D D M M Y Y DDMMYY 12. Correspondence Address PIN E-mail : Phone Number Residence Office 13. Permanent Address 13. Total Emoluments : Rs. 14. Gross Income of the family Mobile Brochure No. To, Administrative OfficedIRWO Railway Complex, Shivaji Bridge, 1. Primary Membership No. INDIAN RAILWAY Railway Application Rail Vihar, Phase-II (5th Re Behind Shenker Market, WELFARE Group Housing Scheme form for IRWO Opened) at VIP Road, (To be Submitted in Duplicate) New Delhi - 110 001. Year ORGANISATION - 2015 Members Only Zirakpur (PB.) Near R.)./ Annoxi,r0 1-A (Original) Chandigarh No. Registration No ForVIP ROAD, ZIRAKPUR (Pb.) NEAR CHANDIGARH 2. Full Name I I 3. Father's/Husby:1's Full Name 4. Date of Birth 5, Designation DDMMYY 6. Department 7. Date of Appointment 8. Date of Retirement 15. For Retired/Spouse of deceased Railway Employee (i) Name of Retired/deceased, Railway Employee. (ii) Pension Payment Order No. (PPO) (Copy to be enclosed) Pin 3. P.F. No. 4. Scale of pay 16. Details of property held at present held by self/spouse/dependent children. S.No. Details of property Location of property Size of Plot/house Purchased From (i) (ii) 17. Co-owner's Name & relationship 18. Co-owner's Signature 19. Nominee's Name & relationship 20. Nominee's Signature 21. Type of Flats required : giving option 22. Booking Money Sent Rs." 23. Amount paid earlier * 24. Net payment of Booking Money 25. Bank Draft No. and Date 26. Name of Bank and Branch Type - Z/III 1 27. Additional Open Car Parking Type -DIV 1 Yes No (Please read Para 2.3 of the Brochure) " For details see Payment Schedule - Annexure-II ACKNOWLEDGEMENT (For IRWO Members Only) R- V Annexure 1 - A (Blanks to be filled by applicant) (Original) No. Primary Membership No. Booking form For Rail Vihar, Phase-II (5th Re Opened) At VIP Road, Zirakpur (Pb.) NearChandigarh Received from Sh/Smt. Address Application Form for Booking along with Booking money of Rs. Bank Draft No. Dated Drawn on (Name of Bank & Branch) Administrative Officer IRWO, New Delhi Note : No separate letter/receipt will be sent- except the above - acknowledgement Receipt in token of the receipt ofthe Applit - ation• (FOR OFFICE USE ONLY) 12
Transcript
D D M M Y Y DDMMYY 12. Correspondence Address
PIN E-mail :
Phone Number Residence Office 13. Permanent Address
13. Total Emoluments : Rs.
14. Gross Income of the family Mobile
Brochure No.
To, Administrative OfficedIRWO Railway Complex, Shivaji Bridge,
1. Primary Membership No.
INDIAN RAILWAY Railway
Application Rail Vihar, Phase-II (5th Re
Behind Shenker Market,
WELFARE Group Housing Scheme form for IRWO
Opened) at VIP Road, (To be Submitted in Duplicate)
New Delhi - 110 001.
Year
ORGANISATION - 2015
Members Only Zirakpur (PB.) Near
R.)./ Annoxi,r0 1-A (Original)
Chandigarh
No.
Registration No ForVIP ROAD, ZIRAKPUR (Pb.) NEAR CHANDIGARH
2. Full Name I I 3. Father's/Husby:1's Full Name
4. Date of Birth 5, Designation DDMMYY
6. Department
7. Date of Appointment 8. Date of Retirement
15. For Retired/Spouse of deceased Railway Employee
(i) Name of Retired/deceased, Railway Employee.
