Kilinochchi District Secretariat

Application Type

A. Details of the officer

Name of the officer *

N.I.C Number *

Date of Birth *

Gender *

Designation *

Department *

Service

Grade

Category *

Permanent Address

Address *

GN Division *

Temporary Address

Address

GN Division

Monthly salary excluding allowances

Increment Date *

Date of duty assumption in Kilinochchi *

Contact Number *

+94

Distance (km) from your residence to the Kilinochchi Divisional Secretariat Office?*

Are you a field officer?

Yes No

B. Special reasons for requesting accommodation under priority

Are you an officer on transfer?

Yes No

Are you frequently called for night duty?

Yes No

Are there any other special reasons?

Yes No

C. Ownership of Property Within 5 km Radius

Does either the officer, spouse own house or properties in 5 km circumference from Kilinochchi town? If “Yes”, provide such details.

Yes No

B. Family Details

Civil Status *

Is your spouse a government employee?

Yes No

C. Details of Children

Do you have children?

Yes No

D. Ownership of Property

Does either the officer, spouse, or children below 18 years own any house or property? If “Yes”, please provide details.

Yes No

E. Residence in Government Quarters

Have you resided in government quarters? If “Yes”, please indicate the duration of residence.

Yes No

Attestation

Declaration & Acceptance I hereby declare that all the information furnished by me are correct and true, and I shall notify immediately to Govt. Agent/ Kilinochchi, if there is any changes in the above particulars, and am aware of disciplinary action against me for making false information, and shall abide by the conditions stipulated here, if occupied the quarters, and Govt. Agent reserves the rights to vacate from the accommodation in case of any breech of these conditions, and immediately vacate from the accommodation in such instances.

Kilinochchi District Secretariat

Request for Quarters

Application Type

Summary Quarters

Family Quarters

A. Details of the officer

Permanent Address

Temporary Address

B. Special reasons for requesting accommodation under priority

C. Ownership of Property Within 5 km Radius

B. Family Details

C. Details of Children

Child

D. Ownership of Property

E. Residence in Government Quarters

Attestation