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Application Form

Applicant Details

Project Name

Agent Code(Default is: BA1693 , You Can Change it.)

Intro Person

Relation

Present Address

PAN No

Occupation

Employed

Self Employed

Professional

Mobile No.

Applicant Name

DOB

Contact No

Email ID

*

Upload Application Form

Upload Pan Card

Upload Cheque

Customer Bank Detail

Account Holder Name

Bank Name

IFSC

Account No

Branch

Plot and Plan Detail

Type of plan

Plot No.

Remark

Total (A+B+C)

Booking Amount

Plot Size

(A) Cost of Plot

(B) Location Charge

(C) Other, If any

Total Paid (PLC+Other)

Payment Option

Select Payment Option...