Application Form No…………….

Dated………………….

APPLICATION FORM FOR

“TOWER known as Dakshin Tower”

&

Bungalow known as Dakshin Bungalow

AT
“SHRACHI DAKSHIN”
Nayabad, Kolkata

Application Form Number

Please fill in the APPLICATION FORM for Individual/Joint or

Other Entity

SHRACHI DEVELOPERS PVT. LTD.

SHRACHI DEVELOPERS PVT. LTD.
Shrachi Tower, 686, Anandapur, E M Bypass- R B Connector Junction
Kolkata-700107,West Bengal
Ph: +91-33-39843984 Fax: +91-33-39844249 Email: marketingbsh@shrachi.com Visit
us at: www.shrachi.com

1
Application Form No…………….

Dated………………….

I. FIRST APPLICANT Please affix

a recent
passport
Mr./Mrs./Ms/ M/S……………………………………………………… size
photograph
S/W/D of…………………………………………………………..

Authorized Signatory/ Guardian’s Name (If Minor)………………………

Nationality………………………………….. Date of Birth.………………….

Anniversary Date………………………….Date of Birth of Spouse……………………

Occupation: Service ( ) Professional ( )

Business

Student ( ) House Wife ( ) Any

other…………………...(please specify)

Residential status: Resident/Non-Resident/Person of Indian Origin/ Others

………………………………………………………………………..( please specify)

MAILING ADDRESS (In case of a company please provide the address of the
registered office)

………………………………………………………………………....................................

City _______________Pin ____________________

Country___________________

PERMANENT ADDRESS

……………………………………………………………….............................................

……………………………………………………………………….................................

City _______________ Pin ____________________

Country___________________

Phone:…………………………………………….ISD/STD Code………………………...

OFFICE NAME & ADDRESS …...

…………………………………………………………………................................

………………………………………………………………………...................................

2
Application Form No…………….

Dated………………….

City _______________ Pin ____________________ Country

__________________

Contact No.: Office……………….Residence……………………...Mobile………………

Fax………………………………..E-Mail…………………………………………………

PAN…………………………Ward/Circle/Range (where assessed)………………………

Please affix
II. SECOND APPLICANT
a recent
passport
size
Mr./Mrs./Ms/ M/S………………………………………………........ photograph

S/W/D of ……………………………………………………………...........

Authorised Signatory/ Guardian’s Name (If Minor) . ………………………..

Date of Birth……………………………… Nationality…………………………………..

Date of Birth of Spouse…………………... Anniversary Date…………………………...

Relationship with the First Applicant ……………………………

Occupation: Service ( ) Professional ( )

Business ( )

Student ( ) House Wife ( ) Any

other…………………...

( please specify)

Residential status: Resident/Non-Resident/ Person of Indian Origin Others

…………………………………………………………………………(please specify)

MAILING ADDRESS (In case of a company please provide the address of the
registered office)
………………………………………………………………………................................................
.............................................................................................................
...........

City __________________ Pin _____________________ Country

______________

3
Application Form No…………….

Dated………………….

PERMANENT ADDRESS

…………………..………………………………………………………………………....

………………………………………………………………………................................

City _________________ Pin ______________________ Country

______________

Phone:…………………………………………….ISD/STD Code………………………...

OFFICE NAME & ADDRESS

…...…………………………………………………………………………………………

City _________________ Pin ______________________ Country

______________

Contact No.: Office……………….Residence……………………...Mobile………………

Fax………………………………..E-Mail…………………………………………………

PAN…………………………Ward/Circle/Range (where assessed)………………………

4
Application Form No…………….

Dated………………….

Additional Information Only for NRI’s.

Contact person in India for both Applicants:

Name
____________________________________________________________

Address for Correspondence

__________________________________________________________

____________________________________________________________

Phone________________Fax_________________________Cell________
NRO Account No____________________________________________
Name of bank and branch ____________________________
NRE Account No ____________________________
Name of bank and branch ____________________________
FCNR Account No ____________________________
Name of bank and branch ____________________________

III Other Entity Application Form- Please fill in block letters

Name of the organization

__________________________________________________________

Address of registered office/head office

_________________________________________________
___________________________________
Phone _________________fax _____________
Date of incorporation ___________________________________

Address for correspondence______________________________________

__________________________________________________________
Phone __________________ Fax ____________________________

Name of authorized signatory with designation

___________________________________________
____________________________________ Phone __________________
Fax

Contact person in Kolkata with designation

_______________________________________________
___________________________________
Phone __________________ Fax ______________

5
Application Form No…………….

Dated………………….

