Form 40 Application for Grants From Army Central Welfare Fund - India

Form 40 is a Indian Army - issued form also known as the "Application For Grants From Army Central Welfare Fund".

Download a PDF version of the latest Form 40 down below or find it on the Indian Army Forms website.

ADVERTISEMENT
D.D.40 Form
APPLICATION FOR GRANTS FROM ARMY CENTRAL WELFARE FUND
ADJUTANT GENERAL BRANCH
PART- I : PARTICULARS OF
APPLICANT
1.
Particulars of Applicant/Serviceman/Ex-serviceman
(a)
Name of the Applicant: ___________________________________
Age __________ Years.
(b)
Permanent Address: ____________________________________
____________________________________
____________________________________
____________________________________
(c)
Present Address :
___________________________________
____________________________________
____________________________________
____________________________________
(d)
Physical condition of the Applicant: _________________________
_______________________________________________________
(e)
Occupation: _____________________________________________
2.
Details of the Serviceman/Ex-serviceman :-
(a)
No______________Rank ___________Name __________________
_________________Unit/Corps______________________________
(b)
Relationship with the Applicant: _____________________________
(c)
Date of Commission/Enrolment: _____________________________
(d)
Date of Retirement/Discharge
: _____________________________
Total Service ______________________________________________
(e)
Date of casualty including death: _____________________________
(f)
Age at the time of casualty
: _____________________________
Including death
(g)
Cause of casualty including death: ____________________________
_________________________________________________________
(h)
Is Death/Disability attributable or aggravated to
Service: _________________________________________________
(j)
Character (As assessed on Discharge Certificate)
____________________________Yes/No _____________
…2/-
D.D.40 Form
APPLICATION FOR GRANTS FROM ARMY CENTRAL WELFARE FUND
ADJUTANT GENERAL BRANCH
PART- I : PARTICULARS OF
APPLICANT
1.
Particulars of Applicant/Serviceman/Ex-serviceman
(a)
Name of the Applicant: ___________________________________
Age __________ Years.
(b)
Permanent Address: ____________________________________
____________________________________
____________________________________
____________________________________
(c)
Present Address :
___________________________________
____________________________________
____________________________________
____________________________________
(d)
Physical condition of the Applicant: _________________________
_______________________________________________________
(e)
Occupation: _____________________________________________
2.
Details of the Serviceman/Ex-serviceman :-
(a)
No______________Rank ___________Name __________________
_________________Unit/Corps______________________________
(b)
Relationship with the Applicant: _____________________________
(c)
Date of Commission/Enrolment: _____________________________
(d)
Date of Retirement/Discharge
: _____________________________
Total Service ______________________________________________
(e)
Date of casualty including death: _____________________________
(f)
Age at the time of casualty
: _____________________________
Including death
(g)
Cause of casualty including death: ____________________________
_________________________________________________________
(h)
Is Death/Disability attributable or aggravated to
Service: _________________________________________________
(j)
Character (As assessed on Discharge Certificate)
____________________________Yes/No _____________
…2/-
-2-
3.
Details of Applicant’s Bankers :-
(a)
Name of the Bank and Branch: ________________________________
________________________________
(b)
Postal Address of the Bank
:________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
(c)
Account No : _______________________________________________
4.
Details of Family/Dependents:-
Ser
Name
Age
Relation Whether
Profession
School &
No
dependent
&
class
of
individual
studying if
independent
income if
applicable
applicable
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ____________________________________________________________________
5. ____________________________________________________________________
PART –II: PRESENT FINANCIAL STATE OF APPLICANT
5.
Monthly Income:-
(a)
Rate of monthly pension/
: __________________________________
Payment/or All Allowances
(Including) (Give PPO No.
And date).
(b)
Children Allowance:-
(i)
No. of children
: _________________________________
(ii)
Rate per month
: _________________________________
(iii)
Total Amount
: _________________________________
….3/-
-3-
(b)
Children Educational Allowances:-
(i)
No. of children
: ________________________
(ii)
Rate per month
: ________________________
(iii)
From AOCEF (Only in
:_________________________
the case of Army
Officers)
(iv)
Aid from any other
: ________________________
Scholarship/State
_________________________________________________
_________________________________________________
Previous Grants:-
6.
Details of previous grants/assistance received from Centre/State Govt/Army
Source (including DGR, KSB & Rajya Sainik Boards)
Ser
Date
Source/Fund
Amount
No
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ____________________________________________________________________
5. ____________________________________________________________________
Lump-Sum Receipt
7.
Details of all lump sum receipt are as under :-
Date
Amount
(a)
From Army Group Insurance Scheme
(b)
DSGP
(c)
From LIC
(d)
Service Gratuity
(e)
Family Gratuity
(f)
Terminal Gratuity
(g)
Death-cum-Retirement Gratuity
(h)
Ex-Gratia Award (Flying Accident)
(j)
Rehabilitation Grant (for Ex-Officer)
(k)
Commuted value of pension received.
(l)
Any other amount received with
Sources.
…4/-
-4-
Other Assets
8.
My other assets are as under:-
Name of the Bank/
Amount
Income
Company
(Yearly)
(a)
Current/Saving
_______________
_______
______
Account
(b)
Fixed Deposits
_______________
_______
______
(c)
Recurring Deposits
_______________
_______
______
(d)
Shares/Bonds
_______________
_______
______
(e)
Saving Certificates
_______________
_______
______
(f)
Unit Trust
_______________
_______
______
(g)
Any other deposits
_______________
_______
______
(h)
Income from other sources:-
Sources
Income
(Monthly)
(i)
(ii)
(iii)
Total
______________________
Details and Income from Property
9.
Immovable property:-
Urban/
Area
Total
Income
Rural
Value
(Yearly)
(a)
Land:-
(i)
Agricultural
______
_______ _______
_____
(ii)
Non -Agricultural
______
_______ _______
_____
(b)
House:-
(i)
(ii)
(c)
Commercial:-
(i)
(ii)
(d)
Land/Building: ____________________________________________
…5/-
-5-
10.
Movable Property (Above Rs. 2,000.00 each)
Details of property
Value
Income, if
Any
(a)_________________________________
_________
__________
(b)_________________________________
_________
__________
(c)_________________________________
_________
__________
(d)_________________________________
_________
__________
(e)_________________________________
_________
__________
(f)_________________________________
_________
__________
Total Rs.
_________
__________
Family Budget
11.
Present monthly family budget are as follows:-
(a)
House-own/hired expenses
______________ per month.
the rate of
(b)
Total education expenses
______________
(c)
Food Cost
______________
(d)
Clothing and other necessities
______________
Total Rs.
______________
12.
No. & date of Identity Card issued by ZSB if any
____________________________________________________.
PART-III BRIEF CIRCUMSTANCES OF DISTRESS
CERTIFICATE
Certified that all the above facts have been correctly reported and no information
has been left to the best of my knowledge.
Date:
2006
(Signature of Applicant)
Caution:
Any wrong declaration or concealing effects may adversely effect
consideration of the applicant and may debar you from any further
assistance/financial help.

Download Form 40 Application for Grants From Army Central Welfare Fund - India

323 times
Rate
4.8(4.8 / 5) 23 votes
ADVERTISEMENT
Page of 7