Odisha Govt Digital HRA Form
🏛️ Odisha Govt HRA Certificate - Type & Print
Click YES/NO to tick (✓). Click names to strike out. Type in fields. Then print.
CERTIFICATE TO BE FURNISHED BY A GOVERNMENT EMPLOYEE
FOR GRANT OF HOUSE RENT ALLOWANCE
*****
Particulars furnished by the Officer
| Sl. No. |
Description of the particular | Remarks |
|---|---|---|
| (1) | (2) | (3) |
| 1 | Whether Government accommodation has been provided to the self/spouse during the period at place of posting |
NO
YES
|
| 2 | Staying in house owned by me / wife / son / children / father / mother / husband within a radius of 8 KM from Headquarter |
NO
YES
|
| 3 | Staying in house owned by me / wife / son / children / father / mother / husband within the limits of the Urban Local Body (Municipal Corporation, Municipality, Notified Area Council) of Headquarter |
NO
YES
|
| 4 | Staying in a hired accommodation within a radius of 8 KM from Headquarter |
NO
YES
|
| 5 | Staying in a hired accommodation within the limits of the Urban Local Body (Municipal Corporation, Municipality, Notified Area Council) of Headquarter |
NO
YES
|
| 6 | Allowed to retain the Government accommodation at my old place of posting to retain my family on payment of normal rent/penal rent for the period from to |
NO
YES
|
| 7 | My spouse is a Government servant |
NO
YES
|
| 8 | Whether widow/widower/Unmarried |
NO
YES
|
| 9 | My spouse is posted in the same Headquarter |
NO
YES
|
| 10 | My spouse is in receipt of HRA |
NO
YES
|
* Strike out which is not applicable.
@ If the answer is yes, the period is to be mentioned in Column no.2.
@ If the answer is yes, the period is to be mentioned in Column no.2.
I certify that the above particulars are true to the best of my knowledge.
Signature:
Designation:
Date:
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