Almeraj Real Estate Pvt.Ltd. CIN No. : U 70102 UP 2014 PTC 066166

Project Name: Date:

1. Name (Capital Letter)……………………………………………………………………………………………………

2. W/O,S/O,D/O ………………………………………………………………………………………........................

3. Profession: …………………………………………………………………………………………….

4. Permanent Adress : Vill/House no:………………………….P O………………………………………….

P.S:………………………………Dist:………………………………………………...

Phone(office):…………………………………..(Res):…………………………..

5. Present Adress: ……………………………………………………………………………………………

……………………………………………………………………………………………

Mobile:………………………….E-mail:………………………………………….

6. Nominee: Name:………………………………………………………………………………….

W/O, S/O, D/O:…………………………………………………………………....

Adress:………………………………………………………………………………..

Relation:……………………..Signature…………………………………………

7. Nationality: ……………………………………………………………….Age:……………………

8. Refrence …………………………………………………………………………………………..

PLOT BOOKING FORM

Please fill in the block letters

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9 Description of applied plot:……………………………………………………………………………………………………………

Block: Plot No: Project Location:

Plot Size: Mode of payment one time: Number of installment:

10 Please give details of your payment.

Cash/Cheque/PO/DD No: Date:

Account No: Bank:

Branch:

I/We hereby declare that the above mentioned information and discription are true to the best of my/our knowladge. i/we further declare that i/we have not concealed anything nor i/wehave given any wrong information . i/we have gone through the terms and conditions and with all the clauses of project plan and understood the conditions of allotment system and also i/we have know about the registration process of the transfer deed. i/we hereby also declare that i/we will bear all the registration fees for my/our allotted plot/plots and after getting registration, i/we shall bear the stamp duty, VAT,TAX, utilities and all other fees payable to the govt. or other local bodies.

I am/we are in good health, stable in mind. I am/we are not influenced/forced by anyone.

Signature of the applicant (s)

Date:…………………………………..

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FOR OFFICE USE ONLY

Application Receiving Date: Client ID:

Name of project:

Road No: Block No: Plot size:

Rate per Sq.ft: Total fixed price:

Booking amount: Down payment:

Allotment /file NO: One Time: Installment:

………………………………….. …………………………….. …… …………………………………………

DECLARATIO

Accountant Director Managing Director