Why This Form Is Important

• It creates a sworn record of which CPWD quarter was allotted to the deponent and on what date, establishing an official link between the person and the property for allotment and occupancy purposes.
• By stating that no Electricity and Water connection was taken and declaring a specific surrender date, it gives CPWD a documented basis for closing out the allotment and reclaiming the quarter.
• The deponent's consent to have any outstanding Electricity or Water dues deducted from salary protects the department financially, since it creates an enforceable, self-acknowledged mechanism for recovering unpaid charges "if found otherwise."
• The Verification clause, with a specific date, place, and the deponent's signature, turns the statement into a formal sworn declaration rather than an informal note, giving it legal standing and making false statements in it consequential for the signer.