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Retail Unit Allotment Application

The document is an application form for the allotment of a retail unit in a project called "DN FAIRYTALE". The applicant provides personal details like name, address, contact information, and agrees to abide by the terms and conditions of the application. It is noted that submitting the application does not guarantee allotment of the unit, and an agreement for sale would need to be signed for the allotment to be finalized. The applicant acknowledges relying only on their own judgment in deciding to apply for the unit.

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Ankit Singh
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0% found this document useful (0 votes)
492 views12 pages

Retail Unit Allotment Application

The document is an application form for the allotment of a retail unit in a project called "DN FAIRYTALE". The applicant provides personal details like name, address, contact information, and agrees to abide by the terms and conditions of the application. It is noted that submitting the application does not guarantee allotment of the unit, and an agreement for sale would need to be signed for the allotment to be finalized. The applicant acknowledges relying only on their own judgment in deciding to apply for the unit.

Uploaded by

Ankit Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATON FOR

ALLOTMENT OF RETAIL UNIT


APPLICATION

Date Application No.

To,
M/s D.N. Homes Private Limited
Plot No.15, VIP Colony, Nayapally,
Bhubaneshwar, Odisha, 751015

Dear Sir/Madam,

I/We hereby make this application for allotment of a retail unit in the Annexure Building of your Project named as “DN
FAIRYTALE” (hereinafter referred to as the “Project”), after carefully inspecting and understanding all the documents in respect
of the Project Land and the Project, including permissions/approvals, sanctioned plans, title documents of the Project Land,
plans and specifications of the proposed unit(s) and common areas, facilities and amenities, etc. in the Project being developed
and constructed under lawful arrangement by D.N. HOMES Private Limited (herein referred to as “Promoter”).

I/we agree and undertake to abide by the basic terms and conditions attached to this application form and being part thereof
and I/we clearly understand that this application does not constitute an agreement for sale and I/we do not become entitled to
the allotment of said unit notwithstanding the fact that the promoter may have issued a receipt in acknowledgment of the
money tendered with this application.

It is only after I/we sign and execute the Agreement for Sale if any and/or such other documents as may be required by the
promoter that the allotment shall become final and binding upon the promoter.

I/we have relied on my/our own judgment, due diligence and investigation in deciding to apply for the allotment of the said
retail unit and has not relied upon and/or is not influenced by any architect's plans, sales plans, sales brochures, advertisements,
representations, warranties, statements or estimates of any nature, whatsoever, whether written or oral made by the Promoter
or any selling agents/brokers or otherwise including but not limited to any representations relating to the description or physical
condition of the Project and unit. No oral or written representations or statements shall be considered to be a part of this
Application and that this Application is self contained and complete in itself in all respects.

Applicant Signature Co- Applicant Signature

1
APPLICANT
My/our particulars are given hereinafter for reference and record:

1. Details of First/Sole Applicant


Affix a Recent

Mr./Mrs./Ms....................................................................................................................................... Colored Passport Size

Photograph of the
Name.................................................................................................................................................. Applicant and Sign

Across it.
Son/Wife/Daughter of Mr. ................................................................................................................

Date of Birth: .................................. Marital Status: Married [ ] Single [ ]

Nationality: Indian [ ] Others [ ] Age: .....................................................Years:.........................................................................

Caste (for sale deed only):........................................................................................................................................................................

Residential Status: Resident/Non- Resident/Foreign National of Indian Origin

PAN No.: ............................................................................ AADHAR No.: ………………………………………......................................................

Permanent Address:.................................................................................................................................................................................

……………………………………………………………………………………...................................…………...........................................................................

Correspondence Address:........................................................................................................................................................................

………………………………………………………………………………………………..............................................................................................................

Contact No.:Res. ........................................................... Office: ................................................... Mobile:.............................................

E-Mail ID:............................................................................................................................................
Affix a Recent
2. Details of Co-Applicant
Colored Passport Size

Mr./Mrs./Ms. .................................................................................................................................... Photograph of the

Applicant and Sign


Name .................................................................................................................................................
Across it.

Son/Wife/Daughter of Mr..................................................................................................................

Nationality…………….................…….Age……………............…..........…Years………………......……...............

Relationship with first applicant .......................................................Profession………………....……………..................................................

Date of Birth:…………….................................................................... Marital Status: Married [ ] Single [ ]

Nationality: Indian [ ] Others [ ]

Residential Status: Resident/Non- Resident/ Foreign National of Indian Origin

PAN No.: ......................................................................AADHAR No.: ………....................................……………………..................................

