Applicants Name *

Fathers Name *

Date of Birth*

Mobile.1 *

Mobile No 2 (Should not be same as Mobile 1) *

Email

Permanent Address *

Correspondence Address *

Adhaar Card No. *

PAN Card No. *

Nominee Name *

Relation With Nominee *


Plot Size *
Select Size100 Sq. yards150 Sq. yards200 Sq. yards

Payment Mode *
Select ModeSelf FundingLoan Mode(Plot+Construction)

Payment Plan *
Select PlanPayment Plan. 1Payment Plan. 2Payment Plan. 3

Category *
Select CategoryOpen /GeneralGovt. / Semi Govt.Defence /Paramilitary forcesDoctorsSport PersonsNRIsFemaleEWSSpecified disabled

Bank Account Holders Name *


Bank Account Number *


Branch IFSC Code *


I hereby acknowledge that I have read, understand and agree to the terms and conditions.