University College of Medical Sciences

University College of Medical Sciences
(University of Delhi)
Dilshad Garden, Delhi-110095

APPLICATION FOR THE ALLOTMENT OF GOVT. ACCOMMODATION

Allotment Type*

Type of Quarter*

Name (in Block Letter)*

Name of Father/Spouse*

Designation*
Department/Section *
Initial Date of joining (in UCMS) *

1. Present Basic Pay *
2. Pay Level (7th CPC)*
3. w.e.f.*
Date of Birth *

Marital Status*

Sex*

Category*

Are you or your spouse/your dependent children has own a house within a radius of 10 kms from the college. If yes, give details*

Are you applying on Medical Ground? If yes, enclose the relevant papers from Govt. Hospital *

1. Any change of Accommodation was allowed before? If yes, details of previous Govt. Accommodation *
2. Did you submit the vacation report, NOC from BSES, IGL etc. of the last vacated quarter *

Whether also applying for Higher or Lower Category accommodation as per rule, if yes, give details *

Any Remarks

Are you or your spouse occupying any accommodation allotted by/from any state/Central Govt./Any other? *

If yes please give details

Central/State Govt./Any other

Name of Allottee

Address of House

Date of Allottee

Signature Upload * (Maximum Size 20KB)

Preview of Signature

Date

Place*

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