(ii) Pension Payment Order No. (PPO) (Copy to be enclosed)
Pin 3. P.F. No. 4. Scale of pay
16. Details of property held at present held by self/spouse/dependent children. S.No. Details of property
Location of property Size of Plot/house
Purchased From
(i)
(ii)
17. Co-owner's Name & relationship
18. Co-owner's Signature
19. Nominee's Name & relationship
20. Nominee's Signature
21. Type of Flats required : giving option
22. Booking Money Sent Rs."
23. Amount paid earlier *
24. Net payment of Booking Money
25. Bank Draft No. and Date
26. Name of Bank and Branch
Type - Z/III 1
27. Additional Open Car Parking
Type -DIV 1
Yes No (Please read Para 2.3 of the Brochure)
" For details see Payment Schedule - Annexure-II
ACKNOWLEDGEMENT (For IRWO Members Only) R-V Annexure 1-A
(Blanks to be filled by applicant) (Original) No.
Primary Membership No. Booking form For Rail Vihar, Phase-II (5th Re Opened) At VIP Road, Zirakpur (Pb.) NearChandigarh
Received from Sh/Smt.
Address
Application Form for Booking along with Booking money of Rs. Bank Draft No. Dated Drawn on (Name of Bank & Branch)
Administrative Officer IRWO, New Delhi Note : No separate letter/receipt will be sent- except the above-acknowledgement Receipt in token of the receipt ofthe Applit-ation•
(FOR OFFICE USE ONLY)
12
Place
Date
DECLARATION BY THE APPLICANT Annexure 1-A (Original Sheet2)
I hereby declare that the particulars given in the Application form are correct and I have not willfully • suppressed any material/ information. I understand that I will be disqualified from Booking of my application
and/or allotment of dwelling unit, if at any time any of the said particulars are found incorrect.
I also undertake to abide by all rules and instructions that may be issued from time to time by Indian Railway Welfare Organisation (IRWO). I have read the information in this Brochure and fully understand the contents.
I declare thy, my wife/husband or dependent children :
Do/Don't own in part/full on lease hold/freehold basis or have / have not been allotted on hire purchase basis, any residential flat/premises/plot in Zirakpur Area.
*(ii) I have neither been allotted nor 'applied for any type of flat/House in any other scheme of IRWO.
*(iii) I have applied for a dwelling Unit type in sc:heme of IRWO -but have not yet been allotted the dwelling unit.
*(iv) I haves,been allotted a flat / houses in IRWO Scheme.
Signature .of applicant
Designation
Specimen signature of the applicant * Strike off which is not applicable.
COUNTERSIGNED
1. For serving employees in Railway/Undertaking. 2. For Senior Serving Railway Officers who themselves
are the controlling officers. 3. For retired employees/spouse of deceased Railway employees.
2. All drafts or Banker's cheques accompanying the application should be crossed A/C Payee only, drawn in favour of IRWO, payable at. New Delhi. No cash will be accepted.
3. Application Form. alongivith. the demand draft should be sent by Registered Acknowledgement post or delivered in person to the Administrative Officer, MWO Railway Complex, Shivaji Bridge, Behind Shankar Market, New Delhi - 110001.
4. The applicant must enter his/her Primary Membership number in the Application form. The applicant should also quote the Booking Number of this scheme for future correspondence.
S. The original application must be countersigned as per the norms prescribed in the Application Form. Any change in. Mailing Address should be intimated to IRWO at its Headquarters office, Railway Complex, Shivaji (Minto) Bridge, Behind Shankar market, New Delhi - 110001
6. Incomplete/invalid/illegible application is likely to be rejected, No correspondence in this regard shall be entertained. 7. The gross incom.e of the family (item No. 14) includes own income, income of the spouse and dependent children. 8. Spouse of deceased railway employee should give name, designation, and department of his/her late husband/wife and
submit a copy of pension payment order (PPO). 9. Please indicate Co-owner's name if applicable to avoid complications later on. "General Rules" may be consulted for rules on
this subject.
(i)
1. The Application Form must be filled in Block Letters, it must be signed by the Applicant and submitted in duplicate.
13
17. Co-owner's Name & relationship
18. Co-owner's Signature
19. Nominee's Name & relationship
20. Nominee's Signature '
f Type - ZJIV
(Please read Para 2.3 of the Brochure)
. Mobile
Phone Number Office 10. Permanent Address
Purchased From Size of Plot/house S.No. Details of property Location of property
INDIAN RAILWAY WELFARE ORGANISATION Railway Group Housing Scheme - 2015
Application form for 111W0 Members Only Phase-II (5th Re Opened) at VIP Road, Zirakpur (PB.) Near Chandigarh
(To be Submitted in Duplicate) No.
