APPLICATION FOR GRANT OF CONVEY ANCE ALLOW ANCE AS PER G.O 89/90 1) Full Name Saieiran Gongad hav Chari 2) Designation JunOr Enginee 3) Head quarter Operonon dept UDNE 4) Nature of duties Sft 5) Total Area of duty
6) Area to be moved during course of duty
7) Whether he has to attend duty in shift or at Yes I haue add hours if so please give the details +o atterd shP+ Ocned of such duties
8) Whether having Motor
cycle/Scooter/Moped Seootes 9) Registration No. of Vehicle MH34 BS 3S49 10) Condition of Vehicle alary a_ 11) Whether having Driving Licence if so No MH4 222o000 189+ and date to which valied 080136 12) Whether department Vehicle is available provided. Ne
Date 1oog(2020
Place Chandopur Signature
Declaration to be given by the applicant
Soi kiran g Char as working hereby declare that I am having own Motor Cycle/Scooter/Moped having registration No. MH34 ASAS49and willing to use my Vehicle for all Official withthe terms and all journeys. I agree conditions regarding Conveyance Allowance as laid down in the Annexure of G O 89(P) & G.O. 90 (P)
Date olos|2020 Signatúre of applicant
Certificate and recommandations of immediate controlling officerI
Certified that, I have personally checked the Motor in good running condition, Also he Cycle/Scooter/Moped of the applicant and it is possesses valied driving licence bearing No upto He is required to move frequenently and visit the places shown at Sr. No. of the application andlor has to attend duty in shift/at add hours. No. departmental Vehicle is provide the aforesaid duty. The Conveyance allowance is therefore recommended for sanction w.e.f.
Signature of controlling Officer
with designation Submitted to:- Chief General Manager, CSTPS, Chandrapur for favourable consideration