Annex B

GOVERNMENT OF KHYBER PAKHTUNKHWA

ESTATE OFFICE
APPLICATION FORM FOR ALLOTMENT OF GOVERNMENT ACCOMMODATION
FOR OFFICE USE

APPLICATION NO______________________ STATION_______________

Photo

DIARY NO________________________SECTION_______________DATE______________

NOTE: i) Fill the form in Capital Letters preferably use typewriter

ii) Use only one box for one character
iii) Please write N.A in the coloumn not applicable
iv) Attach one photo with the form

PART-I TO BE FILLED BY PROVINCIAL GOVERNMENT SERVANT

(A) GENERAL INFORMATION

1. Name of
Provincial
Govt. Servants
2. Father
Name

3. Designation

4. BPS No
(Regular)
5. Date of entry into govt. service with BPS
(d d m m y y y y (d d m m y y y y)
BPS-1 BPS-12
BPS-2 BPS-13
BPS-3 BPS-14
BPS-4 BPS-15
BPS-5 BPS-16
BPS-6 BPS-17
BPS-7 BPS-18
BPS-8 BPS-19
BPS-9 BPS-20
BPS-10 BPS-21
BPS-11 BPS-22

6 Civil Servant a Yes No

7 Name of Department

8 C.N.I.C.No 9. Date of birth

10 Domicile Disttt/Agency

11 Phone No______________________________ Cell No___________________________________

12 Sex a) Male b) Female 13 Marital Status a) Married b) Unmarried

14 Detail of family members: (Additional Sheet can be used for more than 5 members)

S.No Name Relation Age

1

d d m m y y y y
15 Date of posting at Peshawar
 d d m m y y y y
16 Date of entitlement for the category / class of accommodation
(B) PARTICULARS OF ACCOMMODATION ALREADY ALLOTTED TO PGS

17 House/Flat No Block No Street No Sector

Mohallah City

18 Date of occupation

d d m m y y y y
19 Expected date of vacation / vacated the present accommodation on

(C) PARTICULARS OF ACCOMMODATION ALREADY ALLOTTED TO SPOUSE

20 House/Flat No Block No Street No Sector

21. Mohallah City

22 Date of occupation

d d m m y y y y
23 Expected date of vacation / vacated the present accommodation on

24 Please ensure that the following documents have been attached with application in the following order duly
attested.
Yes No
a) Copy of C.N.I.C of allottee (PGS)
b) Copy of last pay slip/last pay bill
c) One Photo pasted on top of form.
d) Appointment / transfer order

Dated___________________________ Signature of P.G.S__________

PART-II FOR USED BY THE DEPARTMENT (EMPLOYER OF THE PROVINCIAL GOVERNMENT SERVANT)
Note: The application of employees of Provincial Govt. Servant should be forwarded by the Administrative
department concerned.

No_________________________________ Date________________________

i) Forwarded Mr. /Miss/Mrs_______________________________________________________________

is employed in this department since______________________he/she holds a post under the Provincial
Government. His / her date of retirement s___________________
ii) The above official has never been allotted any house / flat (if allotted please indicate the house / Flat No____
_______________________________________________________________________________________

iii) The department in which the PGE is eligible to get accommodation from Estate Office Pool.

___________________________________________________________________

iv) It is certified that the information given by the Provincial Government Employee in proforma is correct.

Signature___________________

Name__ _____________________
Designation and Department with
complete Address (official stamp to be
fixed)