CHECK LIST (to be submitted along with every lease proposal for hiring residential accomodation on Authority/self lease) Ss. Particulars, No. 1 [Name of Applicant 2 [Designation 3 [Nature of existing Lease Authority/Self Authority/SelF 4 [Period of existing Lease 3 [Nature of proposed lease Authority/Self Authority/Selt © [Period of proposed lease 7 [Date of purchase of Stamp Paper % [Declaration regarding spouse is not provided within Yes/No government accommodation is attached. ‘9 |Willingness of land lord (in case of Authority Lease) Yes/No 10 |Lease Agreement duly signed by the House Owner Yes/No Ti [Proof of House Ownership as mentioned in Lease} Yes/No Application 12 [House owner PAN card copy, if applicable YesNo 13 [Details of bank account like- account no., IFSC code, Bank Yes/No iname and branch for transfer of lease rent given 14 [Copy of existing lease, if any Yes/No TS {in case of foreclosure of existing lease NOC from landlord YesNo lone month notice given to landlord 16 |Whether Lease Application has been signed by the Officer/ Yes/No Staff 17 [Date of receipt in Admn. Division Signature of Applicant5. Details of 7. ‘The landlord is agrecable to the NHAI’s standard terms and Con ANNEX, NATIONAL HIGHWAYS AUTHORITY OF INDI Application for Authority — Lease Accommodation Name Designation _ 48) Regular b) Deputation «© Long Term Contact Present Tenure upto (deputation/contract) Date of Joining NIIAL__ Place of WorkingyDi See 3. Pay (Pay Band) and. Grade Pay A. Lease rent entitlement ofthe applicant: RS. per month jsting Lease and Proposed | ease: Particulars ‘Present Lease, if any Proposed Lease applied for Seli7Authority ‘Address of premises taken / | Proposed to he taken on Lease ‘Wane and property owner Rent approved / proposed per month {within in entitlement) | RS. _. (in Rs.) Period of Lease From Relationship with the owner, applicable: —_ ‘Whether dependent on the applicant: I dependent, Income of dependent from all sources: RS.__ agrcement. The [ease Agreement duly signed by him is submitted duly witnessed by me. ‘The undertaking/willingness of the house owner is also enclosed, 8. I hereby undertake that :- ()—Chave arranged and occupied the accommodation as proposed in column at SLNo.05 above for my own residential use, on lease through NILAL, ‘The rent being charged by the house owner for this accommodation @ Rs, per month is reasonable as per prevailing market rates of the area and is within my entitlement.To: Gi) Lam not eli 9/ availing enything extra ofthis lease arrangement (iii) ‘The full amount of electric and water charges forthe lease accommodation will be bbome by me and paid to the concerned authorities. (iv) Ewill inform NHAL in advance for vacation of the leased premises on leaving the servives of NHAJ and/or on my transfer outside Delhi. {tis certified that:- 4) My spouse is not working in any Govt. organization/PSU/autonomous body/ocal body ote. oF My spouse: Mr/ Mts easenseecenernneneene stn is working, BS oro venues IW werscrnsvipromaenescrnenesenees | Which i & Government organization/PSU/autonomous body/local body etc, Heishe has not been llotted any Government Accommodation either by the Directorate «f Estates or by his/her employer. ‘The ownership of the accommodation isin the name of | Me/Mrs/Ms. cea and 1 am enclosing trae photocopies of cither of following as proof of owncr-ship. The PAN No. of Lessor (Hause Owner) is a) Title Deed b) Power of Attomey 2) Possession Letter/Stip d) Latest Paid House Tax Receipt @) Latest Water Bill Receipt issued by Delhi Jal Board or coneemed Govt Authorities 1) Letter issued by President/Secretary of the society certifying owne:ship (in ease ‘of flat of Group Housing Society) 1 do hereby declare that the information given above is true to the best of my knowledge ‘and Lhave not concealed or withheld anything in this respect and in ease the above facts fare found incorrect at any time, I shall bo held responsible for the same including any financial recoveries. Signature. Name ose Designation, ealettelepeet Division. Date... Dy. General Manager (Admin.)RENT DEED [LEASE AGREEMNT] This Lease Deod made in Delhi on _ ans Between Ee owner of HNO. aad resident of HouselFlat No. mn ___ hereinafter calied Lessor [which assigns] on the ONE PART ‘and the National Highways Authority of Indin [NHAS}, G-5&6, Sector-10, Dwarka, New Delhi, through Dy, General Manager (Admo], bereinaiter calted the Lessee [which expression shall include its successors and assigns} on the OTHER PART for the exclusive residential uso of Miftescasahihaaoresan employee of the Authority. WHEREAS the Lessor has agrce to lease out the aforesaid Flat/House to the NHAL, AND WHEREAS the NHAI has agreed to take on lease the said Flat/House for the bbomafied Se Of i7r4.220004 Pst. anw fOr siden Purpose. NOW THIS RENT DEED WITNESSETH AS UNDER ‘That the Lessor herby leases to the Lessee the residential accommodation in House/Flat No. at consisting purely for the residential use by the said Pika... gether with all built-in fitings and fixtures under the following, tefms and conditions: la} That fessee agrees to pay to the lessor in advance by the 10% of each month a monthly rent of /- [Rupees is {b] That the above rent includes House Tax, Ground Rent and all other taxes payable by the Lessor to any municipal body or local authority in respect ofthe aforesaid Flat/House. fc] That the lessee shall directly pay water and electricity charges according to meter readings as per bills of concerned authorities, under intimation to the Lessor. [4] That the lessee shall be linble to bear the cost of breakages, damages to the sanitary. ‘loctrical and other fittings and fixtures during the lease pesio, &fe] That the Lessee shall not make any structural additions or alterations without the written permission of the Lessor. [f]. Thae the Lessee shall not sublet the premise in whole or any part thereof without the \writen permission of the Lessor and at the time of vacating the premises will hand over vacant possession of the premises to the Lessor or his authorized agent. [a] ‘That at the time of occupation, the Lessee shall ensure that all sanitary, electrical and other fittings and fixtures are in perfect order and shall be responsible to restore them in the conditions in which they have been taken over, natural wear and tear excepted. {h] That the Lessee shall allow the Lessor or his authorized agent to enter the said premises at reasonable hours and after reasonable notice and when necessary for inspection, repairs etc. [if That the Lessor shall carry oot nscessary repairs and maintenance of the premises during the lease period. Gi} That during the currency of this lease agreoment, the Lessae shall have the right to vacate the premises by giving a minimum of one month’s notice in writing 2, ‘That the lease is for a period commencing from to The Lessee shall give vacant possession of the premises to the Lessor afler expiry of the said period in reasonably good condition 3. Im the event of Myfifs....0pfisto.cn severing connections with the NHAI or is iansfered from New Deiti the Lessee shall forthwith inform the Lessor and shall arrange 10 hand over vacant possession, agreement shal terminate. IN WITNESS WHEREOF the parties have set and subscribed their hand in presence of the ‘witnesses mentioned herein below. LESSOR LESSEE Dy. General Manager{Admia} NHAI WITNESSES, i 2,No. 2, 1 am willing to lease my above mentioned accommodation for residential purpose of, Sh./Smt_ = through NHAL for a period of . . months w.ed. .. a 3. Monthly rent Is Rs. . _ which may be paid by NHAL as per lease agreement enclosed. 4, My PAN number (mandatory, if rent is more than Rs.10,000/- per month) is. New Delhi Date: