Air Force Station Race, Course, New Delhi-110003 Telephone: 011 - 2379-3462/3463, 2379-2880/2881 FAX: 011-23014942

Appendix D

(to be filled up by the Registrant or Allottee at the time of desiring Voluntary Withdrawal)

DECLARATION FOR WITHDRAWAL FROM SCHEME
(name of Scheme)

 

    I, (Rank)...................(Name) ..................(Number) .................... (Regn. No.) ..................am an Allottee of the ..................Scheme of the Air Force Naval Housing Board, solemnly declare and affirms as under :-

(a)    That I am voluntarily withdrawing from the Scheme.
        (name of Scheme)

(b)    That I agree to abide by the rules and regulations of the AFNHB that are in force at the time the refund is made to me.

(c)    That I also voluntarily state that my successors or I or nominees will have no claim whatsoever on the Flat, garage, shop, open Terrace which was originally allotted to me by AFNHB.

 

Signature ___________
Rank _______________
Name _______________
Number ______________
Date ________________
 
   
   
 
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