Form KVV-12/5 CSK HIMACHAL PRADESH KRISHI VISHVAVIDYALAYA (See Rule 12.21 of Part - I of the Account Manual) APPLICATION FORM FOR ADVANCE FORCYCLE/SCOOTER:- 1. Name of the applicant 2. Applicant's designation 3. District and station 4. Pay i. Substantive Pay ii. Officiated pay or pay drawn in temporary post iii. Special/personal Pay 5. Anticipated price of motor Car/Scooter/Motor Cycle 6. Amount of advance required 7. Date of superannuation or retirement of 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 and if so i. date of drawl of the advance; ii. the amount of advance and/or interest thereon still outstanding, if any 10. Whether the intension is to purchase:- (a) A new or an old motor car/motor cycle/ Scooter (b) If the intention is to purchase motor car/motor cycle/scooter through a person other than a regular or reputed dealer or agent, whether previous sanction of the competent authority has been obtained as required under rule 15(2) of the Central Civil Services (Conduct) Rules, 1964 11. Whether the officer in on leave or is about to proceed on leave. (a) The date of commencement of leave. (b) The date of expiry of leave. 12. Are any negotiations or preliminary enquiries being made so that deliver may be taken of the motor car/motor cycle/scooter within one month from the date of drawl of the advance? 13. (a) Certified that the information given THE PURCHASE OF MOTOR CAR/MOTOR : : : :: : : : : : : : : : : : : : : : : Form KVV-12/5 above is complete and true. (b) Certified that I have not taken : delivery of the motor car/motor cycle/scooter 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 motor car/motor cycle/scooter before the expiry of one month from the date of drawl of the advance, and that I shall insure it from the date of taking delivery of it. Applicant's Signature
