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Application Form For Hra

This document contains an application form for claiming house rent allowance from the government. It requires the applicant to certify in 6 statements that they have not been provided government housing and are incurring rental expenses. The applicant must sign and date the form, and the head of office must also certify that no government housing was provided and sign with an official seal.

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sunny sagar
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4K views1 page

Application Form For Hra

This document contains an application form for claiming house rent allowance from the government. It requires the applicant to certify in 6 statements that they have not been provided government housing and are incurring rental expenses. The applicant must sign and date the form, and the head of office must also certify that no government housing was provided and sign with an official seal.

Uploaded by

sunny sagar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION F O R M F O R H. R. A.

ANNEXURE

Certified to be furnished by a Central Government Servant claiming House Rent as


per Government of India, Ministry of Finance O.M. No. 11013/2/86-E, II dt. 23.8.86 and
even No. dated 19.3.87.

1. I certify that I have not been provided with any Government owned or hired
accommodation during the period with effect from __________________ in respect of which
the allowances is claimed.

2. I certify that I am residing in a house hired/owned by me/my


wife/husband/son/daughter/father/mother a Hindu undivided family in which I am a
percener.

3. I certify that I am incurring some expenditure on rent contribution towards rent as


property Tax or maintenance of the House.

4. I certify that I am not sharing Government hired or owned accommodation allocated


of my parent (child) by the State/Central Government and autonomous public
undertaking of semi-Government such as municipality, post trust etc. allotted rent free to
another Government Servant.

5. I certify that my husband/wife/children/parents who is/are sharing Government


owned or hired accommodation with me allotted to another employees of the
Central/State Government autonomous undertaking or semi-Government Organizations
like municipality, post trust etc.

6. I also certify that my wife/husband has not been allotted accommodation at the
same station by the Central/State Government autonomous public undertakings or semi-
Government Organization such as municipality, port trust.

Dated _____________________ Signature ______________________


( )
Designation ____________________

TO BE FILLED AND SIGNED BY THE HEAD OF OFFICE / DEPARTMENT

Certified that Pi/Pu/Dr. _____________________________________ is not provided with


any Government owned or hired accommodation.

NOTE :
1) All the paras as much be attended
2) Words or sentences which are not Signature of Head of Office/Department
required should be strike out

( SEAL )

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