Applicant Signature Co- Applicant Signature

2
Permanent Address:.................................................................................................................................................................................

………………………………………………………………………………………………..............................................................................................................

Correspondence Address:........................................................................................................................................................................

………………………………………………………………………………………………..............................................................................................................

Contact No.:Res. ........................................................ Office: ....................................................... Mobile:.............................................

E-Mail ID:..................................................................................................................................................................................................

3. In case the Applicant is a Company/Firm /HUF Affix a Recent

Colored Passport Size


Name of Company/Firm/HUF ............................................................................................................
Photograph of the

Registered Address............................................................................................................................. Applicant and Sign

Across it.
……………………………………………………………………………............................................................................

Date of Incorporation/Formation…………………….................................................................................

CIN/ Firm Registration (if registered)……………………………….......................... PAN No.: ...........................................................................

E-Mail ID:................................................................................................................... Tel.No. ..................................................................

Mobile:............................................................Nature of business of the Company/Firm .....................................................................

Correspondence Address (in case different from registered address)…....................................………................................................…..

…..............................................................................................................................................................................................................

Details of Authorised Signatory:

Name of Authorized Signatory: ..............................................................................................................................................................

(Attach Board Resolution/ Power of Attorney)

Son/Wife/Daughter of………………………..........……………………………...... Date of Birth: ..............................................................................

Nationality: Indian [ ] Others [ ]

Residential Status: Resident/Non- Resident/ Foreign National of Indian Origin

PAN No.: ..................................................................................... AADHAR No.: ……………….............................................………………………

Designation of Authorized Signatory………………………………………..............................................................................................................

Address of Authorized Signatory ………………………………………………...........................................................................................................

Contact No.:Res. ............................................................... Office: ..................................................... Mobile:........................................

E-Mail ID:..................................................................................................................................................................................................

Applicant Signature Co- Applicant Signature

3
Details of Apartment/Unit Applied For :-

Particulars Details

Retail Unit No

Floor

Carpet Area in Sq.ft./Sq.mt.

Super Area in sq.ft./sq.mt

Details of Pricing:-

Particulars Amount (in Rs.)

Basic Sale Price (A)

Other Charges (B)

Total Sales Price (A+B)

Note: Stamp duty, Registration fees, Society registration charges,GST and allied charges, as applicable, at the time of
registering the legal documents, shall be additionally paid by the applicant only as and when demanded by the Promoter.
Deposit for individual power supply, municipal tax, Recurring (Monthly) maintenance charges shall be paid by the applicant as
and when demanded by the Promoter/Association of allottees/Maintenance agency/ government department as the case
may be. Corpus Fund for an amount of INR 50,000 shall be paid by each allottee.

AMOUNT PAID:-

Rs.................................. (Rs…......................................................) taxes…………………...........................................

total………………………………....................................... vide Cheque/DD/UTR No..................................................

dated ............................ Drawn on (Bank)....................................................Branch ..........................................

City ............................................Favoring “D N Fairytale”.

Applicant Signature Co- Applicant Signature

4
DECLARATION:

I/We hereby make this application for allotment of a unit in the Annexure Building ‘DN FAIRYTALE Info Valley Mart’ in the

Project named “DN FAIRYTALE” and affirm and declare that particulars/information given by me/us are true and correct to the

best of my/our knowledge and belief. I/We agree to sign and execute, as and when required by you, the necessary documents,

consents, agreements, and deeds etc., are required pursuant to this application and hereby undertake to abide by the

applicable terms and conditions in respect of the purchase of the unit. I/we shall accept the specifications pertaining to the

retail unit and shall abide to pay the all monies mentioned above. Further, I/We do hereby declare that my/our Application is

irrevocable and that the above particulars/information given by me/us are true and correct and nothing has been concealed

therefrom. If any information is found wrong, the Promoter shall have right to reject the application and forfeit the whole

amount deposited by me as administration charges.

In the matter of any doubt or difficulty arising out of the interpretation of terms and conditions, I/We shall abide by the decision

of the Promoter and it shall be final and binding on me/us.

Date……………….................................................…. Place………………...........................................…
Note: All Cheques/ Drafts / RTGS / NEFT to be made in favor of D N Fairytale and payable at Bhubaneswar (Odisha).

In case the applicant is minor, attested copy of Birth certificate has to be produced in support of age.

