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Ghaziabad Development Authority


An ISO 9001-2001, ISO 14001:2004

Online Property Information System

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Payment Status Payment Done Total Payment 10350.00

Registration Application / पंजीकरण आवेदन

गािजयाबाद िवकास ािधकरण


गािजयाबाद (उ. .) 201001
Ghaziabad Development Authority
Ghaziabad (U.P.) 201001
पंजीकरण हे तु आवेदन प
Application for Registration

Choose File No file chosen Edit and Upload Photo

Form No.: DRAW GDAH41023158 Processing Fee (Rs.) 300.00 Registration Fee (Rs.) 10050.00

Applicant's Personal Information / आवेदक की गत जानकारी


1. Scheme Name Others
2. Scheme Code 410
3. Category Code 002
4. Property Code Building
5. Name(Mr./Ms./Mrs.) * KM. ANJALI SINGH
6. Father's/Husband's Name Mr. * SHRI R. P. SINGH
7. Address for Correspondence * 21/9 AVAS VIKAS COLONY SIKANDRA YOJANA AGRA U.P. PIN

8. Mobile No. * 91 7409099666 Date of Birth * 10-10-1993


9. Email PAN No. EEPPS3226K
10. Age 21
11. Sex Female
12. Marital Status Unmarried
13. Occupation Code 98. Occupation not covered by above Help

14. Quota Code * Scheduled Caste (SC) Help


15. Handicapped 16. Senior Citizen
17. Pay Plan Code * 1 (Select 1 for One Time Payment) Help

18. Income Code * 04 (For EWS)


19. Annual Income(Rs.) 72000
20. Permanent Address * 21/9 AVAS VIKAS COLONY SIKANDRA YOJANA AGRA U.P.
21. Whether You or your family (family means you, your wife/husband and minor children) have any residential house in any colony developed by Development Authority,
Housing Board, Improvement Trust, any local body, co-operative society within National Capital Region. If yes then please give the details.
22. Those applicants, who have already been registered under different schemes declared earlier by the authority and the draw for which is yet to be declared. Please
mention the details.

Applicant's Bank Information / आवेदक की बक की जानकारी


23. Your Bank A/c No. * 32475083069
IFSC Code SBIN0015446
Bank Branch Name * State bank Of India
Bank Branch Address SANJAY PLACE AGRA ADMINISTRATIVE OFFICE CAMPUS
Note:/ नोट: Please fill these details carefully and Give your OWN ACCOUNT details

In case of online application on the website of the Authority, application money should be deposited online. Printout of the duly–filled application form
along with other necessary original documents should be sent by registerd post to the address: Joint Secretary Main building, Ghaziabad Development
Authority, Vikas Marg, Near Old Bus Stand , Ghaziabad – 201001, Uttar Pradesh

ािधकरण की वेबसाइट पर फाम भरने की थित म आवेदन शु सीधा वेबसाइट पर ऑनलाइन ही जमा करना होगा | ऑनलाइन भरे गए फाम का ि ंट तथा आव क अिभलेखों की मूल ित इ ािद
पंजीकृत डाक से िन पते पर भेजने होंगे |
संयु सिचव , मु भवन, गािजयाबाद िवकास ािधकरण ,िवकास माग ,िनकट पुराना बस अ ा ,गािजयाबाद201001, उ र दे श
Declaration and Terms & Conditions / घोषणा और िनयम एवं शत

घोषणा
DECLARARTION
मै/हम घोषणा करता ँ / करते है की मने / हमने गािजयाबाद िवकास ािधकरण की उपयु योजना से स ंिधत िनयमों को पढ़ िलया है एवं मै / हम उनको पालन क ं गा / करगे |
यिद मै / हम िब ी के िलए भूखंड / भवन का आवंटन ीकार नहीं करता ँ /करते ह तब मै / हम गािजयाबाद िवकास ािधकरण ारा िनयमों के अधीन की गयी कटौितयों को ीकार क ँ गा / करगे |
गािजयाबाद िवकास ािधकरण ारा आवंिटत िकया गया भूखंड / भवन मुझे/हम ेक प र थितयों म ीकार होगा मुझे हमे िकसी भी कार की आपि / िववाद नहीं होगा |
मै सहमत ँ की गािजयाबाद िवकास ािधकरण एवं आवेदक के म िकसी भी कार के िववाद को िनपटने का े ािधकार गािजयाबाद ायलय का होगा एवं अ िकसी भी ायलय का े ािधकार गािजयाबाद िवकास
ािधकरण एवं आवेदक के इकरारनामे के अनुसार मा नहीं होगा |
I/We declare that I/We have read the rules of the Ghaziabad Development Auhtority, Ghaziabad regarding the above scheme and shall abide by them.
If I/We do not accept the allotment of the plot/flat for sale, then I/We shall accepted the forfeiture/deduction made by G.D.A. under the rules.
The plot/flat allotted to me by G.D.A. sahll be acceptable to me/us under any circumstances on as is where is basis and I/We shall have not objection or dispute of any
kind.
I/We agree that in case of dispute if any between G.D.A and the applicant, the Ghaziabad Court will have exclusive jurisdiction and the jurisdiction of all others will be the
contract with G.D.A.

Date/िदनां क: 28-11-2014
Place/ थान: * AGRA
I hereby accept Terms and Conditions mentioned by GDA in respect of above form

Applicant's Enclosures Upload / आवेदक संल क अपलोड

Enclosure(In case of offline Payment please Attached the Challan copy of GDA)

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