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HBA Application Form

The application form requests information about the applicant's employment details and financial situation, as well as specifics of the proposed land purchase or construction including location, costs, and repayment schedule. If the advance is for construction or enlargement, engineering plans and cost estimates must be attached; the applicant must also declare that they and their spouse have not previously received such an advance.

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1K views

HBA Application Form

The application form requests information about the applicant's employment details and financial situation, as well as specifics of the proposed land purchase or construction including location, costs, and repayment schedule. If the advance is for construction or enlargement, engineering plans and cost estimates must be attached; the applicant must also declare that they and their spouse have not previously received such an advance.

Uploaded by

api-3874733
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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(S – 252)

GRANT OF ADVANCE FOR PURCHASE OF LAND OR PART/FULL CONSTRUCTION,


ENLARGEMENT ETC. OF A HOUSE.

APPLICATION FORM
(To be filled by the Applicant)
GENERAL
1. Name (in Block letters)……………………………………………………….
2. Post held (i) Permanent ……………………………………………………..
(ii) Temporary / Offg………………………………………………
(iii) Length of service on the date of application : …………………….
3. (i) Present pay (Basic Pay + DP )………………….
(ii) Scale of Pay…………………………………….
4. Whether Governed by Pension Rules…………………
5. Date of Superannuation……………………………….
6. Amount of Provident Fund / any other advance /final withdrawal taken for purchase of
land/construction (an attested copy of sanction to be enclosed) ………………….

PARTICULARS RELATING TO ADVANCE:


7. If advance is needed for purchase of a plot of land and/or for construction of a new house,
please give the following information:
A. Plot
Location with Rural/ Is it clearly Approxi- a) Cost If not Unexpired
address Urban demarcated mate b) Amount purchased, portion of
and area actually paid when lease, if
developed (in sq.m) proposed to not
be freehold
purchased
(1) (2) (3) (4) (5) (6) (7)

a)

b)

B.Construction
Floor-wise area to be Estmated Cost Amount of advance No of
constructed (in sq. m) required (for land/ instalments for
construction/both) repayment
(8) (9) (10) (11)
G. Floor
I Floor

8. If advance is required for enlarging the existing house, please state


Location Plinth Plinth area Cost of Cost of Total Total Amount No of
with area (in proposed construction proposed plinth cost of install-
addres sq.mtrs) for /acquisition enlarge- area (4+5) advance ments for
enlargemen of existing ment (2+3) required repayment
t (in Sq. house
(1) (2) mtrs) (4) (5) (6) (7) (8) (9)
(3)
2

NOTE: If the enlargement is proposed on any floor other than ground floor, a certificate from an
approved Engineer to the effect that foundations of the existing structure can safely take the
load of the proposed enlargement, should be enclosed)

9. If advance is required for purchasing a ready-built house/flat, please state:


Location Plinth When Price The agency Amount Amount of No of
with area (in construc settled from whom a) already advance install-
address sq.mtrs) ted to be paid required ments
purchased b) to be for
paid repay-
(1) (2) (3) (4) (5) (6) (7) ment
(9)
a)

b)

MISCELLAENEOUS
10. If you or any dependent member of your family already own(s) a house, please state:
Location with Plinth area (Floor- Present fair market Reasons for acquiring another
address wise) value Rs. house or enlarging the existing
(1) (2) (3) house (4)

11. Have you enclosed:


a) the relevant construction plan approved by the Municipal
Authority concerned: and
b) detailed construction estimates based on Central/State
PWD schedules, prevailing in the area corrected as per
relevant cost of index duly signed by qualified Engineer.

Declaration
1. I solemnly declare that the information furnished by me in reply to the various items indicated
above is true to the best of my knowledge and belief.
2. I have read the rules regulating the grant of advances to Central Government servants for
purchse of land and purchase/construction of buildings, etc.and agree to abide by the terms and
conditions stipulated therein.
3. I certify that:
i) my wife/husband is not a Central Government servant/my wife /husband who is a Central
Govt servant, has not applied for and/or obtained an advance under these rules;
(ii) neither I nor my wife/husband/minor child has applied for and/or obtained any loan or
advance for acquisition of a house in the pat from any Government source (eg. Ministry of
rehabilitation or under any Central or State Housing Scheme;
iii) the construction of the house for which the advance has been applied for, has not yet been
commenced.

Station: Signature of Applicant


Dated: Designation
Department/Office in which employed.

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