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Applicants Name *
Fathers Name *
Date of Birth *
Mobile.1 *
Mobile No 2 (Should not be same as Mobile 1) *
Email *
Permanent Address *
Correspondence Address *
Adhaar Card No. *
PAN Card No. *
Nominee Name *
Relation With Nominee *
Category *
Select Category
Open/General
Govt./Semi. Govt.
Defence & Paramilitary Forces
Doctors
Sports Person
NRIs
Female
EWS
Specified Disabled
Plot Size *
Select Size
50 Sq. yards.
100 Sq. yards.
200 Sq. yards.
500 Sq. yards.
Payment Mode *
Select Payment Mode
Self Funding Mode
Payment Plan *
Select Payment Plan
Payment Plan.1
Payment Plan.2
Payment Plan.3
Bank Account Holders Name *
Bank Account Number *
Branch IFSC Code *
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