Annexure-B2
INDIAN RAILWAY WELFARE ORGANISATION
Railway Group Housing Scheme
Application Form for booking of Dwelling Unit
By Blood Relations of IRWO Members
RAIL VIHAR…………………………..
To,
Managing Director/IRWO Scheme Registration No. _______________
Railway Complex, Shivaji Bridge, (To be filled up by IRWO office)
Behind Shankar Market, New Delhi-110001
1. Name o IRWO Member_________________________________
2. Membership No of IRWO member
3. Year of joining of IRWO Member
4. Full Name
5. Father’s / Husband’s Name:
6. Relation with IRWO Member.________________________________________
7. Date of Birth
D D M M Y Y Y Y
8. Aadhar Number
9. PAN Number
10. Email Address
11. Phone Number: Residence _____________________ Office _________________________
Mobile____________________________________________
12. Correspondence Address
PIN
13. Permanent Address:
PIN
14. Details of Co-Applicant’s (Only Spouse can be co-applicant)
(i). Co-applicant’s Name & relationship __________________________________________
(ii). Co-applicant’s Aadhar No………………………………………………………………..……………………………
(iii). Co-applicant’s PAN Number……………………………………………………..……………………………………
15. Type of dwelling unit required: ______ _______________________________________
16. Booking Money Payable __________________________________________________
17. Membership Fee (only for IRWO Non-member)_________________________________
18. Net Amount payable (Sl. No 16+17) ________________________________________
19. Bank Draft /Banker’s Cheque No & Date________________________
20. Name of the Bank & Branch ________________________________________________
We hereby declare that the particulars given in the application form are correct and we have
not willfully suppressed any material information. We understand that we will be disqualified from
Booking / Allotment of dwelling unit, if at any time any of the said particulars are found to be
incorrect.
We also undertake to abide by all rules and instructions that may be issued from time to
time by Indian Railway welfare Organisation (IRWO). We have read the information in this Brochure,
IRWO General Rules and fully understood the contents.
Signature of Co- Applicant_________________ Signature of Applicant_________________
Place____________
Date____________
Countersigned by IRWO Member
Quoting Membership No.
Annexure-B2
Indian Railway Welfare Organisation
(To be submitted along with Application form for booking)
(For Blood Relations of IRWO Members)
Full Name of Applicant
(Blood Relation)_____________________________
Membership No of specific scheme
__________________________________________
Details of Family Members including dependents (as per pass rules of Railway):
S.No.
Name
Male/Fe
male
Age
Relationship
SELF
Signature of Applicant
Signature of Co-Applicant
Counter Signature of IRWO Member
Note: Photograph of self and spouse/co-applicant affixed are to attested by IRWO Member.
Photograph
Applicant
Photograph
Co-applicant
INSTRUCTIONS
1. Application Form must be filled in block letters in English and signed by the
Applicant.
2. All Drafts or Banker’s Cheques accompanying the application should be crossed “A/c
Payee” only, drawn in favour of IRWO, payable at New Delhi. No cash or cheque will
be accepted.
3. Application Form along with Demand Draft should be sent to the Managing Director,
IRWO, Railway Office Complex, Shivaji Bridge (Behind Shankar Market), New Delhi-
110001 by registered post or delivered in person.
4 The IRWO member forwarding / countersigning the application must enter his/her
Membership No. in the Application form. The applicant should also quote the
Scheme Registration No. of the scheme, once allotted to him, in all future
correspondence.
5 Applicants should also enclose membership application form for the specific
scheme in Annexure ‘A-2’.
6 Applicants must submit self attested copy each of PAN Card & Aadhar Card.
7 Any change in mailing address should be immediately intimated to IRWO office.
8. Incomplete /invalid /illegible applications are likely to be rejected. No correspondence
in this regard shall be entertained.
9. Applicant must give a ‘Permanent Address’ at which they may be contacted even
after transfer or retirement.
10. IRWO General Rules (available at IRWO website: http://www.irwo.net) may be
consulted for IRWO rules.
Annexure-B2
RAIL VIHAR…………………………..
(For office use only) ACKNOWLEDGEMENT
Received from ……………………………………Membership Number …………………………………………………………
Address…………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………… Application Form for Booking of
DU in ____________________Group Housing Scheme along with Booking Money and membership
fee (for Non-IRWO members) of Rs ……………………………… vide Bank Draft/Cheque No …………………….
Dated …………………….Drawn on Bank ………………………………………………. Branch ………………………..
for Indian Railway Welfare Organization
(Acknowledgement portion to be detached and sent to the applicant. No separate letter / receipt
will be sent in confirmation of receipt of Booking Application.)
From: To:
Indian Railway Welfare Organization, ----------------------------------------------------
Railway Office Complex, ----------------------------------------------------
Shivaji Bridge (Behind Shankar Market), ----------------------------------------------------
New Delhi – 110001. -----------------------------------------------------
(In the printed version, this portion is to be printed on the reverse of ‘Acknowledgement’)