Shenker Market, New Delhi -110 001.
TT 5. Designation
R-V Annexura 1-A (Duplicate)
DOMMYY
-TT I r
2. Full Name
3. Father's/Husind's Full Name
4. Date of Birth
6. Department
7. Date of Appointment
DDMMYY 9. Correspondence Address
PIN E-mail :
Pin 11. P.F. No. 12. Scale of pay
13. Total Emoluments : Rs.
14. Gross Income of the family
15. For Retired/Spouse of deceased Railway Employee
(I) Name of Retired/deceased, Railway Employee.
(ii) Pension Payment Order No. (PPO) (Copy to be enclosed)
16. Details of property held at present held by self/spouse/dependent children.
Brochure No. •
Rail Vihar,
To, Administrative Officer/IRWO Railway Complex, Shivaji Bridge, Behind
1. Primary Membership No.
Registration No For VIP ROAD, ZIRAKPLIR (Pb.) NEAR CHANDIGARH
T
8. Date of Retirement IIIIIII DDMMY y
Year
22. Booking Money Sent Rs.*
23. Amount paid earlier *
24. Net payment of Booking Money
25. Bank Draft No. and Date
26. Name of Bank and Branch
27. Additional Open Car Parking
Yes No
* For details see Payment Schedule - Annexure-II
ACKNOWLEDGEMENT (For IRWO Members Only) R-V Annexure I -A
(Blanks to be filled by applicant) (Original) No.
Primary Membership No.,,,_,_,. __ __ Booking form For Rail Vihar, Phase-II (5th Re Opened) At VIP Road, Zirakpur (Pb)NearChandigarh Received from ShlSmt.
Address
Application Form for Booking along with Booking money of Rs. Bank Draft No. Dated
(FOR OFFICE USE ONLY)
Drawn on
21. Type of Flats required : giving option
Type - Z/III I I TYPe-ziai
Date
1-A DECLARATION BY THE Annexure APPLICANT (Duplicate Sheet2)
I hereby declare that the particulars given in the Application form are correct and I have not willfully suppressed any material/. information. I understand that I will be disqualified Porn Booking of my application and/or allotment of dwelling unit, if at any time any of the said particulars are found incorrect.
I also undertake to abide by all rules and instructions that may be issued from time to time by Indiim Railway Welfare Organisation (IRWO). I-have read the information in„this Brochure and fully understand the contents.
I declare that, my wife/husband or dependent children :
(i) Do/Don't own in part/full on lease hold/freeholdlasis or have / have not been allotted on hire purchase basis, any residential flat/premises/plot in Zirakpur Area.
*(ii) I have neither been allotted nor applied for any type of flat/House in any other scheme of 1RWO.
*(iii) I have applied for a dwelling Unit type in scheme of IRWO but have not yet been allotted the dwelling unit,
*(iv) I have been allotted a flat / houses in IRWO • Scheme.
Place Signature of applicant
Designation
Specimen signature of the applicant * Strike off which is not applicable.
COUNTERSIGNED I. For serving employees in Railway/Undertaking. 2. For Senior Serving Railway Officers who themselves
are the controlling officers. 3. For retired employees/spouse of deceased Railway employees.
