OM
DEVELOPERS AND BUILDERS PVT. LTD.
DEVELOPERS - OM DEVELOPERS & BUILDERS PVT, LTD.
SANKAR CINEMA ROAD, ANGUL (759122) ODISHA
Ph– 06764 230125, 230126, 9437601576
EMAIL– ombuilders@gmail.com, info@ombuildersagl.com
WEB – www.ombuildersagl.com
APPLICATION FORM
PROJECT: OM RESIDENCY
(At Gandhi Marg, in front of Kalyani Nursing Home, Angul)
Dear Sir,
I/We am/are interested to book a Flat in your ongoing/ forthcoming Residential Project
(Appartment) “OM RESIDENCY” at Gandhimarg,infront of kalayani nursing home, Angul.
I/We agree to abide by the Terms & Condition that to be made by the Company from time to
time with your payment schedule for the allotment of a flat.
I/We am/are herewith furnishing my/our details with advance payment of
Rs……………………… & also ready to give the rest booking amount of Rs…………………..
within …… days.
So Please reserve the following flat for …. days till my arrangement of the booking amount
& related papers required by you for the allotment of flat. /have right to cancel or right to
recover
Block Name : A / B / C , Floor -1st / 2nd / 3rd / 4th Type : 1 / 2 / 3 / 4 / 5 , Flat No. ………….
Super Built-up/Saleable Area ……………… Sqft.
1) Name of the Applicant (IN BLOCK LETTS) :
…………………………………………………………………………………………
2) Father’s/Husband’s Name :
…………………………………………………………………………………………
3) Permanent Address :
…………………………………………………….………………………………………
……………….…………………………………………………………………………………………….
……………………………………………………………………………
4) At Present/Mailing Address :
.………………...……………………………………………………………………..………………
………………………………………………………………...
……………………………………………………………………………………………..
5) Date of Birth : ……………… , Age : ………………… Caste :………
6) Occupation : ……………………, PAN No./ V.I.D No ………….......
7) Ph.No. Office: ……………………………,Res.…………………………,
Mobile: (1)………………………………….(2) ……………………………..
8) e-mail id: ……………………………………………………………………..
DATE:
PLACE:
SIGNATURE OF THE APPLICANT (S)