th

AFFIDAVIT FOR OWNING APARTMENT/PLOT-4 PREFRENCE

(To Be Duly Notarized on Stamp Paper of `10/-)

I, (Aadhar No._____) son/daughter/wife, of

aged about years, Resident of being the First Applicant / Co-Applicant do hereby
solemnly affirm and state/declare as under:-

1. That I have made an application for allotment of residential flat in Affordable Group Housing Colony
named as “Hanu Residency” proposed to be developed by M/s Pareena Infrastructures Private
Limited at Sector-68, Gurugram, Haryana under Government of Haryana Affordable Housing
Policy,2013 issued vide
2. Notification no. PF-27/48921 dated 19th Aug 2013 and amendments therein. I have read and
understood the policy.
3. That I have not made any other application for allotment of flat in the aforesaid colony.
4. That I, my spouse and my dependent children are not the identified beneficiaries of either Town or
under State Category as identified under PMAY Scheme
5. That I, my spouse and my dependent children have not been allotted any flat under Haryana
Affordable Housing Policy, 2013 and amendments therein. If yes, provide details as required below
Details of allotment as follows
6. Person in whose name flat allotted ........
• Flat Number Address
• Name of Affordable Group Housing
• Name and address of Developer/ Agency
7. That I, my spouse and my dependent children have not been applied any flat under Haryana
Affordable Housing Policy, 2013 and amendments therein. If yes, provide details as required below.
Details of allotment as follows
• Person in whose name flat applied for
• Application Number
• Address
• Name of Affordable Group Housing
• Name and address of Developer/ Agency
8. That I, my spouse and my dependent children will retain only one flat allotted under Affordable
Housing Policy, 2013 and amendments therein.
9. That I, my spouse and my dependent children own an Apartment/ Plot in any HUDA developed
colony/ Sector or any licensed colony in any of the urban areas in Haryana, UT of Chandigarh and
NCT Delhi, If yes, provide as required below.
• Person in whose name Apartment/ Plot Own
• Apartment/Plot Number
• Address
DEPONENT
Signature (Sole/ First Applicant / Co Applicant)

Verification:
Verified that the contents of my above affidavit are true and correct to the best of my Knowledge,
no part of it is wrong and nothing material has been concealed therein.
Verified at on this day of month year

DEPONENT
Signature (Sole/ First Applicant / Co Applicant)