GOVERNMENT OF INDIA

DIRECTORATE OF ESTATES
Office of Estate Manager, Mumbai
DE-2 FORM
DoE Copy
Application for General Pool Residential Accommodation (Online Submission)
Date of Receipt :
(To be filled in by the Estate Office)
Date of Application
Registration No

:
:

16-06-2016
10033912

Application No :
AAN No
:

26675

Form Status
:
Form Category :

FINAL
General Pool

Personal Details
Name of Applicant
:
Name of Father / Spouse :
Designation
:
Date of Birth
:
Date of Retirement
:
PAN Card Number
:

PULKIT AGRAWAL
BITTHAL DAS AGRAWAL
AUDITOR
14-12-1986
31-12-2046
ALVPA8583C

Employee Code
Marital Status
Category
Date from which continuously employed in Govt. Service
Date from which continuously posted in the present City
Aadhaar Number
:

:
:
:
:
:

MARRIED
GENERAL
23-12-2013
23-12-2013
5949619120
53

Pay Details
Pay Band / Scale : PB1: 5200-20200Present Grade Pay (Rs.) : 2800Present Basic Pay (Rs.) : 12060
Date from which continuously drawing present grade pay / pay scale : 23-12-2013

Service Details
Group of Service

Service :

Status
: PERMANENT
Working in an eligible Office of : CENTRAL GOVERNMENT Are you entitled for HRA ? : YES

Office Details
Office
:
Attached/Sub. office :
Department
:
Ministry / State Govt:
Office ID

THE PRINCIPAL ACCOUNTANT GENERAL (AUDIT) - I, MAHARASHTRA, OLD CGO BUILDING, 101, MK ROAD, MUMBAI-400 020
COMPTROLLER AND AUDITOR GENERAL OF INDIA, 10, BAHADURSHAH ZAFAR MARG, NEW DELHI
COMPTROLLER AND AUDITOR GENERAL OF INDIA, 10, BAHADURSHAH ZAFAR MARG, NEW DELHI
COMPTROLLER AND AUDITOR GENERAL OF INDIA, 10, BAHADURSHAH ZAFAR MARG, NEW DELHI

: 1070101007 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

House Type(s) Applied

House Type(s)

Date of Priority (DoP)

Pool(s)

23-12-2013

GP

Deputation Details
Are you on deputation to Central Govt. under the Central Staffing Scheme ? : NO

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

Working Address Details

Signature of Forwarding Officer with Seal Signature of Applicant

http://gpra.nic.in
DOE-NIC

Permanent Address Details

Page 1 of 2

Address : PRINCIPAL ACCOUNTANT GENERAL

(AUDIT) -I MUMBAI
:
City
: MUMBAI
Pin
:
Phone :
Fax
:
Mobile :
7799125500
E-mail :

Address : CK 28/11 GYANVAPI, CHOWK

400001

City
Phone

:
: VARANASI
:

Pin

221001

Signature of Forwarding Officer with Seal Signature of Applicant

Declaration by the Applicant

1. I agree to abide by the Allotment of Government Residence (General Pool in Delhi) Rules, 1963, 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.
4. 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 : 16-06-2016Signature of the Applicant

TO BE FILLED IN BY THE FORWARDING OFFICE

Office ID

1070101007

Office

THE PRINCIPAL ACCOUNTANT GENERAL (AUDIT) - I, MAHARASHTRA, OLD CGO BUILDING, 101, MK ROAD, MUMBAI-400 020

Endorsement No.

Date

Name of Applicant

PULKIT AGRAWAL

Designation

AUDITOR

Category of Office
(Please tick)

Central Government
Ministry

Department

Attached Office

Subordinate Office

State Government
Autonomous Body

Statutory Body

Others

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.

Office Seal Signature with Date

Name
Designation
Phone No.
Fax
E-mail

:_______________________________________________________
:_______________________________________________________
:_______________________________________________________
:_______________________________________________________
:_______________________________________________________

Documents required :1. Pay Fixation Order of 6th Pay Commission

2. Last Promotion Order
3. Recent Pay Slip

http://gpra.nic.in

DOE-NIC

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