khtl;l Ml;rpah; mYtyfk;,

BtY]h;.
xg;g[jy; rhd;W

BtY]h; khtl;l, BtY]h; khtl;l Ml;rpah; mYtyfj;jpy;

fzf;F gphptpy; KJepiy tUtha; Ma;thsuhf gzpg[hpe;J tUk;
bry;tp.v!;.mKjts;sp, Mfpa ehd; vd; bgahpByh my;yJ vd;Dila
FLk;gj;jpdh; bgahpByh BtW tPL fl;Lk; muR Kd; gzk; VJk; bgwtpy;iy
vd rhd;wspf;fpBwd;.

//rhd;bwhg;gk;//

khtl;l Ml;rpah; mYtyfk;,

BtY]h;.

xg;g[jy; rhd;W
 BtY]h; khtl;l, BtY]h; khtl;l Ml;rpah; mYtyfj;jpy;
fzf;F gphptpy; KJepiy tUtha; Ma;thsuhf gzpg[hpe;J tUk;
bry;tp.v!;.mKjts;sp, Mfpa ehd; vd; bgahpByh my;yJ vd;Dila
FLk;gj;jpdh; bgahpByh BtW tPBlh, kidBah ny;iy vd
rhd;wspf;fpBwd;.

//rhd;bwhg;gk;//

tptuA;fs;

v!;.mKjts;sp,
KJepiy tUtha; Ma;thshh;,
fzf;F gphpt[, khtl;l Ml;rpah; mYtyfk;,
BtY]h;.

1. muRg;gzpapy; Brh;e;j : 08.03.2008.K.g.

ehs;
2. Xa;t[ bgWk; ehs; : 31.01.2031.
 3. gpwe;j ehs; : 20.01.1973.

4. fUt{yj;jpd; bgah; : khtl;l fUt{yk;

5. rhh;gjpthsh; : Mw;fhL rhh; gjpthsh; mYtyfk;

mYtyfj;jpd; bgah;
6. rk;gsk; bgw;W jUk; : khtl;l Ml;rpahpd; Beh;Kfcjtpahsh;
mYtyhpd; bgah; (bghJ), BtY]h;.

: Personal Assistant to Collector, (General), Vellore.

APPLICATION FORM FOR THE GRANT OF AN ADVANCE UNDER THE RULES REGULATING THE
GRANT OF ADVANCES TO GOVERNMENT SERVANTS FOR BUILDING ETC. OF HOUSE

1. a) Name (In Block letters) : S.Amuthvalli,

b) Designation : Senior Revenue Inspector

c) Scale of Pay : 20,600 – 65,500

d) Present pay including Dearness : Rs.34,989/-

Allowance but excluding other
allowances.
2. a) Department and Office in which : District Revenue Officer,
employed. Vellore.

b) Administrative Department of Secretariat : -

c) Station where posted : Collector Office, Vellore.

d) Present Residential Address : No.0/2, Krishnaswamy Street,

Present Residential Address Arcot Town & Taluk.
(This Column has been inserted vide Vellore District.
Lr.Ms.No.174, H & UD, Dt.20-05-1998)
e) Community (Whether the Applicant : MBC
belongs to BC/MBC or Denotified
 Community/SC/ST or OC may be
indicated) (This Column has been
inserted videLr.Ms.No.124, H & UD,
Dt.10-05-06)

3. Please state:

a) Whether you are a permanent/non- : Permanent Govt.Service,

permanent State Government Servant 10 Years of Service.
and the length of service rendered under
the Government of Tamil Nadu.

b) Your permanent post, if any and the : Senior Revenue Inspector

name of office and Department
concerned.

c) Date of Birth and age on next birthday : 20.01.1973

d) Date on which you will attain the age of : 31.01.2031.

58 years

e) Is your wife/husband, a State : No.

Government Servant ? If so, give her/his
name, designation etc.

..2..
4. Do you or does your wife/ : No.
husband/ minor child already own
a house (See rule 2(b)). If so
please state.

a) Station where it is situated with : -

exact address.

b) Floor area (in Square Metres) : -

c) Its approximate valuation : -

d) Reasons for desiring to own : -

another house

5. a) Do you require the advance for Proposed to be Construct in

building a new house or for new house building.
purchasing a plot and
 constructing a building thereon.
If so, please indicate.

1) Approximate floor area of the :

house proposed to be
constructed (in Square Metres)

2) Estimated cost : Rs.13,00,000

i) Cost of Land : -

ii) Cost of building : Rs.13,00,000

iii) Total : Rs.13,00,000

3) Amount of advance required : Rs.13,00,000

4) Number of years in which the :

advance with interest proposed to
be repaid.

Note: Entries in columns (2) to (4) will have to be supported by

specifications, estimates and plan duly approved by the local authorities
concerned namely, the Panchayat Union Commissioners in the case of
Panchayat Union areas, Commissioners in the case of Municipalities and
Corporations; the executive officers in the case of Town Panchayats and
Townships.
..3..

5. b) Whether you are already in : Yes

possession of the land? If so,
please state.

1) Name of the City or town where it : Arcot Munucipality

is located

2) Whether you wish to settle there : yes

after retirement.

