DELHI HEIGHTSMULTI STATE CO-OPERATIVE

GROUP HOUSING SOCIETY LIMITED

The President/ Secretary,

Delhi Heights Multi State Co-Operative Group Housing Society Ltd.

Plot No-38, Pocket-10, Sector-23 B, Dwarka, New Delhi-110075.

Sir/ Madam,

Passport Size Photograph of the Applicant

Passport Size Photograph of

the Joint Applicant

Please accept my application for membership in "Delhi Heights Multi State Co-operative Group Housing Society Ltd" and

kindly enroll me/us as Ordinary Member/Ordinary Cum Joint Member of your society. I/we acknowledge that I/we have read the rules and regulations/ by-laws of the Society and I/we agree to abide by them. I/we understand that acceptance or rejection of membership is solely on discretion of the governing body of the society.

MEMBERSHIP APPLICATION FORM

I/we remit here with a sum of Rs. ____________ (in words)________________________________

By Cash / Cheque / Demand Draft No. / Payment ID ____________________ dated ________________ drawn on

_______________________________________________ issued in favour of "Delhi Heights Multi State CGHS

Ltd., payable at New Delhi towards Admission Fee of Rs. 100/- (Non-refundable) and Rs. 100/- as Share money

(Refundable).

A) My Particulars are as under:

1. Name of Applicant:

2. Father/Husband name:

3. Gender:

4. Date of Birth:

Male Female

D D MM Y YYY

Signature of Joint ApplicantSignature of Applicant

(Rupees only)

Others

self attested self attested

REG. No. - MSCS/CR/1095/2014

(1st Installment)Amount to be Paid Within

7 Days

2,76,7502,67,050

4,82,6254,62,925

11,90,02511,46,325

9,36,2258,96,525

6,91,2006,61,500

(2nd Installment)Amount to be Paid Within

15 Days

Corp. Office & Mailing Address : SF-1, 2nd Floor Wadhwa Plaza-2, Plot No.-5, Central Market, Sec 10, Dwarka,

New Delhi - 110075, Ph: 011-42331162

Regd. Office: Plot No.-38, Pocket-10, Sector-23B, Dwarka New Delhi - 110075