DE-1 FORM
GOVERNMENT OF HIMACHAL PRADESH
DIRECTORATE OF ESTATES
SHIMLA
APPLICATION FOR ALLOTMENT OF RESIDENTIAL ACCOMODATION
FROM GENERAL POOL FOR THE ALLOTMENT YEAR, ____________
TO BE FILLED BY THE APPLICANT
Please follow the instructions given at the end of this form before filling this form.
Incomplete application will not be accepted / processed.
eSalary- Employee Code Allottee Account Number
(To be filled up by the Applicant (to be filled up by the Applicant if allotted)
if already given by his office )
________________________________________________________________________
1. Full name of applicant (In block letter) ………………………….....…………………...
……………………………………………………………………………………….…
2. Name of father/ Spouse………………………….…………………………………….
3. Designation …………………………………………………………………………...
4. Department/Office address …………………………………………………………….
…………………………………………………………………………………………...
5. Whether Permanent or Temporary .
6.
(a) Pay Band/Pay Scale (Rs) (b) Present Grade Pay (Rs) (C) Present basic Pay(Rs)
(Band Pay + Grade Pay)
7. (a) Date of Birth (b) Date of retirement on superannuation
-- -- -- --
8. Date from which continuously employed under H.P.Govt.
-- --
9. Indicate below the type (s) of houses for which you are applying :
Type Eligible Grade Pay Please tick for the
of type
houses
I Rs. 1300/- to Rs.1650/
II Rs. 1900/- to Rs.3600/-
III Rs. 3800/- to Rs.5000/-
Note : Applicable for Type-IV and above :
Type Eligible Grade Pay Date from which continuously Please indicate
of drawing Grade pay as indicated (Date of Grade Pay for
eligibility) the date of
houses D D M M Y Y Y Y eligibility.
IV Rs.5400/- to Rs.8400/- _ _ Rs.
V Rs. 8600/- to Rs.9000/- _ _ Rs.
VI Rs.10,000/- & above _ _ Rs.
Type-VII & VIII
Type Eligible Basic Pay Date from which continuously Please indicate
of drawing Basic pay as indicated (Date of the Basic Pay
eligibility) for the date of
houses D D M M Y Y Y Y eligibility
VII Rs.67,000/- to Rs.79,999/- _ _ Rs.
VII Rs.80,000/- & above _ _ Rs.
10. Whether the applicant was debarred from allotment of Govt. residence ? Yes / No.
(a) if yes, please given detail.
11. Whether the applicant and his/her spouse occupying accommodation allotted
by/from any departmental pool or any other pool ? Yes / No.
(a)if yes, please give details.
12.Whether the applicant ,his/her spouse/ dependent children own a house at or near the
place of posting ? Yes / No
(a) if yes, please give details as under :
Owner’s name Relationship with Address of house Monthly rent
applicant income, if any
13. Whether the applicant entitled to rent free accommodation. Yes / No
14.
Address of the Drawing & Disbursing Permanent Home address of the applicant
Officer of the Applicant.
DDO-ID Code Phone
Phone E-Mail.
DECLARATION OF APPLICANT
1. I agree to abide by the H.P.Allotment of Government Residences(General Pool)
Rules,1994 and instructions issued there under from time to time.
2. I am working in an eligible office .
3. I am aware of the penalties, which can be imposed in the event of refusal of
allotment of accommodation of entitled type or furnishing of false information,
subletting /misuse of the premises under the Allotment Rules ibid.
4. I hereby declare that the information given above is true and I have not concealed
anything in this respect.
Date : Signature of the applicant…………
TO BE FILLED IN BY THE HEAD OF OFFICE
Office ID
Endorsement
No.
Date
Office
Name of
Applicant
Designation
Date of continuous employment of the Present Grade Pay Present Band Pay Present Basic Pay
applicant under Govt.service
- -
1. Certified that all the information mentioned by the applicant in his application and
mentioned above by the undersigned are verified from the service records and found
to be correct.
2. Certified that the applicant is employed in an eligible office and has not been
debarred
from the allotment of General Pool accommodation.
3. Certified that the applicant is entitled/ not entitled for rent free accommodation.
4. Certified that no departmental pool accommodation exist at the place of duty of the
applicant .
Signature with date and
Office seal.
Phone .
Instructions
1. This forms for INITIAL ALLOTMENT only.
2. Please fill up the form in BLOCK LETTERS only.
3. Fill dates as day (01-31)month(01-12) & year(2010) in the format DD-MM-YYYY.
4. Please tick wherever required to do so.
5. Please ensure that the application is complete in all respect, signed by the applicant and
forwarded and stamped by the Forwarding Officer of your office.
6. Forwarding Officer should mention the allotted Office ID Code.
7. The complete application must be submitted by the applicant in person or through his/her
representative in the office of the Directorate of Estates,H.P. Press Block,H.P.Secctt,Shimla-2.
8. Allottee Account Number must be filled up if already allotted by this Directorate.
9. The date of priority for drawing waiting list in respect of Type-I to Type-III accommodation
shall be the date of joining the Govt. service and for Type-IV to VI and Type-VII & VIII,the
date
on which an Officer starts drawing the relevant Grade Pay and Basic Pay respectively.