3) Area of the plot in Square Metres. : 0.0096 Square Meters.

4) Name of the Municipal or any : -

other Local Authority (If any) in
whose jurisdiction it is located.

c) If no plot of land is already in your : -

possession, how and when do
 you propose to acquire one; state
the approximate plot area (in
Square Metres) proposed to be
acquired.

6. Do you require the advance for : -

enlarging/ improving/ living
accommodation in an existing
house? If so, please state.

i) Number of rooms in the house : -

(excluding lavatory, bathroom and
kitchen).

ii) Total floor area of the rooms in : -

square feet.

iii) If an additional story is proposed : -

to be added, is the foundation
strong enough.
 ..4..

6. iv) Particulars of additions desired : -

1. Number of rooms : -

2. Floor area (in Square feet) : -

3. Estimated cost : -

4. Amount of advance desired : -

5. Number of years in which the : -

advance with interest is
proposed to be repaid
Note : A plan of the house should -
accompany the application.
7. a) Do you require the advance for : -
purchasing a ready built house?

i) If so and in case you already have : -

a house in view please state.

1. Exact location of the house : -

2. Floor area of the house : -

(in square metres).

3. Plinth area of the house : -

(in square metres).

4. Approximate age of the house : -

5. Municipal valuation of the : -

house

6. Name and address of the owner : -

7. Approximate price expected to : -

be repaid

8. Amount of advance required. : -

9. Number of years in which the : -

advance with interest proposed
to be repaid.
 ..5..

7.a) ii) Have you satisfied yourself that : -

the transaction would result in
year acquiring an undisputable
title to the house?
Note : A plan of the house should -
accompany the application.
b) If you do not already have house : -
in view, how, when and where do
you proposed to acquire one.

1. The approximate amount upto : -

which you will be prepared to
buy a house.

2. The approximate amount of : -

advance required.

3. Number of years in which the : -

advance with interest is
proposed to be repaid.

Note : Details specified against item 6(a) above should be furnished in this
case also as soon as possible and in any case before the full amount
of the advance can be drawn.
8. Is the land on which the house : -
stands or is proposed to be
constructed, freehold or
leasehold? If leasehold, state.

i. The term of the lease : -

ii. How much of the term has : -

already
expired.

iii. Whether the conditions of the : -

lease permit the land being
mortgaged to Government.

iv . Premium paid for the plot. : -

v. Annual rental of the plot. : -

Note : A copy of the lease/sale deed should accompany the application.

 ..6..

9. a) Is your title to land/house : -

undisputed and free from
encumbrances?

b) Can you produce, if required, : -

original documents (sale or lease
deed) in support of your title? If
not, state reason therefor
indicating what other documents
of proof, if any, can you furnish in
support of your title.

(See items 5(b) and 6 above).

c) Does the locality in which the plot : -

of land/house is situated, possess
essential services like roads,
water supply, drainage, sewerage,
street lighting etc.

Please furnish a site plan with

complete address.

d. Whether previous sanction of the : -

prescribed authority has been
obtained or has been applied for
in respect of the proposed
construction of house/purchase
of house/plot, if such prior
sanction is necessary under the
Tamil Nadu Government Servants
Conduct Rules.

10. If the advance applied for is : -

required for the purchase of a
ready built house or partly for the
purchase of plot and partly for the
construction of a house thereon?
Is there any relationship between
you and the vender of the ready
built house/plot. If so, the exact
relationship may be indicated.
 ..7..

DECLARATIONS

I SOLEMNLY DECLARE THAT THE INFORMATIOIN

FURNISHED BY ME IN REPLY TO THE VARIOUS ITEMS INDICATED ABOVE IS
TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

2. I have read the rules regulating the grant of advances to

Government servants for building, etc., of houses and agree to abide by them and
the terms and conditions stipulated therein.

3. I certify that:-

i) Neither I nor my wife/husband who is a State Government Servant has

applied for and/or obtained an advance under these rules;
ii) Neither I nor my wife/husband has applied for and/or obtained an
advance of loan from any other Government source for acquisition of a
house;
iii) The house proposed to be purchased/constructed/enlarged is required
for my bonafide personal use;
iv) The construction of the house for which the advance has been applied
for has not yet been commenced/has already been commenced and
come upto basement level / plinth level / roof level;
v) I do not own any house either in my name or in the name of my wife or in
the name of any of my minor children.

Station : Signature of the Applicant.

Date : Designation :

Department/Office in
which employed :
 ..8..

(To be completed by the applicant's Head of Department)

No. Station : Date:

Forwarded to the Secretary to Government of Tamil Nadu, Department

.........................................................................................

1. I have scrutinised the application in terms of rule 9(b) of the Rule and have
satisfied myself of the correctness of the facts, etc. stated therein (that the
applicant possesses a clear title to the property in question).
2. It is recommended that an advance of Rs.
3. .............................................. may be granted to the applicant. I have
satisfied myself on the basis of monthly deduction etc. made from the
applicant's salary, that this amount is well within his/her repaying capacity.
4. The provisions of rule 2(b) of the rules may be relaxed as a special case.
5. The amount of gratuity / death-cum-retirement gratuity due to the applicant
on the date of his superannuation (at the time of retirement calculated on
the basis of the appointment held by the applicant at the time of submitting
the applicant for house building advance) is estimated to
Rs............................................................

