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Form No.

IRD/REC-9
IRD UNIT
Application for IRD Accommodation (IP/Nalanda For Married Staff)
Circular Reference

: Ref No. _____________________ Date: ______________

Name of Applicant & Employee Code: ______________________________________________


Gender

Male / Female

Date of Birth

______________________

Fathers/Mothers Name

______________________________________________

Spouse Name

______________________________________________
(Attach a copy of the Marriage Certificate)

Details of Employer of Spouse


(if employed)

______________________________________________
______________________________________________

Project No. and Designation

Project No.
Designation

Student Status

: PT / FT / Not registered

_____________________________
_____________________________

Seniority Date and Sl. No. as per


: ______________________________________________
Seniority List displayed on IRD Website
Validity of Appointment

: ______________________

Preference for Allotment of


Accommodation as per the advt.

1) ______________________
2) ______________________
3) ______________________
Signature of Applicant: ______________________
Date: ______________________
Mobile No. ________________________

Recommendations of PI/CI:
______________________________________________
______________________________________________
Signature of PI/CI: ______________________
Name & Emp. Code of PI/CI: _______________________
Date: ______________________
A.R. (IRD)
Revised: 12/2014

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