INSTRUCTIONS 1. The Application Form must he filled in Block Letters, it must be signed by the Applicant and submitted in duplicate. 2. All drafts or Banker's cheques accompanying the .application should be crossed A/C Payee only, drawn in favour of IRWO,
payable at New Delhi, No cash will be accepted. 3. Application Form alongwith the demand draft should be sent by Registered Acknowledgement post or delivered in person to the
Administrative Officer, 1RWO Railway Complex, Shivaji Bridge, Behind Shankar Market, New Delhi - 110001. 4. The applicant must enter his/her Primary Membership number in the Application form. The applicant should also quote the
Booking NuMber of this scheme- for future correspondence. 5. The original application must be countersigned as per the norms prescribed in the Application Form. Any change in Mailing
Address should be intimated to TRW° at its Headquarters office, Railway Complex, Shivaji (Minto) Bridge, Behind Shankar market. New Delhi - 110001
6. Incomplete/invalid/illegible application is likely to be rejected. No correspondence in this regard shall be entertained. 7. The gross income of the family (item No. 14) includes own income, income of the spouse and dependent children. 8. Spouse of deceased railway employee should give name, designation, and department of his/her late husband/wife and submit a
copy of pension payment order (PPO). 9. Please indicate Co-owner's name if applicable to avoid complications later on. "General Rules" may be consulted for rules on
this subject.
1-5
R-V (PartofAnnexure1-A) (Original)
Indian Railway Welfare Organisation Rail Vihar, Phase-11, (5th Opened) Housing Scheme at Ziralcpur Chandigarh
(To be submitted along with Application form for booking)1 For IRWO members
Name
Primary Membership No. Self
Spouse
Details of Family Members including dependents (as per pass rules of Railways)
Name M/F
Age Relationship
Signature of applicant Note : Photographs of self & spouse affixed above are to be attested by
controlling/Gazetted Officer.
16
16
Brochure No. 1147 Annexure 1-B
INDIAN RAILWAY WELFARE? ORGANISATION (Original)
Railway Group Housing Scheme 2015 • • Application Form for Blood Relations of IRWO Members
RAIL VIHAR PHASE-IL (5th RE-OPENED) AT VIP ROAD, ZIRA.KPUR (PB) NEAR CHANDIGARH (To be submitted in duplicate) . -
To, Administrative Officer/IRWO
• Railway Complex, Shivaii Bridge Behind Shankar Market, New Delhi-110001.
Registration No. / (To be filled up by IRWO Office)
Primary Membership No. IRWO Member
2. Year of joining of IRWO Member
3. Full Name of IRWO Member
4. Full Name of Applicant
5. Relationship with IRWO Member
6. Correspondence Address of Applicant
17
• 12.-V A rtnexure 1-13
7. Email Address of Applicant
(Sheet 2)
8. Phone Number: Residence Office Mobile
9. Permanent Address
10. Co-owner's Name & relationship • 11. Co-owner's Signature 12. Nominee's Name & relationship 13. Nominee's Signature 14. Type of flat required : Option 1 :
Option 2 : (Please read Para 2.3 of the Brochure)
15. Booking Money Paid 16. Bank Draft/Banker's Cheque No. & Date 17. Name of bank & Branch 18. Option for additional car parking (please tick one choice):
Open
None
* For details, please see the payment schedule in the brochure.
INSTRUCTIONS
I. The Application Form must be filled in Block Letters, it must be signed by the Applicant and submitted in duplicate. 2. All drafts or Banker's cheques accompanying the application should be crossed A/C Payee only, drawn in favour of IRWO,
payable at New Delhi. No cash will be accepted. 3. Application Form alongwith the demand draft should be sent by Registered Acknowledgment post or delivered in person to
the Administrative Officer, IRWO Railway Office Complex, Shivaji Bridge (Behind Shankar Market) New. Delhi - 110001. 4. The IRWO Member forwarding/countersigning the application must enter his/her Primary Membership No. in the Application
Form. The applicant should also quote the Registration No. of the scheme, once allotted to him/her, in all future correspondence.
5. The original application must be countersigned as per the norms prescribed in the Application Form. Any change in Mailing Address should be immediately intimated to IRWO Office.
6. Incomplete/invalid/illegible application are likely to he rejected. No correspondence in this regard shall be entertained. 7. Please indicate Co-owner's name if applicable, to avoid complications later on. IRWO General Rules may be consulted for
rules on this subject.
PIN
18
Place
Date
R-V Annexurel (Sheet3)
DECLARATION BY THE APPLICANT I hereby declare that the particulars given in the Application form are correct and I have not willfully suppressed any material/ information. I understand that I will be disqualified from Booking/ Allotment of dwelling unit, if at any time any of the paricular are found to be incorrect.