Applicant Signature Co- Applicant Signature

5
TERMS AND CONDITIONS
1. The promoter shall develop the project named as “DN FAIRYTALE” (hereinafter referred to as the “Project”), upon land admeasuring Ac. 8.154 decimals situated at Plot

No.-371,377/796,378,370,372,373,374,375,376,379,381,382,618,619,621 & 622 Khata No.114,137,70,188/3,83,110,62,127 & 103 in Mouza-Durgapur and Plot no.89 & 87 Khata

No.43 & 323 Mouza,Madanpur (hereinafter referred to as the "Project Land").

2. The Project is being developed in accordance with the construction and development plan duly approved vide the Approval Letters No. 8601/BDA dated 19.03.2019 and by the

Bhubaneswar Development Authority (hereinafter referred to as the "BDA"), a statutory authority duly constituted and established under the Orissa Development Authorities Act, 1982.

3. The Applicant(s) has/have given this application for the allotment of a Retail Unit (as detailed above and hereinafter referred to as the "Retail Unit”), after being satisfied with

the interest/rights of the Developer/Promoter in the Project Land upon which the Project is being developed and subject to all laws, notifications, and rules applicable to the area

in which the said Retail Unit is situated, which have been explained to the Applicant(s) and understood by the Applicant(s).

4. The applicant(s) agrees that the allotment of the unit is entirely at the discretion of the promoter and the promoter has the right to reject any application without assigning any

reason thereof. It is agreed that the possession of the unit may not be given by the promoter to the applicant before all payments/dues/taxes/duties etc. are cleared by the

applicant at the time of execution and registration of the sale deed.

5. Notwithstanding anything contained in this application, the applicant(s) understands that the application will be considered as valid, enforceable and proper only on realization

of the amount tendered with this application.

6. The applicant(s) has satisfied himself/herself/themselves about the interest and title of the promoter in the land on which the said project/unit is being constructed and has

understood all limitations and obligations in respect thereof. The applicant(s) agrees that there will not be any further investigations or objections by him/her/them in this respect.

7. The applicant(s) has seen, understood, and accepted the approved plans, specifications, amenities and facilities to be provided in the project/unit and the time schedule of

completion of the project displayed at the site.

8. The applicant(s) understands and agrees that the Promoter for better habitation may make any changes in the approved layout plan, sanctioned plan and specifications, and

the nature of fixtures, fittings, and amenities of the Project as per the provisions of the Real Estate (Regulation and Development) Act, 2016 and Rules and Regulations framed

there under by the concerned State Government. The Promoter is entitled to make such minor additions or alterations as may be required by him/her/them or such minor changes

or alterations as may be necessary due to architectural and structural reasons duly recommended and verified by an authorized Architect or Engineer after proper declaration and

intimation to him/her/them.

9. The area of the unit may increase or decrease on actual constructions and this shall be considered as per provisions of applicable laws. Accordingly, the price of the unit may

be increased or decreased and the applicant(s) agrees to pay the recalculated balance (if any) as per the terms and conditions of the agreement.

10. In the case where the Promoter proposes for a revision in the layout plan of the project with the consent of applicant(s) and thereupon his/her/their said unit becomes or

ceases to be in a preferential location, then the Promoter shall either refund or demand preferential location charges which he/she/they hereby agrees to pay/be refunded/be

adjusted in last installment as stated in the payment plan opted by him/her/them.

11. The applicant(s) agrees to pay the total sale price of the unit, other additional charges, recurring charges, taxes, duties, and cesses. The expenses for stamp duty, registration

charges etc. for execution of any legal document such as Agreement for sale, Sale deed etc., legal fee and other miscellaneous charges and etc. shall be borne by the applicant(s).

Any penalty/fine for the delay in execution/ registration of legal documents will be solely borne by the applicant(s).

12. That any statutory charges, taxes, levies, cess, fees, etc. if any, applicable as on the date of this Application imposed by the State Government or Central Government or any of

the competent authority(ies) will be charged as per the prevailing applicable rate and in case of any increase in these charges in future the same shall be paid by me/us as and

when demanded by the Developer.

13. All the payments shall be made through cheque/demand draft to be issued in favor of D N Fairytale., payable at Bhubaneswar (Odisha). In case of RTGS/NEFT is being done by

the applicant(s) and the same is not being informed to the promoter then under such circumstances receipt of such deposit may not be issued and the applicant(s) will not

complain about the same.

14. Applicant(s) agrees that the amount paid to the extent of 10 % of the total price of the said unit shall be constituted as the booking amount.

