S.No.

__________
To,
Jaiprakash Associates Limited
Jaypee Greens Wish Town, Noida
Sector-128, Noida – 201304
Uttar Pradesh, India

SUB: APPLICATION FORM FOR ALLOTMENT OF AN APARTMENT AT JAYPEE GREENS WISH TOWN, NOIDA (U.P)

Dear Sirs,

I/We ("the Applicant") wish to apply for the Allotment of an Apartment as more specifically described under Para 3 of the enclosed Application Form ("the Said Premises")
situated at Jaypee Greens Wish Town, Noida, – 201304, Uttar Pradesh ("Jaypee Greens Wish Town, Noida” ) .

I/We remit herewith a sum of Rs. _____________________(Rupees __________________________________________________ only) as Application money towards Allotment
of the Said Premises at Jaypee Greens Wish Town, Noida.

I/We accept and agree to abide by the Standard Terms and Conditions of Allotment as contained in the Builder Buyer Agreement/Agreement for sale to be executed between the
Applicant and the Company.

Date ________________

Place ________________ Yours faithfully,

Signature (s) of Applicant (s)

1
GENERAL PARTICULARS

Please Note:
1. Application Form must be completed in full in BLOCK LETTERS in English language. Application Form, which is not complete in every respect, as
given herein below is liable to be rejected. Application Form with any cutting/overwriting, not authenticated properly by the Applicant is liable to be
rejected.
2. In case of more than two joint Applicants similar details of all the remaining Applicants be attached.
3. A copy of PAN card, address proof and other documents pertaining to all the Applicants be attached.

1. SOLE/FIRST APPLICANT

Mr. / Mrs. / Ms. / Dr. / M/s.___________________________________________________________________________________

S/W/D of .___________________________________Nationality ____________________ Age ________________________ years Affix passport

size photograph
Profession.________________________________________________________ Designation____________________________ of the first/sole
Applicant
Residential Status: Resident / Non-Resident / Foreign National of Indian Origin. Date of Birth/Incorporation______________

Income Tax Permanent Account Number _________________________ Place where assessed to Income Tax ____________________________

Address (Residential for individuals and Registered for other entities)______________________________________________________________

____________________________________________________________________________________________________________________________________

Tel. No. ____________________________________________ Fax No. _________________________Mobile No._______________________________.

Email Address __________________________________________________________________________________________________________

Bank Details : Bank Name and address :______________________________________________________________________________________

Account No._______________________

__________________________
Signature of Sole/First Applicant

2
2. SECOND APPLICANT

Mr. / Mrs. / Ms. / Dr. / M/s. ________________________________________________________________________

Affix passport
S/W/D of .___________________________________Nationality ____________________ Age _______________ years
size photograph
of the Second
Applicant
Profession ________________________________________________________ Designation_________________________

Residential Status: Resident / Non-Resident / Foreign National of Indian Origin. Date of Birth/Incorporation ____________________________

Income Tax Permanent Account Number____________ ________________ Place where assessed to Income Tax _______________________

Address (Residential for individuals and Registered for other entities) ___________________________________________________________
__________________________________________________________________________________________________________________________________

Tel. No.____________________________________________ Fax No. ______________________Mobile No._________________________________

Email Address ________________________________________________________________________________________________________

_________________________
Signature of Second Applicant

3
3. DETAILS OF THE SAID PREMISES APPLIED FOR

Unit Applied For_________________________________ (a project of Jaiprakash Associates Limited)

Carpet Area : ___________________________sq.mtrs (approx.) ___________________sq.ft (approx.)

Covered Area :___________________________sq.mtrs (approx) ____________________sq.ft (approx.)

Super Area: ______________________________sq. mtrs. (approx.)__________________ sq. ft. (approx.)

4. PAYMENT OF APPLICATION MONEY

Demand Draft / Cheque No. _____________________________________________________________ Dated___________________________

Bank ____________________________________________________Amount _____________________________________________________

5. TOTAL SALE CONSIDERATION:

a) Consideration : Rs. ___________________________

b) Other Charges : Rs. ___________________________

(i) Interest Free Maintenance Deposit (IFMD) Refundable:
(ii) Maintenance Advance:
(iii) Social Club:

6. EARNEST MONEY (10% of total Sale Consideration)

Rs.____________________________________ (Rupees __________________________________________________only)

4
7. PAYMENT PLAN OPTION

Please indicate your payment option ( )

A Installment Linked Payment Plan 1

B Special Payment Plan

8. DELIVERY PERIOD.

The possession of the Said Premises is expected to be offered by _________ (MM/YY)

9. BROKER DETAILS
In case the application for allotment is made by the applicant through his agent (broker)
the name of the broker be mentioned here. If not, please mention “Direct”. ______________________

(Signature of the Broker with Stamp)

Note: Payments to be made only through Cheque (s) / Demand Draft (s) drawn in favour of “JAIPRAKASH ASSOCIATES
LIMITED” payable at NOIDA.

Date ______________
Yours faithfully,
Place ______________

Signature (s) of Applicant (s)

5
 FOR OFFICE USE ONLY

1. ACCEPTED / REJECTED Approval Ref. No.__________________________________________________________________________

2. Unit Applied for ____________________________________________________ Number ____________________________________

3. Carpet Area: _____________________________sq. mtrs. (approx.)________ ___________ sq. ft. (approx.)

4. Covered Area :___________________________sq.mtrs (approx)_____________________ sq.ft (approx)

5. Super Area:______________________________sq.mtrs (approx)_____________________ sq.ft (approx)

6. Total Sale Consideration:

Consideration : Rs. ___________________________

Other Charges : Rs. ___________________________
Total Sale Consideration : Rs. _________________________(Rupees______________________________________________ only)

PAYMENT PLAN OPTION: Installment Linked Payment Plan/Special Payment Plan

7. Payment vide Cheque / DD No ________________________________ dated _______________________ for Rs. ___________________

8. Acknowledgment / Receipt no. ________________________________dated _________________________________________________

9. Direct Booking/ Broker Name ______________________________________________________________________________________

10. Remarks ______________________________________________________________________________________________________

Account Manager Name ________________________________ Signature ___________________________________________________

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 DOCUMENTS TO BE SUBMITTED ALONG WITH THE APPLICATION FORM

Resident of India:

o Copy of PAN card

o Proof of address ( Copy of Driving License or Passport or Voter’s ID card or Bank Pass Book or recent Electricity Bill)

Private Limited & Limited Company:

o Copy of PAN card of the company.

o Article of Association (AOA) & Memorandum of Association (MOA) duly signed by the Company Secretary / Director of the Company.
o Board resolution authorizing the signatory of the application form to buy property on behalf of the company duly authenticated by any other Director of the Company.

Hindu Undivided Family (HUF):

o Copy of PAN card of HUF.

o Authority letter from all co-parcenor’s of HUF authorizing the Karta to act on behalf of HUF.

NRI / Foreign National of Indian Origin:

o Copy of PAN Card

o Copy of the individual’s Passport
o In case of demand draft (DD), the confirmation from the banker stating that the DD has been prepared from the proceeds of NRE / NRO account of the Applicant.
o In case of cheque, all payments should be received from the NRE / NRO / FCNR account of the customer only or foreign exchange remittance from abroad and not from
the account of any third party.

Note: 3 passport size photographs of the applicant(s) required in all cases.