#20,3rd Block,3rd Main road,

3rd Floor,Above Mangalam Jewels,

Jayanagar
Bangalore.
Tel:6364049761

PROJECT ENQUIRY FORM

Contact Details
______________________Dr.Shailendra HR
Client Name: __________________________________________
___________Akshaya Radio Diagnostic s
Contact Address: Hassan._____________________________________________________

________________________________________________________________
_____________Shailendra HR______________ Title:
Contact Name: ________________________________
______________9886571052_____________ Fax:
Contact Phone number: _________________________________

Contact email address: ________________________________________________________________

Site Details

Site
Location
Link: ________________________________________________________________
_____HUDA(Hassan urban Development
Authority)__________________________________________________________
Municipal Authority: _

________________________________________________________________

________________________________________________________________

Extant of plot: ______________2679 Sft_______

Dimension
East to West. ____________47 Feet_________

Dimension
North to South. ____________57 Feet_________

Road Access
Direction ____________West and South_________

Number of Floors
Intended for construction. _________3____________

Number of Basements. ___________1__________

Intended.

Nature of Building Use

 Residential. ______Yes/No _____No__________

Commercial. _____Yes__Yes/No____________

Mixed. ____If Provisions

Exist___Yes/No_____________

Services Needed.

Architectural
and Engineering Designs. ____Yes___Yes/No_____________

Contracting Services. ___yes____Yes/No_____________

PMC Services. ___If needed____Yes/No_____________

(Project Management Consulting)

Material Supply ___Based on nature of contract agreed

upon____Yes/No_____________

Other info if any. _________Id like feasibilty advice of Negating a Basement and Having Stilt Parking or
not having a Parking Basement at all as None of the Buildings around have dedicated Parking Space._____

_____________________

_____________________

_____________________
 mbar/bar

*Yes No

*Yes No

*Yes No

Developer’s Statement:

I believe the information provided in this form is true and accurate, I understand that Terazaghi Constructo
Pvt Ltd will not be liable for any errors or omissions in information provided by us.

Signed:

Once completed, the form can either be faxed to the number above or emailed to
queries.constructo@gmail.com
and
Info@constructo.in If you would like to discuss
any aspect of the proposals, please do not hesitate to call us.

Please read these notes:

This form is an enquiry form only and is not a physical order where by Constructo will charge for services
provided. Prior to Design or Construction work, a quotation will be sent detailing the charges and the terms of
contract. Work will not be undertaken unless acceptance of the quotation in the form of an order or payment is
made. By completing this form you are not entering a contract. Information provided in this form is used by
Constructo for quotation and preliminary scoping purposes and it is the Developers responsibility to ensure
his information is correct. Constructo cannot be held liable for errors or omission of relevant information by
the Developer during completion of the form.

Constructo will not provide information given as a result of this enquiry to any third party, other than as
necessary for application to a Skilled Labourer or Draftsman or Architect in order to complete their
proposals.

#20,3rd Block,3rd Main

road,
3rd Floor,Above
Mangalam Jewels,
Jayanagar
Bangalore.
Tel:6364049761
Page 2 of 2

Owner:

Terazaghi Constructo Pvt Ltd.