Allotment of Housing

Fields marked in Red are mandatory.

Basic Details

Applicant Name:
Landline Telephone:
Mobile Telephone:
Email ID:
Date of Birth: - -
Marital Status:
No. of Children:
Total no. of persons who will occupy the premises (incl. Applicant): Adults: , Children:

Details of family members / relatives of the Applicant who will be staying with the applicant:

S. No. Full Name Age Occupation Gross Income (PM) Relationship to Applicant

Addtional Details

If Retd., Date of Retirement:
Retirement Benefits Obtained:
Current Income:
Present Accomodation:
My Own. Present Market Value:
On Rent. Monthly Rent (Incl. Maintenance):
On Lease. Lease Details:
Others. Details:
Is the applicant going to sell/give up the present accommodation? If not, what is the applicant going to do with it, if he/she is allotted accommodation.
Are all the relations mentioned under Item No.2 above, presently staying with the applicant?
If not, how many Adults: , Children:
Give complete details of present accommodation i.e., number of rooms, area etc.:
Do you or any of your family members own a vehicle ? Give details: (Two Wheeler/Four Wheeler)
Do you have a telephone at the present residence ? Give details:
Declaration: The information furnished above is true to the best of my knowledge and belief. I hereby give an undertaking that my application can be rejected on the information furnished me being found to be false or incorrect. I further agree that even if the flat should be allotted to me and therefore at any time the information furnished by me is proved to be false or incorrect, I shall voluntarily vacate the premises and give vacant and peaceful possession of the premises to the Anjuman.

  • Gross income should include business and service income, dearness and other allowances, property and investment income, if any, of all the earning members of the family.
  • The Managing Committee reserves the right to call for original certificates of income from employees.
  • You maybe required to come to Anjuman Office and fill / sign on a printed copy of your application.