Government of India
Directorate of Estates
Nirman Bhawan, New Delhi
Applicant's Copy Application for Clearance Certificate
Date of Receipt
Application No : 2092566 Form Status : FINAL Date of Application : 29-06-2022
APPLICANT'S DETAILS
Name : PRACHI Registration Number : 111100022799
Designation : MTS AAN : 1111008249
Office with Address : C.P.W.D., S.O.(ESTT), O/O CHIEF ENG. (NDZ-03), SEWA Date of Retirement : 31-08-2054
BHAVAN, R.K. PURAM, NEW DELHI.
Date of Birth : 20-08-1994 Date of Joining : 20-09-2018
CONTACT DETAILS OF APPLICANT
Address of Place of Duty of Applicant Permanent Address of Applicant
Address : C.P.W.D., S.O.(ESTT), O/O CHIEF ENG. (NDZ-03), Address : 436 LADDHAWALA CHUNGI NO 2
SEWA BHAVAN, R.K. PURAM, NEW DELHI. MUZAFFARNAGAR UP 251001
City : New Delhi City : Muzaffar Nagar
Pin : 110066 Pin : 251001
Phone : 011-20867343 Phone : 8077786975
Fax : Fax :
Mobile : 7060668618
Email :
[email protected]HOUSE DETAILS
House Locality Sector Block House Date of Accommodation Occupied Vacated
Type / No. Allotment Status On On
Towe
r
1 R.K. PURAM 1 - 1096 10-03-2022 VACATED 17-03-2022 27-05-2022
DURING OCCUPANCY OF GENERAL POOL RESIDENTIAL ACCOMMODATION, DETAILS OF POSTINGS, IF ANY, IN INELIGIBLE OFFICES
(SUCH AS PSUs, AUTONOMOUS / STATUTORY BODIES, STATE GOVT. AND OTHER INELIGIBLE OFFICES) OR POSTING IN INELIGIBLE
ZONE WHICH INCLUDES POSTING OUTSIDE DELHI
City Office Posting From Posting To
Date : Signature of the Applicant
TO BE FILLED IN BY THE FORWARDING OFFICE
Office ID Endorsement No. Date Office Name
1580101185 C.P.W.D., S.O.(ESTT), O/O CHIEF ENG. (NDZ-03), SEWA BHAVAN, R.K. PURAM,
NEW DELHI.
Office Seal Signature with Date
Name :_______________________________________________________
Designation :_______________________________________________________
Phone :_______________________________________________________
E-mail :_______________________________________________________