Fill the form. The printout is formatted as Annexure H-1.

Annexure H-1

INDIAN RAILWAY WELFARE ORGANISATION

Application for Participation / Withdrawal (*) in Demand Survey of IRWO Housing Scheme

Participation Withdrawal

Scheme & Membership Details

1) Name of Housing Scheme:

2) Primary Membership No.:

3) Year of Membership:

4) Type of Dwelling Unit:

Applicant Details

5) Full Name of Applicant:

6) Father’s Name:

7) Designation:

8) Name of Office where working:

9) Correspondence Address:

10) Email Id:

11) Telephone No.:

12) Mobile No.:

Commitment Money / Payment Details

13) Commitment Money Rs.:

14) DD/CH/UTR No.:

15) Payment Date:

16) Bank Name & Branch:

17) Enclosures: (Select one or more documents)

Payment Receipt No. Aadhar Card PAN Card

I have consulted IRWO General Rules available on IRWO website (http://www.irwo.net) before applying/withdrawing.

Date:

Signature
Full Name of Applicant:

To,

Managing Director,
Indian Railway Welfare Organization,
Railway Office Complex, Shivaji (Minto) Bridge,
Behind Shanker Market, New Delhi-110001

Address:

Annexure H-1

INDIAN RAILWAY WELFARE ORGANISATION

Application for Participation / Withdrawal (*) in Demand Survey of IRWO Housing Scheme

Application Type:

1) Name of Housing Scheme:

2) Primary Membership No.:

3) Year of Membership:

4) Type of Dwelling Unit:

5) Full Name of Applicant:

6) Father’s Name:

7) Designation:

8) Name of Office where working:

9) Correspondence Address:

10) Email Id:

11) Telephone No.:

12) Mobile No.:

13) Commitment Money Rs.:

14) DD/CH/UTR No.:

15) Payment Date:

16) Bank Name & Branch:

17) Enclosures:

Demand Draft to be drawn in favor of IRWO payable at Delhi.

Please indicate Name, Mobile No. and Primary Membership No. (if any) on the back of Demand Draft.

I have consulted IRWO General Rules available on IRWO website (http://www.irwo.net) before applying/withdrawing.

Date:

Signature
Full Name of Applicant:

*Please fill in this form carefully and submit the duly completed form to the address mentioned below for further processing. Before submission, kindly ensure that all the required details have been correctly filled in and the necessary supporting documents, wherever applicable, are enclosed with the form.

To,
Managing Director,
Indian Railway Welfare Organization,
Railway Office Complex, Shivaji (Minto) Bridge,
Behind Shanker Market, New Delhi-110001

From,
Address:

* For withdrawal from the Demand Survey, bank details and a cancelled cheque also be furnished along with the above application form for processing the online transfer of the amount to the applicant.