Acceptance Form Final

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Government of India

Directorate of Estates
Nirman Bhawan, New Delhi

DoE Copy
Application for Acceptance of General Pool Residential Accommodation (Online Submission)

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

Date of Application : 29-11-2020 Application No : 1437062 Form Status : FINAL Registration No : 10248699 AAN No : 396931

Personal Details
Allottee Details

Name of Applicant : MADAN SHARMA Date of Birth : 05-02-1977


Designation : PRADHAN ADHIKARI Date of Joining : 05-02-1997
Sex : MALE Date of Retirement : 28-02-2034
Name of Father / Spouse : PAYAL SHARMA Marital Status : MARRIED

Acceptance Details

Allotment ID : 689822 AAN : 396931 Date of Allotment : 26-11-2020


Pool Applied : GP Date of Priority : 05-02-1997 Regular / Adhoc : REGULAR
Allotment Category : INITIAL

Service Details

Service Status : PERMANENT Service to which Officer belong : OTHERS


Group of Service : Date of Entry in Group 'A' Service :
Service : Are you entitled for HRA ? :
Are you to pay rent as applicable to rent NO Category : GENERAL
Defence Officers ? :

House Details
House Allotted By DoE

House Type : 3 Locality : SADIQ NAGAR Sector : 2


Block / Tower : - House No : 139 Floor : 2
House ID : 324077

The Allotment is in Lieu of the House (if any)

House Type : 2 Locality : SADIQ NAGAR Sector : 2


Block / Tower : - House No : 412 Floor : 3
House ID : 303436

Departmental House Details


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

Own House Details


Are you / your dependent children own a house at the station of posting ? : NO

Debarment Details
Are you debarred from Allotment of Government Residence ? : NO

Office Details
Office ID : 1250115002
Office : COAST GUARD HQ., COMMANDING OFFICER, COAST GUARD STATION, DELHI, NATIONAL STADIUM COMPLEX,
NEW DELHI.
Attached / Subordinate office : COAST GUARD HQ., NATIONAL STADIUM COMPLEX, N.DELHI
Department : DEPARTMENT OF DEFENCE,MINISTRY OF DEFENCE, SOUTH BLOCK, NEW DELHI
Ministry : MINISTRY OF DEFENCE, SOUTH BLOCK, NEW DELHI
Eligible : YES

Source from which Pay is drawn


Signature of Forwarding Officer with Seal Signature of Applicant
Page 1 of 3
Consolidate Fund of India : YES
Treasury / Pay and Accounts Office from where Pay is drawn : CGPAO, NOIDA

Present Pay Details (According to 7th Pay Commission)


Pay Level : 8 : 47600 - 151100 Present Basic Pay (Rs.) : 50500
Date from which Continuously present Pay Level is fixed / drawn : 01-11-2019

Family Details

Name Age Relation With the Allottee


PAYAL SHARMA 36 WIFE
NEERAJ BHARTI 19 SON
AYUSH BHARTI 14 SON
SONA DEVI 67 MOTHER

Address Details

Working Address Details Permanent Address Details

Address : ICGS DELHI , C/O COAST GUARD Address : VILL HARPUR POST - KAKAWARA
HEADQUARTERS
: PURANA QUILLA ROAD , NATIONAL : DIST -BANKA , BIHAR
STADIUM COMPLEX
City : NEW DELHI Pin : 110001 City : BANKA Pin : 813102
Phone : 01123382497 Phone : 7046912469
Mobile : 7046912469 E-mail : madansharma1977@gmail.com

Document Details

Document Name Document No Date of Issue


ALLOTEMENT ORDER 689822 26-11-2020

Signature of Forwarding Officer with Seal Signature of Applicant

Declaration by the Applicant

1. I shall keep Directorate of Estates informed whenever I or my Spouse / dependent children acquire a house in the local or adjoining municipality or there is a change in
the rental income.
2. I do not stand debarred for Government accommodation.
3. No other government accommodation is allotted to me or to my wife / husband on the date either by the Directorate of Estates or by the Department of Rehabilitation or
by other Government Organization or local body.
OR
I undertake to vacate the accommodation allotted to me or my spouse within the stipulated period.
4. That I have been continuously employed in an eligible office located in eligible zone since the date of my application for allotment of General Pool Residential
Accommodation. I undertake to keep the Directorate of Estates informed about my transfer within / outside Delhi or to an office ineligible for General Pool Residential
Accommodation.
5. 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 : Signature of the Applicant

TO BE FILLED IN BY THE FORWARDING OFFICE

Office ID 1250115002 Endorsement No. Date


Office COAST GUARD HQ., COMMANDING OFFICER, COAST GUARD STATION, DELHI, NATIONAL STADIUM COMPLEX, NEW DELHI.
Name of Applicant MADAN SHARMA
Designation PRADHAN ADHIKARI
Date of continuous employment of the applicant under Government Service Present Pay Index Present Pay Level Present Basic Pay
05-02-1997 3 8 : 47600 - 151100 50500
Category of Office Central Government State Government
(Please tick)
Ministry Department Attached Office Subordinate Office Autonomous Body Statutory Body Others

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1. Certified that all the information mentioned by the applicant in this application and mentioned above by the undersigned are verified from the records and found to be
correct.
2. It is also confirmed : -
a) The applicant / allottee is a permanent employee of this Ministry / Office.
OR
The applicant / allottee is a temporary Government servant and surety on the prescribed form duly completed is enclosed.

b) The date of priority / eligibility of the applicant for type 3 accommodation is _____________________.
c) Certified that the applicant is employed in an eligible office for allotment of General Pool Residential Accommodation and has not been debarred from allotment of
General Pool accommodation.
d) Certified that the applicant is not entitled for rent free accommodation.
3. Certified that this office will keep the Directorate of Estates informed about the transfer within / outside Delhi or to an office ineligible for General Pool Residential
Accommodation.
For applicants employed in offices of Government of NCT of Delhi only: -
4. a) Certified that the applicant is not eligible for allotment from any Departmental Pool other than Delhi Administration Pool.
b) Certified that no officer junior to the applicant has been allotted in-turn accommodation from Delhi Administration Pool / CBI Pool / Hospital Pool etc.

Office Seal Signature with Date

Name :_______________________________________________________
Designation :_______________________________________________________
Phone No. :_______________________________________________________
Fax :_______________________________________________________
E-mail :_______________________________________________________

Note - The staff of Government of NCT of Delhi eligible for General Pool Residential Accommodation are also required to produce a certificate that they are not eligible
for securing allotment of accommodation from any departmental pool except Delhi Administration Pool. The certificate will also indicate that no junior to the
applicant had been allotted in-turn allotment from Delhi Administration Pool.

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