Inupsz/agiveb.anmy.mi/Car PC_Advance Application/PCARequi ney PERSONAL COMPUTER ADVANCE wide personal computer Advance (POA) upto illed by the member for grant of PC advanee :- The following conditions are to be vice = v eomiissioning for Officers, + Min 4 years for JCOs & ORs wef 01 Nov 2017, (b) Maximum loan limit - 90% of cost of computer or “45,000/- whichever is less. 2 Documents to be submitted by a loanee after disbursement of the loan: (@) Quotation. rc) Payal (©) Cancelled cheque. ia 3. ents to be submitted by ak fter disbursement of the loan: (@) Original bit, (b) Receipt as per quotation. fe} Utilsation certificate countorsigned by CO/OC. Copyright © 2011 All Rights Reserved, Powered by hooTele Nos Holp Desk ——o11-26143303 a Exeh 011 26142749 011-26145058 eR GROUP INSURAjy, fn, raed <. wees % PERSONAL COMPUTER ADVANCE o SATION FORM — OFFRs/JCOs/OR ) Applying for 1*/2" time for Personal Computer Advance Personal Army No Old Army No Rank, Name Parent Unit (With PIN and APO) with the apin # Valid upto 31 Mar 2019R&D Stamp Application Ser No : PC ARMY GROUP INSURANCE FUND APPLICATION FORM FOR COMPUTER ADVANCE 1. (@) Personal No (Old ArmyNo [| | | LL] 2. (a) Rank (0) CDA (©) Ale No (©, Name {in block GSpTaTTERSTSY 3. Am Senvice 4. Unit Serving 5. Parent Unit in case of ERE/Deputation 6. Permanent Home Address Pert Tele No E mail ID mobienof TT | TT] | LET] Date of :- Date Month Year Date Month Year (@) Birth anne LT TTT TE) * eeeeee” COP TET (©) Type of Commission 7. Dealer Name: Cost of Computer i 8. Amount required: i Proposed No of EMI 8. quindertake to repay EM by 1* of every month directly to AGIF by means of demand draft in favour of ‘Army Group Insurance Fund’ in the event of being on deputation to other depariment subsequent to the Grawal of such advance or due to any reason if the EMI is not deducted by CDA ()/ PAO (OR). 10. i will enisure that i wi W adequate ciedii in my IRLA during ie duration of repayment of complete loan installments. In case of any debit balance resulting in non-remittance of EMI (installment) by the CDA (OV) PAO (OR) to AGIF, | undertake to pay delayed EM directly with penal interest levied by AGIF for the delayed period of installments on receipt of information from AGIF. 11. I state and certify that:- (a) Lamnot a re-employed Off/JCO/OR. (0) og. he outstanding amount of loan alongwith interest and any other dues be recovered from my DCRG, IRLA balance, Encashment of Leave, Insurance, Disability and Survival Benefit of AGIF (©) | shall refund in one lump sum the full advance together with interest outstanding thereon in case | wish to sell the computer purchased out of AGIF advance Prior to liquidation of loan. (a) | will furnish @ copy of cash stamped receipt and bill in original within 60 days from the date of Payment to Dealer/Company as mentioned in Para 7. Any difference of cost from quotation will be refunded if the actual price of computer is less than the loan paid, (e) | will intimate change of address to AGIF immediately, failing which AGIF will not be liable/responsible for any loss caused to me. | also understand that AGIF shall send all correspondence, notices, cheque etc at the last intimated address by me.Date: (Signature of Applicant) RECOMMENDATION BY IO/OC_ Uhave scrutinised the application of Personal No Rank Name and have satisfied myself for the correctness of details shown therein as per office Records and recommended for grant of PCA. Unit Stamp (Signature of 1O/OC with Stamp) Station : Designation Date Name Rank Loanee particulars: Full Name Alc No Name of Bank & Branch IFSC Code MICR Code Note: Pl enclose crossed cancelled cheque for verification & NEFT. a FOR AGIF USE ONLY Scrutinised & Passed for payment SANCTIONED Checked by ofi Supdt PCA Jt Dir PCA Dir Loan Date Date Date4 3 PAO (OR) Copy LETTER OF AUTHORISATION TO CDA(O)/ PAO (OR) TO DEDUCT EMIL& RECOVER OUTSTANDING LOAN FROM THE IRLA/MATURITY ‘ 1, No Rank Name Regt Unit ——_____ on Deputation/ERE (If applicable hereby Voluntarily authorise CDA (0)/ PAO (OR) to deduct EM! on account of Computer loan taken from the AGIF from monthly Pay and allowances entitlement and remit the same to AGIF. 2. In the event of my becoming non effective in Army for any reason, | hereby voluntarily authorize CDA (©) PAO (OR) to pay AGIF on my behalf, an amount equivalent to the Computer advance outstanding in my loan account and as intimated by AGIF to CDA (O)/ PAO (OR), out of my DCRG, encashment of leave, ‘maturity, survival benefits of AGIF and IRLA balance as and when such account or DCRG/IRLA is finalised 3. _|, hereby certify that a fresh certificate will be rendered as and when a change in the particulars of next of kin takes place Signature of Spouse/NOK Signature of Applicant Signature Name eee sess Signature Relationship Date Date Witness 1 (Offr witness for Offr only) Witness 2 (ffr witness for Offr only) Signature: Signature: No & Rank..... srennavesnseerane No & Rank: Name... i see Name: Adaress: eonenvecannesansvess Address: ..... lo [2 OUNTERSIGNED Date Unit round stamp (Signature of 1O/OC with Stamp)