Register For Approved Affordable Ploating Scheme

Applicants Name

Father's Name

Date Of Birth

Mobile No 1 *

Mobile No 2 *(Not Same As Mobile No 1)

Email *

Permanent Address *

Adhaar Card Number*

Pan Card Number*

Nominee Name*

Relation with Nominee*

Payment Mode* Select Payment Mode Self Funding Mode Loan Mode

Annual Income * Select Annual Income 1 Lakh - 5 Lakh 6 Lakh - 10 Lakh 11 Lakh - 15 Lakh 16 Lakh - 20 Lakh 21 Lakh - Above

Category * Select Category Open/General Govt./Semi Govt./Retired Defence/State Police/Retired NRIs Doctor/Nurses Female Sports Person EWS Disabled

Interested In * Select Type Freehold Residential Plot Kothi Duplex Villa Independent Floor Apartment

Budget For Affordable Housing * Select Budget 10 - 15 Lakh 16 - 20 Lakh 21 - 25 Lakh 26 - 30 Lakh 31 - 35 Lakh 35 - 40 Lakh 40 - 45 Lakh 50 Lakh - Above I hereby acknowledge that I have read, understand and agree to the terms and conditions.