15. The applicant(s) agrees to pay the balance amount in accordance with the payment schedule as provided by the promoter. The applicant(s) understands that the timely

payment is the essence of the terms of the booking.

16. Since the construction of the unit depends on timely payment of installments, delay in payment of any of installments meant by the applicant(s) will result in delay in possession

for which the promoter will not be responsible. The applicant(s) shall not be entitled for any refund/interest/penalty/compensation from the promoter for delayed possession on

account of delay in payment of any of the installments by him/her/them.

17. In case applicant(s) makes default in payment of any installment, he/she/they shall be liable to pay interest at the interest rate as prescribed time to time by the Real Estate

(Regulation and Development) Act, 2016 and Rules and Regulations framed there under.

18. The applicant(s) agrees to pay to the promoter extra charges on any additional facility provided by the promoter in future during construction.

Applicant Signature Co- Applicant Signature

6
19. The applicant(s) agrees that in case any payment is made towards the said unit from any third party account then there would be no claim by such third party in the said unit

against the payment made from third party account and the Promoter shall not be liable or responsible for any inter-se transaction between such third party and the

applicant(s) in any manner whatsoever. In the event, that the applicant(s) make any payment through any third party account then he/she/they hereby agree(s) to submit a

declaration signed by such third party to the Promoter and upon receipt of such declaration from the third party and realization of payment, the Promoter shall proceed to issue

a receipt of such payment made by the applicant(s) from the third-party account.

20. If the applicant(s) cancels the application within 15 days/months) from the date of application in that case he/she/they shall be entitled to get a refund of the whole amount

paid by him/her/them after deducting taxes thereon and the if applicant(s) cancels the application after 15 days from the date of application and any time before the execution

of agreement for sale, the promoter shall forfeit the whole deposited by the applicant. .

21. That the vacant and actual physical possession of the unit shall be delivered by the promoter to the applicant(s) at the time of execution and registration of the sale deed,

after receiving all the dues/ charges/ levies/ duties and taxes with respect to the said unit covered by the Allotment Letter/ Agreement for sale/ Maintenance agreement/ other

agreement or documents executed between the applicant(s) and the Promoter as agreed by the applicant(s) to the promoter.

22. The allotment of a said retail unit in the Project is entirely at the sole discretion of the Developer/Promoter and the Developer/Promoter reserves the right to accept or

reject the application without assigning any reason thereof. The allotment of a retail unit in the Project shall be done by the Developer/Promoter by issuing an allotment letter

as per the prevailing laws/practices.

23. The Promoter shall at all times have the first lien and charge on the unit for all its dues and other sums payable by the Applicant(s) to the Promoter.

24. The promoter shall endeavor to hand over the possession of the unit to the applicant(s) within the agreed time as per the agreement for sale to be executed with the

applicant subject to extension as may be granted by the Odisha RERA authority.

25. The applicant understands and accepts that in some unavoidable circumstances, the promoter may apply for the extension of the project before RERA authority and the

applicant gives his/her/them concern for such extension.

26. The promoter shall offer in writing to the applicant(s) to take over the possession, occupy and use the said unit within the stipulated time mentioned in such notice. The said

unit shall be handed over to the applicant(s) for occupation and use subject to the applicant(s) having complied with all the terms and conditions of the application form/

agreement for sale and is not in default under any of the terms and conditions and has complied with all the provisions, formalities, documentation etc. as may be prescribed by

the promoter in this regard. The Applicant(s) shall within the stipulated time in the notice, takeover the possession of the said unit by executing necessary indemnities,

undertaking, documentation, and making payment of all the dues/ charges/taxes. Any delay by the applicant(s) in taking the possession after 45days from the possession due

date mentioned in such notice/offer of the possession letter would attract holding charges as specified by the promoter for the delayed period. Further besides the levy of

applicable holding charges, maintenance charges, other charges/property tax, etc. shall also be paid by the applicant(s) to the Promoter from the possession due date and said

the unit will be handed over to the applicant(s) on ‘as is where is’ basis. The applicant(s) further agrees not to raise any claim, dispute etc. in this regard at any time (present or

future) whatsoever.

27. The applicant(s) shall after taking possession or deemed possession of the said unit as the case may be or at any time thereafter have no objection to the promoter.

28. The Applicant agrees to enter into a Maintenance Agreement with the Maintenance Agency for the maintenance and upkeep of the Said Project Further, he/she/they agrees

to pay the maintenance charges (recurring) along with applicable taxes, cess etc. to the Association of Allottee/ the Maintenance Agency/ Promoter from the due date of

possession mentioned in the offer letter/actual possession/sale deed, whichever is earlier irrespective the applicant is in occupation of the unit or not.