I also undertake to abide by all rules and instructions that may be issued from time to time by Indian Railway Welfare Organisation (IRWO). I have read the information in this Brochure and filly understand the contents.
Signature of Applicant
Signature of Co-Owner
Specimen Signature of the applicant
Specimen Signature of Co-owner
I have verified the above particulars furnished by the Applicant and the Co-owner.
Countersigned by IRWO Member with Primary Membership No.
ACKNOWLEDGEMENT (For Blood Relations of IRWO Members) (Blanks to be filled by Applicant)
BOOKING FORM FOR RAIL VIHAR, PHASE-II (5th RE-OPENED)AT VIP ROAD, ZIRAKPUR (Pa) NEAR CHANDIGARH
R-V Annexurel-B (Original)
Received from Sh/Smt
Address
Application Form for Booking along with Booking money of Rs. Bank Drpft No.
Dated Drawn On (Name of Bank &Branch)
For Indian Railway Welfare Organization
(Acknowledgement Portion to be detached and sent to applicant. No separate letter/receipt
will be sent in confirmation of receipt of Booking Application.)
19
Brochure No. R-V Aunexure 1-B
INDIAN RAILWAY WELFARE ORGANISATION (Duplicate)
Railway Group Housing Scheme 2015 Application Form for Blood Relations of IRWO Members
RAIL VIFIAR PHASE-I.1, (5th RE-OPENED) AT VIP ROAD, ZIRAKPUR (PB) NEAR CHANDIGARH (To be submitted in duplicate)
To, Administrative Officer/IRWO Railway Complex, Shivaji Bridge Behind Shankar Market, New Delhi-110001
10. Co-owner's Name & relationship 1 1. Co-owner's Signature 12. Nominee's Name & relationship 13. Nominee's Signature 14. Type of flat required : Option 1 :
Option 2 : (Please read Para 2.3 of the Brochure)
15. Booking Money Paid 16. Bank Draft/Banker's Cheque No. & Date 17. - Name of bank & Branch 18. Option for additional car parking (please tick one choice):
Open
None * For details, please see the payment schedule in the brochure. •
INSTRUCTIONS I. The Application Form must be filled in Block Letters, it must be signed b.y the Applicant and submitted in duplicate. 2. All drafts or Banker's cheques accompanying the application should be crossed A/C Payee only, drawn in favour of
IWO, payable at New Delhi. No cash will be accepted. 3. Application Form alongwith the demand draft should be sent by RegiStered Acknowledgment post or delivered in person
to the Administrative Officer, IRWO Railway Office Complex, Shivaji Bridge (Behind Shankar Market) New Delhi - 110001.
4. The 1RWO Member forwarding/countersigning the application must enter his/her Primary Membership No. in the Application Form. The applicant should also quote the Registration No. of the scheme; once allotted to him/her, in all future correspondence.
5. The original application must be countersigned as per the norms prescribed in the Application Form. Any change in Mailing Address should be immediately intimated to 1RWO Office.
6. Incomplete/invalid/illegible application are likely to be rejected. No correspondence in this regard shall be entertained. 7. Please indicate Co-owner's name if applicable, to avoid complications later on. BM) General Rules may be consulted
for rules on this subject.
21
Place
Date
R-V Aimexurel-B (Duplicate) (Sheet 3)
I hereby declare that the particulars given in the Application form are correct and I have not willfully suppressed any material/ information. I understand that I will be disqualified from Booking/ Allotment of dwelling unit, if at any time any of the paricular are found to he incorrect.
I also undertake to abide by all rules and instructions that may be issued from time to time by Indian Railway Welfare Organisation (IMO). I have read the information in this Brochure and fully understand the contents.
Signature of Applicant
Signature of Co-Owner
Specimen Signature of the applicant
Specimen Signature of Co-owner
I have verified the above particulars furnished by the Applicant and the Co-owner.
Countersigned by IRWO Member with Primary Membership No.
