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NO Br._____________ Date:______________
Name Designation Place of posting Basic Fay Date of Barth Present Residential Address Particulars of house Rent Allowance ----------------- Months Period Purpose Of advance Form Amount Sanctioned To Date of Joining Existing House Rent Allowance Date of confirmation Employee No
UNDERTAKING
1. I confirm that after availing House Rent in advance, I will manage al the financial affairs within my existing resources. 2. In case of leaving the Bank service for any reason what so ever I will adjust the outstanding balance of advance House Rent Allowance for the Remaining period in lump sum or authorize the bank to deduct the balance amount form my provident Fund/retirement benefits.
Applicant (______________________) ____________________________________________________________________________ I hereby confirm that the particulars given above are correct ti the best of my knowledge and recommend that _________ month advance house Rent allowance may be granted to him/her. I also certify that Mr.____________________________________________________is not involved in any disciplinary case in which he/she is likely to be punished.
Manager ____________________________________________________________________________ FOR USA AT REGIONAL OFFICE DIHAN G M H R Regional office is requested to please accord sanction __________ month House Ren Advance amounting Rs.______________for the period form ______________to______________as Recommended by the manager.