IT PAN/GIR NO
_______________________________________________________________

Board Resolution dated _______________ authorizing the individual to

execute this application Form (certified copy enclosed)

Resolution dated _______________ authorizing the partner to execute this

application Form (certified copy enclosed)

Letter of consent dated ______________ authorizing the

individual/coparceners to execute this application Form (copy enclosed)

6
Application Form No…………….

Dated………………….

PROPERTY DETAILS

In case of Dakshin Tower property would signify an Apartment + Car

Park (if any)+ Terrace (if any)

Type_____________

Floor______________

Area: _____________

Terrace___________

Car Parking:

____________nos. Covered ___________nos. Open

In case of Dakshin Bungalow property would signify the Bungalow

itself

Bungalow no. ___________

BUA _____________

PAYMENT PLAN OPTED

Down Installment

In case of Down payment …………………….% dis.

In case of Dakshin Tower

Base Price of Apartment:

Price of Terrace:

PLC: _________ per floor

PRICE OF APARTMENT (will mean base price of Apartment + price of

Terrace (if any) + PLC (if any) :

Price of Car Parking

TOTAL PRICE OF PROPERTY : Rs._____________________

In case of Dakshin Bungalow

TOTAL PRICE OF PROPERTY : Rs._____________________

7
Application Form No…………….

Dated………………….

APPLICATION FORM FOR ALLOTMENT OF RESIDENTIAL

APARTMENT/BUNGALOW IN SHRACHI DAKSHIN

To

M/s Shrachi Developers Pvt. Ltd.

Shrachi Tower

686 Anandapur Road; 8th Floor

Kolkata 700 107

Dear Sir,

Please provisionally allot me / us as an applicant for allotting the residential

Apartment No__________ in Dakshin Tower having proposed super-built up
area
of ________________ sq.ft with __________ sqft Terrace and
____________ Car Parking Space(s) (hereinafter called Property) in your
complex to be known as “Shrachi Dakshin” proposed to be constructed at
Nayabad; Kolkata
OR
Bungalow no………….. in Shrachi Dakshin having proposed built up area of
…………………sq. ft. (Hereinafter called Property) proposed to be constructed
at Nayabad; Kolkata

My/our account payee pay order/demand draft/cheque drawn in favour of

Shrachi Developers Pvt. Ltd.; payable at Kolkata for Rs ……………../-
(Rupees………………………… ……………………….…………) purchased/ drawn on from
…………….………………………….. bank bearing No…………………… Dated
……………………………… towards the Application Money is enclosed.

I/We confirm that I/we have read and understood the meaning and purport of
the Application Guidelines for making this application which are:

1. This Application Form is being submitted by me /us to you at your

registered office and/or at the offices of your authorized marketing agencies to
be notified in the advertisements of the project
along with the payment by
demand draft/pay order/cheque mentioned above which is

8
Application Form No…………….

Dated………………….

Rs.____________/- (Rupees ____________________________ only)

towards application money

2. The allotment, if made, will be based on a “first come first allotted”

basis. The process of which, for all intents, will be fair, transparent and
equitable. You shall, however, be entitled to reject my/our application
and forfeit the application money received, without interest, without
assigning me / us any reason whatsoever &/or if the said application
money is not realized.

3. If I/we/any of us is/are a Person of Indian Origin or a Non-Resident

Indian, my/our application(s) should be made in conformity with the
regulations governing the transactions for the acquisition of immovable
property by such persons and it shall be me/our responsibility to
ascertain and fulfil all regulatory requirements including those governing
foreign exchange transactions.

4. I/We may withdraw my/our application money; at any time before you
provisionally allot an Apartment against my/our application by executing
an Agreement To Sale (ATS). In all such cases, however, you will be
entitled to forfeit 5 % of my application money towards service charges.

5. If I/we fail to pay the due amounts as per the demand letters by any
means of communication through letter/email of any sums due to you
I/we will become liable to pay interest at the rate of 15 % per annum to
you on the amount payable from its due date of payment till the date
its entirety together with the interest is paid by me/us and if the delay is
beyond a period of two months from the due dates, you shall at your
discretion, become entitled to cancel the application and refund all
amounts paid till then after deducting service charges of 5% of the Total
Price and & 5% of club charges along with interest dues and/ or
payable.

