Download Application Form For Health Care Business Association

Department of Finance GRANT OF ADVANCE FOR PURCHASE OF LAND OR PART/FULL CONSTRUCTION, ENLARGEMENT, ETC., OF A HOUSE APPLICATION FORM (To be filled by the applicant) GENERAL 1. Name (in Block Letters)..................................... In Ministry/Office.......................................... 2. Post held (i) Permanent...................................... In Ministry/Office........................................... (ii) Temporary/Offig........................... In Ministry/Office........................................... (iii) Length of service on the date of application ......................................................... 3. Present pay as defined in Rule 4 (b) and scale of pay ................................................................ 4. Whether governed by Pension Rules .......................................................................................... 5. Date of superannuation ............................................................................................................... 6. Amount of Provident Fund/any other advance./final withdrawl taken for purchase of land/construction (an attested copy of the sanction to be enclosed).......................................... PARTICULARS RELATING TO ADVANCE: 7. If advance is needed for purchase of a plot and /or for construction of a new house, please give the following information: - A. Plot Location with address Rural/ Urban Is it clearly demarcated and developed Approximate area (in Sq. mtrs.) (a) Cost (b) Amount actually paid If not pur­chased when proposed to be acquired Unexpired portion of lease if not freehold (1) (2) (3) (4) (5) (6) (7) (a) (b) B. Construction Floor-wise area to Estimated Cost Amount of advance No. of instalments be constructed in required (for land/ for repayment (sq. mtrs.) construction / both) (8) (9) (10) (11) G. Floor I. Floor II. Floor 8. If advance is required for enlarging the existing house, please state - Location with address Plinth area (in Sq. mtrs.) Plinth area proposed for enlarge­ment (in sq. mtrs.) Cost of construc­tion/ acquisi­tion of existing house Cost of pro­posed enlarge­ment Total plinth area (2 + 3) Total cost (4 + 5) Amount of advance required No. of in instal-ments for re­pay­ment (1) (2) (3) (4) (5) (6) (7) (8) (9) [ NOTE. - If the enlargement is proposed on any floor other than ground floor, a certificate from an approved Engineer to the effect that foundations of the existing structure can safely take the load of the proposed enlargement, should be enclosed.] 9. If advance is required for purchasing a ready-built house/flat, please state - Location with address Plinth area (in sq. mtrs.) When con­structed Price settled The Agency from whom to be purchased Amount (a) already paid (b) to be paid Amount of advance required No. of instl-ments for repay­ment (1) (2) (3) (4) (5) (6) (7) (8) (a) (b) MISCELLANEOUS 10. If you or any dependent member of your family already own(s) a house, please state - 11. Have you enclosed - (a) the relevant construction plan approved by the Municipal authority concerned; and Location with address Plinth area (floor-wise) Present fair market value Rs. Reasons for acquiring another house or enlarging the existing house (1) (2) (3) (4) (b) detailed construction estimates based on Central/State PWD sche-dule, prevailing in the area corrected as per relevant cost of index duly signed by qualified Engineer. Declaration 1. I solemnly declare that the information furnished by me in reply to the various items indicated above is true to the best of my knowledge and belief. 2. I have read the rules regulating the grant of advances to Central Government servants for purchase of land and purchase/construction of buildings, etc., and agree to abide by the terms and conditions stipulated therein. 3. I certify that1 - (i) my wife/ husband is not a Central Government servant/my wife/husband who is a Central Government servant, has not applied for and / or obtained an advance under these rules; (ii) neither I nor my wife/husband/minor child has applied for and/or obtained any loan or advance for acquistion of a house in the past from any Government source (e.g., Ministry of Rehabilitation or under any Central or State Housing Scheme); (iii) the construction of the house for which the advance has been applied for, has not yet been commenced. Station ....................................... Signature of the Applicant .................................. Dated......................................... Designation ......................................................... Department/Office in which employed............... 1. strike out the alternative(s) not applicable. (For use by the Ministry or Head of Department) I have scrutinized the application of Shri/Smt./Kumari....................................................... ....................................................................................(Designation)................................................ in terms of Rule 9 (b) of the rules and have satisfied myself of the correctness of the facts, etc., stated therein. My recommendations are as follows: - I have satisfied myself that the applicant has/will get a clear unencumbered title to the property. 1. Date of appointment ..... 2. Date of retirement ..... 3. Pay ..... Rs. 4. 50 months' pay ..... Rs. 5. Cost ceiling for construction ..... Rs. 6. Amount of GP Fund withdrawal and/or any other advance to be adjusted ..... Rs. 7. Advance entitled (5 minus 6) ..... Rs. 8. Estimated/Assessed cost of construction ..... Rs. 9. Expected date of starting recovery ..... 10. No. of monthly instalments ..... 11. Repaying Capacity: (a) Proposed rate of recovery ..... Rs. (b) Amount recoverable at the propsed rate of recovery ..... Rs. (c) Amount adjustable from DCRG (60% or 70%) Rs. (d) Total [(b) + (c) ] ...... Rs. 12. Approximate amount of interest ...... Rs. 13. Amount of advance that can be sanctioned base on repaying capaicity ...... Rs. 14. Amount of HBA recommended for sanction (the least of 4, 7, 8 and 13) ...... Rs. 15. Rate of Recovery: (a) Principal :Rs................ in ................. instalments of Rs...........................each. (b) Interest : Rs................ in ................. instalments of Rs...........................each. An advance of Rs......................... may be approved in 1relaxation of Rule 4(b) of House Building Advance Rules. SO/AE Orders of the Head of Department Head of Department. 1. Delete if not applicable.