CERTIFICATE FOR DECLARATION OF SELECTED PLACE OF RESIDENCE (SPR) ON POSTING TO

FIELD AREAS:-

I hereby opt

*a. to retain family accommodation at old duty station on normal concessional rent

Or

*b. to avail free conveyance for the family to selected place of residence of INDIA

Or

*c. to avail free conveyance for my family and accommodation at normal concessional rent at
any of the separated family stations listed in AO/488/64 as amended from time to time or at
any one of the stations where accommodations have been specifically constructed for
separated families.

* Score out whichever is not applicable.

I understand this option is FINAL.

It is certified that on posting to field, family of No _________ Rank_________

Name___________________________ is staying at ____________ since _________. Complete
address of family residing at present is as under:-

______________________________

______________________________

______________________________

______________________________

(Signature with Rank, Name in block capital letters, Personal No & CDA (O) A/c No. of the
Officer).

COUNTERSIGNATURE

Personnel No.:_________________
Rank:_________________
Name:_________________
Designation:_________________