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,
CENTRAL GOVERNMENT, TELECOM, RAILWAYS AND INFORMATION TECHNOLOGY
EMPLOYEES HOUSE BUILDING CO-OPERATIVE SOCIETY LIMITED
Office Address : # 4/5, 2nd Floor, Thimmaiah Garden, H D Devegowda
Regn No.: HSG-1/158/HHS/46503/2014-15 Petrol Bunk Road, R.T. Nagar, Bangalore - 560 032. www.cgtrithousingsociety.org
Pohne : 080-2333 1234

APPLICATION FOR PURCHASE OF SITE

To,
The President,
Central Government, telecom, Railways and Information technology SI.No.
Employees House Building Co-operative Society Limited
Date

Sir, Rec. No.

I wish to apply for a site measuring....................x...............in.............................
Mem./AM/No.
Layout being formed by
CGTRIT Employees House Building Co-operative Society Ltd. Seniority No.
1. Name of the Applicant (In Block Letters)
2. Date of Birth and Age
3. Father’s / Husband’s Name
4. Permanent Address in Karnataka or other
(Enclose Address Proof) with contact no)

5. Contact Details Mobile No :

Tel No :
Email ID :
Alternate No :

6. Address for correspondence (if different from

columm number 4)

7. Whether the applicant belongs to SC/ST

(if Yes, Enclose the latast caste certificate issued
by competent authority)

8. Employment particulars :
(Employer and address)

9. PAN :

10. Details of Family Member’s Relationship

1. ......................................................................... .......................................................................................

2. ......................................................................... .......................................................................................

3. ......................................................................... .......................................................................................

4. ......................................................................... .......................................................................................

5. ......................................................................... .......................................................................................

11. Payments details of Cheque / D.D. (Cash not accepted)

Cheque / D.D. No......................................................Dated...........................Bank................................................

Amount........................
 Particulars of Nominee
Name :..........................................................................Age :.............Relationship :....................................................

Address :......................................................................................................................................................................
TERMS & CONDITIONS
1. I agree to abide by the conditions of allotment of site and refund of site deposit as prescribed by the CENTRAL
GOVERNMENT, TELECOM, RAILWAYS AND INFORMATION TECHNOLOGY EMPLOYEES HOUSE BUILDING
CO-OPERATIVE SOCIETY LIMITED
2. I here declare that, I or any of my family members do not own residential site or building in Karnataka
agglomeration area. I am not a member of any other co- operative Housing Society.
3. I here by declare that all the above information furnished by me is true to the best of my knowledge. I shall furnish
any other information that may be required with regard to allotment of site.
4. If such other information required are not furnished by me with time, it will be the discretion of the CENTRAL
GOVERNMENT, TELECOM, RAILWAYS AND INFORMATION TECHNOLOGY EMPLOYEES HOUSE BUILDING
CO-OPERATIVE SOCIETY LIMITED to reject my application for consideration for allotment of site.
5. In case it is found that the information and declaration furnished by me is found to be false at any time, the society
shall have the right to cancel the allotment made to me and I fully understand that even at a future date. I cannot
have any claim.
6. My application for allotment of site in the society is subject to approval of Membership / Associate Membership by
the society and clearance of land, by BDA/BMRDA/DTCPA/BIAPPA and other competent authority subject to the
availability of site.
7. Installment of site deposit shall be payable by the member as and when demanded by the society, if any belated
remittence shall be charged @ 15% P.A. as interest.
8. Part payment for site deposits shall not be accepted.
9. I fully agree upon the above conditions and it is binding on me.
Date :
Place : Signature of the Applicant
N.B.: While every effort will be made to allot the site as per the request of the member, due to limited number of sites
available, it may not be possible to aced to the exact requirement of the member.
INTRODUCED BY
Name :

Address : Signature of the Introducer

____________________________________________________________________________________________
FOR THE USE OF THE SOCIETY
1. Date of receipt of application :........................................................
2. Amount received : Rs. ...........................Receipt No......................................Date :.................................