Signature :

Designation:

Name of the Department:

khtl;l Ml;rpah; mYtyfk;,
BtY]h;.
 xg;g[jy; rhd;W

BtY]h; khtl;l, BtY]h; khtl;l Ml;rpah; mYtyfj;jpy; fzf;F

gphptpy; KJepiy tUtha; Ma;thsuhf gzpg[hpe;J tUk;
bry;tp.v!;.mKjts;sp, vd;gthpd; gzpg;gjpBtl;oid ghprPyid
bra;jjpy; nth; kPJ xGA;F eltof;if ny;iy vdr; rhd;wspf;fpBwd;.

//rhd;bwhg;gk;//

PDl.E1/ /2019. Collectorate, Vellore.

Date:

This is to certify that Selvi.S.Amuthavalli is working as a Senior

Revenue Inspector in Collectorate, Vellore and Her pay drawn particulars are given below
as per Acquitance for the month of December – 2018.
 Earnings Deductions

1. Duty Pay Rs.32,100 CPS Regular Rs.3,499

2. Dearness Allowance Rs. 2,889 F.B.F Rs. 60

3. House Rent Allowance Rs. 1,700 N.H.I.S. Rs. 180

4. Medical Allowance Rs. 300 SpecialProvidentFundArears Rs.210(3/42)

5. Special Provident Fund 2000 Rs. 70

Gross Total Rs.36,989 Total Deduction Rs.4,019

Total Rs.36,989
Deductions Rs. 4,019
NEt Rs. 32,970

Net RS.32.970/- (Rupees Thirty Two Thousand Nine Hundred and Seventy Only)

PDl.E1/ /2019. Collectorate, Vellore.

Date:

This is to certify that Selvi.S.Amuthavalli is working as a Senior

Revenue Inspector in Collectorate, Vellore and Her pay drawn particulars are given below
as per Acquitance for the month of October – 2018.

Earnings Deductions

1. Duty Pay Rs.32,100 CPS Regular Rs.3,499

2. Dearness Allowance Rs. 2,889 F.B.F Rs. 60

3. House Rent Allowance Rs. 1,700 N.H.I.S. Rs. 180

4. Medical Allowance Rs. 300 - -

Gross Total Rs.36,989 Total Deduction Rs.3,739

Total Rs.36,989
Deductions Rs. 3,739
NEt Rs. 33,250

Net RS.33.250/- (Rupees Thirty Three Thousand Two Hundred and Fifty Only)

PDl.E1/ /2019. Collectorate, Vellore.

Date:

This is to certify that Selvi.S.Amuthavalli is working as a Senior

Revenue Inspector in Collectorate, Vellore and Her pay drawn particulars are given below
as per Acquitance for the month of July – 2018.

Earnings Deductions

1. Duty Pay Rs.32,100 CPS Regular Rs.3,435

2. Dearness Allowance Rs.2,2247 F.B.F Rs. 60

3. House Rent Allowance Rs. 1,700 N.H.I.S. Rs. 180

4. Medical Allowance Rs. 300 - -

Gross Total Rs.36,347 Total Deduction Rs.3,675

Total Rs.36,347
Deductions Rs. 3,675
NEt Rs. 32,672

Net RS.32.672/- (Rupees Thirty Two Thousand Six Hundred and Seventy Two Only)

PDl.E1/ /2019. Collectorate, Vellore.

Date:

This is to certify that Selvi.S.Amuthavalli is working as a Senior

Revenue Inspector in Collectorate, Vellore and Her pay drawn particulars are given below
as per Acquitance for the month of August – 2018.

Earnings Deductions

1. Duty Pay Rs.32,100 CPS Regular Rs.3,435

2. Dearness Allowance Rs.2,2247 F.B.F Rs. 60

3. House Rent Allowance Rs. 1,700 N.H.I.S. Rs. 180

4. Medical Allowance Rs. 300 - -

Gross Total Rs.36,347 Total Deduction Rs.3,675

Total Rs.36,347
Deductions Rs. 3,675
NEt Rs. 32,672

Net RS.32.672/- (Rupees Thirty Two Thousand Six Hundred and Seventy Two Only)

PDl.E1/ /2019. Collectorate, Vellore.

Date:

This is to certify that Selvi.S.Amuthavalli is working as a Senior

Revenue Inspector in Collectorate, Vellore and Her pay drawn particulars are given below
as per Acquitance for the month of September – 2018.

