A Lease No:

APPLICATION cum UNDERTAKING LETTER FOR RESIDENTIAL ACCOMMODATION ON BANK LEASE

(for Officers)
1. Name of Officer

2. SRNO:

3.Designation

4.Branch/ Department

5.Date of Joining the Bank:

6.Date of Joining the Branch/Department

7.Date of Retirement

1.Fresh Lease or Renewal of lease

2. Particulars of present accommodation of

the Officer.

3. Name and Address of the premises owner

offering the lease (with phone/cell Number)

4. Address and Location of the premises (Flat

/ House) proposed to be occupied on
Lease.
5. Area of the House /Flat ___________ SQ Mt.

6.Lease period FROM____________ TO ____________

Eligible Rent advance: Rs:________________

7.Total Rent Advance claimed
by land lord Rs: Yes
Rent Advance required
No
(tick appropriate box)
Eligible from Bank Rs:_____________
8.Rent per month: Rs:______________
Payable by Officer Rs:_____________

I hereby declare that I do not own House/Flat in my name or in my spouse name or in my dependent
childrens name or as Karta of HUF property at this present place of my posting where the leased
accommodation required for me.
I furnish overleaf the particulars of living area of the leased accommodation proposed by me at the above
address
I declare that I have vacated the Bank Quarters / Leased accommodation provided to me in my previous
place of posting and rent advance given to me has been adjusted /refunded by me.
The excess rent over and above my eligibility and the standard rent may please be recovered from my
salary.
I undertake to vacate the above premises under the present lease to be sanctioned without any financial
loss to the Bank and on termination of the lease, the balance in rent advance if any, not refunded by the
land lord to the Bank shall be recovered and adjusted from my Savings Bank account/Salary payable to
me or from my Terminal benefits.

Signature of the Officer forwarded to ZO (HRM) / CO: HRM Dept.for sanction

Date:_________________

BRANCH MANAGER / C M / A.G.M.

A Lease No:

Calculation of Living Area / Standard Rent

Total floor area of the accommodation (area i n sq. mt. ) (10.76 sq. ft. i s equal t o one sq. mt.)

S.No. Details of rooms etc., Floor Area % Living Area

A. Main Building
I . 1. Rooms 1. 100
2. "
3. "
2. Kitchen 1. "
3. Bath 1. "
2. "
4. Latrine 1. "
2. "
5. Enclosed Verandah 1. "
2. "
6. Others
II.1. Verandah 1. 25
2. Corridor 1. "
3. Barsati 1. "
III. Porch 1. 12
IV. Court yard pucca 1. 5
B. Out House
1. Rooms 1. 25
2. Verandah 1. 12
Total

Signature of the Officer: Date:

Name :
.
Standard Rent Table (with effect from 01.12.2005)
Living Up 51 61 76 91 106 121 151 181 226 301 401
Area in To to to to to to to to to to to to
Sq. mt. 50 60 75 90 105 120 150 180 225 300 400 500
Licence
Fee P.M Rs. 183 241 279 387 520 632 773 924 1087 1557 1924 2290

Rent recovery for office Quarters/ Leased accommodation to Officers

-
SlNo. Scale of the officer First stage of 1.20% of
Basic Pay Basic pay
1 Scale I Rs. 14500/- Rs. 174
2 Scale I I Rs. 19400/- Rs. 233
3 Scale I I I Rs. 25700/- Rs. 309
4 Scale IV Rs. 30600/- Rs. 368
5 Scale V Rs. 36200/- Rs. 435
6 Scale VI Rs. 42000/- Rs. 504
7 Scale VII Rs. 46800/- Rs. 562
A Lease No:

(Land Lords account details)

LEASE: Date :

To

Branch Manager / Chief Manager

Indian Bank
_____________

Dear Sir,

SUB: Use of electronic Payment e-governance

In order to comply with Government guidelines/directives and to ensure moving towards

paperless transactions, I submit the following details of my landlord for the purpose of
remitting the rent amount every month.

Name of the Officer

SR No.
Department
SB Account No of the officer
Name of the Land Lord
Land Lords Account No
Nature of the Account SB / CURRENT
Branch Name
IFSC Code of the Branch
Address

Yours faithfully,

Signature of the officer

A Lease No:
(Offer letter from Land Lord)

From DATE :
______________________________________
______________________________________
______________________________________
To
Indian Bank,
_______________________________

Dear Sir,

Sub : Offer to give on lease the ground floor / first floor or my premises Bearing No. ________
situated at _____________________________________________________consisting ________________________________
and having an approximate plinth area of about . . . . . sq. ft. and carpet area of about . Sq.Ft
for the residential accommodation of Mr/Ms _____________________________ Officer of your Bank.
-o0o-
I/We offer to you to give on lease the ground floor of my / our premises and my / our terms and
conditions are as follows :
1) Rent Rs. per month with effect from or from the date of handing over
possession of the premises payable within the 5th day of the succeeding month.
2) During the years from to or from the date of handing over the
possession of the premises you are at liberty to vacate the premises at any time during
pendency of lease by giving one month's notice in writing without paying any compensation
for earlier termination.
3) All existing and enhanced municipal taxes, rates and cesses will be paid by us/me. Only
actual charges for consumption of electricity and water shall be paid by you. I undertake to
provide separate meters for this purpose.
4) All repairs including annual / periodical white washing and annual / periodical painting
will be got done by me/us at my/our cost. In case, the repairs and/or white / colour
washing is/are not done by me us as agreed now, you will be at liberty to carry out such
repairs/white/colour washing etc., and deduct all such expenses from the rent payable to
me/us.
5) You are at liberty to remove at the time of vacating the premises, all electrical fittings and
fixtures, counters, safes, safe deposit lockers, cabinets, strong room door, partition and other
furniture put up by you.
6) You have to give me a sum of Rs. being the advance rent deposit for months
which will be refunded to you at the time of vacating the premises or you are at liberty to
adjust the amount from the last one or two month/s rent payable to me/us by you before
you vacate.
7) If my offer is acceptable, I/we will give you possession of the above premises on

8) If you require, I/we undertake to execute a regular lease deed in your favour containing the
above terms of lease at an early date.
9) Further, I declare that the house is constructed in the year and does not come under
the purview of Rent Controller Act, documentary evidence enclosed.
Yours faithfully,

Signature of the House Owner

A Lease No:
(For termination of lease)

From Date:

.. (Officers Name)

To

Indian Bank

Zonal office________________/ CORPORATE OFFICE (HRM DEPT)

Dear Sir,

Sub: Request for Termination of lease.

---------

Please terminate the lease sanctioned to me, the details are given below:

Name of the Officer

SRNO
Designation
Branch / Office
Lease Sanction Ref No:
Years Months
Lease Period
From To
Rent Per Month Rs:
Lease to be Terminated w.e.f
Reason for Termination.
Rent to be paid up to ( Date/Month)
Rent Advance Paid by Bank

Mode of Recovery /Adjustment of Rent Advance Pending

Remarks

The copy of the lease sanctioned is enclosed.

Yours faithfully,

Signature of the Officer

---------------------------------------------------------------------------------------------------------------------------
for Office Use at ZO (HRM) / CO:HRM,