Lucky Draw -Prem Kunj Radhey -25th Dec-2017

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For All Draw Form Record

Form No *

200 Form Has Filled Plz Enter No more Than 00201

Form Date *

YYYY

Title *

Gender *

First Applicant's Name

S/o D/o/W/o *

First Applicant's Father/Husband Name *

Address *

DOB

YYYY

Mobile No *

Pan No

Email Id

Marital Status *

Spouse Name

Marriage Date ( If Married)

YYYY

Second/Joint Applicant's Name

Project Name *

PKR

PKK

Other

Other:

Block Name *

Other:

UNIT NO *

UNIT SIZE *

Employee Name *

Sale Rate Per Sq.yd *

PLC Rate Per Sq.Yd

Development Charge Per Sq.Yd

Discount

Total Sale Value *

Booking Amount *

Payment Mode *

CHEQ/DD/RTGS/NEFT/IMPS No/Cash Receipt No

Bank Name

Cheq/DD/RTGS/IMPS/CASH Date *

YYYY

Branch

Payment Time *

DOCUMENTS RECEIVED WITH FORM *

PAN CARD COPY

AADHAR CARD COPY

VOTER ID CARD COPY

APPLICANT's Photo

OTHER ID PRROF

OTHER ADDRESS PROOF

Other:

Required

Form Received By *

Terms & Condition

1-The Booking Amount Rs.21000 is non refundable in any case .

2- The Allotted Plot is Not Transferable to other person except Blood Relation.

3- After Allotment The alll rights are Reserved to the Management of Om Proptech Pvt. Ltd,

4-After Allotment if any one Request for Refund his/her amount than Booking amount Rs.21000+Balance Amount -25% will be deduct by the Company and the Balance amount will be paid by Company after 3 month From date of Cancellation Request.

5-

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