To,

Rajputana Realty Private Limited.

Sir,

I/We

Request that I/We be registered for allotment of a land at Bhramari City, to be developed on a plot at Bodaganj, Village: Barapatina Natunbus, Dist: Jalpaiguri-734008, West Bengal by Rajputana Realty Private Limited.

Agree to sign and execute the standard agreement for sale and ancillary documents.

Remit herewith sum of Rs.75,000.00

Rupees in words (Seventy Five Thousand Only)

In favour of Rajputana Realty Private Limited account payable at Siliguri towards application money for booking.

Agree to pay the money as per the payment plan given below.

I/We understand and agree that any allotment of the plot by said developer is subject to:

  1. Realization of the cheque/demand draft/pay order/RTGS/NEFT. I/We have paid as application money for booking by cheque/demand draft/pay order/RTGS/NEFT.
  2. Payment to be made by me/us in terms of the payment plan given below and standard agreement for transfer to be signed by me/us within one month of the issuance of allotment letter, failing either of which such allotment shall automatically stand withdrawn and cancelled, and the entirety of the application money for booking paid by me/us will be forfeited.
  3. I/We am/are aware and confirm that the benefit of GST has been passed on to me/us, and I/we will not claim any benefit later on.

First Applicant

Permanent Address

Correspondence Address

Office Address

Contact Details

Joint Applicant (if any)

Permanent Address

Correspondence Address

Office Address

Contact Details

Applicant Preference

Booking Information

Total price of the Land and payment details will be shared with you over email. You need to confirm back the same over email - info@rajputanarealty.com

If booking is through a broker, please specify the name of the broker.

Personal Details

I/We declare that the information given by me/us in this form is true and undertake to inform the company of any future changes related to the information.

For Office Use Only

By online transaction number: __________________________

Dated: ___________________