AFFIDAVIT

I S/O, D/O, W/O ... residing at the address

given below, .
Pin Code . Solemnly affirm and state on oath as follows:1) That I have applied for a Site/House constructed by the Karnataka Housing
Board under EWS/LIG/MIG/HIG-1/HIG-II Category of ________________Project
at _______________of _____________District. I have accepted the terms and
conditions
contained
in
your
Notification
No.______________________________.
2) I affirm that I and my family members are residing in the above noted address.
And it is a rented house, and I am paying a monthly rent of Rs.
3) I affirm that neither I nor my wife/husband or my minor children own or
possess site, house or flat anywhere in Urban area/Municipality of Karnataka
State.
4) I further reaffirm that I have made my application for allotment of House/Site
under HIG/MIG/LIG/EWS.
5) I further reaffirm that no house or site has been allotted to me or to my
wife/husband by the Karnataka Housing Board or any Authority in the state of
Karnataka.
6) If any of the statements that I have made in my application and in this affidavit
is found to be incorrect, the Karnataka Housing Board shall be at full liberty to
reject the application or cancel the allotment and resume the property.

Signature of the Applicant

Bangalore,
Date: