CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur APPLICATION FOR ALLOTMENT OF RESIDENTIAL ACCOMMODATION 1 Name of Applicant (In Block Letters) : 2 Designation (In Block Letters) : 3 Name of the official where working : 4 Date from which continuously working in the University : 5 Date of priority for the type of residential accommodation applied for (Rule 2(C) please give basic pay on the date of priority) : 6 Appropriate type : 7 Next below type : 8 (a) Is this application meant for appropriate type : (b) Have you also applied for next below type by way of a separate application? : 9 Scale of the pay of the post held (a) Is it pre-revised scale? (prior to 1.1.96) : (b) Basic pay as on 1st January of this year : 10 Do you own any house in your name, in the name of your wife or in the name of the minor children within a radious of 8 kms. from the place of your posting. If so, please give full particulars. : DECLARATION: 1. I certify that I have read the CSKHPKV House Allotment Rules, 1999 and declare that the particulars given by me above are correct. 2. I agree to abide by the CSKHPKV House Allotment Rules, 1999 as amended from time to time and instructions issued there under. Date: Signature of Applicant To be completed by the Head of the Department/Office. Forwarded to the Secretary, House Allotment committee ______________________________. The facts stated in the application have been verified from the service record of above applicant. The applicant is posted at _______________________ and is likely to be on duty fro the greater part of the year. The date of priority as mentioned in column No. 5 and basic pay on the date of priority has been verified and is correct in accordance with service record. Date:_______________ Signature ___________________ Designation __________________