ACKNOWLEDGEMENT (For Blood Relations of 1RWO Members) (Blanks to be filled by Applicant)
BOOKING FORM FOR RAIL. VIHAR, PHASE-II (5th RE.OFENED)AT VIP ROAD, ZIRAKPUR (PS.) NEAR CHANDIGARH
Ft.v Annexurel-B (Duplicate)
Received from ShlSmt
Address
Application Form for Booking along with Booking money of Rs. Bank Draft No. Dated Drawn On
(Name of Bank & Branch)
For.Indian Railway Welfare Organization
(Acknowledgement Portion to be detached and sent to applicant. No separate letter/receipt
will be sent in confirmation of receipt of Booking Application.)
22
DECLARATION BY THE APPLICANT
Name M/F Age .Relationship
R-VPartofAnnexurei-B Indian Railway Welfare Organisation Rail Vihar, Phase-II, (5th Re Opened) Housing Scheme at Ziralcpur Chandigarh
(To be submitted along with Application form for booking) For Blood Relations of IRWO Members
Full Name Of Applicant (Blood Relation) Primary Membership No (Of IRWO Members) Photo of Self
(Applicant) Photo of Spouse (of Applicant)
• Details of Family Members including Dependents (as per Pass Rules of Railway)
Signature of applicant Counter Signature of IRWO Member
Signature of Co-owner
Note : Photographs of self & spouse affixed above are to be attested by IRWO Member.
23
Brochure No. R-V Annexuro 1-C INDIAN RAILWAY WELFARE ORGANISATION (Original)
Railway Group Housing Scheme - 2015 Application form for categories other than IRWO Members & Their Blood Relations
Rail Vihar, Phase-II (5th Re-Opened) at VIP Road, Zirakpur (PB.) Near Chandigarh cm be Submitted in Duplicate)
To, Administrative Officer/IRWO Railway Complex, Shivaji Bridge, Behind Shenker Market, New Delhi - 110 001.
No.
Registration No For VIP ROAD, ZIRAKMR (Pb,)NEARCHADIGARI-1
1. FIName
2. Fathers/Hustrid'sFull Name
3. Date of Birth
I I I Ili FT 1 I
1 M Y Y
4. Designation
D D
5. Organization
6. Date of Appointment
DDMMY y 8. Ccoespondence Address
7. Date of Retirement
D D M M y y
PIN E-mail:
Phone Number Office / Mobile
9. Permanent Address
Residence
Pin
10. Co-owner's Name & relationship
11. Co-owner's Signature
12. Nominee's Name & relationship
13. Nominee's Signature
14. Type of Flats required : Giving Option
15. Booking Money Paid Rs.*
16. Draft No. and Date
17. Name of Bank and Branch
18. Additional Open Car Parking
Type - Z/III
Type - Z/IV
1 I
1 I
-5're -z/n- Li Yes No
* For details see Payment Schedule - Annexure-11
(Please read Para 2.3 of the Brochure)
(FOR OFFICE USE ONLY)
Received from Sh/Smt.
Address
ACKNOWLEDGEMENT (Blanks to be filled by applicant)
Application form for categories other than IMO Members & Their Blood Relations Rail Vihar, Phase-II (5th Re-opened) At VIP Road, Zirakpur (Ph.) Near Chandigarh No.
Re-V An flexure 1-C (Original)
Application Form for Booking along with Booking money of Rs. Bank Draft No. Dated Drawn On
(Name of Bank & Branch)
Administrative Officer IRWO, New Delhi
Note : No separate letter/receipt will be sent except the above acknowledgement Receipt in token of the receipt of the Application.
24
DECLARATION BY THE APPLICANT R-V Annexurel-C (Sheet2)
I hereby declare that the particulars given in the Application limn are correct and I have not willfully suppressed any material/ ---informationA-tinderstand-44at-I--will-be-disqualified from Booking of my -application-andior-ailotment of dwelling unit; if at
any time any of the said particularS are found incorrect.
I also undertake to abide by all rules. and instructions that may be issued from time tO time by Indian Railway Welfare Organisation (IRWO). I have read the information in this Brochure and fully understand the (=tents.
