APPLICATION FOR MARRIAGE / HOUSING GRANT FROM THE AMALGAMATED FUND Identity Card No. : DGR IdentityCard No. : NR No. : To The Secretary, Amalgamated Fund, No.22, Raja Muthiah Salai, Kannappar Thidal, Chennai - 600 003. 1. Name of Applicant : 2. Full Address 3. Annual income of the applicant : 4. Name of Ex-Serviceman killed/disabled : in action 5. Date killed/disabled : 6. Name of War/Operation : 7. Whether the application is for Construction/ : Repair of House or for marriage of daughter 8. If application is for Construction/ Repair of : House (a) Location of Plot/house with Survey No., extent (b) Name of the owner of the Plot/House (C) Estimated cost of construction/repairs (d) State sources of the funds to meet the cost 9. If application is for Marriage of Daughter : (a) (b) (c) (d) Name of Daughter Age/Date of Birth of Daughter Proposed Date of Marriage Place of Marriage 10. Whether received/applied for grant from any other source. If so details. : Enclosures 1. 2. 3. 4. I solemnly affirm that the above details are true to the best of my knowledge and belief. Place: SIGNATURE OF THE APPLICANT Date: CHECK LIST OF ENCLOSURES MARRIAGE GRANT 1. Xerox copy of the Discharge Certificate OR particulars of Service duly attested. 2. Xerox copy of Ex-serviceman / widow Identity Card 3. Income Certificate issued by Revenue Department ( an Officer in rank not less than Deputy Tahsildar), if applicable 4. School Leaving Certificate OR Transfer Certificate of the daughter showing Name, Father's name Date of Birth and Class passed. 5. In case of orphan daughters copies of certificates of death of late soldier & wife. 6. Marriage Invitation HOUSING GRANT 1. Xerox copy of discharge certificate / Particulars of service 2. Xerox Copy of land/house document 3. Encumbrance Certificate 4. Approved plan 5. Cost Estimate 6. Declaration of source to meet the expenditure over and above the grant 7. Income certificate, if applicable
