¼ããÀ¦ã ÖñÌããè ƒÊãñãä‡ã‹›È‡ãŠÊÔã ãäÊããä½ã›ñ¡
Bharat Heavy Electricals Limited, Power Sector Western Region
ºããè†ÞãƒÃ†Êã ƒ½¹ÊããƒÃ•ã ØãðÖãä¶ã½ããå㠨ãÉ¥ã Ôã½ãîÖ ºããè½ãã ¾ããñ•ã¶ãã ½ãò ¶ãã½ããâ‡ãŠ¶ã ‡ãñŠ ãäÊã¾ãñ ¹ãŠã½ãÃ
Form for enrolment under BHEL Employees' Housing Loan Group Insurance Scheme
¶ãã½ã / Name
Ô›ã¹ãŠ ¶ã. / Staff No.
¹ãª¶ãã½ã / Designation
ãäÌã¼ããØã / Department
•ã¶½ããä¦ããä©ã / D.O.B.
ºããè†ÞãƒÃ†Êã ½ãò ‡ãŠã¾ãÃØãÆÖ¥ã ãä¦ããä©ã / DOJ BHEL
¨ãɥ㠇ãŠã º¾ããõÀã / Details of Loan :
*½ãîÊã / Principle :
¾ããñ•ã¶ãã ½ãò Íãããä½ãÊã Öãñ¶ãñ ‡ãñŠ ã䪶ããâ‡ãŠ ‡ãŠãñ
* ÔÌããè‡ãðŠ¦ã ØãðÖãä¶ã½ããå㠨ãɥ㠇ãŠãè ÀããäÍã /
*º¾ãã•ã / Interest :
ØãðÖãä¶ã½ããå㠨ãɥ㠇ãŠãè ºã‡ãŠã¾ãã ÀããäÍã /
*Amount of Housing Loan Sanctioned
*‡ãìŠÊã / Total
:
Amount outstanding on date of entry
½ãããäÔã‡ãŠ ãä‡ãŠÔ¦ã / EMI
‚ãªã¾ãØããè ‡ãŠãè ‚ãÌããä£ã / Repayment Term
¹Çã©ã½ã ãäÌã¦ãÀ¥ã ‡ãŠã ã䪶ããâ‡ãŠ / Date of first disbursement
¾ããñ•ã¶ãã ½ãò Íãããä½ãÊã Öãñ¶ãñ ‡ãñŠ ã䪶ã ã䪾ãñ Øã†/ºã‡ãŠã¾ãã ØãðÖãä¶ã½ããå㠨ãɥ㠇ãŠãè ÀããäÍã /
Amount of Housing Loan disbursed/balance as on date of entry
ØãðÖãä¶ã½ããÃ¥ã ãäÌã§ã †•ãñ¶Ôããè (†Þㆹ㊆) ‡ãŠã ¶ãã½ã †Ìãâ ¹ã¦ãã
Name & Address of the Housing Finance Agency (HFA)
ŒãÀãèªñ / ãä¶ã½ããÃ¥ã ãä‡ãŠ¾ãñ Øㆠ½ã‡ãŠã¶ã ‡ãŠã ¹ã¦ãã /
Address of dwelling unit purchased / constructed
½ãö ƒÔã‡ãñŠ ´ãÀã ÜããñÓã¥ãã ‡ãŠÀ¦ãã / ‡ãŠÀ¦ããè Öîâ ãä‡ãŠ ½ãö¶ãñ ØãðÖ ãä¶ã½ããå㠨ãɥ㠂ããõÀ „Ôã‡ãŠñ º¾ãã•ã ‡ãŠãñ ‡ãŠÌãÀ ‡ãŠÀ¶ãñ ÌããÊããè ãä‡ãŠÔããè Ôã½ãîÖ / ̾ããä§ãŠØã¦ã •ããèÌã¶ã ºããè½ãã ãä¶ãØã½ã ‡ãŠãè
ºããè½ãã ¾ããñ•ã¶ãã ‡ãñŠ ‚ãâ¦ãØãæ㠹ãîÌãà ½ãò ºããè½ãã ¶ãÖãé ‡ãŠÀã¾ãã Öõ. ¾ããäª ãä‡ãŠÔããè ¼ããè Ô¦ãÀ ¹ãÀ ¾ãÖ ¹ãã¾ãã •ãã¦ãã Öõ ãä‡ãŠ ÜããñÓã¥ãã ØãÊã¦ã Öõ ¦ããñ ºããè†ÞãƒÃ†Ê㠇㊽ãÃÞããÀãè ØãðÖãä¶ã½ããå㠨ãÉ¥ã