6. .You will also be entitled to reject/ cancel my applications in case of the

same containing information that is incorrect , misleading, incomplete
&/or on my/ our committing and breach of the terms and conditions of
this application form or non payment of any dues . In all such cases,
you will refund me / us without any interest all amounts received till that
date after deducting service charges 5% of the Total Price and & 5% of
club charges along with interest dues and/ or payable

7. . The layout plans as shown in the Brochure/Presentation are all tentative

and subject to change at your discretion and/or for obtaining the
approval of the concerned authorities.

8. Upon realization of the application money and subject to availability of

9
Application Form No…………….

Dated………………….

the apartment applied by me I/we will execute the Agreement to sale as

and when requested by you. On my/ our failure to do so you and entitled
to cancel my application and as a consequence of the same refund me /
us without any interest all amounts received till that date after deducting
service charges 5% of the Application Money along with interest dues
and/ or payable.

9. The layout plan, as may be amended and approved from time to time,
shall supersede the proposed tentative layout plan that has now been
made available now and the plan as amended shall automatically form a
part of the ATS without any further reference.

10. Any changes/directions/conditions imposed by any competent authority

at any stage while approving the proposed layout plans shall be binding
on me /us as well as all the other Applicants without the requirement of
any formal approval or consent from any of us for making any changes.
If an application for provisional allotment of any Apartment is required to
be cancelled by you for such change of plans, you will refund all amounts
paid by the concerned Applicant but without any interest.

11. I/We, as well as all the other Apartment Owners, will compulsorily have
to become members of the proposed Club in Shrachi Dakshin upon
payment of Club Membership Charges to be decided by you and all taxes
that may be payable on such Club Membership Charges. Besides an
individual owner and his/her spouse, dependant parents and children will
be entitled to use the Club upon payment of such Club Membership
Charges and/or user charges for its facilities .

12. I/we may transfer the allotment at any time before registration of the
Sale Deeds subject to your approval and upon payment of a transfer fees of 3
% of the Total Price of the Property to you.

I / We hereby also declare and confirm that:

1.. I/We accept and agree to abide by the Application Guidelines mentioned
above and the ‘Price and Payment Schedule’ to be prescribed by you.

2. I/we have clearly understood that this Application Form for provisional
allotment will not make me/us entitled to final allotment of any
apartment even after you acknowledge the receipt of the Application
Money and/or issue the allotment letter for an Apartment.

3. I/We further confirm that this application will be binding only after I/we
execute the ATS on the standard format as will be provided by you that
the allotment shall become final only upon my/our fulfillment of all the

10
Application Form No…………….

Dated………………….

conditions set out in the ATS and the full and final payment there under.

4. I/We further agree to sign and execute necessary documents as and

when required by you.

5. If, however, I/we fail to execute ATS within the period prescribed
therefore, the allotment may be treated as cancelled at your sole
discretion and the company shall be entitled to forfeit 5 % of my
application money towards service charges.

6. I/We am/are making this application with the full knowledge that the
plans for the Complex are not yet sanctioned by competent authority.

7. In the event I/we am/are allotted an Apartment/Bungalow, I/we

unconditionally agree to pay all sums due in terms of the Price and
Payment Schedule within the due dates of their payments as set out in
the ATS and not dispute the cancellation, if made at your sole discretion,
if I fail to pay any of the amounts due on time or violate any of the terms
and conditions of the ATS

8. I/We hereby give my/our irrevocable consent to become a member of

the body of the owners to be formed in accordance with the applicable
laws and will be subject to other applicable statutory laws, rules and by-
laws and execute necessary documents as and when required in
conformity with the requirements stipulated by you.

9. I/We solemnly declare and undertake to use the Apartment to be allotted

to me/us for residential purposes only.

10. I/We hereby solemnly declare that all the foregoing statements are true
to the best of my/our knowledge and that nothing relevant has been
concealed or suppressed. I/We also undertake to inform you of any
future changes related to the information and details shown in this
Application Form.

12. I/We have signed the Application Form after having read and understood
its meaning and purport and hereby confirm and accept that all previous
application Form /papers signed/delivered by me to you for the
Apartment, if any, shall stand void and cancelled after signing &
delivering this Application Form to you.

11
Application Form No…………….

Dated………………….

Thanking You,
Yours faithfully,

Signature of Sole/First Applicant Signature of Joint

Applicant
Name: Name:
Place: Place:
Date: Date

In case of A “Company” dully registered under Companies Act 1956,

Partnership Firm, HUF etc. (Other Entity)_______________________
Signature of Authorized Signatory with Seal

12