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A house-site and constructing a house thereon 1. Name of the applicant (s) 2. a) Date of birth b) Date of Superannuation / Retirement 3. Official Designation 4. a) Monthly substantive pay / officiating pay b) Dearness Pay, if any 5. a) Amount of advance asked for ( in words as well as in figures) b) Rate of repayment of the advance proposed c) No.of instalments of the repayment proposed 6. Name of Treasury from which payment is desired 7. a) Purpos.

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