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(to be filled up by the Registrant or Allottee at the time of desiring Voluntary Withdrawal) DECLARATION FOR WITHDRAWAL FROM ........ SCHEME I, (Rank)................... (Name) .............................. (Number) ..................... (Regn. No) ..............., an Allottee of the ......... Schemeof the Air Force Naval Housing Board, solemnly declare and affirm as under :- (a) That I am voluntarily withdrawing from the ................ Scheme. (b) That I agree to abide by the rules and regulations of the AFNHB that are in force at the time the refund is made to me. I have read and understood the rules of refund and agree. (c) That I also voluntarily state that I or my successor or my nominees will have no claim whatso ever on the DU, garage, shop, open Terrace which was originally allotted to me by AFNHB. (d) Submitted along with the form placed at Appx.D.
Date ............
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