Place
Date
Signature of applicant
Designation
Signature of Co-Owner
Specimen signature of the applicant Specimen Signature of Co-Owner
Counter Signed 1 have verified the above particulars furnished by the Applicant & the co-woner.
Controlling Officer with Seal
Date
INSTRUCTIONS I. The Application Form must be filled in Block Letters, it must be signed by the Applicant and submitted in duplicate. 2. All drafts or Banker's cheques accompanying the application should be crossed A/C Payee only, drawn in favour of IRWO,
payable at New Delhi. No cash will be accepted. 3. ApPlication Form alongwith the demand draft should be sent by Registered Acknowledgment post or delivered in person to the
Administrative Officer, IRWO Railway Office Complex, Shivaji Bridge, Behind Shankar Market, New Delhi - 1.10001. 4. The applicant should quote the BOoking Number of this scheme for future correspondence. 5. The original application must be countersigned as per the norms prescribed in the Application Form. Any change in Mailing
Address should be intimated to IRWO at its Headquarters office, Railway Complex, .Shivaji (Minto) Bridge, Behind Shankar market, New Delhi - 110001
6. • Incomplete/invalid/illegible application is likely to be rejected. No correspondence in this regard shall be entertained. 7. Please indicate Co-owner's name if applicable to avoid complications later on. IRWO "General Rules" may be consulted for
Railway Group Housing Scheme - 2015 Application form for categories other than IRWO Members & Their Blood Relations
• Rail Vihar, Phase-II (5th Re-Opened) at VIP Road, Zirakpur (PB.) Near Chandigarh (To be Submitted in Duplicate)
To, Administrative Officer/IRWO Railway Complex, Shivaii Bridge, Behind Shenker Market, New Delhi -110 001.
No.
Registration No.. For VIP ROAD, ZIRAKPUR (Pb.) NEAR CHANDIGARH
10. Co-owner's Name & relationship
11. Co-owner's Signature
12. Nominee's Name & relationship
13. Nominee's Signature
14. Type of Flats required : Giving Option
Type - Z/III
Type - Z/IV
15. Booking. Money Paid
16. Draft No. and Date
17. Name of Bank and Branch
18. Additional Open Car Parking
Yes • No
* For details see Payment Schedule - Annexure-II
(Please read Para 2,3 of the Brochure)
(FOR OFFICE USE ONLY)
Received from Sh/Smt.
Address
ACKNOWLEDGEMENT [Blanks to be filled by applicant)
Application form for categories other than IRWO Members & Their Blood Relations Rail Vihar, Phase-II (5th Re-opened) At VIP Road, Zirakpur (Pb.) Near Chandigarh No.
Re-VAnnexure 1-0 (Original)
Application Form for Booking along with Booking money of Rs.
Drawn On
Bank Draft No. Dated—.--_.___—_
(Name of Bank & Branch)
Administrative Officer IRWO, New Delhi
Note : No separate letter/receipt will be sent except the above acknowledgement Receipt in token of the receipt of the Application.
26
R-V Annexurel-C • (Sheet2)
1 hereby declare that the particulars given in the Application form are correct and I have not willfully suppressed any material/ information, I understand that I will be disqualified from Booking of my application and/or .allotment of dwelling unit, if at any time any of the said particulars are found incorrect.
I also undertake to abide by all rules and instructions that may be issued from time to time by Indian Railway Welfare Organisation (MVO). I have read the information in this Brochure and fully understand the contents.
Place
Signature. of applicant
Designation
Signature of Co-Owner
Date
Specimen signature of the applicant Specimen Signature of Co-Owner
Counter Signed I have verified the above particulars furnished by the Applicant ®the co-woner.
