Form of register to be maintained in the office or Designat,,ct Officer

(See rule 17) Name of the office cf the designated officer. Month Year S. No. Name and address c,f applicant (1) Service for which the application is given (2) Date of application (3) Last date of the stipulated time limit (4) Date of providing service (5) Application allowed/ dis-aUowed (6) Date and details of the order passed by Competent Officer (7)