A.P.F.C. Form 12 Form of Application by a Government Servant for an Advance for the Purpose of Purchase of a Motor Car - India

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A.P.F.C. FORM – 12
(See Chapter – X. Article 230 (a) (i) of A.P.F.C. Vol.I)
FORM OF APPLICATION BY A GOVERNMENT SERVANT FOR AN ADVANCE
FOR THE PURPOSE OF PURCHASE OF A MOTOR CAR
****
1.
Name of the Applicant
:
(In block letters)
2.
Designation of applicant and Office in
:
which employed
3.
a) Whether permanent and if so the
:
particulars of the post
b) If not permanent, whether he is
:
an approved probationer and if
so the name of the post and date
from which he has been declared
as approved probationer
4.
Date of Birth
:
5.
Date of Superannuation or retirement :
6.
Scale of pay of the present post
:
7.
Basic pay in the present post as
:
desired under Fundamental Rule 9
(21) (Excluding Special Pay)
8.
Amount of gross pay
:
9.
a) Whether the advance applied for
:
is the first one
b) If not
:
i) Amount of previous advance
ii) Number and date of Order in
:
which
such
advance
was
sanctioned.
:
iii) Date of drawal of such advance
iv) Whether any amount of such
advance
is
outstanding
:
repayment
(principal
and
interest to be shown separately)
v) In case it is fully repaid whether
Clearance Certificate has been
:
obtained from the Accountant
General
A.P.F.C. FORM – 12
(See Chapter – X. Article 230 (a) (i) of A.P.F.C. Vol.I)
FORM OF APPLICATION BY A GOVERNMENT SERVANT FOR AN ADVANCE
FOR THE PURPOSE OF PURCHASE OF A MOTOR CAR
****
1.
Name of the Applicant
:
(In block letters)
2.
Designation of applicant and Office in
:
which employed
3.
a) Whether permanent and if so the
:
particulars of the post
b) If not permanent, whether he is
:
an approved probationer and if
so the name of the post and date
from which he has been declared
as approved probationer
4.
Date of Birth
:
5.
Date of Superannuation or retirement :
6.
Scale of pay of the present post
:
7.
Basic pay in the present post as
:
desired under Fundamental Rule 9
(21) (Excluding Special Pay)
8.
Amount of gross pay
:
9.
a) Whether the advance applied for
:
is the first one
b) If not
:
i) Amount of previous advance
ii) Number and date of Order in
:
which
such
advance
was
sanctioned.
:
iii) Date of drawal of such advance
iv) Whether any amount of such
advance
is
outstanding
:
repayment
(principal
and
interest to be shown separately)
v) In case it is fully repaid whether
Clearance Certificate has been
:
obtained from the Accountant
General
10.
a) Whether the Motor Car to be
:
purchased has been allotted by
the
Government
from
the
Government priority quota
b) If so, whether the letters of
:
intimation
of
availability
of
vehicle from the company /
Dealer has been received.
11.
a) If the Motor Car is to be
:
purchased in the open market,
name of the agency and the
place of delivery (if possible)
:
b) Are
any
negotiations
or
preliminary enquiries being made
to facilitate delivery of Motor Car
within one month from the date
:
of drawal of the advance.
c) Anticipated price of the P.C.
12.
i) Whether the officer is or was in
:
possession of Motor Car and
ii) If so, the amount or the
:
anticipated amount of the sale
proceeds of the Motor Car.
13. Amount of advance applied for
:
14. Number of monthly installments in
:
which the advance may be recovered
I hereby declare that the particulars furnished above are true to the
best of my knowledge and belief.
I have not taken delivery of the Motor Car on account of which I
apply for the advance, that I shall complete the payment for the taking possession
of the Motor Car before the expiry of one month from the date of drawal of the
advance and that I shall insure it immediately.
SIGNATURE OF THE APPLICANT
STATION:
DATE:
TO BE FILLED UP BY THE HEAD OF THE OFFICE
1. Whether the applicant is eligible for the advance applied for (persons
under suspension are not eligible).
If so, the maximum amount of
advance which the applicant is eligible.
Amount of Advance recommended
:
Number of installments in which The
:
advance should be recovered
SIGNATURE OF THE HEAD OF OFFICE
STATION:
DATE:

Download A.P.F.C. Form 12 Form of Application by a Government Servant for an Advance for the Purpose of Purchase of a Motor Car - India

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