Controlling Officer with Seal
INSTRUCTIONS
1. The Application Form must be filled in Block Letters, it must be signed by the Applicant and submitted in duplicate. 2. All• drafts or Banker's cheques accompanying the application should be crossed A/C Payee only, drawn in favour of IRWO,
payable at New Delhi. No cash will be accepted. 3. Application Form alongwith the demand draft should be sent by Registered Acknowledgment post or delivered in person to the
Administrative Officer, IRWO Railway Office Complex, Shivaji Bridge, Behind Shankar Market, New Delhi - 110001, 4. 'The applicant should quote the Booking Number of this scheme for future correspondence. 5. The original application must be countersigned as per the norms prescribed in the Application Form. Any 'change in Mailing
Address should be intimated to IRWO at its Headquarters office, Railway Complex, Shivaji (Minto) Bridge, Behind Shankar market, New Delhi - 11000.1
6. Incomplete/invalid/illegible application is likely to be rejected. No correspondence in this regard shall be entertained. 7. Please indicate Co-owner's name if applicable to avoid complications later on. IRWO "General Rules" may be consulted for
rules on Co-owner & for other doubts if any.
DECLARATION BY THE APPLICANT
Place .
Date
27
Photo of Self (Applicant)
Photo of Spouse (of Applicant)
M/F Age Relationship Name
Full Name Of Applicant
Details of Family Members including dependents :
R-V
Indian Railway Welfare Organisation PartofAnnexurel-C
Rail Vihar, Phase-Il, (5th Re Opened) 'lousing Scheme at Zirakpur Chandigarh (To be submitted along with Application form for booking)
For other than 1RWO Member & Blood Relation
Signature of applicant
Counter Signature of Controlling Officer
Note : Photographs of self & spouse affixed above are to be attested Signature of Co-owner by Controlling Office / Gazetted Officer.
28
INDIAN RAILWAY WELFARE ORGANISATION • R-V Annexure
MEMBERSHIP APPLICATION FORM FOR Rail Vihar, Phase-II, (5th Re Opened) Housing Scheme at VIP Road, Zirakpur (Pb.) Near Chandigarh
(To be filWd up in -131MrUtter)
Photo
For official use only
Date of allotment
Applicant Co-owner
(A) In case applied as Blood Relation of IRWO Member : I. Applicant's Name (Full Name)
2. Relationship with IRWO Member 3. Full name of IRWO Member
4. Primary Membership No. of IRWO Member 5. Year of Joining of IR.WO Member
(B) In, case applied as other than IRWO Member & blood Relations of IRWO Member. 1. Applicant's Name (Full Name) 2. Father's/Husband's Name
3. . Date of. Birth 4. Designation
5. Name of Organisation 6. Date of appointment
7. Date of Retirement
FOR BOTH CATEGORIES .
1. Correspondance AddresS if applicant
2. Permanent Address
3. Mobile No. E-mail ID
4. Membership Fee Payment details: Amount Rs. 1000/- Bank Draft No. & Date Name of Bank & Branch
29
DECLARATION BY THE APPLICANT
I hereby declare that the particulars given above are correct and I have not siwpressed any material/ information. I understand that I will be disqualified from membership (for the specific scheme) and or allotment of dwelling unit if at
any time, any of said particulars are found incorrect. I also undertake to aboide by all rules and instructions that may
be issued from time to time by indian Railway Welfare Organisation (IRWO)
Place Signature of applicant
Date
Countersigned by
(Please refer instructions)
INSTRUCTIONS .0*
1. The application should be counter signed by :
i) In case applied as blood Relation of IRWO Member. IRWO Member.
ii) In case applied as (Other than IRWO Member & Blood Relation) :
Controlling Offier/Personnel Officer.
2. Application Form must be filled in block letters in English and sent to the Administrative Officer, IRWO Railway Officers Complex, Shivaji Bridge, New Delhi-11001 by Registered Acknowledgement Post alongwith crossed A/c Payee Draft for Rs. 10001- drawn in favour of IRWO payable at New Delhi. No cash or cheque will be accepted. Membership fee of Rs. 1000/- is not-refundable.
3. Any change in Mailing Address should be immediately intimated to IRWO
4. Incomplete / invalid / illegible applications are likely to be rejected. No correspondence in this regard shall be entertained.
Note
Read IRWO General Rules before filling the form. Latest amendments to the General Rules are also available on HMO website (http://www.irwo.in).
Application shoulod be submitted to Administrative Officer, IRWO, New Delhi. Fill-up yaour address at the back of the Acknowledgement slip. Please enclose self addressed stamped envelope.