Earnings Deductions

1. Duty Pay Rs.32,100 CPS Regular Rs.3,499

2. Dearness Allowance Rs.2,889 F.B.F Rs. 60

3. House Rent Allowance Rs. 1,700 N.H.I.S. Rs. 180

4. Medical Allowance Rs. 300 - -

Gross Total Rs.36,989 Total Deduction Rs.3,739

Total Rs.36,989
Deductions Rs. 3,739
NEt Rs. 33,250

Net RS.33.250/- (Rupees Thirty Three Thousand Two Hundred and Fifty Only)

tpLeh; 28 .02.2019
R.mKjts;sp,
KJepiy tUtha; Ma;thsh;,
khtl;l Ml;rpah; mYtyfk;,
BtY]h; khtl;lk;.

bgWeh;
khtl;l Ml;rpah;,
khtl;l Ml;rpah; mYtyfk;,
BtY]h; khtl;lk;.

kjpg;gpw;Fwpa ma;ah,

bghUs; mDkjp- tPLfl;l mDkjp –BtY]h; khtl;lk; Mw;fhL efuk;

kw;Wk; tl;lk; - thh;L-rp, gpshf; 24, T.S.No.42/2 -0.0096
mDg;g[eh;

jpU.gh.KUBfrd;,gp.v!;rp.,
Beh;Kf cjtpahsh;(bghJ),
khtl;l Ml;rpah; mYtyfk;,
BtY]h;.
r.kP mst[s;s kidapy; U}.13,00,000/-j;jpy; g[jpa tPL
fl;l Jiw mDkjp BfhUjy; - bjhlh;ghf
ghh;it BtY]h; khtl;l Ml;rpah; mth;fspd; bray; Kiw Miz vz;.
ep.K.m2/30173/18 ehs;.29/01/2019

ehd; Bkw;fz;l BtY]h; khtl;l Ml;rpah; mYtyfj;jpy; KJepiy tUtha;

Ma;thsuhf gzpg[hpe;J tUfpBwd;. ghh;itapy; fhZk; BtY]h; khtl;l Ml;rpah;
mth;fspd; bray;Kiwfspd;go BtY]h; khtl;lk; Mw;fhL tl;lk; Mw;fhL lt[d; rh;Bt
thh;L-rp, gpshf; 24, T.S.No.42/2 -0.0096 r.kP gug;;gst[ cs;s brhj;Jf;fs;
bgwg;gl;likf;fhd mDkjp Miz tHA;fg;gl;Ls;sJ. njd; tptuk; vd;Dila
gzpg;gjpBtl;oy; cupa gjpt[fs; Bkw;bfhs;sg;gl;Ls;sJ. vdBt Bkw;go g[y
vz;.42/2 Rkhh; U}.13,00,000/ kjpg;g[f;F muR fld; (HBA) K}yk; tPLfll; mDkjp
tHA;FkhW gzpt[ld; Bfl;f;bfhs;fpBwd;.

jA;fs;
cz;ika[s;s

nizg;g[:
fpiua Mtz efy;
tpy;yA;fr; rhd;W efy;
rl;l fUj;Jiu efy;

e.f.n1/3890/2019, ehs;: .02.2019

ma;ah,

bghUs; : tPLfl;Lk; Kd;gzk; - BtY]h; khtl;lk; khtl;l Ml;rpah;

mYtyfk; bry;tp.v!;.mKjts;sp, KJepiy tUtha; Ma;thsh;,
(fzf;F gphpt[), vd;gth; muRf; fld; bgw;W tPLfl;l
tPLfl;Lk; Kd;gzk; U}.13,00,000/- BfhUtJ bjhlh;ghf.
ghh;it : 1) BtY]h; khtl;l Ml;rpah; mth;fspd; bray;Kiwfs;
epK.(m2)/30173/18, ehs;:29.01.2019.
2) bry;tp.v!;.mKjts;sp vd;gth; tpz;zg;gk;
ehs;:28.09.2018.
******
BtY]h; khtl;lk; khtl;l Ml;rpah; mYtyfk; bry;tp.v!;.mKjts;sp, KJepiy
tUtha; Ma;thsh;, (fzf;F gphpt[), vd;gth; jdJ jhahh; jpUkjp.tr;ryh
f/bg.Re;juK}h;j;jp vd;gth; U}.12,00,000/- (U}gha; gdpbuz;L nyl;rk; kl;Lk;)
kjpg;g[s;s Mw;fhL lt[d; rh;Bt vz;.42/2-y; 0.0096rkP kida[k; njpy; 1970 Mk;
Mz;oy; fl;oa[s;s RCC bkj;ij cl;gl tPl;Lkidapid brl;oy;bkz;L gj;jpuk; go khw;wk;
bra;J xg;gilj;Js;shh;;

Bkw;go egh; MtzA;fspd; mog;gilapy; bgwg;gl;l brhj;Jf;fis Tamil Nadu

Government Servants Rules, 1973, Rule 7(1)(a)-fPH; mDkjp mspj;J tHA;fg;gl;Ls;sJ.
njd; bjhlh;r;rpahf jdpah; muRf; fld; bgw;W tPLfl;l, tPLfl;Lk; Kd;gzk;
U}.13,00,000/- Bfhhp tpz;zg;gpj;Js;shh;. mj;Jld; jdpahpd; tPLfl;Lk; Kd;gzk;
tHA;fj; Bjitahd mtuJ MtzA;fSld; mryhf nizj;J mth; Bfhhpa[s;s tPLfl;Lk; Kd;gzk;
U}.13,00,000/- tHA;fpl ghpe;Jiu bra;J mwpf;if rkh;g;gpf;fg;gLfpwJ.

