Application Form for Allotment of House/Flat/SCR/Shop/Plot
Step1 - Initial Application
SCHEME NAME
*
--Select--
CATEGORY OF HOUSE/PLOT/FLAT/SHOP
*
--Select--
OUTRIGHT PURCHASE OPTION:
*
--Select--
YES
RESERVATION CATEGORY:
*
--Select--
GENERAL
SCHEDULED CASTE(SC)
SCHEDULED TRIBE(ST)
EMPLOYEE
PHYSICALLY DISABLED PERSONS
DEFEANCE/EX-SERVICE MAN
RETIRED EMPLOYEE
FREEDOM FIGHTER
APPLICANT TYPE:
*
--Select--
SINGLE
JOINT
APPLICANT (I) DETAILS
NAME OF APPLICANT
*
FATHER'S NAME
*
MOTHER'S NAME
*
SPOUSE NAME
PERMANENT ADDRESS:
AT
*
POST OFFICE
*
DISTRICT
*
STATE
*
PIN CODE
*
TELEPHONE NO.
PRESENT ADDRESS:
SAME AS PERMANENT ADDRESS
AT
*
POST OFFICE
*
DISTRICT
*
STATE
*
PIN CODE
*
TELEPHONE NO.
MOBILE No.
(Enter a valid 10 digit mobile no.)
*
EMAIL ADDRESS
*
CONFIRM EMAIL ADDRESS
*
(Please keep this above Email Id and Mobile Number active for receiving communication/information.)
NATIONALITY
*
CASTE
*
GENDER
*
--Select--
MALE
FEMALE
OTHERS
DATE OF BIRTH
*
AGE (as on 22-Dec-2024)
*
AADHAR NO.
PAN CARD NO.
ID PROOF TYPE
*
--Select--
VOTER ID
PAN CARD
PASSPORT
AADHAR CARD
GOVERNMENT/DEFENCE ID CARD
DRIVING LICENSE
ID PROOF NO.
*
OCCUPATION DETAILS:
OCCUPATION
*
NAME OF THE EMPLOYER
APPLICANT (II) DETAILS
NAME OF APPLICANT
*
FATHER'S NAME
*
MOTHER'S NAME
*
SPOUSE NAME
PERMANENT ADDRESS:
AT
*
POST OFFICE
*
DISTRICT
*
STATE
*
PIN CODE
*
TELEPHONE NO.
PRESENT ADDRESS:
SAME AS PERMANENT ADDRESS
AT
*
POST OFFICE
*
DISTRICT
*
STATE
*
PIN CODE
*
TELEPHONE NO.
*
MOBILE No.
(Enter a valid 10 digit mobile no.)
*
EMAIL ADDRESS
*
CONFIRM EMAIL ADDRESS
*
(Please keep this above Email Id and Mobile Number active for receiving communication/information.)
NATIONALITY
*
CASTE
*
GENDER
*
--Select--
MALE
FEMALE
OTHERS
DATE OF BIRTH
*
AGE (as on 22-Dec-2024)
*
AADHAR NO.
PAN CARD NO.
ID PROOF TYPE
*
--Select--
VOTER ID
PAN CARD
PASSPORT
AADHAR CARD
GOVERNMENT/DEFENCE ID CARD
DRIVING LICENSE
ID PROOF NO.
*
OCCUPATION DETAILS:
OCCUPATION
*
NAME OF THE EMPLOYER
LOGIN PASSWORD
*
CONFIRM LOGIN PASSWORD
*
Note: Password must be minimum 6 characters & maximum character length 10 with atleast 1 upper case character and 1 digit (0-9).
CAPTCHA CODE
*
:
I/We hereby declare that the above information is correct.
Submit and Continue
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