CSK Himachal Pradesh Krishi Vishvavidyalaya, Palampur FORM KVV-12/2 APPLICATION FORM FOR HOUSE BUILDING ADVANCE 1 Name of Applicant (In Block Letters) : 2 Designation : 3 Scale of Pay : 4 Present Pay (Excluding allowance but dearness pay, if any) : 5 Office in which employed : 6 Station where posted : 7 Date of appointment : 8 Date of birth and age next birthday : 9 Date of retirement : 10 Date of confirmation and post in which confirmed : 11 Amount of advance required : Rs. 12 No. of installment in which the advance is proposed to be drawn in lum sum. : 13 No. of installment including the advance is proposed to be repaid : 14 Whether the plot on which the official intends to construct the House is in his possession and he has fully paid the cost of the same if not details of the payment so far and balance due made to be paid : 15 Authentic proof of his title to land on which the applicant intends to construct the house : 16 Whether he has drawn any advance for the purpose, from Govt. under low income/middle income group housing scheme or under any scheme from any other source, if so details : 17 Time by which the officer proposed to under take the const. of the house and its completion : 18 An Agreement duly signed by the official in Form KVV-12/3 to be enclosed : Certified that the above information is correct to the best of knowledge and that I undertake to mortgage plot on which the house is to be built to the Govt. and executing stamped mortgage deed in accordance with the Indian stamp duty act and also get it registered. Certified that I have no residential house in H.P. Add. Certificate: It is also certified that I have no house in my name or my spouse or any dependent: Signature of Applicant
