CCS HAU - Marriage Advance Application Form

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Instructions: Fill in all required details. Data is auto-saved to your browser. Click "Generate PDF" to create the official document.

👤 Personal Information

1. Name (In Block Letters) *

2. Father's / Husband's Name *

Date of Birth *

Present Address

💼 Service Information

3. Parent Department & Designation *

4. Department where working *

6. Whether Permanent or Temporary *

9. Date of Joining Haryana Govt. Service *

11. Date of Superannuation *

GPF Account No. *

💵 Emoluments (on which loan is admissible)

5(a). Basic Pay *

5(b). D. Pay

5(c). Special Pay

5(d). Total Emoluments (Auto-calculated)

💰 Advance Request Details

7. Purpose of Advance *

Name of Son/Daughter/Sister

8. Amount of Advance Required (₹) *

Amount in Words (Auto)

12. Date of Birth of Son/Daughter/Sister *

13. Exact Date of Marriage *

📋 Previous Marriage Advance Details (if any)

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Fill this section only if you have previously obtained Marriage Advance. Otherwise, select "No" below.

14. Previously obtained Marriage Advance?

Date of Previous Advance

Previous Amount (₹)

Date of 1st Drawal

Date of 2nd Drawal

Outstanding Amount (₹)

Name of child/sister for whom previous advance drawn

DOB of that child/sister

👫 Spouse Details

15. Whether Husband/Wife is in Govt. Service? *

If Yes, Name & Designation

📝 Applicant's Certificate

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Certificate: "My wife/husband is not a Haryana Government employee and he/she has not applied/obtained Marriage Advance for the same purpose."

Applicant's Signature (Type Name)

Date of Application

Designation

Department

🏢 DDO Certificate (For Office Use)

DDO Name

DDO Designation

DDO Office

Date

🏛️ CCS HARYANA AGRICULTURAL UNIVERSITY, HISAR

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