29. The applicant(s) hereby agrees to become the member of Association of Allottee (AOA) as per the laws applicable, applicant(s) hereby agrees to join the said AOA and shall

abide with the all applicable rules/regulations and bye laws . The Promoter shall have the right to transfer the balance of Corpus Fund after adjusting there-from any

outstanding maintenance bills and/ or other outgoings of the Applicant(s) to such AOA/ Maintenance Agency, as the Promoter may deem fit, and thereupon the Promoter shall

stand completely absolved/ discharged of all its obligations and responsibilities concerning free Maintenance Security or Advance Maintenance Charges including but not

limited to issues of repayment, refund and/ or claims, if any, of the Applicant(s) on account of the same.

30. Applicant(s) further agrees to make payment of monthly maintenance charges and other charges in respect of the said unit regularly on monthly basis as per bills raised by

the Association of Allottee/ Maintenance Agency. Further, in case of non-payment of maintenance charges by him/her/them within the time specified, he/she/they shall be

liable to pay maintenance charges along with interest as per the bye laws to be made with this respect and maintenance agreement (if any) and non-payment of maintenance

charges shall also disentitle him/her/them to the enjoyment of common services including electricity, water etc.

31. The Applicant hereby agrees and acknowledges that they shall not have any right, title, interest in the common areas located in the Residential Blocks of the project. The

Applicant agrees that such Common Areas are part of the common layout being sanctioned for the residential component of the Project, however, notwithstanding anything,

the Applicant shall not have any right/title and interest in such Common Areas. Also, the Multipurpose Recreational Hall situated in the project shall be specifically for use of the

residential apartment owners and the applicant of retail unit users as well as the persons connected with the retail unit owner’s are not liable to use the Multipurpose

Recreational Hall. The Applicant is fully satisfied and hereby acknowledges the contents of this clause.

32. The allottee(s) shall use the unit only and exclusively for the permitted commercial purpose which may include any shop or service of daily need viz. bakery, gift shop,

stationary shop, book shop, salon, beauty parlour, grocery, electronics store, medical store, office of professionals like Advocate, CA, Architect or clinic of Doctors or any similar

services but for no other purpose including without limitation to residential/industrial usage of any kind and/or for opening a meat shop, garbage shop etc. However, we strictly

Applicant Signature Co- Applicant Signature

7
prohibit any sale of non-medical drugs and explosive items or getting involved in any illegal or criminal activities.

33. The applicant is made clear that the price of the unit agreed upon is firm and escalation free,barring a situation of Force Majeure.

34. The applicant(s) shall get his/her/their complete address and e-mail ID registered with the Promoter at the time of booking and it shall be his responsibility to inform the

Promoter through letter by Registered A.D. about all subsequent changes in his address and e-mail ID, failing which, all demand notices and letters posted at the first Registered

Address will be deemed to have been received by him/her/them at the time when those should ordinarily reach at such address and he/she/they shall be responsible for any

default in making payment and other consequences that might occur therefrom. The applicant(s) hereby agrees that the Promoter shall not be liable/ responsible to reply to

any query received from any address/ e-mail ID not being previously registered with the Promoter.

35. In case there are joint applicants, all communications shall be sent by the Promoter to the applicant whose name appears first, at the address given by him/her/them for

mailing and which shall for all purposes be considered as served on all the applicants and no separate communication shall be necessary to the other named applicants.

36. The Applicant(s) agrees that the development of the Project is subject to force majeure clause. The Developer/Promoter shall not be liable to pay any interest/penalty/com-

pensation on account of force majeure.

37. The applicant(s) has acknowledged and accepted all commons areas and facilities, specifications to be provided in the project.

38. The Applicant understands and agrees that the retail unit may be made available to external users but that shall not affect the safety and security in the project.

39. The Applicant(s) shall not be entitled to get the name of his/her nominee(s) substituted in my/our place without the prior written approval of the Promoter, who may in its

sole discretion permit the same on such terms as it may deem fit. In such an event the Applicant agree to pay a transfer fee as may be applicable at the time of transfer.

40. In case the applicant(s) has NRI/ PIO status or if the applicant(s) is foreign national(s) then he/she/they shall be solely responsible to comply with the necessary formalities as

laid down in Foreign Exchange Management Act, 1999 and/or any other statutory provisions governing this transaction which may inter-alia involve remittance of payments/-

considerations and acquisition of immovable assets in India. In case any such permission is ever refused or subsequently found lacking by any Statutory Authority/ Promoter, the

amount paid towards booking and further consideration will be returned by the Promoter as per applicable rules without any interest and the booking shall stand cancelled

forthwith. The applicant(s) agrees that the Promoter will not be liable in any manner on such account.

41. In case the applicant(s) want to avail loan facility to facilitate the purchase of the said retail unit, the promoter shall facilitate the process subject to the following :

a. The terms of the financing agency shall exclusively be binding and applicable upon the Applicant(s) only.

b. The responsibility of getting the loan sanctioned and disbursed as per the Payment Schedule opted will rest exclusively on the applicant(s). In the event of the loan not being

sanctioned or the disbursement getting delayed, due to any reason whatsoever including procedural delays, the payment to the promoter as per the schedule, shall be ensured

by the applicant(s).

c. The Applicant agrees that in case the Applicant opts for a loan arrangement with any financial institutions banks, for the purchase of the Said retail unit, the conveyance of

the Said retail unit in favour of the Applicant shall be executed only upon the Promoter receiving “No Objection Certificate” from such financial institutions/banks from which

the Applicant has opted for such loan arrangement.

d. The applicant(s) has no objection in case the Promoter creates a charge on the entire project during the course of development of the project for raising loan from any

banking and/or financial institution. However, such charges if created shall be vacated before handing over possession of the retail unit to the applicant(s). The creation of such

charge shall not affect the rights of the applicant to the said retail unit.

42. This Application shall be governed by and construed in accordance with the laws of India. The courts at Bhubaneswar shall have the exclusive jurisdiction in all disputes

arising out of or connected with this transaction.

DECLARATION

I/we declare that the above terms and conditions have been read/ understood and the same are acceptable to me/us. I/we have sought detailed explanations and clarifications

from the Promoter and the Promoter has readily provided such explanations, documents and clarifications and after giving careful consideration to all facts, terms and

conditions, I/we have signed this Applications Form. I/We further undertake and assure the Promoter that in the event of rejection of my/our application for allotment for

whatsoever reason, including but not limited to non-compliance of the terms by me/ us as set out in the terms and conditions provided in this application, I/we shall be left with

no right, title, interest or lien under this Application qua the said unit. If any other Persons has signed this Application Form on my/ our behalf, then he shall be presumed to be

duly authorized by me/ us through proper Authorization/Power of Attorney/ Resolution etc.

Accepted For: D N Homes Private Limited.

Authorized Signatory

Date ..............................

Place ..............................

Applicant Signature Co- Applicant Signature

8
CHECKLIST

• Application Form is completely filled with photographs and duly signed by the Applicant(s) [ ]

• Cheque for Application money is in proper name and duly signed and dated [ ]

• Self-attested copies of PAN card and ADHAAR Card of all applicants are attached with the form [ ]

• Address Proof and other relevant documents are attached with the form [ ]

• Copy of Price List duly agreed & signed by customer [ ]

• Applicant, Co-Applicant sign on all pages of Application Form [ ]

• Photocopy of Company’s Identity Card (for Corporate bookings only) [ ]

• Photocopy of Passport for NRI/ Foreign Nationals [ ]

• Photograph of Applicant(s) (3 each) [ ]

• POST DATED CHEQUE OF next Installment ATTACHED [ ]

• Any Other

Mode of Booking : a. Direct b. Agent

c. Employee Referral Employee Name:


Employee Code:

Agent/Broker Information:

Agent Name:…………………………………………………………………………………..................................................................

Agent Address……………………………………….……………………………………………………...................................................

Contact Person………………………………………...................Mob Mo…………………………….....................................……

E.Mail ID ………………………………..……………………………………………… Agent Signature...............................................

Booked by…………….......… Checked by……….................….................…….. Approved by………..…..................................

Date................................................... Date..................................................... Date....................................................

Applicant Signature Co- Applicant Signature

9
Corporate Office :
D.N. Group, Plot No.15, VIP Colony, Nayapally, Bhubaneswar, Odisha, 751015

Registered Address:
Plot No. N6-440, IRC Village, Nayapalli, Bhubaneshwar, Odisha, 751015
RERA Reg. No.: MP/19/2019/00268
0674 2551303 I info@dnfairytale.com I www.dnfairytale.co
RERA Authority Website: www.rera.odisha.gov.in I CIN:- U4501OR2003PTC007406

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