1. bry;tp.v!;.mKjts;sp, KJepiy tUtha; nizf;fg;gl;Ls;sJ

Ma;thsh;,(fzf;F gphpt[), vd;gthpd;
tpz;zg;gk;
2. BtY]h; khtl;l Ml;rpah; mth;fs; mDkjp epK.(m2)30173/18
tHA;fpa bray; Kiw Miz vz; kw;Wk; ehs;.

3. mry; fpua gj;jpuk; nizf;fg;gl;Ls;sJ.

4. mry; tpy;yA;fr;rhd;W nizf;fg;gl;Ls;sJ.
5. Fwpg;gpl;l got tpz;zg;gj;jpy; filrp nizf;fg;gl;Ls;sJ.
gf;fj;jpy; mYtyfj; jiythpd; ghpe;Jiu
ifbahg;gk;
6. jw;Bghija rk;gsr; rhd;W, gpoj;jA;fSld; nizf;fg;gl;Ls;sJ.
rk;gs Vw;wKiwa[k;
7. epYitapYs;s xGA;F eltof;if tptuk; nizf;fg;gl;Ls;sJ.
gw;wpar; rhd;W
8. rl;l MByhrfh; fUj;JU nizf;fg;gl;Ls;sJ.

gzpahsh; Fwpj;J TLjy; tptuA;fs; fPH;fz;lthW mspf;fg;gLfpd;wJ.

muRg;gzpapy; Brh;e;j ehs; 08.03.2008
gzpapypUe;J Xa;t[ bgWk; ehs; 31.01.2031.
fU}t{yj;jpd; bgah; khtl;l fU}t{yk;, BtY]h;.
rk;gsk; bgw;W jUk; mYtyhpd; Beh;Kf cjtpahsh;(bghJ),BtY]h;.
bgah; jkpHpYk; kw;Wk; Personal Assistant(General), Vellore.
MA;fpyj;jpYk;

BkYk;, ng;gzpahsh; kPJ Fw;wf; Fwpg;g[ VJk; epYitapy; ny;iy. nth; kPJ
gpd;bdhU fhyj;jpy; Fw;wf; Fwpg;g[ Vw;gLj;jf;Toa rhj;jpaf;TWfs; nd;iwa
epYitapy; VJk; ny;iy. BkYk;, nthplkpUe;J muRg;gzk; gpoj;jk; bra;ag;gl Btz;oa
epYit VJk; ny;iy kw;Wk; nth; kPJ yq;rk; xHpg;g[ kw;Wk; tpHpg;g[g;
gzpj;Jiwapd; tprhuiz / Jiw eltof;if VJk; ny;iy. jdpaUf;F tPL fl;Lk; Kd;gzk;
U}.13,00,000/- bgw;W tHA;fpdhy; khj Cjpaj;jpy; mry; bjhif U}.15,000/- tPjk;
87 jtizfspYk; , tl;o bjhif U}.14,810/- tPjk; 30 jtizfspYk; gpoj;jk;
bra;g;glBtz;Lk;. gpoj;jk; bra;ag;gLfpw jtiz bjhif Bghf Cjpaj;jpy; kPjj; bjhif
U.17,213/- jdpahpd; thH;f;if brytpw;f;F BghJkhdjhFk;.
vdBt, jdpah; BfhhpathW tPL fl;Lk; Kd;gzk; U}.13,00,000/- bgw;W
tHA;fpl ghpe;Jiu bra;J mwpf;if rkh;g;gpf;fg;gLfpwJ.
nizg;g[:Bkw;Fwpg;gpl;lthW.
jA;fs; ek;gpf;ifa[s;s,

Beh;Kf cjtpahsh;(bghJ),
BtY]h;.

mYtyf Fwpg;g[

n1/3890/2019

bghUs; : tPLfl;Lk; Kd;gzk; - BtY]h; khtl;lk; khtl;l Ml;rpah;

mYtyfk; bry;tp.v!;.mKjts;sp, KJepiy tUtha; Ma;thsh;,
(fzf;F gphpt[), vd;gth; muRf; fld; bgw;W tPLfl;l
tPLfl;Lk; Kd;gzk; U}.13,00,000/- BfhUtJ bjhlh;ghf.
ghh;it : 1) BtY]h; khtl;l Ml;rpah; mth;fspd; bray;Kiwfs;
epK.(m2)/30173/18, ehs;:29.01.2019.
2) bry;tp.v!;.mKjts;sp vd;gth; tpz;zg;gk;
ehs;:28.09.2018.
******
BtY]h; khtl;lk; khtl;l Ml;rpah; mYtyfk; bry;tp.v!;.mKjts;sp, KJepiy
tUtha; Ma;thsh;, (fzf;F gphpt[), vd;gth; jdJ jhahh; jpUkjp.tr;ryh
f/bg.Re;juK}h;j;jp vd;gth; U}.12,00,000/- (U}gha; gdpbuz;L nyl;rk; kl;Lk;)
kjpg;g[s;s Mw;fhL lt[d; rh;Bt vz;.42/2-y; 0.0096rkP kida[k; njpy; 1970 Mk;
Mz;oy; fl;oa[s;s RCC bkj;ij cl;gl tPl;Lkidapid brl;oy;bkz;L gj;jpuk; go
khw;wk; bra;J xg;gilj;Js;shh;;

