FORM I APPLICATION FOR THE GRANT OF ADVANCE TO GUJARAT ENERGY TRANSMISSION CORPORATION LTD. BUILDING ETC. OF HOUSE. Balance on date Of application

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FORM I APPLICATION FOR THE GRANT OF ADVANCE TO GUJARAT ENERGY TRANSMISSION CORPORATION LTD. BUILDING ETC. OF HOUSE 1. a) Name (In Block letters) b) Designation c) Class d) Scale of pay e) Present Basic pay + D. P. Rs. = f) Details of other outstanding advances Advance Balance on date Of application monthly Installment i Ii 2. a) Department or Office In which employed b) Station where posted. c) Name of Circle 3. Please State a) b) Whether you are permanent GETCO servant and the length of service, rendered under GETCO. Date from which on Regular establishment. Birth Date Age Date on which you will attain the age of superannuation. a) b)

Do you or do your wife / husband/ minor child already own a house / flat if so please state. Specifically 'YES'OR'NO' Station where it is situated with exact address Floor Area (In Sq. Mt.) Its approximate valuation Reason for desiring to own another house / flat enlarging living accommodation in an existing house/flat as the case may be. CONSTRUCTION OF HOUSE : a) Do you require the advance for building a new house? if so please indicate Approximate Plinth area of the house proposed to be' constructed (In Sq.mt.) Cost of land Estimated Cost Cost of building Total Amount of advance required 1 2 3 4 5 6 No. of Years in which the advance and interest are proposed to be repaid ' Note': Entries in Columns 2 and 4 to be supported by specifications, estimate and plan.

5. b) Whether you- are already in possession of the land? or proposed to purchase if so please state Specifically 'YES' OR 'NO'. Survey No. Name of the City or town where it is located Whether you wish to settle there after retirement Area of plot acquired / proposed to acquired Name of the.municipality or other local authority in whose jurisdiction it is located 1 2 3 4 5 6 Cost of the land Note: This should be accompanied by a copy of plan or City plan certified by E.E. and necessary documents (approved by local authorities like village Panchayat. Nagar Palika or Corporation as the case my be) showing your ownership of land. 6. ADDITION AND ALTERATION : Do you require the advance for enlarging accommodation in an existing house / flat? if so, please state. Column 1 No. of rooms in the house / flat excluding lavatory, bathroom and Kitchen. Column 2. Total floor, area of the rooms In sq. mt.. Column 3. If an additional storey is pro posed to be added is the foundation strong enough? (Give certificate of architect) Column 4: Particulars of additions desired No. of rooms (excluding bathrooms & kitchen lavatory) Floor In'sq. mt. Area estimated. Column 5 : Amount advance desired Column 6: No. of years in which the advance and interest are proposed to be repaid NOTE : i) A plan for site and a plan of the house should accompany the application (approved by GETCO's E.E./ approved by Local authorities) ii) The house/flat should be insured against damage by fire, flood or lightning and the latest premium receipt should also be attached.

7 Do you require the advance for repaying loan taken earlier for purchasing a house/flat from the Gujarat Housing Board. 8. READY BUILT UP HOUSE :- a) Do you require the advance for purchasing a ready made house / flat if so, and in case you already have a house in view please state: Exact location of the house / flat. i) Floor area of the House (In sq. mts.) plinth area of the House (In sq. mts.) Approximate age of the house, Municipal valuation of the House and name of the owner, approximate price expected to be paid. ii) Amount of advance required No. of years in which the advance and interest are proposed to be paid. iii) Have you satisfied would yourself that the transaction would result in your acquiring an undisputable title in the House/Flat. Note : A plan of the house / flat and a plan for site and detailed estimates should accompany the application (Certified by GETCO's E.E.) b) If you do not already have a house / flat in view, how, when and where do you propose to acquire one? Indicate : i) The approximate amount upto which you will be prepared to buy House / Flat. ii) The amount of advance proposed. iii) No. of years in which the advance and interest are proposed to be repaid. Note: 1) A plan of proposed site a plan of house/flat (certified be GETCO's E.E. approved by local authorities) should accompany the application.

Note : 2) Details specified against item 8 (a) above should be furnished in this case before the full amount of the advance can be drawn. 9. Is the land on which the house stands or is proposed to be constructed free hold or lease hold? If lease hold state: i) The terms of the lease. ii) How much of the term has already expired, iii) Whether conditions of the lease permit the land being mortgaged to the GETCO. iv) Premium paid for the plot. v) Annual rent of the plot. Note : A copy the lease / sale-deed should accompany with the application. 10. a) If your title to land / house / flat undisputed and free from encumbrances? b) Can you produce, if require original documents (sale or lease deed) in support of your title? if not, state reason, therefore, Indicating what other documentary proof if any can you furnish in support of your claim? (See item 5(b) and 6 above) c) Does the locality in which the plot of land / house is situated possess essential service like roads, water supply drainage, sewerage, street light etc? (Please furnish a site plan with complete address) 11 a) Are you a member of Co. -Op. Housing society. If so, state furnish certified copy of the Society's rules. i) Name of the Society. ii) Place and district of registration iii) No. and date of registration. (Certificate may be attached) iv) No, of members. V) Whether society has already Purchase or taken on long lease the land if so the details of the land

b) i) Do you intend to construction the house/flat on the land leased by the Co-operative Society? ii) In the event of the loan applied for being sanctioned will the society execute a surety bond as prescribed in rule? c) i) Do you want the loan for investing in the share or debentures of the society and get the house constructed by in question? ii) Do you or does, the society intend to secure or has secured loans from other sources by hypothecating the house / flat in question? 12 If you are due to retire from service within 16 years of the date of this application and are eligible for the grant of gratuity, death cum retirement gratuity or death cum accident compensation do you agree by giving a declaration in the agreement form that the GETCO shall be entitled to recover the balance of the said advance with interest remaining unpaid at the time of your retirement or death preceding retirement from the whole or any specified part of the gratuity / D. C. R. G. or the compensation that may be sanctioned to you. 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 regulations regulating the grant of advance to Gujarat Energy Transmission Corporation Ltd. employees for building etc. of house and agree to abide by the terms and conditions stipulated therein.

3) I certify that :- i) My wife/ husband is not a GETCO servant. My wife / husband who is a GETCO's servant has not applied for and / or obtained an advance under these rules. ii) Neither I nor my wife/husband has/have not applied for and / or obtained an advance or loan from any other source. iii) I have applied for Non refundable CPF Adv. for Rs Station: Date: Designation: Signature of the applicant. Department/ Office in which employed, (To be completed by the applicant's Head of office) No. Station Date Forwarded to the Sr. Chief General Manager (F&A) Gujarat Energy Transmission Corporation Ltd. Corporate Office, Baroda. The facts stated in the application have been verified and found correct. It is recommended that an advance of Rs. may be granted to the applicant. I have satisfied myself on basis of monthly deductions etc. made from the applicants salary that this amount is well within his repaying capacity. Employee is granted / not granted has applied for Non refundable CPF adv. of Rs. Signature Designation Head of Department / Circle Name of the Office (Rubber Stamp of Office)