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Supplementary DE-2 FORM Government of India Directorate of Estates Application for Additional Information for Allotment of General Pool Residential Accommodation For cases where the Place of Duty and Office remain the same Registration Number To be filled up the Applicant Allottee Account Number AAN Date of Receipt To be filled up by Directorate of Estates TO BE FILLED UP BY THE APPLICANT INSTRUCTIONS Please fill up the form in BLOCK LETTERS only. Fill dates as day 01-31 month 01-12 year 2002 in the format DD-MM-YYYY. Please tick wherever required to do so. If you wish initial allotment in specific localities only please enclose Change Registration Form DE-4 duly filled in* Pools GP General Pool SC SC Pool ST ST Pool TP Tenure Pool LS Ladies Single Pool LM Ladies Married Pool 22. Name Shri / Smt. / Km / Ms. / Dr. 23. Designation 24. Department / Oraganization 25. Ministry 26. Scale of Pay 27. Basic Pay 28. Service Status Single including Widow / Divorcee as on 1st January of the current year 29. In case of female Marital status Permanent Married Do you / your spouse occupying accommodation allotted by Directorate of Estates DoE. If yes please give details Allottee s Name Type Temporary Locality Sector Block Quarter No House ID Departmental Pool Quarter s Address Are you debarred from allotment of Govt* residence Yes No If yes up to which date or any adjoining municipality If yes please indicate e Owner s Name f House Address g Relationship with Applicant h Rental Income Date Signature of the Applicant Department Code Endorsement No* Date Office Name Certified that particulars furnished by the applicant have been verified from records and found correct. It is also certified that the applicant is employed in an eligible office and has not been debarred from allotment of general pool accommodation* It is certified that applicant is entitled to rent free accommodation delete if not required. Fill dates as day 01-31 month 01-12 year 2002 in the format DD-MM-YYYY. Please tick wherever required to do so. If you wish initial allotment in specific localities only please enclose Change Registration Form DE-4 duly filled in* Pools GP General Pool SC SC Pool ST ST Pool TP Tenure Pool LS Ladies Single Pool LM Ladies Married Pool 22. If you wish initial allotment in specific localities only please enclose Change Registration Form DE-4 duly filled in* Pools GP General Pool SC SC Pool ST ST Pool TP Tenure Pool LS Ladies Single Pool LM Ladies Married Pool 22. Name Shri / Smt. / Km / Ms. / Dr. 23. Designation 24. Department / Oraganization 25. Ministry 26. Scale of Pay 27. Name Shri / Smt. / Km / Ms. / Dr. 23. Designation 24. Department / Oraganization 25. Ministry 26. Scale of Pay 27. Basic Pay 28. Service Status Single including Widow / Divorcee as on 1st January of the current year 29. Basic Pay 28. Service Status Single including Widow / Divorcee as on 1st January of the current year 29. In case of female Marital status Permanent Married Do you / your spouse occupying accommodation allotted by Directorate of Estates DoE.

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