Government of India

Directorate of Estates
DE-2 FORM
Applicant's Copy

Nirman Bhawan, New Delhi Application for General Pool Residential Accommodation (Online Submission)

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Date of Receipt ( To be filled by the Directorate of Estates) : ____________________ Date of Application : 26-07-2011 Application No : 76957 Registration No : 10024133 AAN No. : Personal Details Full Name of Applicant : NEELAM TANEJA Name of Father / Spouse: YASHPAL TANEJA Designation : TELEPHONE OPERATOR PIN : N2G7 Form Status : DRAFT Form Category : General Pool Employee Code : Marital Status Category : MARRIED : GENERAL

: 02-07-1962 Date of Birth Date of Retirement : 31-07-2022 Pay Details Pay Band / Scale Service Details Group of Service : C : PB1: 5200-20200

Date from which continuously employed in Govt. Service: 21-12-1985 Date from which continuously posted in the present City : Present Basic Pay (Rs.) : 16506 Date from which continiously drawing present grade pay/ payscale Present Grade Pay (Rs.) : 2800

Service: Others () Batch : Are you entitled for HRA ? : YES

Cadre : PERMANENT Status : Working in an eligible Office of : CENTRAL GOVERNMENT Office Details Office : Attached/Sub. Office: : Department : Ministry / State Govt.: : Office ID
SAFDARJUNG HOSPITAL, DY. DIRECTOR(ADM), NEW DELHI SAFDARJUNG HOSPITAL, NEW DELHI. DEPARTMENT OF HEALTH, NIRMAN BHAWAN, NEW DELHI 110011

MINISTRY OF HEALTH AND FAMILY WELFARE, NIRMAN BHAWAN, NEW DELHI 110011 1300309001

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 Own House Details Are you / your dependent children own a house within the jurisdiction of Local Municipality or any adjoining municipality ? House Type(s) Applied House Type(s) Date of Priority (DOP) Pools 2 21-12-1985 GP Area Restriction NO Remarks

Deputation Details Are you on deputation to Central Government ? :NO Debarment Details Are you debarred from Allotment of Government Residence ? : NO Working Address Details Address: SAFDARJUNG HOSPITAL, DY. DIRECTOR(ADM), NEW DELHI, NEW DELHI - 110023 Phone : Fax : Mobile : E-mail : Permanent Address Details Address: BE-21DP,NIT FARIDABAD, FARIDABAD Phone :

9891287805

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Signature of Applicant DOE-NIC

Application No. 76957 NO Declaration by the Applicant

DE-2 FORM

1. I agree to abide by the Allotment of Government Residence (General Pool in Delhi) Rules, 1953, 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 Supplementary Rules (SR) 317-B-10 or furnishing of false information or subletting / misuse of the premises under SR-317-B-21.

Date: 26-07-2011

Signature of the Applicant TO BE FILLED IN BY THE FORWARDING OFFICE

Office ID Office Category of Office

Please tick ( )

1300309001

Endorsement No.

Date

SAFDARJUNG HOSPITAL, DY. DIRECTOR(ADM), NEW DELHI

Central Government Ministry Department Attached Office Subordinate Office Autonomus Body Statutory Body Others State Government

Name of Applicant Designation

NEELAM TANEJA TELEPHONE OPERATOR

1. Certified that the date of continuous employment under Government Service of the applicant is ______________________. 2. Certified that the present Grade Pay of the applicant is Rs.____________ and his / her Basic Pay (Grade Pay + Band 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.

Signature with Date Office Seal Name : Designation : Phone No. : Fax E-mail : :

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