ANNEXURE –B
APPLICATION FOR FINANCIAL ASSISTANCE FROM CIRCLE
WELFARE FUND FOR GRAMIN DAK
SEVAKS(GDSWF)
1. Name of the GDS
2. Office of Posting & post held
3. TRCA
4. Date of appointment
5. Date of Birth
6. Details of any
previous financial assistance under
GDSCWF
7. Purpose for
applying under GDSCWF
(Pl. enclose document s in support )
8. Duration of leave, if any
9. Amount of financial assistance applied
For
10. Any other relevant information
Signature of
GDS
Date :
Place: Certificate &Recommendation of Controlling
Authority
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This is to certify that Mr/ Ms
…………………………………………………………………..is a member of GDS
Circle Welfare Fund & he has
regularly contributed to the fund till…………………………………………………
The above particulars have been
checked and the Financial Assistance of Rs…………………………………to the GDS is hereby
recommended after due verification of records.
Date :
Place:
Signature of the Controlling Authority
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