Household Articles on Hire Basis at the Residence of Officers Date Place Name Emp.No. Designation Department Grade Date of joining in Officer Grade Date of Birth 1. In accordance with the Corporation's cheme for pro!iding of f"rnit"re#ho"sehold articles on hire $asis at the residence of officers% I re&"est 'o" to pro!ide me !ario"s items of f"rnit"re#ho"sehold articles as mentioned $elow for m' "se at the residence. l.No. Name of the (rticle to $e pro!ided )t' (mo"nt *. I had not earlier a!ailed the facilit' "nder the scheme. O+ I had earlier a!ailed the facilit' "nder the scheme to the e,tent as indicated $elow Grade Place Date -otal cost .. I confirm that this re&"est is made after ma/ing m'self aware of the !ario"s stip"lations and o$ligations "nder the scheme referred to a$o!e. (ppro!al of this ma' please $e con!e'ed to me. Date0 ignat"re ( B C D E 1 G 2 I 1"ll -ime Board 3em$er 4+"pees in -ho"sand5 16 16 *7 .7 87 87 97 97 97 :7 2ire charges 4(mo"nt in +s.5 66 97 96 :7 ;7 <7 177 117 Change of -apestr' 1677 1677 *677 *677 .677 .677 8677 8677 6677 6677 Updated list of furniture/household items which can be purchased by officers Items 3a,m. Nos. Depreciation 3attress Pillow Carpets +efrigerator Coo/ing +ange =ashing 3achine -a$le#Pedestal 1an Pedestal >amp Deep free?er Cooler (ir Conditioner -@ @C+#@CP +adio#3"sic s'stem @ac""m Cleaner Dishwasher 3icrowa!e o!en ta$ili?er In!ertor#Generator =ater 1ilter Ceiling 1an Cots ide -a$les Dressing -a$les (lmirah how cases#ide Boards Dining -a$le Dining Chairs ofa set Centre -a$le Diwan E,erciser $ic'cle (n' other domestic#ho"sehold f"rnit"re or electronic item not less than +s.1777#A each. i, i, One One One One One -hree One -wo One One One One One One One -hree One One 1o"r i,%If single -hree%if do"$le i, -hree -hree -wo One Eight One -wo -wo One *6B *6B *6B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B 16B