Application Details

Application Number
7000021867
7000021867
Lottery Name
:
MUMBAI MHADA L!!"#$ 201% & M1% '
(c)eme *o+e
:
,07-.LH".AL$AN/ (AN!A*#U0
*ate1ory *o+e
:
(*-(*H"DUL"D *A(!"
Income 2roup
: HI2-HI2H IN*M" 2#U3
Application Date
:
201%-04-1, 14:,6:,%5672
Applicant Name
:
M# A#3I! 7A(U 2A8BHI$"
Applicant DB
:
2%90191660
3an No5
: AN8326266B
Contact Details ::(i1nature o; applicant
Mobile No
: 686022278%
#e<i+ence !el No
:
"mail
:
arpit=r1+>ya)oo5com ;;ice !el No
: 0712-2461140-
A++re<<
:
3L! N 11/ ?(A.(HI? N"A# HALBA (AMA8 HALL (7AB@LMBI NA2A#/NA23U#/NA23U#
&U#BAN'/NA23U#/MAHA#A(H!#A/INDIA
Bank Details Payment Details
BanA Acc No5
: 40820101100006,
DD Number :
MI*# co+e
: 0
DD Date :
IB(* co+e : @I8B0004082 DD Amount : 74200
BanA : @I8A$A BAN. DraCn n :
Branc) : MHAN NA2A#/ NA23U#
I )ereby +eclare t)at t)e in;ormation 1iDen by me in t)i< application ;orm i< true an+ correct5I acAnoCle+1e t)at i; t)e in;ormation i< notice+ to be
;al<e/it Coul+ re<ult in cancellation o; my application/cancellation o; allotment o; tenement i; any/ ma+e in my ;aDour/an+ liable ;or le1al action
;or maAin1 a ;al<e +eclaration5
I a1ree to abi+e t)e proDi<ion< o; t)e Ma)ara<)tra Hou<in1 E Area DeDelopment Act51676 an+ t)e Ma)ara<)tra Hou<in1 an+ Area
DeDelopment&"<tate Mana1ement/ (ale/ !ran<;er an+ "Fc)an1e o; !enement<' #e1ulation 1681/an+ Ma)ara<)tra Hou<in1 E Area
DeDelopment &Di<po<al o; lan+' #ule<-1681 a< amen+e+ ;rom time to time an+ <)all eFecute all <uc) a1reement< an+ in<trument< inrelation to
tenement<9plot C)ic) may reGuire me to +o <o5
!)at I Cill pro+uce to t)e +epartment Cit)in pre<cribe+ time limit t)e reGui<ite pre<cribe+ +ocument< e515 *erti;icate o; a1e9*erti;icate o;
income9a;;i+aDit/ Domicile *erti;icate o; (tay in Ma)ara<)tra <tate/ *erti;icate o; *a<te or ot)er re<erDe+ cate1orie< an+ <uc) ot)er +ocument<
a< may be ;oun+ nece<<ary ;rom t)e appropriate *ompetent Aut)ority a< an+ C)en calle+ ;or to +o <o/ ;or +etermination o; my eli1ibility5
3lace : (i1nature o; applicant :
Date : Name o; applicant :
(i1nature o; Aut)oriHe+ ;;icer :
Application Details 7000021867 Applicant *opy
Application Number :
7000021867
(c)eme *o+e : ,07-.LH".AL$AN/ (AN!A*#U0
*ate1ory *o+e
: (*-(*H"DUL"D *A(!"
Application Date
: 201%-04-1, 14:,6:,%5672
Income 2roup
: HI2-HI2H IN*M" 2#U3
Applicant Name : M# A#3I! 7A(U 2A8BHI$"
3an No5 : AN8326266B DD Date
:
DD Number : DraCn n :
DD Amount : 74200
I )ereby +eclare an+ accept t)e term< an+ con+ition o; payment<5
Applicant Signature Signature of Authorie! "fficer