APPLICATION FORM FOR THE PURCHASE OF MOTOR CAR / SCOOTER / MOTOR CYCLE / PERSONAL COMPUTER FORMAT

APPLICATION FORM FOR THE PURCHASE OF MOTOR CAR / SCOOTER / MOTOR CYCLE / PERSONAL COMPUTER

Form CSF - 620
CSF - 620

CSF-620
APPLICATION FORM FOR THE PURCHASE OF MOTOR CAR / SCOOTER / MOTOR CYCLE / PERSONAL COMPUTER.

1. PN No. & Name
2. Designation
3. Permanent Address
4. Basic Pay
5. Anticipated price of Motor Car /
Scooter / Motor Cycle /
Personal Computer
6. Amount of advance required
7. Date of Retirement
8. Number of installments in which
the advance is desired to be re-paid :
9. Whether advance for similar purpose
was obtained previously and if so. :
a) Date of drawal of the advance
b) The amount of advance and/or
interest thereon still outstanding
if any
10. Whether the intention is to purchase :
a) a new or an old motor car /
scooter / motorcycle / personal
computer.
b) If the intention is to purchase
motor car / scooter / motorcycle /
personal computer through a person
other than a regular or reputed
dealer or agent, whether previous
sanction of the Competent
Authority has been obtained as
required under Rule 18(3) of the
Central Civil Services (Conduct)
Rules, 1964
11. Where the officer is on leave or is
about to proceed on leave
a) The date of commencement

of leave
b) The date of expiry of leave :

12. Are any negotiations/preliminary
enquiries being made so that
delivery may be taken of the motor
car / scooter / motorcycle /
personal computer within one
month from the date of drawal of
the advance
13. a) Certified that the information
given above is complete
and true
b) Certified that I have not taken
delivery of the motor car /
scooter / motorcycle /
personal computer on account
of which I apply for the advance,
that I shall complete negotiations
for the purchase of, pay finally
and take possession of the same
before the expiry of one month
from the date of drawal of advance.

Date :           SIGNATURE OF THE APPLICANT

          Recommended for sanction

Manager/AGM/RM