CHENNAI METROPOLITAN WATER SUPPLY

CHENNAI METROPOLITAN WATER SUPPLY & SEWERAGE BOARD APPLICATION FOR GENERAL PROVIDENT FUND

TEMPORARY ADVANCE

1. Name of the subscriber with Employee Code No.                         :

2. GPF Account No.                                                                          :

3. Designation / Section / Dept.                                                          :

4. Pay                                                                                                  :

5. Date of Appointment                                                                       :

6. Date of Retirement                                                                         :

7. Amount of Advance required in percentage                                   :

8. Purpose for which advance is required under Rules

    (                                                        ) GPF Rules.                         :

9. Amount of the consolidated advance (item 6 & 7 and number      :

    and amount) of monthly installments in which the

    consolidated advance is proposed to be repaid.

10. Date of previous loan sanction with sanction order No.

      and Date                                                                                       :

11. Present Residential address                                                        :

                                                                        SIGNATURE OF THE APPLICANT

CERTIFICATE

            Certified that I have not drawn any temporary advance from the General Provident Fund during the last 6 months.

                                                                         SIGNATURE OF THE APPLICANT