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AOD

Application for issue of Furniture/


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
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16B
16B

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