A.P.F.C. FORM – 12
(See Chapter – X. Article 230 (a) (i) of A.P.F.C. Vol.I)
FORM OF APPLICATION BY A GOVERNMENT SERVANT FOR AN ADVANCE
FOR THE PURPOSE OF PURCHASE OF A MOTOR CAR
****
1.
Name of the Applicant
:
(In block letters)
2.
Designation of applicant and Office in
:
which employed
3.
a) Whether permanent and if so the
:
particulars of the post
b) If not permanent, whether he is
:
an approved probationer and if
so the name of the post and date
from which he has been declared
as approved probationer
4.
Date of Birth
:
5.
Date of Superannuation or retirement :
6.
Scale of pay of the present post
:
7.
Basic pay in the present post as
:
desired under Fundamental Rule 9
(21) (Excluding Special Pay)
8.
Amount of gross pay
:
9.
a) Whether the advance applied for
:
is the first one
b) If not
:
i) Amount of previous advance
ii) Number and date of Order in
:
which
such
advance
was
sanctioned.
:
iii) Date of drawal of such advance
iv) Whether any amount of such
advance
is
outstanding
:
repayment
(principal
and
interest to be shown separately)
v) In case it is fully repaid whether
Clearance Certificate has been
:
obtained from the Accountant
General