HBA Form (1)
HBA Form (1)
APPLICATION FORM
(To be filled by the application)
GENERAL
7. If advance is needed for purchase of a plot and/or for construction of a new house,
please give the following information.
A. Plot
Location Rural/urban Is it clearly Approximate (a) Cost If not Unexpired
with demarcated area (in sq. (b) Amount purchased portion of
address and mtrs.) actually when lease if not
developed paid proposed freehold
to be
acquired
(1) (2) (3) (4) (5) (6) (7)
B. Construction
Floor-wise area to Estimated cost Amount of advance No. of installments for
be constructed in required (for land/ repayment
(sq. mtrs.) construction/both)
(8) (9) (10) (11)
G. Floor
I Floor
II 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 proposed construction/ proposed plinth cost of installments
address (in for acquisition enlargement area (4+5) advance for
sq. enlargement of existing (2+3) required repayment
mtrs.) (in sq. house
mtrs.)
(1) (2) (3) (4) (5) (6) (7) (8) (9)
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.]
Miscellaneous
10. If you or any depended member of your family already own (s) a house, please state-
Location with Plinth area Present fair market Reasons for acquiring another
address (Floor- wise) Value Rs. House or enlarging The exiting
house
(1) (2) (3)
(c) Detailed construction estimates based on center/state PWD schedule, prevailing in the
area corrected as per relevant cost of index duly signed by qualified engineer.
Declaration
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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
purchase of land and purchase/contraction of buildings, etc. and agree to abide by the terms
and condition stipulated therein.
3. I certify that;-
(i) My wife / husband is not a central government servant/ my wife/husband who is a
central government 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 lone or
advance for acquisition of a house in the past form any government source (e.g.,
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.