Status of the applicant - [individual/ company/ proprietorship firm/ societies/ partnership firm/ competent authority etc.];

In case of individual -

Name

Father's Name

Occupation

Address

Contact Details (Phone number, E-mail, Fax Number etc.)

Name, photograph, contact details and address of the promoter. Or;

Name

Address

Copy of registration certificate as [firm/ societies/ trust/ company/ limited liability partnership / competent authority etc.]

Main objects

Contact Details (Phone number, E-mail, Fax Number etc.)

PAN No. _________ of the promoter;

Name and address of the bank or banker with which account in terms of sub-clause (D) of clause (l) of subsection

(2)

of section 4 will be maintained __________;

(v) Details of project land held by the applicant ____________;

(vi) Brief details of the projects launched by the promoter in the last five years, whether already completed or being developed, as the case may be, including the current status of the said projects, any delay in its completion, details of cases pending, details of type of land and payments pending etc. __________________________________;

(vii) Agency to take up external development works ___________ [Local Authority/ Self Development];

(viii) Registration fee by way of a demand draft/ bankers cheque dated ________drawn on _____________________ bearing no. ______ for an amount of Rs._______________/- calculated as per sub-rule (3) of rule 3 or through online payment as the case may be _____________________ (give details of online payment such as date paid, transaction no. etc.);

(ix) Any other information the applicant may like to furnish.