Indent For Purchase Of Afd Category-I Items From Csd By Entitled Serving Personnel Page 2

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INDENT FOR PURCHASE OF AFD CATEGORY-I ITEMS FROM CSD BY ENTITLED
EX-SERVICEMEN
(PART-I)
1. Indenter Army No
……………………………..
2. Rank(Ex)
………………………………….
3. Name
………………………………………………………………………
4. Identity Card No
…………………………………………….
5. Unit where last employed
………………………………………………….
6. Whether the Indenter is in receipt of pension from the Defence Service Estimate (in case of
civilian) if so :
7. Amount of Pension sanctioned
…………………………………………………….
8. Details of Pension book
……………………………………………………………..
9. Period for which retention is sanctioned…………………………………………….
10. Amount of Retention fee sanctioned…………………………………………………
11. Authority under which Retention fee sanctioned…………………..
12. Residential Address ………………………………………………………………………………...
…………………………………………………………………………………………………………………
13. Details of items applied for …………………………………………………………………..
14. Name of Dealer …………………………………………………………………………………...
(PART II)
Certified that
1. I am entitled to avail canteen facilities from CSD Depot in terms of AO 109/72.
2. The items applied for is required for me / my family use.
3. I will not sell the items purchased from the CSD in next three years.
4. I have not purchased the item through CSD in the last three years.
Date:
Signature of Indenter
(PART-III)
The particulars given by No…………………… Rank………………………………….
Name ……………. are correct
Date:
Signature of SSO/Adm Comdt.Stn HQ
District Sainik Welfare Officer / DDSW
With Rank and Seal

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