Bkw;go egh; MtzA;fspd; mog;gilapy; bgwg;gl;l brhj;Jf;fis Tamil Nadu

Government Servants Rules, 1973, Rule 7(1)(a)-fPH; mDkjp mspj;J tHA;fg;gl;Ls;sJ.
njd; bjhlh;r;rpahf jdpah; muRf; fld; bgw;W tPL fl;l, tPLfl;Lk; Kd;gzk;
U}.13,00,000/- Bfhhp tpz;zg;gpj;Js;shh;. mj;Jld; jdpahpd; tPLfl;Lk; Kd;gzk;
tHA;fj; Bjitahd mtuJ MtzA;fSld; mryhf nizj;J mth; Bfhhpa[s;s tPLfl;Lk;
Kd;gzk; U}.13,00,000/- tHA;fpl ghpe;Jiu bra;J mwpf;if rkh;g;gpf;fg;gLfpwJ.

1. bry;tp.v!;.mKjts;sp, KJepiy tUtha; nizf;fg;gl;Ls;sJ

Ma;thsh;,(fzf;F gphpt[), vd;gthpd;
tpz;zg;gk;
2. BtY]h; khtl;l Ml;rpah; mth;fs; mDkjp epK.(m2)30173/18
tHA;fpa bray; Kiw Miz vz; kw;Wk; ehs;.

3. mry; fpua gj;jpuk; nizf;fg;gl;Ls;sJ.

4. mry; tpy;yA;fr;rhd;W nizf;fg;gl;Ls;sJ.
5. Fwpg;gpl;l got tpz;zg;gj;jpy; filrp nizf;fg;gl;Ls;sJ.
gf;fj;jpy; mYtyfj; jiythpd; ghpe;Jiu
ifbahg;gk;
 6. jw;Bghija rk;gsr; rhd;W, gpoj;jA;fSld; nizf;fg;gl;Ls;sJ.
rk;gs Vw;wKiwa[k;
7. epYitapYs;s xGA;F eltof;if tptuk; nizf;fg;gl;Ls;sJ.
gw;wpar; rhd;W
8. rl;l MByhrfh; fUj;JU nizf;fg;gl;Ls;sJ.

gzpahsh; Fwpj;J TLjy; tptuA;fs; fPH;fz;lthW mspf;fg;gLfpd;wJ.

muRg;gzpapy; Brh;e;j ehs; 08.03.2008
gzpapypUe;J Xa;t[ bgWk; ehs; 31.01.2031.
fU}t{yj;jpd; bgah; khtl;l fU}t{yk;, BtY]h;.
rk;gsk; bgw;W jUk; mYtyhpd; Beh;Kf cjtpahsh;(bghJ),BtY]h;.
bgah; jkpHpYk; kw;Wk; Personal Assistant(General), Vellore.
MA;fpyj;jpYk;

BkYk;, ng;gzpahsh; kPJ Fw;wf; Fwpg;g[ VJk; epYitapy; ny;iy. nth; kPJ
gpd;bdhU fhyj;jpy; Fw;wf; Fwpg;g[ Vw;gLj;jf;Toa rhj;jpaf;TWfs; nd;iwa
epYitapy; VJk; ny;iy. BkYk;, nthplkpUe;J muRg;gzk; gpoj;jk; bra;ag;gl
Btz;oa epYit VJk; ny;iy kw;Wk; nth; kPJ yq;rk; xHpg;g[ kw;Wk; tpHpg;g[g;
gzpj;Jiwapd; tprhuiz / Jiw eltof;if VJk; ny;iy. jdpaUf;F tPL fl;Lk;
Kd;gzk; U}.13,00,000/- bgw;W tHA;fpdhy; khj Cjpaj;jpy; mry; bjhif
U}.15,000/- tPjk; 87 jtizfspYk; , tl;o bjhif U}.14,810/- tPjk; 30
jtizfspYk; gpoj;jk; bra;g;glBtz;Lk;. gpoj;jk; bra;a gLfpw jtiz bjhif Bghf
Cjpaj;jpy; kPjj; bjhif U.17,213/- jdpahpd; thH;f;if brytpw;f;F
BghJkhdjhFk;. vdBt, jdpah; BfhhpathW tPL fl;Lk; Kd;gzk; U}.13,00,000/-
bgw;W tHA;fpl ghpe;Jiu bra;J tiut[ xg;g[jYf;fhf gzpe;J
rkh;g;gpf;fg;gLfpwJ.

khtl;l Ml;rpah; mYtyfk;,

BtY]h;.

xg;g[jy; rhd;W

BtY]h; khtl;l, BtY]h; khtl;l Ml;rpah; mYtyfj;jpy; fzf;F gphptpy;

KJepiy tUtha; Ma;thsuhf gzpg[hpe;J tUk; bry;tp.v!;.mKjts;sp, Mfpa ehd;
vd; bgahpByh my;yJ vd;Dila FLk;gj;jpdh; bgahpByh BtW tPL fl;Lk; muR
Kd; gzk; VJk; bgwtpy;iy vd rhd;wspf;fpBwd;.

