHI-2 Application for change of accommodation under Govt. of NCT of Delhi Govt. Residence (General Pool) Rules. Part-I (For office use only) Type for which Category under which Priority No. Remarks Applied applied Part-II (To be filled up by the applicant) Please read instructions carefully before filling the form. Incomplete application will be rejected without any further reference. Please fill up the form neatly/ preferably in BLOCK LETTERS. Fill up dates as Day (01-31), Month (01-12) & Year (2002) in the format. Please tick wherever required to do so. For change under medical ground - attach certified copy of latest medical certificate from Govt. hospital issued by a specialist. 1. Name 2. Designation 3. GPF No. 4. Department 5. Date of birth 6. Date of Occupation of Qtr. 7. Details of present accommodation Type Locality+ Quarter No. Floor 8. Details of change required Give Preference below Locality Quarter No. Floor 1. 2. 3. 9. Grounds of seeking changes 10. In case of change under medical ground (pl. mention category*) If other, pl. mention Date: I hereby declare that - I have not availed any change of residence in the same type. This is the first application of such a change. Signature of the Applicant: + Locations * Medical Grounds 1 Alipur Road 11 Maharaja Lane 21 Rose Avenue 1 Blind 2 Asiad Village 12 Mayur Vihar 22 Siddhartha Extension 2 Cancer 3 Bela Road 13 Model Town 23 Sindhora Kalan 3 Deaf 4 Court Lane 14 Nimri Colony 24 Sindhora Khurd 4 Heart ailments 5 Court Road 15 North End road 25 Tilak Marg 5 Orthopaedically Handicapped 6 Flag Staff Road 16 Paschim Vihar 26 Timarpur 6 T.B. 7 Greater Kailash 17 Probyn Road 27 Tis Hazari 8 Gulabi Bagh 18 Rajouri Garden (Hari Nagar) 28 Transist Hostel 9 Kalyanvas 19 Rajpur Road 29 Upper Bela Road 10 Karkardooma 20 Rohini 30 Vikas Puri
