AFFIDAVIT TO BE EXECUTED ON 50 RS.

NJSP and DULY NOTARISED

To,

Bengal Shapoorji Housing Development Pvt. Ltd.

PS Srijan Corporate Park, Unit # 0903, 9th Floor, Tower -1,
Plot No. G2, Block- GP, Salt Lake, Sector V,
Kolkata-700091

Dear Sir,

Ref: - Registration of Agreement for Sale/ Deed of Conveyance for Apartment No._______ Phase-____ Block-___
through Ref/Appl. No.___________

1. I/We ____________________s/d/w of ____________________________ having PAN No. …………. , Mobile

No. …………… & (2) (If applicable) ________________________ s/d/w of ……………………… having PAN No.
…………. , Mobile No. …………… both residing at ……………………………………………………., state and
confirm that I/We have completed the registration formalities with regard to Agreement for Sale/ Deed of
Conveyance of my/our apartment No.___________ on __date____ (day) at Shukhobrishti.

Due to ______________________________________________________________, I/We am/are unable to be

personally present at your Regional Office, Kolkata to collect the IGR and/or Agreement for Sale/Deed of
Conveyance.

Therefore I/We hereby, authorise and appoint_____________________ s/d/w/o _____________________ having

PAN No. ………. , Mobile No. ………………. permanently residing at
____________________________________________________ as my/our lawful representative/Constituted
attorney vide registered Power of Attorney dated…….. to collect on my/our behalf the IGR and/or Agreement for
Sale/Deed of Conveyance with respect to the aforesaid apartment.

I/We also confirm that my/our authorised representative/constituted attorney shall have the authority to sign for
acknowledgement of the receipt of the said IGR and/or Agreement for Sale/Deed of Conveyance.

I/We hereby declare and confirm that this authority given to my/our authorised representative/constituted attorney
is irrevocable and unconditional and I am aware that relying on this affidavit Bengal Shapoorji Housing
Development Pvt. Ltd. shall handover the IGR and/or Agreement for Sale/Deed of Conveyance to my/our lawful
representative.

I/We understand and confirm that I/We shall be solely responsible for the undelivery/ damage, if any, of the said
document from my/our lawful representative/Constituted attorney.

For your reference and records I/We, hereby attest the signature of my/our lawful representative/Constituted
Attorney.

_________ (Lawful Representative/ Constituted Attorney)

_________ (Allottee) _________________ ( Joint Allottee, if any)

-------------------------------- -------------------------
Advocate Deponent(s)

Note:- Strike out the portion which is not applicable.

Encl.Photocopy of Photo Identity proof of my /our Lawful Representative/ Constituted Attorney