//rhd;bwhg;gk;//

khtl;l Ml;rpah; mYtyfk;,

BtY]h;.

xg;g[jy; rhd;W

BtY]h; khtl;l, BtY]h; khtl;l Ml;rpah; mYtyfj;jpy; fzf;F gphptpy;

KJepiy tUtha; Ma;thsuhf gzpg[hpe;J tUk; bry;tp.v!;.mKjts;sp, Mfpa ehd;
vd; bgahpByh my;yJ vd;Dila FLk;gj;jpdh; bgahpByh BtW tPBlh, kidBah
ny;iy vd rhd;wspf;fpBwd;.

//rhd;bwhg;gk;//
 tptuA;fs;

v!;.mKjts;sp,
KJepiy tUtha; Ma;thshh;,
fzf;F gphpt[, khtl;l Ml;rpah; mYtyfk;,
BtY]h;.

1. muRg;gzpapy; Brh;e;j ehs; : 08.03.2008.K.g.

2. Xa;t[ bgWk; ehs; : 31.01.2031.

3. gpwe;j ehs; : 20.01.1973.

4. fUt{yj;jpd; bgah; : khtl;l fUt{yk;

5. rhh;gjpthsh; mYtyfj;jpd; : Mw;fhLrhh;gjpthsh;mYtyfk;

bgah;
6. rk;gsk; bgw;W jUk; mYtyhpd; : khtl;l Ml;rpahpd; Beh;Kf
bgah; cjtpahsh;(bghJ), BtY]h;.

: Personal Assistant to
Collector(General), Vellore.
 APPLICATION FORM FOR THE GRANT OF AN ADVANCE UNDER THE
RULES REGULATING THE GRANT OF ADVANCES TO GOVERNMENT
SERVANTS FOR BUILDING ETC. OF HOUSE

1. a) Name (In Block letters) : S.Amuthvalli,

b) Designation : Senior Revenue Inspector

c) Scale of Pay :

d) Present pay including Dearness :

Allowance but excluding other
allowances.

2. a) Department and Office in which : District Revenue Officer,

employed.
Vellore.

b) Administrative Department of : -
Secretariat

c) Station where posted : Collector Office, Vellore.

d) Present Residential Address : No.0/2, Krishnaswamy Street,

 Present Residential Address Arcot Town & Taluk.
(This Column has been inserted vide Vellore District.
Lr.Ms.No.174, H & UD, Dt.20-05-
1998)

e) Community (Whether the : MBC

Applicant belongs to BC/MBC or
Denotified Community/SC/ST or
OC may be indicated) (This
Column has been inserted
videLr.Ms.No.124, H & UD, Dt.10-05-
06)

3. Please state:

a) Whether you are a : Permanent Govt.Service,

permanent/non-permanent State
Government Servant and the 10 Years of Service.
length of service rendered under
the Government of Tamil Nadu.

b) Your permanent post, if any and : Senior Revenue Inspector

the name of office and
Department concerned.

c) Date of Birth and age on next : 20.01.1973

birthday

d) Date on which you will attain the : 31.01.2031.

age of 58 years

e) Is your wife/husband, a State : No.

Government Servant ? If so, give
her/his name, designation etc.
 ..2..
4. Do you or does your wife/ : No.
husband/ minor child already own
a house (See rule 2(b)). If so
please state.

a) Station where it is situated with : NO.

exact address.

b) Floor area (in Square Metres) : No.

c) Its approximate valuation : No.

d) Reasons for desiring to own : No.

another house

5. a) Do you require the advance for Proposed to be Construct in

building a new house or for new house building.
purchasing a plot and
constructing a building thereon.
If so, please indicate.

1) Approximate floor area of the :

house proposed to be
constructed (in Square Metres)

2) Estimated cost : Rs.12,00,000

i) Cost of Land : -

ii) Cost of building : Rs.12,00,000

iii) Total : Rs.12,00,000

 3) Amount of advance required : Rs.12,00,000

4) Number of years in which the :

advance with interest proposed to
be repaid.

Note: Entries in columns (2) to (4) will have to be supported by

specifications, estimates and plan duly approved by the local authorities
concerned namely, the Panchayat Union Commissioners in the case of
Panchayat Union areas, Commissioners in the case of Municipalities and
Corporations; the executive officers in the case of Town Panchayats and
Townships.

..3..

5. b) Whether you are already in : Yes

possession of the land? If so,
please state.

1) Name of the City or town where it : Arcot Munucipality

is located

2) Whether you wish to settle there : yes

after retirement.

3) Area of the plot in Square Metres. : 0.0096 Square Meters.

4) Name of the Municipal or any : -

other Local Authority (If any) in
whose jurisdiction it is located.
 c) If no plot of land is already in your : -
possession, how and when do
you propose to acquire one; state
the approximate plot area (in
Square Metres) proposed to be
acquired.

