Appendix O Refers to para 88(c)(i) of part I APPLICATION FOR ALLOTMENT OF ARMY SURPLUS CLASS V B VEHICLES TO EX_SERVICEMEN AND THEIR WIDOWS To Through DD OS MGO s Branch (OS-4H) Army Headquarters ZSB\OC Unit and Dte Gen Resettlement Affix Photo here duly attested Application No MGO's Br Regn No DGR Regn No 1519/ Sir, Please release in my favour one (indicate nomenclature of vehicle) Class V `B' vehicle from Central Vehicle/Depot (indicate name of Depot). My service particulars are as under : Service No Rank Name Father s Name House No Village PO Tehsil Distt State Last Unit served Record Office Date of Birth Date of enrolement Date of discharge Character at the time of discharge Ground of discharge Name of widow Date of death of husband Age of applicant Disability percentage if any Identification marks DGR\ZSB Employment registration No Employed at Source of income, if any ie Business Rs Farming Rs Re_employed salary Pension Rs Total Rs Purpose for which required How the cost of vehicle will be financed Details of security deposit : Viz Bank draft(in favour of DGR Security Deposit Fund (A/C No-19417) No Pay able at Declaration of affidavit on non judicial stamp paper is enclosed in duplicate, as desired. Place Date Yours faithfully,
RECOMMENDATION AND ENDORSEMENT OF SECRETARY RAJYA\ZILA SAINIK BOARD\OC UNIT Certified that the particulars given above have been verified and are correct. Endorsement of vehicle recommended has been\will be made in his discharge\ retirement certificate. The applicant s affidavit and CTC of discharge certificate\ retirement orders in duplicate are enclosed. The applicant is eligible for allotment of surplus vehicles and has necessary financial resources to buy the vehicle and the vehicle will be used by him personally. In case of those who apply for second time, the original allotment release order is also enclosed. Security deposit Pass Book deposit Rs vide account number issued by Post Office is enclosed\retained in this Board. Place Secretary, Rajya\Zila Sainik Board\OC Unit Date MINISTRY OF DEFENCE (Dte Gen of Resettlement) 1. Certified that the applicant is eligible for allotment of surplus vehicle out of disposal stocks and the facts mentioned in the application are correct on the basis of certificate rendered by the Secretary, Rajya/Zila Sainik Board/OC Unit. 2. The applicant has deposited Security of Rs properly pledged to Director General Resettlement. Registration No. Assistant Director (SE) For Dir Gen Resettlement
AFFIDAVIT (SPECIMEN) I, Service No...Rank...Name...Son of...resident of...do hereby solemnly affirm and declare as under : - 1. That I am a bonafide ex-serviceman having served with the Army/Navy/Air Force from...to...which forms a part of the Defence Forces of the country. Now I have physically retired from Defence Forces of the country w.e.f... A CTC of retirement order/discharge certificate is attached. 2. That I am eligible for allotment of a surplus vehicle for my personal use and for the betterment of my economic condition. 3. That I have neither applied nor already been allotted a vehicle from the Army Surplus Stock (An allotment order issued earlier but vehicle not collected on that release order is attached herewith in original). 4. That I am not a member of any Ex-servicemen Co-operative Society and that necessary financial resources are available with me to purchase the vehicle on allotment. 5. That I am neither re-employed in Armed Forces/BSF/other Paramilitary Forces/NCC nor serving in a civilian capacity under any State/Central Govt. or Public Sector Undertaking. I further depose that I have not availed of any such scheme by any other State/Central Govt/Public Sector Undertaking. 6. That the Vehicle will be registered in my name within six months of allotment and that vehicle will NOT be mortgaged/resold within one year from the date of its purchase. In case it is decided to resell the vehicle after one year, it will not be sold without verifying the antecedents of the person to whom it is sold. In case the vehicle is sold without due diligence/verification of the buyer, I shall be held personally responsible for any consequences which may happen, like misuse of the vehicle for anti-national activities by terrorists or by anti-social elements. 7. In the event of non-registration of the allotted vehicle with the local/concerned RTO within six months from the date of issue, the amount of security deposit, deposited by me may be forfeited to the Government of India. 8. That I will immediately get the vehicle re-painted with other an Defence services colour and remove all military markings/tactical numbers before registration. 9. That in the event of any of above facts given in this affidavit being proved fake, and for violation of any of these provisions I hold myself responsible for all the consequences, besides being debarred for allotment of a vehicle out of Army Surplus Quota (ASQ). I also understand that I may also be liable for action under Regulations 4 and 5 of the Pension Regulations for the Army, 1961 (Part (I)/or as applicable relating to withholding, suspension or discontinuation of the pension.
10. FOR WIDOWS ONLY (Death certificate & affidavit for her spouse be attached). That my late husband (here indicate number, rank and name of unit of Armed Forces) has not been allotted any vehicle from Defence surplus stock in the past. VERIFICATION (Deponent) Verified at...this...day of...year...20...that the above affidavit given by me is true to the best of my knowledge and belief, and nothing has been concealed therein. Three Specimen Signatures 1... 2... 3... (Deponent) Certified that the above was declared on Oath before me by the Deponent and who is personally known to me/identified by Sh/Smt...S/d... resident of. OATH COMMISSIONER/FIRST CLASS MAGISTRATE (FULL NAME & ADDRESS WITH SEAL) COURT SEAL