Application Against the Notification
Instructions For Filling Application
Name of Applicant
*
Father's Name
*
Husband's/Wife's Name
Pan No.
UID (Adhaar Id)
*
*
Permanent Address
*
*
If Same,
Postal Address
Mobile No
*
*
?
Email Id
?
Gender
MALE
FEMALE
OTHER
Marital Status
MARRIED
SINGLE
D.O.B.
*
*
?
Age
Scheme Name
*
Category
Approx. Cost of Flats/Plot (Rs.)
*
Registration Charges (Rs.)
Form Charges (Rs.)
Block
Bank Account Details of Applicant
Bank Account No
*
*
?
Account Type
CURRENT
SAVING
Bank Name
*
---Select---
PNB
*
Branch
*
*
IFSC Code
*
*
PAYMENT IN INSTALLMENT
DOWN PAYMENT OF TOTAL COST
REGISTRATION THROUGH BANK
Please tick for reseverd category & enclose the proof
S.C.
S.T.
O.B.C.
GENERAL
Note *
If You have ticked any category , Uploading of proof is mandatory .
Please tick for reseverd category & enclose the proof
M.P/M.L.A
GOVT. EMPLOYEE(Above 50 yrs)
LOCAL BODY EMPLOYEE
EX-ARMYMAN & THEIR DEPENDANT
DIFFERENTLY ABLED
SENIOR CITIZEN
Note *
If You have ticked any category , Uploading of proof is mandatory .
Upload Photo
*
Please Upload Photo*
Upload Sign
Upload Thumb Impression