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KHB Diamond

This document is an application form for registration of houses or flats with the Karnataka Housing Board in Bangalore, India. It collects information such as the applicant's name, address, contact details, income details, bank account information, and payment details. The form also specifies the registration fees and initial deposits required for 1 BHK or 2 BHK units. Upon receiving the completed form and applicable fees, an acknowledgment receipt is issued with details of the application number and payment received.

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SANDAMAR
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512 views2 pages

KHB Diamond

This document is an application form for registration of houses or flats with the Karnataka Housing Board in Bangalore, India. It collects information such as the applicant's name, address, contact details, income details, bank account information, and payment details. The form also specifies the registration fees and initial deposits required for 1 BHK or 2 BHK units. Upon receiving the completed form and applicable fees, an acknowledgment receipt is issued with details of the application number and payment received.

Uploaded by

SANDAMAR
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KARNATAKA HOUSING BOARD

Cauvery Bhavan, Bangalore



Application for registration of
Houses/Flats at Bangalore, Kengeri KHB Diamond

Application No. D-

House/Flat





Notification No. and date
KHB/Allot/121212 dated: 12-12-2012



Applicants Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Father/Husband/Wifes Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date of Birth _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Age _ _ _ _ _ _ _ Gender

Address for communication _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _

Telephone No. _ _ _ _ _ _ _ _ _ _ _ _ Mobile No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of the Nominee: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Relationship _ _ _ _ _ _ _ _

Please indicate any one number in the box of the sub category to which the
applicant belongs from the columns given below


SC ST BT/
Category I

Defence/Ex-
Serviceman

Central
Govt.
State
Govt.
Physically
Handicapped
Senior
Citizens
Others
1

2 3 4 5 6 7 8 9

1 BHK 2 BHK
619 - 654 Sq. ft 867 - 902 Sq. ft


Applicants Photo


M F

Annual Income

Rs. I.T. PAN No.
(if available)


Name of the Applicants Bank & Branch _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Bank A/C No.


IFSC
Code.

Payment details
Sl. No. Category Registration fee (non-
refundable) (In Rs)
Initial Deposit
(In Rs)
1. 1 BHK 500/- 1,50,000/-
2. 2 BHK 1000/- 2,00,000/-

Challan/D.D No.

Bank:
Challan/D.D Date

Branch:
Challan/D.D Amount

Place:

D.D to be drawn in favour of Housing Commissioner, Karnataka Housing Board,
Bangalore.
Place: Signature:

Date: Name:
_ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


ACKNOWLEDGEMENT

Application No. D

Received Application along with Registration Fee and I.D from

Sri/Smt.................................................................................for Rs. ............................

(In words) ......................................................................................................................

D.D/Challan No. ................................ Dated .......................... drawn on Bangalore.


Signature of the Applicant


Date Checked and Verified Signature of Authorised Official with seal

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