Air Force Station Race, Course, New Delhi-110003 Telephone: 011 - 2379-3462/3463, 2379-2880/2881 FAX: 011-23014942
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Appendix A    

(You may use this Application Form, however, the cost of Master Brochure i.e. Rs.50/- will be charged)

APPLICATION FORM

(FOR ENROLLING AS MEMBER OF THE SELF FINANCING
HOUSING SCHEME OF AFNHB)
Regn No.
(For office use only)

The Director General
Air Force Naval Housing Board
Air Force Station
Race Course
New Delhi 110 003.

Name of Scheme ---------------------------------------------------------.
1. Service No.________ 2. Rank__________
3. Name of Serving Personnel.......................................... (Serving / Retired / Deceased)
4. Name of Applicant ....................................
5. Father's or Spouse's Name .......................................
6. (a) Correspondence Address ........................................
PIN .......................................
Tel (O)..............................(R)...........................
(b) Permanent Address ........................................
PIN .......................................
Tel (O)..............................(R)...........................
7. (a) Date of Birth ..............

(b)

 Place of Birth .................
8. (a) Date and Type of Commission or Entry
(b) Length of Service ............ (c) Likely Date of Retirement ................
9. For Retired Personnel / Widows
(a) Date of Retirement /Death (b) PPO No. and Date ...................
(Attach Photocopy)
(c) Years served ....................
10. (a) Type of Dwelling Unit - A or B (b) Place of Dwelling Unit ...................
11. (a) Nominee's Name and Relationship ........................
(b) Nominee's Signatures .....................

Signature of Applicant

Place:

Date :

 

DECLARATION

1.     I hereby declare that the particulars given at Sl.No 01 to 11 on page one of Appendix 'A' are correct and that I have not willfully suppressed any material information. I understand that I will be disqualified from registration of my application and or allotment of Dwelling Unit, if at any time , any of the aforesaid particulars are found to be incorrect.

2.    I have read the AFNHB Master Brochure, 'K' Broadcast or IG Messages etc and have fully understood the contents and shall abide by the same.

3.    I also declare that neither I nor my spouse or dependent children or dependent relatives own residence property at the city where Dwelling Unit is being sought.

4.    I also undertake to acquaint and abide by all rules, instructions, terms and conditions and stipulations issued from time to time by AFNHB and also by the Central or State Government and other concerned authorities in respect of this Scheme.

*5.    I also declare that:

(i)    Till date, neither I nor my spouse have been allotted a Dwelling Unit by AFNHB anywhere in India.

      OR

(ii)    I have been allotted a Dwelling Unit by AFNHB in ................... Project / Scheme, registration number ..................

*(Delete whichever is not applicable)

6. I also declare that I shall participate in the formation of the registered Society or Association and be a member of same in accordance with the Bye-laws as approved by the Board.

Signature of Applicant
(Rank, Name and Service Number)
Place :
Date :

 

COUNTER SIGNATURE

(for Serving Personnel only)
   
   
   
 
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