ºããè½ãã ¾ããñ•ã¶ãã ½ãò ½ãñÀãè ÔãªÔ¾ã¦ãã Ôã½ã㹦ã Ôã½ã¢ããè •ãㆠ‚ããõÀ •ããèÌã¶ã ºããè½ãã ãä¶ãØã½ã ãä‡ãŠÔããè ¼ããè Ô¦ãÀ ¹ãÀ ½ãñÀñ ´ãÀã ¼ãìØã¦ãã¶ã ãä‡ãŠ¾ãã Øã¾ãã ¹Çããèãä½ã¾ã½ã Êããõ›ã¶ãñ ‡ãñŠ ãäÊã¾ãñ
ãä•ã½½ãñªãÀ ¶ãÖãé ÖãñØãã. /
I hereby declare that I am not already insured under any Group/ Individual Insurance Scheme of LIC specifically covering 'housing
loan and interest thereon'. In case it is found at any stage that the declaration is false, then my membership from BHEL Employees'
Housing Loan Group Insurance Scheme will stand forfeited and LIC will not be liable to refund the premium paid by me at any stage.
½ãö ƒÔã‡ãñŠ ´ãÀã ƒÔã ¾ããñ•ã¶ãã ‡ãñŠ „¹ãºãâ£ããò ‡ãñŠ ‚ã£ããè¶ã ¾ããñ•ã¶ãã ‡ãñŠ ‚ãâ¦ãØãæ㠽ãñÀñ Ìãñ¦ã¶ã Ôãñ ¹ãÆãèãä½ã¾ã½ã ‡ãŠãè ‡ãŠ›ãõ¦ããè ‚ããõÀ „Ôãñ †Êã.‚ããƒÃ.Ôããè.½ãò •ã½ãã ‡ãŠÀ¶ãñ ‡ãñŠ ãäÊã¾ãñ
ºããè†ÞãƒÃ†Êã ‡ãŠãñ ¹ãÆããä£ã‡ãðŠ¦ã ‡ãŠÀ¦ãã / ‡ãŠÀ¦ããè Öîú. / I hereby authorize BHEL to deduct the premium towards the scheme from my salary as per the
provisions of the scheme and deposit the same with LIC.
**½ãö ƒÔã‡ãñŠ ´ãÀã ºããè†ÞãƒÃ†Êã ´ãÀã 1 •ã¶ãÌãÀãè, 1993 ‡ãŠãñ ‚ããÀâ¼ã ‡ãŠãè ØãƒÃ ºããè†ÞãƒÃ†Ê㠇㊽ãÃÞããÀãè ØãðÖ ãä¶ã½ããå㠨ãÉ¥ã Ôã½ãîÖ ºããè½ãã ¾ããñ•ã¶ãã ½ãò Íãããä½ãÊã Öãñ¶ãñ ‡ãñŠ
ãäÊã¾ãñ ‚ã¹ã¶ãã ‚ã¹ããäÀÌã¦ãöããè¾ã ãäÌã‡ãŠÊ¹ã ªñ¦ãã / ªñ¦ããè Öîú. /
I hereby give my irrevocable option to join the BHEL Employees' Housing Loan Group
Insurance Scheme being launched by BHEL w.e.f. 1st January, 1993. I have read and understood the scheme and agree to abide by
its provisions.
.......................................
ãä¶ã¾ãâ¨ã¥ã ‚ããä£ã‡ãŠãÀãè ‡ãñŠ ÖÔ¦ããàãÀ / Signature of Controlling Officer
¶ãã½ã/ Name .................. ¹ãª¶ãã½ã/Designation ..................
