APPLICATION

FORM FOR GRANT OF ADVANCE FOR THE PURCHASE MOTOR CONVEY ANCEIPERSONAL COMPUTER

OF

1.

Name of applicant (in block letters) Applicant's designation District and Station Pay(i) (ii)

2.

3. 4.

Substantive pay Officiating payor pay drawn In a temporary post SpeciallPersonal Pay

Rs.

Rs. Rs. Rs.

(iii) 5.

Anticipated price of Motor Carl Motor Cycle/Scooter/Personal Computer Amount of Advance required Date of superannuation or retirement or date of expiry of contract in case of a Contract Officer Number of monthly installments in which the advance is desired to be repaid Whether advance for similar purpose was obtained previously and if so:(i) (ii) Date of drawal of the advance The amount of advance and/or Interest thereon shall outstanding, Ifany

6.
7.

Rs.

8.

9.

10.

Whether the intention is to purchase (a) a new or old Motor Car/Cycles Scooter? If the intention is to purchase Motor CarlMotor Cycle/Scooter/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 7 of the Lok Sabha Secretariat (Conduct) Rules, 1955

(b)

2 11. Whether the officer is on leave or is about to proceed on leave: (a) (b) 12. The date of commencement the date of expiry of leave of leave

---------------

Are any negotiations or preliminary enquiries being made so that delivery may be taken of the Motor Cyclel/Carf Scooter/Personal Computer within one month from the date of drawal of the advance (a) Certified that the information given on prepa~e is complete and true.

13.

(b) Certified that I have not taken delivery of the Motor CarlMotor Cycle/Scooter /Personal Computer on account of which I apply ..for the advance, that I shall complete negotiations for the purchase of any finally and taken possession of the Motor Car/Motor Cycle/Scooter/Personal Computer before the expiry of one month from the date of drawal of the advance, and I shall insure it from the date of taking delivery of it.

New Delhi; Date _ (Applicant's signature)

CERTIFICATE
Certified that is will be useful to the pubic service if Shri _ ______________ -possesses a Motor Car/Motor Cycle/Scooter/Personal Computer for the performance of his official duties. Date _

signature of DivisionallBranch

_ Officer

Counter signature of Joint Secretary

FORM OF AGREEMENT TO BE EXECUTED BEFORE DRAWING AN ADVANCE FOR THE PURCHASE OF A MOTOR VEHICLEIPERSONAL COMPUTER An AGREEMENT made on Two thousand and day of BETWEEN Shri _ _

Lok Sabha Secretariat (hereinafter called "the Borrower" which expression shall include his heirs, administrators, executors and legal representatives) of the one part and the President of India (hereinafter called "the President", which expression shall include his successors and assignees) of the other part. Whereas the Borrower has under he provisions of the Lok Sabha

Secretariat Recruitment and Conditions of Service Order No. 24 dated 13.1.56 as amended from time to time and the General Financial Rules (hereinafter referred to as "the said Rules" which expression Rs. shall include (Rupees any amendments thereof for a loan of

only) to be paid by the

President to the Borrower, the Borrower hereby agrees with the President (1) to pay the President the said amount with interest calculated according to the said Rules by monthly deductions from his salary as provided in the said Rules and hereby authorises the President to make such deductions, (2) within one month from the date of payment of the said sum to expend the full
;;.

amount of the said loan in purchase of Motor Vehicle/Personal Computer or if the actual price paid is less than the loan to repay the difference to the President forthwith, and (3) to execute a document hypothecating the said Motor Vehicle/Personal Computer to the President as security for the amount to be lend to the borrower as aforesaid and interest in the form provided by the said Rules and IT IS HERBY LASTLY AGREED AND DECLARED THAT IF THE MOTOR VEHICLEIPERSONAL COMPUTER has not been purchased and hypothecated as aforesaid

within one month from the date of the payment of the said sum or if the Borrower within that period becomes insolvent or quits the service of the Government or dies, the whole amount of the loan and the interest accrued thereon shall immediately become due and payable.

2 IN WITNESS whereof the BORROWER and Shri the office ofLOK SABHA SECRETARIAT

------------ in

for and on behalf of the President have hereunto set

their hand the day and year first before written.

Signed by the said in the presence of

1.

2.
(Signature of Witnesses) (Signature and designation of the Borrower)

Signed by Shri Designation

_ _

For and on behalf of the President of India in the presence of 1.

/

2.
(Signature and designation of the Officer) Name and designation of the Borrower

- S"-

UNDERTAKING

1.

I will purchase the Conveyance/Personal Computer within a period of one month from the date of sanction of the advance failing which I will refund the advance with interest thereon forthwith. I further, undertake to submit the following papers related to grant of advance within one month of sanction of the advance.
(A) For Personal computer

2.

(i) Cash Receipt for the amount paid (ii) Detailed Bill. (iii) Mortgage Bond (B) For Conveyance (Car/Motorcycle/Scooter/Moped etc.)

(i) Cash Receipt for the amount paid. (ii) Detailed Bill. (iii) Comprehensive Insurance Policy duly hypothecated in favour of the President of India. (iv) Mortgage Bond. (v) Registration Book duly transferred in his name 3. In case, I do not fulfill the above condition, then I shall render myself liable to disciplinary action being taken against me under the relevant rules.

Signature-----------------------------------~ame---------------------------------------Designation--------------------------------Branch--------------------------------------Phone--------------------------------------New Delhi; Dated ------------------------

CERTIFICATE

TO BE ISSUED BY BILLS & PAYMENT BRANCH

1. There IS nothing outstanding against Shri on account of any other conveyance advance. An amount of Rs. plus interest is still outstanding against Shri on account of Bicycle/ Scooter/ Motor Carl Personal Computer Advance/HBA on _ 2. The Shri below:Emoluments Basic Pay Rs. Rs. Rs. details of emoluments drawn by and deductions made there from are given

Deductions G.P. Fund Sub. G.P.F. Advance H.R.A. H.B.A. P.L.!. e.G.H.S. Rs.

G.P.
D.A. H.R.A. C.C.A. T. Allowance

Rs.
Rs. Rs. Rs. Rs.

Rs.
Rs. Rs.

Total

Rs.

Total

Rs.

Net Salary:

Rs.

AN-I Branch may please see for further necessary action.