Name Designation
Department Name Colony Names
Type Room Number
Whether came from Division
on Promotion ,if so Date of Joining in Circle Office		 In Present Cadre
Date of Retirement Type to Which Entitled
Date of Posting at the station Emoluments
Whether the official is SC/ST/OC Particulars of Govt. Quarters
 Allotted on the date of application ,if any
Whether the officer/official Desired the
 allotment of Residence during this year		 Whether the officer /Official if entitled
to rent free accommodation
Whether the officer/official with Family or single, details including self should be given below
Family Member Age Relationship Profession Whether entirely depends on the
   
Particulars of locality
whether Quarter Is Desired
in the Order of Preference		 Whether the officer /officials his wife
,husband ,children own house within radius
of 6 miles from place of duty
Whether the official is debarred from Govt .
Accommodation if so state the period 		Whether the official
is in transferable or
non transferable category