Post on 20-Aug-2020
transcript
I
~HI-TECHlEI~ITATESPIIOMOlBIS M LTD.
HI-TECH ESTATES at PRORegd. No. : 15-05577/98-99
111, Sa heed Nagar, Bhubaneswar-751 007
OTERS (P) LTD.133
No.: .•.•.••••.••••
To, Fill the form in Block LettersThe Executive DirectorHI-TECH ESTATES 8t PROMOTERS (P) LTD.Sir,I am interested to purchase a flat I house to be constructed at Hi-Tech Brundaban Project at Mouza- Batagaon, Puri.I also agree with your Terms & Conditions.
APPLICATION FORM
M.R. No. ( ) Block NO.( ) Flat No. ( ) Super BuiltupArea : ( )'-;:::=========::::::
Name:(~~========~~ __ ~~ __ ~~========~ __ ~========~~)Age~:~(======~)Date of Birth ( ) Marriage Date (If married) ( ) Caste( ) Occupation ( )
Father's/Husband's Name( )
Address: TemporaryAt/Po ( )
( ) PS :( )
Dist :( ) Pin ( ) Tel ( )
E-mail: ( )
rpe_r_m_a_ne_n_t_At/_P_O~(~==============================~ __ ~==================================~)( ) PS :( )
Dist: ( ) Pin ( ) Tel ( )
Nominee :(~ ~)
Source of Finance: Bank Finance /SELF Monthly payment I Self as per Bank
Date: Place:N.B.:All type of payment should be made by Cheque/D.O. in favour of HI-TECH ESTATES & PROMOTERS PVT. LTD., payable at Bhubaneswar
Signature of the Customer
INTRODUCEDBY: VERIFIEDBY: SIGNATUREOFTHEACCOUNTANT
M.R. No. ( ) BOOKING AMOUNT. ( )~ CHQ/DD NO-:-.-;(==========================~) DRAWN ON ( )
~ TOTALCOST :( ) SCHEME( )
~ INST.PATIERNRS.( ) MONTH ( )
~ BOOKING DATE: ( ) ALLOTMENTDATE: ('- ~)
ou,