Indent For Purchase Of Afd Category-I Items From Csd By Entitled Serving Personnel (Page 4 of 6) in pdf

Indent For Purchase Of Afd Category-I Items From Csd By Entitled Serving Personnel Page 4

INDENT FOR PURCHASE OF CAR FROM CSD (FOR SERVING OR RETIRED OFFICERS)

1 Personal No…………………………………………………………………………..

2 Rank & Designation…………………………………………………………

3 Name……………………………………………………………………………………

4 Identity Card No………………………………………………………….

5 Unit / Formation

6 Correspondence Address & Tel. No ………………… …………………………………………………

……………………………………………………………………………………………………………

7 Please attached Xerox copy of PPO (retired officers)

8 Income Tax Permanent Account No (PAN)………………………………………………………..

9 Colour…………………………………………………………………………………………..

10 CSD Index No / Model (upto 2500 cc) …………………………………………………………..

11 Dealer's Name…………………………………………………………………….

CERTIFICATE

a. Certified that I have not purchased any vehicle from CSD during last four years.

b. Certified that the vehicle applied is for my personal use and will not be sold/ transferred to

any person during next two years.

c. I certify that I have personally read the terms of purchase and are acceptable to me.

d. I affirm that above details are correct to the best of my knowledge.

Place:

(Signature of Applicant)

Date:

It is certified that information / particulars given by above applicant are verified and found

to be correct.

Countersigned

Round Stamp

Signature of Unit CO /Station Commander

Dy Director of Zilla Sainik Board

Please bring your Identity Card at the time of

collection of authority letter

Rank

Name

Note :

Date

Full payment is to be made by Bank Draft purchased

from

Nationalized Bank in favour of "Canteen Stores

Department Public Fund Account (Main) payable at

(city of depot).

Indent For Purchase Of Afd Category-I Items From Csd By Entitled Serving Personnel Page 4