6. Do you require the advance for : -

enlarging/ improving/ living
accommodation in an existing
house? If so, please state.

i) Number of rooms in the house : -

(excluding lavatory, bathroom and
kitchen).

ii) Total floor area of the rooms in : -

square feet.

iii) If an additional story is proposed : -

to be added, is the foundation
strong enough.
 ..4..

6. iv) Particulars of additions desired : -

1. Number of rooms : -

2. Floor area (in Square feet) : -

3. Estimated cost : -

4. Amount of advance desired : -

5. Number of years in which the : -

advance with interest is
proposed to be repaid
Note : A plan of the house should -
accompany the application.
7. a) Do you require the advance for : -
purchasing a ready built house?

i) If so and in case you already have : -

a house in view please state.

1. Exact location of the house : -

2. Floor area of the house : -

(in square metres).

3. Plinth area of the house : -

(in square metres).

4. Approximate age of the house : -

5. Municipal valuation of the : -

house

6. Name and address of the owner : -

7. Approximate price expected to : -

be repaid

8. Amount of advance required. : -

9. Number of years in which the : -

advance with interest proposed
to be repaid.
 ..5..

7.a) ii) Have you satisfied yourself that : -

the transaction would result in
year acquiring an undisputable
title to the house?
Note : A plan of the house should -
accompany the application.
b) If you do not already have house : -
in view, how, when and where do
you proposed to acquire one.

1. The approximate amount upto : -

which you will be prepared to
buy a house.

2. The approximate amount of : -

advance required.

3. Number of years in which the : -

advance with interest is
proposed to be repaid.

Note : Details specified against item 6(a) above should be furnished in this
case also as soon as possible and in any case before the full amount
of the advance can be drawn.
8. Is the land on which the house : -
stands or is proposed to be
constructed, freehold or
leasehold? If leasehold, state.

i. The term of the lease : -

ii. How much of the term has : -

already
expired.

iii. Whether the conditions of the : -

lease permit the land being
mortgaged to Government.

iv . Premium paid for the plot. : -

v. Annual rental of the plot. : -

Note : A copy of the lease/sale deed should accompany the application.

 ..6..

9. a) Is your title to land/house : -

undisputed and free from
encumbrances?

b) Can you produce, if required, : -

original documents (sale or lease
deed) in support of your title? If
not, state reason therefor
indicating what other documents
of proof, if any, can you furnish in
support of your title.

(See items 5(b) and 6 above).

c) Does the locality in which the plot : -

of land/house is situated, possess
essential services like roads,
water supply, drainage, sewerage,
street lighting etc.

Please furnish a site plan with

complete address.

d. Whether previous sanction of the : -

prescribed authority has been
obtained or has been applied for
in respect of the proposed
construction of house/purchase
of house/plot, if such prior
sanction is necessary under the
Tamil Nadu Government Servants
Conduct Rules.

10. If the advance applied for is : -

required for the purchase of a
ready built house or partly for the
purchase of plot and partly for the
construction of a house thereon?
Is there any relationship between
you and the vender of the ready
built house/plot. If so, the exact
relationship may be indicated.
 ..7..

DECLARATIONS

I SOLEMNLY DECLARE THAT THE INFORMATIOIN

FURNISHED BY ME IN REPLY TO THE VARIOUS ITEMS INDICATED ABOVE IS
TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

2. I have read the rules regulating the grant of advances to

Government servants for building, etc., of houses and agree to abide by them and
the terms and conditions stipulated therein.

3. I certify that:-

vi) Neither I nor my wife/husband who is a State Government Servant has

applied for and/or obtained an advance under these rules;
vii) Neither I nor my wife/husband has applied for and/or obtained an
advance of loan from any other Government source for acquisition of a
house;
viii) The house proposed to be purchased/constructed/enlarged is required
for my bonafide personal use;
ix) The construction of the house for which the advance has been applied
for has not yet been commenced/has already been commenced and
come upto basement level / plinth level / roof level;
x) I do not own any house either in my name or in the name of my wife or in
the name of any of my minor children.

Station : Signature of the Applicant.

Date : Designation :

Department/Office in
which employed :
 ..8..

(To be completed by the applicant's Head of Department)

No. Station : Date:

Forwarded to the Secretary to Government of Tamil Nadu, Department

.........................................................................................

6. I have scrutinised the application in terms of rule 9(b) of the Rule and have
satisfied myself of the correctness of the facts, etc. stated therein (that the
applicant possesses a clear title to the property in question).
7. It is recommended that an advance of Rs.............................................. may be
granted to the applicant. I have satisfied myself on the basis of monthly
deduction etc. made from the applicant's salary, that this amount is well
within his/her repaying capacity.
8. The provisions of rule 2(b) of the rules may be relaxed as a special case.
9. The amount of gratuity / death-cum-retirement gratuity due to the applicant
on the date of his superannuation (at the time of retirement calculated on
the basis of the appointment held by the applicant at the time of submitting
the applicant for house building advance) is estimated to
Rs............................................................

Signature :

Designation:
Name of the Department: