HDFC - SmartHub

ALLAHABAD DEVELOPMENT AUTHORITY Allahabad (U.P)

Application Form of Registration

Name of Scheme:

Scheme code:

Category of property:

Property code:

Name of Applicant:

Telephone No:

Mobile No:

Email ID:

Name of Spouse (Names of both applicants, in case of joint application):

Address for correspondence:

Pincode:

Age:

Sex:

Martial Status:

Quota code*:

Quota name:

Occupation:

Pay Plan code*:

Physically handicapped:

Senior Citizen:

Annual Income:

Father/ Husband name (Sole or first App):

Name of nominee:

Father/ Husband name of nominee:

Permanent address:

Whether you posses any property in Allahabad? Or has a ADA reserved/ alloted some property to you?:

Details:

Enclosure (Select no of enclosure, Max file size:500 KB):(Quota Certificate, Income Certificate, Physically Handicapped Certificate, age proof certificate for senior citizen and other certificate for reservation, etc.)

Attachment 1:

Attachment 2:

Attachment 3:

Attachment 4:

Attachment 5:

Photo Upload (File format supported: bmp, jpeg, jpg, png, gif, Max File size: 300 KB)

Applicant I*:

Applicant II:

Nominee*:

Signature of applicant1*:

Signature of applicant2:

Details of applicant bank for refunding the amount

Name of bank:

Address of the branch:

Account number:

MICR code of branch:

IFSC code of branch:

Type of account (saving/credit/casg credit):

Pan card no:

Total amount*:

Declaration

I/ We declare that I/ we have read the rules of the allahabad Development Authority. Allahabad Regarding the above Schemeand shall be abide by them. If I/ We do not accept the allotment of the flat/ plot for sale, then I/ We Shall accept the deductions made by ADAunder the rules. The Flat/plot alloted by me/us by ADA, shall be acceptable to me/us under circumstances, and I/ We have no objection or dispute of any Kind

Place:

Date: