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Application form
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JANTA LAND PROMOTERS LIMITED
JLPL REGENCY HEIGHTS
Head Office : SCO : 522-524, Sector -70, Mohali Phone : 0172-5094904, 2270284, 6544992-93 Telefax : 5094905
Application Form No :
Name of Applicant :
Father/Husband/Guardian's Name
Date of Birth
   
Residential Status: Resident
Non Resident Indian
Correspondence Address
City
Pin Code
Telephone No.
Moblie
Email
Permanent Account Number
Co-Application (1) (if any)
Name of Applicant
Father/Husband/Guardian's Name
Date of Birth
   
Residential Status: Resident
Non Resident Indian
Permanent Address Number
Co-Applicant (2) (if any)
Name of Applicant
Father/Husband/Guardian's Name
Date of Birth
   
Residential Status: Resident
Non Resident Indian
Permanent Account Number
Applicant in case of firm
M/s a partnership firm, duly registered under the Indian Partnership Act, through its partner , duly

authorized by the remaining partners vide Address

City State Pin

Country Telephone : Residence
Office Mobile Fax Email

Income Tax permanent Account No (Photocopy enclosed) Ward/Circle/Special range and place where assessed to Income Tax Business
Applicant in case of Company

M/s a Company duly incorporated under the

Companies Act, 1956, through its Director ,duly

authorized vide Board Resolution dated Resolution

dated Registered Office Address

City State

Pin Country

Telephone: Residence Office

Mobile Fax

Email Income Tax

permanent Account No (Photocopy enclosed)

Ward/Circle/Special range and place where assessed to Income Tax

Business

Nomination
Nominee's Name & Address Nominee's Date of Birth Nominee's Relationship
Scheme of apartments / flats
A Housing Scheme has been planned for developing Residential Apartments (basement + 13 storeys) varying between (01) to (013)
consisting of 3 bedrooms, drawing dining and Super Area of the flat shall be of 1900 sq. ft. approximately, which may vary during the course
of construction.
Payment Plan:Down Payment Time Linked (Rs. 3.00 lacs. + seven quarterly installments without interes
Down Payment Rebate: 5% (on balance amount except booking of Rs.3.00 lacs.)
Car Parking: Compulsory One

Additional car parking (if required)

Yes/No Amount paid for booking:

(earnest money)
Verification / Declaration :
I/We hereby solemnly affirm & declare that information furnished above is true and correct to the best of my knowledge and nothing has been concealed and further declare that I / We have thoroughly read the scheme and terms & conditions of allotment of apartment / flat received alongwith application form and have signed the same and will abide by in its true spirits.
Signature of the Applicant (s)
Received with thanks an application form from Mr./Ms for the allotment of flat in JLPL Regency Heights, Sector 90-91, Mohali alongwth earnest money bearing D/D No dated for Rs

of Bank Rs.

for Janta Land Promoters Ld.
Copyright 2007. Janta Land Promoters Ltd. All Rights Reserved.
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