INDIAN INSTITUTE OF TECHNOLOGY : DELHI

 Emp.Code________________

Application for Drawal of Temporary advance/Final withdrawal from CPG/GPF/CPF A/C No.____________________
 

1. Name:                 Designation:                        Deptt.:                  Pay:

2. Amount of Advance/   :
 withdrawal required

3. Purpose                       :

4. Number & amount of
 monthly instalments          :
 in which advance is
 proposed to be refunded.

5. Whether the advance applied :
 for will run concurrently
 with the advance last taken

 It is certified that the advance/withdrawal advance for shall be utilised for the purpose for which it will be drawal.

Dated :_________________                                       Signature of applicant

________________________________________________________________  (For use in Account Section)

(1) Bal.available as per ledger                                          Advance last taken

 __________________________Amount                      Date

 Date___________________                                        Acctt.
______________________________________________________________

 (Order of the Sanctioning Authority)

An Advance/Final withdrawal of Rs.________________________ is hereby sanctioned to the applicant for the purpose enumerated above.  The advance shall    be      recoverable in   _________________        instalment      of Rs._____________________ each.  (Delete if not applicable)
 

Date______________                                         Signature of competent
 authority with Designation

_________________________________________________________________  (For use in Accounts Section)

Passed for & Pay Rs.__________________ (Rupees___________________ _______________to Sh._________________________________  chargeable to : CPF/GPF/CPF

(1) Advance Register Sl.No._______________ Accounts Officer
(2) Scroll No.____________________________________