Appendix
(To
be executed on a non-judicial stamp papers Prescribed by the State Govt. where
executed and to be attested by First Class Magistrate or Notary Public )
I, No . Rank ..Name age
Yrs, Son of
..unit
a member of Army Welfare Housing
Orgnisation, New Delhi vide Registration No
.do hereby solemnly
affirm/declare on oath as under :-
1. That
my property status on
..and as on the date of signing the present
affidavit is as under :-
As on the date of registration as member As on the date of signing affidavit
(a) Place, Tehsil, District & State (b) Type of property /plot or built up accommodation
(c) Size of the Plot (d) Name of Owner
(e) Individual share in case of joint property (f) Remarks whether Residential or Commercial
2. (a)
That myself, my spouse or any minor dependent children do not have any
house/plot of land/house except
ancestral in any Urban Estate/Improvement Trust Colony in the city/Town
for which plot/house/flat is applied.
OR
(b) That
I am not a member of any other such organisation or any other service for the
purpose of
acquiring residential property.
3. That the information relating to
the property status given in
4. That I have not re-married (Applicable to widows only).
5. That my permanent residential
address as on date as shown in the records of my service in Adjutant Generals
Branch/Record office was
..
6. That I retired from Army Service on
and that my permanent residential address on retirement as intimated
to Adjutant Generals Branch/Record Office was
7. That I have not given any false
information and have not submitted any false particulars in my application and
in this affidavit and have not concealed any material facts.
8. That except the property, the particulars of which have been submitted in para 1, my wife or minor or dependent children do not have any other property, including plot of land at any other place.
9. That if the house/flat
/Plot for which I am registered is allotted, the net total vacant land , will
not exceed the ceiling laid down in the
10. That I or my spouse have not applied
for/taken possession of any other dwelling unit constructed by AWHO.
11. In case I acquire any immovable
property on or after this date I shall inform the Managing Director AWHO about
it alongwith full details.
12. For Medical Officer Only That I am a member of
Army/Navy/Air Force Officers Benevolent Fund.
13. That I am not a member of Air Force
&Navy Housing Board or any other State Housing Board/Co-operative Housing
Society.
OR
That I am registered with
.for allotment of a house/flat plot at
(Name
of Organisation)
under
registration No
(Name of
Station)
OR
That I have been allotted a
house/flat/plot at
by
..
(Name of Station) (Name
of Organisation)
vide registration No
Signature of Deponent
VERIFICATION
Verified at
.on this
..in the
year
that the contents of he above affidavit are true to the best of my
knowledge. No part of it is wrong and
nothing has been concealed there from.
Signature
of Deponent
Note :- 1. If the affidavit is attested by the
Notary Public, Notarial Stamp worth Rs 5/- will
have to be affixed on the affidavit.
2. All the paras ie. from 1 to 13 of the above specimen should be typed out and be filled as applicable. Even if a particular Para is not applicable, the same may be typed and be filled as N/A.