Form 2 ( Page 1)

FORM-2
Form of report/application for permission to the pre scribed authority for the
building of or addition to a house
(Under Rule 21 of BSNL Conduct, Discipline and Appeal Rules, 2006)

Date…………………
To,
__________________________________
__________________________________
__________________________________
Sir,
Permission may be granted to me for the building of a house/the addition to the house.
The estimated cost of the land and materials for the construction extension is given below: -
(1)
Land:
(a) Location—
(i) Survey number:
(ii) Village :
(iii) District :
(iv) State:
(b) Area :
(c) Cost :
(d) Whether previous sanction obtained in
acquiring the land as per rule 21.
(Please enclose copy of such sanction):
(2)
Estimated Construction Cost:
(a) Civil works:
(b) Electrical works:
(c) Any other special fittings:
(d) Other costs with details etc:
(e) Total cost of constructions:
The construction will be supervised by myself/ will be done by
*…………………………………