DE 2 FORM final

Government of India
Directorate of Estates
Nirman Bhawan, New Delhi

DE-2 FORM

Application for General Pool Residential Accommodation (Online Submission)

Date of Receipt :
(To be filled in by the Estate Office)

Date of Application : 24-07-2018 Application No : 898907 Form Status : FINAL
10225499 Form Category : General Pool
Registration No :

Personal Details

Name of Applicant : SAKSHI AGRAWAL
AMIT KUMAR
Name of Father / Spouse : PERSONNAL ASSISTANT Marital Status : MARRIED
20-03-1987 GENERAL
Designation : 31-03-2047 Category : 21-12-2015
21-12-2015
Date of Birth : Date from which continuously employed in Govt. Service :

Date of Retirement : Date from which continuously posted in the present City :

Pay Details (According to 7th Pay Commission)

Pay Level : 7 : 44900 - 142400Pay Index : 7Present Basic Pay (Rs.) : 53600
Date from which present Pay Level is fixed / drawn : 01-07-2017

Service Details

Service : OTHERS

Status : PERMANENT

Working in an eligible Office of : CENTRAL GOVERNMENT

Office Details

Office : MIN. OF PARLIAMENTARY AFFAIRS, U.S.(ADMN), 97, PARL. HOUSE, N.DELHI

Attached/Sub. office : SECTT., MINISTRY OF PARLIAMENTARY AFFAIRS, PARLIAMENT HOUSE ANNEXE,NEW DELHI.

Department : MINISTRY OF PARLIAMENTARY AFFAIRS, PARLIAMENT HOUSE ANNEXE,NEW DELHI.

Ministry / State Govt: MINISTRY OF PARLIAMENTARY AFFAIRS, PARLIAMENT HOUSE ANNEXE,NEW DELHI.

Office ID : 1420101001 Office Eligible for GPRA : YES

Details of House allotted by Directorate of Estates

Are you / your spouse occupying accommodation allotted by / from Directorate of Estates (DoE) ? : NO

Details of House allotted from Departmental Pool / State Government

Are you / your spouse occupying accommodation allotted by / from Departmental Pool / State Government Pool ? : NO

House Type(s) Applied

House Type(s) Date of Priority (DoP) Pool(s)
GP,LM,SF
2 21-12-2015
3 21-12-2015 GP,LM
SK 01-07-2017 GP,LM

Deputation Details

Are you on deputation to Central Govt. under the Central Staffing Scheme ? : NO

Working Address Details Permanent Address Details

Address : R.N.92, PARLIAMENT HOUSE Address : SURENDRA PD. AGRAWAL, 6 D SAHU
NAGAR, NEAR GALEXIA MALL,
: NEW DELHI
City : NEW DELHI : RATUROAD, RANCHI, JHARKHAND
Phone : 23034746
Mobile : 9810894031 Pin : 110001 City : RANCHI Pin : 834005

Fax : 23018220 Phone :

E-mail : [email protected]

Signature of Forwarding Officer with Seal Signature of Applicant

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Declaration by the Applicant

1. I agree to abide by the Central Government General Pool Residential Accommodation Rules, 2017, as amended from time to time, and / or Allotment Rules applicable
to the place where I am posted, as well as the applicable instruction.

2. I am working in an eligible office located in an eligible zone.
3. I am aware of the penalities which can be imposed in the event of refusal of acceptance of allotment of accommodation of the entitled type under Central Government

General Pool Residential Accommodation Rules, 2017 or furnishing of false information or subletting / misuse of the premises under Central Government General
Pool Residential Accommodation Rules, 2017.
4. I shall not sublet a residence allotted to me or any portion thereof or any of the out-houses, garages or stable appurtenant thereto, after acceptance of the same.

Date : 24-07-2018Signature of the Applicant

TO BE FILLED IN BY THE FORWARDING OFFICE

Office ID 1420101001 Endorsement No. Date

Office MIN. OF PARLIAMENTARY AFFAIRS, U.S.(ADMN), 97, PARL. HOUSE, N.DELHI

Name of Applicant SAKSHI AGRAWAL

Designation PERSONNAL ASSISTANT

Category of Office Central Government State Government
(Please tick)

Ministry Department Attached Office Subordinate Office Autonomous Body Statutory Body Others

1. Certified that the date of continuous employment under Government Service of the applicant is___________________.
2. Certified that the present Basic Pay is Rs.___________ as per service records.
3. Certified that the marital status of the applicant is___________________ (single/widow/divorcee/married).
4. Certified that the applicant is employed in an eligible office and has not been debarred from allotment of General Pool accommodation.
5. Certified that applicant is entitled / not entitled to rent free accommodation.
6. Certified that all the information mentioned in the application are verified from the records and found to be correct.

Office Seal Signature with Date Name :_______________________________________________________
Designation :_______________________________________________________
Documents required :-
1. Joining Order Phone No. :_______________________________________________________
2. Recent Promotion Order Fax :_______________________________________________________
3. Recent Pay Slip
E-mail :_______________________________________________________

Continued.....

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