Professional Documents
Culture Documents
Application Number
1160036138
1160036138
Lottery Name
Scheme Code
Category Code
: GP-GENERAL PUBLIC
Income Group
Application Date
: 2016-07-06 16:00:59.279
Applicant Name
Applicant DOB
: 14/06/1986
Pan No.
: APXPB0630D
Contact Details
**Signature of applicant
Mobile No
: 9920202655
Residence Tel No
: shreyas20002@me.com
Office Tel No
Address
: RUSTOMJEE ELANZA, ROOM NO .3203, A- WING, NEAR INORBIT MALL, MALAD WEST, MALAD,P/NORTH WARD,MUMBAI
(SUBURBAN),MAHARASHTRA,INDIA,400064
Bank Details
Bank Acc No.
: 1221011504676
MICR code
: 400229138
IFSC code
: ICIC0001221
Bank
Branch
Amount
50300
I hereby declare that the information given by me in this application form is true and correct.I acknowledge that if the information is noticed to be
false,it would result in cancellation of my application,cancellation of allotment of tenement if any, made in my favour,and liable for legal action
for making a false declaration.
I agree to abide the provisions of the Maharashtra Housing & Area Development Act.1976 and the Maharashtra Housing and Area
Development(Estate Management, Sale, Transfer and Exchange of Tenements) Regulation 1981,and Maharashtra Housing & Area
Development (Disposal of land) Rules-1981 as amended from time to time and shall execute all such agreements and instruments inrelation to
tenements/plot which may require me to do so.
That I will produce to the department within prescribed time limit the requisite prescribed documents e.g. Certificate of age/Certificate of
income/affidavit, Domicile Certificate of Stay in Maharashtra state, Certificate of Caste or other reserved categories and such other documents
as may be found necessary from the appropriate Competent Authority as and when called for to do so, for determination of my eligibility.
Place :
Signature of applicant :
Date :
Name of applicant :
For DD Only
Application Details
1160036138
Application Number
MHADA Copy
:
1160036138
Scheme Code
Category Code
: GP-GENERAL PUBLIC
Application Date
: 2016-07-06 16:00:59.279
Applicant Name
Income Group
Pan No.
: APXPB0630D
DD Date
DD Number
Drawn On
DD Amount
: 50300
I hereby declare and accept the terms and condition of payments.
Applicant Signature
Application Details
1160036138
Applicant Copy
Application Number
1160036138
Scheme Code
Category Code
: GP-GENERAL PUBLIC
Application Date
: 2016-07-06 16:00:59.279
Applicant Name
Pan No.
DD Number
DD Amount
APXPB0630D
Income Group
DD Date
Drawn On
50300
I hereby declare and accept the terms and condition of payments.
Applicant Signature