__________________ ________________ ___________

Authorised Director Vice President President

DECISION OF THE BOARD

Accepted the site deposit in the Board Meeting held on.................................................................Meeting Book Page
No. ...................................for allotment of residential site in society’s future /present Layout in accordance with the
Bye-Laws. Subsidiary Rules, Policy decision taken by the Board / General Body from time to time and Rules, Acts
and policies of Government of Karnataka on the member.

Dated :

Bangalore
_________________ __________________ _______________
Authorised Director Vice President President

Required Documents : 1) Photo Address Proof

 PÉÃAzÀæ ¸ÀPÁðgÀ, zÀÆgÀ¸ÀA¥ÀPÀð, gÉʯÉé ªÀÄvÀÄÛ ªÀiÁ»w vÀAvÀæeÁÕ£À £ËPÀgÀgÀ UÀȺÀ ¤ªÀiÁðt ¸ÀºÀPÁgÀ ¸ÀAWÀ ¤.,
CENTRAL GOVERNMENT, TELECOM, RAILWAYS AND INFORMATION TECHNOLOGY
EMPLOYEES HOUSE BUILDING CO-OPERATIVE SOCIETY LIMITED
Office Address : # 4/5, 2nd Floor, Thimmaiah Garden, H D Devegowda
Regn No.: HSG-1/158/HHS/46503/2014-15 Petrol Bunk Road, R.T. Nagar, Bangalore - 560 032.
www.cgtrithousingsociety.org
Pohne : 080-2333 1234 Affix Your
PP/SS OF
Latest
SI.No. Photograph
(Enclose 3 Photos)
Mem. No.

APPLICATION FOR MEMBERSHIP

1. Name of the Applicant (In Block Letters)
2. Date of Birth and Age
3. Father’s / Husband’s Name
4. Permanent Address in Karnataka
(Enclose Address Proof)

5. Address for Correspondence (if different from

mentioned above)

6. Profession in case of employees, give full

Address of the Office ( Copy of Identity Card)

7. Whether the applicant belongs to SC/ST

8. Whether Applicant is a member of any other Co-op.

Hsg. Society? If so, give details

9. Nominee Particulars Name :

Age : Relationship
Address :

10. No. of shares required (Minimum of 1) PAN :

11. Remarks, If any

12. Amount paid along with the membership

application (Cash not accepted) 1. Admission Fee Rs. Ps
Cheque/DD to be drawn in favour of
Central Government, Telecom, Railways and 2. Share Amount 200 00
Information Technology Employees House
Building Co-operative Society Limited.” 3. Share Fee@ Rs. 100/Share 2000 00
Cheque / DD No.:
4. Application 200 00
Date :
Total 2600 00
Bank :

Phone No. (R).....................................................................(O)....................................................................................

Mobile :...............................................................................Email :..............................................................................

 Particulars of Nominee
Name :..........................................................................Age :.............Relationship :....................................................

Address :......................................................................................................................................................................

TERMS & CONDITIONS

1. Members shall be governed by the Bye-Law of society, rules and regulations framed by the Board from time to
time.
2. The Board may reject any application without assigning any reason.
3. In case the applicant belongs to SC/ST, a latest caste certificates issued from a competent authority has to be
enclosed.
4. Membership of the society shall not confirm entitlement for allotment of site. Such allotment shall be supported
by separate site application, site deposit as fixed by the society.
5. Member shall visit the society periodically and update the addresses & telephone Nos. Non-receipt of
communication shall not be considered as a valid reason.

DECLARATION
I wish To Become A Member of The Central Government, Telecom, Railways And Information Technology
Employees House Building Co-operative Society Limited. I Have Read The Above Conditions And I Hereby
Irrevocably Undertake To Abide By These Conditions. The Bye-laws of The Society And The Decisions Taken By
The Board From Time To Time. Which Shall Be Final And Binding On Me.

I Declare That The Particulars Furnished By Me Are Correct And True To The Best Of My Knowledge.

Date

Place
Signature of the Applicant
__________________________________________________________________________________________
INTRODUCTED BY
Name :

Signature of the Introducer

__________________________________________________________________________________________

FOR THE USE OF THE SOCIETY

1. Date of receipt of application :......................................................................

2. Amount received : Rs. ................................Receipt No...........................................Date : ....................................