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Gurugram Affordable Housing
Applicants Name *
Father's Name *
Date of Birth *
Mobile No 1 *
Mobile No 2 (Should not be same as Mobile 1) *
Email *
Permanent Address *
Correspondence Address *
District *
Adhaar Card No. *
Pan Card No. *
Nominee Name *
Relation With Nominee *
Category *
Select Category
Open/General
Govt./Semi Govt.
Defence/Paramilitary Forces/State Police Forces
Female
Doctors
NRIs
Disabled
EWS
Payment Mode *
Select Payment Mode
Self Funding Mode
Loan Mode (Plot + Construction)
Payment Plan *
Select Payment Plan
Payment Plan.1
Payment Plan.2
Plot SIze *
Select Size
118 Sq. yards.
135 Sq. yards.
Bank Account Holders Name *
Bank Account Number *
Branch IFSC Code *
I hereby acknowledge that I have read, understand and agree to the terms and conditions.