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Home Modification Request Form

This document is a letter from an employee of Jamshedpur Utilities & Services Company Limited requesting modifications to their residential home. The employee provides their name, personnel number, department, designation, contact number, grade, basic pay, and date of application. They also declare any previous modifications for which rent has not been recovered. Finally, they request specific additions or modifications to their home location, and sign to agree to pay additional rent according to company rules.

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420 views1 page

Home Modification Request Form

This document is a letter from an employee of Jamshedpur Utilities & Services Company Limited requesting modifications to their residential home. The employee provides their name, personnel number, department, designation, contact number, grade, basic pay, and date of application. They also declare any previous modifications for which rent has not been recovered. Finally, they request specific additions or modifications to their home location, and sign to agree to pay additional rent according to company rules.

Uploaded by

kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

JUSCO

Jamshedpur Utilities & Services Company Limited

G.M. (J.T.S.)
Jamshedpur Utilities & Services Company Limited
Jamshedpur

Thro’s Head of the Department

Dear Sir,

I shall be glad if you please arrange to undertake the following addition / modification to my
house for which I am agreeable to pay additional rent as per the Company’s rules.

1. Location of residential house No.& type………………………………………………………………………………

Road No………………………………………………………………………………..

Area…………………………………………………………………………………..

2. Particular of proposed additional/modification…………………………………………………………………….

(List to be given priority-wise if more than one)…………………………………………………………………..

…………………………………………………………………..

3. Name of the applicant………………………………………………………………………………………………………….

4. P.No……………………………..Department…………………………………………………………………………………..

5. Designation……………………………………………… Contact No. (Ph. No.)(Mandatory) …………………………………………………

6. Grade of Applicant (Rs.)………………………………………………..

7.Present Basic Pay (Rs.)………………………………………………

8. Date of Application………………………………………………………

9. Declaration: Following Jobs have already been carried out/in progress/sanctioned for which
Rent of the house is yet to be recovered.

1)………………………………………………………………………………………………………………….

2)…………………………………………………………………………………………………………………

3)…………………………………………………………………………………………………………………

10. Fan hook is existing/ not existing

Signature of the Applicant.

Date

-----------------------------------------------------------------------------------------------------------------------------------
Date:

To be filled in by the applicant:


Received from Sri/Smt………………………………………………………………………………………………………………….
P.No………………………………..Dept…………………………………………………………………………………………………….
An application for…………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………….

Office of the G.M. ( J.T.S.)

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