..........................................
‡ãŠ½ãÃÞããÀãè ‡ãñŠ ÖÔ¦ããàãÀ / Signature of Employee
ã䪶ããâ‡ãŠ/ Date ..........
¹ãŠãñ¶ã ¶ãâ./ Phone No. ..........
½ãã¶ãÌã ÔãâÔãã£ã¶ã ãäÌã¼ããØã ½ãò „¹ã¾ããñØã ‡ãñŠ ãäÊã¾ãñ / For use in Human Resource Department
‚ããÌãñª¶ã ¹ã¨ã ã䪶ããâ‡ãŠ . . . . . . . . . ‡ãŠãñ ¹Çã㹦ã Öì‚ãã. / Application received on . . . . . . . . .
‡ãŠ½ãÃÞããÀãè ‡ãŠãñ ¾ããñ•ã¶ãã ‡ãñŠ ÔãªÔ¾ã ‡ãñŠ ¹㠽ãñâ ª•ãà ‡ãŠÀ¶ãñ ‡ãñŠ ¹ãîÌãà „¹ã¾ãìç㊠º¾ããõÀñ ‡ãŠãñ ‡ãŠã¾ãÃãÊã¾ã ãäÀ‡ãŠã¡Ã ‚ã©ãÌã㠇㊽ãÃÞããÀãè ´ãÀã ¹ÇãÔ¦ãì¦ã ÔãÖã¾ã‡ãŠ (Ôã¹ããñãä›ÃâØã)
ªÔ¦ããÌãñ•ããò ‡ãñŠ ´ãÀã Ô㦾ãããä¹ã¦ã ãä‡ãŠ¾ãã •ãã¦ãã Öõ.. / Verified the details given above from official records or the supporting documents furnished by
employee before enrolling the employee as Member of the Scheme.
Ôãâ./No. ............................
ã䪶ããâ‡ãŠ / Date ......................
..........................
½ãã. Ôãâ. ãäÌã¼ããØã ‡ãñŠ ‚ããä£ã‡ãŠãÀãè ‡ãñŠ ÖÔ¦ããàãÀ/Sign. of Officer of H.R. Deptt.
* ¹ããä¦ã/¹ã¦¶ããè ‡ãñŠ Ôãã©ã Ôãâ¾ãì‡ã‹¦ã ¨ãɥ㠇ãñŠ ½ãã½ãÊãñ ½ãò ‡ãñŠÌãÊ㠇㊽ãÃÞããÀãè ‡ãŠã ãäÖÔÔãã ªÍããÆâ /
In case of a Joint Loan with Spouse only the share of employee to be furnished.
** ã䪶ããâ‡ãŠ 1.1.93 Ôãñ ¹ãÖÊãñ ÔÌããè‡ãðŠ¦ã ØãðÖ ãä¶ã½ããå㠨ãÉ¥ã / º¾ãã•ã ÔãÖã¾ã¦ãã ÔÌããè‡ãðŠãä¦ã ÌããÊãñ ‡ãŠ½ãÃÞãããäÀ¾ããò ‡ãñŠ ½ãã½ãÊãñ ½ãò ÊããØãî./
Applicable only in case of employees sanctioned HBA / Interet Subsidy before 1.1.93.
NB: ‡ãŠ½ãÃÞãããäÀ¾ããò ‡ãŠãñ „¶ã‡ãñŠ ÔÌã¾ãâ ‡ãñŠ ãä֦㠽ãò ƒÔã ¾ããñ•ã¶ãã ½ãò ¨ãɥ㠇ãŠãè ¹ãÖÊããè ãä‡ãŠÔ¦ã ¹Çããã书ã Öãñ¶ãñ ‡ãŠãè ã䪶ããâ‡ãŠ Ôãñ ¾ããñ•ã¶ãã ½ãò Íãããä½ãÊã Öãñ¶ãñ ‡ãŠãè ÔãÊããÖ ªãè •ãã¦ããè Öõ
Employees in their own interest are advised to join the scheme from the date of disbursement of first instalment of the loan.