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(3) ºÀÄnÖzÀ
UÁæªÀÄ/£ÀUÀgÀ/vÁ®ÆPÀÄ/f¯Éè :
PLACE OF BIRTH :
(4) UÀAqÀÄ/ºÉtÄÚ :
MALE/FEMALE :
(5) eÁw/G¥ÀeÁw :
CASTE / SUB.CASTE :
(6) «ªÁ»vÀ/C«ªÁ»vÀ :
MARRIED/UNMARRIED :
(7) gÀºÀªÁ¹ :
RESIDENCE :
-2-
(1) F ªÉÄð£À CfðAiÀÄ°è £ÀªÀÄÆ¢¹zÀ ªÀiÁ»wAiÀÄ£ÀÄß £À£Àß w½ªÀ½PÉ
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zÀÈrüPÀj¸ÀÄvÉÛãÉ.
(2) ¸ÀAWÀzÀ ¥ÀæZÀ°vÀ ¤AiÀĪÀÄUÀ¼ÀÄ ªÀÄvÀÄÛ G¥À¤AiÀĪÀÄUÀ¼ÀÄ
C®èzÉ ªÀÄÄAzÉ §gÀĪÀ ¥ÉÆÃl¤AiÀĪÀÄUÀ¼À£ÀÄß ¥Á°¸À®Ä
£Á£ÀÄ PÁ£ÀÆ£ÀÄ §zÀݪÁV M¥ÀàPÉÆArgÀÄvÉÛãÉ. ªÀÄvÀÄÛ ¸ÀAWÀPÉÌ
£À¤ßAzÀ ªÀÄvÀÄÛ £À£Àß ªÁgÀ¸ÀÄzÁgÀjAzÁ C®èzÉà £À£Àß
eÁ«ÄãÀÄzÁgÀgÀ eÁw ¤²- D¹Û¬ÄAzÁUÀ° CªÀÅUÀ¼À GvÀà£ÀߢAzÁUÀ°
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¤rgÀÄvÉÛãÉ.
(3) £Á£ÀÄ ¨sÀgÀuÁ ªÀiÁrzÀ £ÀªÉÃvÀ£À ªÀÄvÀÄÛ ªÀÄ£É CqÁé£Àì ªÀÄvÀÄÛ
E¤ßÃvÀgÀ oÉêÀÅUÀ¼ÀÄ ¥ÀÆwðPÉƼÀÆîªÀªÀgÉUÉ ªÀÄzsÀåzÀ°è ¥ÀgÀvÀ
¨ÉÃqÀĪÀÀ¢®è CAvÁ M¦àUÉ ¤ÃrgÀÄvÉÛãÉ.
(4) D PÁgÀt £À£ÀUÉ ¤ªÉñÀ£À/ªÀÄ£É//ªÀÄAdÆgÀÄ ªÀiÁqÀ¨ÉÃPÁV «£ÀAw.
(1) Information furnished in this Application are true to the best of my knowledge and belief.
(2) I am willing to abide by the Rules and Regulations of the Society and also forthcoming Rules and
Regulations.
(3) I am not demanding to return of deposits, which I have paid till the project period is completed.
(4) Here I request you to sanction me share membership and sanction me a Site / House in your
BHBCS.
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PLACE
¢
£ÁAPÀ CfðzÁgÀ£À/¼À
DATE ¸À» :
APPLICANTS SIGN
CfðUÉ
PÁAiÀiÁð®AiÀÄzÀ ®UÀwÛ¸À¨ÉÃP
n¥ÀàtÂUÀ¼ÀÄ ÁzÀ
OFFICE NOTICE PÀqÀvÀUÀ¼À
Ä / ENCLOUSERS
(1) ¸ÀAWÀzÀ dªÀiÁ gÀ²Ã¢ (1) gÉñÀ£À
¸ÀASÉå : PÁqÀÄð/ZÀÄ£ÁªÀu
RECEIPT NO : PÁqÀÄð/gÀºÀªÁ¹
(2) ¸ÀAWÀzÀ dªÀiÁ gÀ²Ã¢ ¥ÀvÀæ :
¢£ÁAPÀ : RATION CARD / ELECTION
RECEIPT DATE : CARD / RESIDENCY PROOF
3) gÉÆÃR/ZÉPï/rr/¥ÉÃ.D :
BANK CHALLAN / CHEQUE / (2) ¥Á¸À¥ÉÆmï ¸ÉÊf£À
DD / PAY ORDER / CASH. PÀ®gÀ
(4) ZÉPï/rr/¥ÉÃ.D/¸ÀASÉå : ¥ÉÆÃmÉÆÃ-4/ COLOUR
BANK CHALLAN / CHEQUE
/ DD / P.O. No PHOTOS - 4 PASSPORT
(5) ZÉPï/rr/¥ÉÃ.D/ ¢£ÁAPÀ SIZE
:
BANK CHALLAN / CHEQUE (3) eÁw ¥ÀæªÀiÁt ¥ÀvÀæ
/ DD / PAY / CASH PAY CASTE CERTIFICATE
DATE
(6) ¨ÁåAQ£À ºÉ¸ÀgÀÄ : (4) ºÀÄnÖzÀ vÁjÃT£À
BANK AND BRANCH NAME zÁR¯É
BIRTH DATE PROOF
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MANAGING DIRECTOR