You are on page 1of 3

CUSTOMER PROFILE FORM

(TO BE FILLED IN BLOCK CAPITALS)

Source of Booking ______________________

Date of Booking ___________________________

1. Purchasers Name
_________________________________________________________________________
(Companys Name, for Company purchase)

Date of Birth ______________________


_____________________

Age ___________

Place of Birth

Fathers / Husbands Name


__________________________________________________________________
(Authorised Signatorys Name, for Company purchase)

Contact No. _______________________

Email id ___________________________________

Pan No. ___________________________


3. Joint Purchasers Name (if any) ____________________________________________________________
Date of Birth ______________________
______________________

Age __________

Place of Birth

Fathers / Husbands Name _________________________________________________________________


Contact No. _______________________

Email id __________________________________

Pan No. ___________________________

2. Company Name & Address


________________________________________________________________
_______________________________________
______________________________________

Designation

3. Address for Communication


_______________________________________________________________________________________
_____
_______________________________________________________________________________________
_____

4. Permanent Address
House of Hiranandani, 757/B, 100 Feet Road, HAL 2nd Stage, Indiranagar, Bangalore-38.
E: info@houseofhiranandani.com W: www.houseofhiranandani.com
Tel: (91-80) 40929388/399 Fax: (91-80) 40929377

_______________________________________________________________________________________
_____
_______________________________________________________________________________________
_____

6. Resident Indian

NRI

HUF

Trust

Company

a) If NRI, please give Passport Details (Enclose Copy)


Passport No. __________________
Upto________________

Issued at ________________

Valid

7. Power of Attorney (if any) (Enclose copy)


Name _____________________________________________________________________
________

Age

Fathers / Husbands Name


__________________________________________________________________
Address
____________________________________________________________________________________
_______________________________________________________________________________________
_____

8. Funding Sources
a) Own Funds

HFI Loan

b) Name of the HFI


_________________________________________________________________________
Address
_________________________________________________________________________

_________________________________________________________________________
c) Loan File No.
__________________________________________________________________________

House of Hiranandani, 757/B, 100 Feet Road, HAL 2nd Stage, Indiranagar, Bangalore-38.
E: info@houseofhiranandani.com W: www.houseofhiranandani.com
Tel: (91-80) 40929388/399 Fax: (91-80) 40929377

d) Contact Person ______________________________


____________________________

Contact No.

9. Any other remarks / comments


_______________________________________________________________________________________
_____
_______________________________________________________________________________________
_____

For Office Use Only


Villa/Flat No. _____________
_________________

Phase/Block ______________

Plot Size

Built up Area _____________

Rate / Sft. __________per sft

UDS (in Sft.) _____________

__________________________
__________________________
Signature of the purchaser

Sales

House of Hiranandani, 757/B, 100 Feet Road, HAL 2nd Stage, Indiranagar, Bangalore-38.
E: info@houseofhiranandani.com W: www.houseofhiranandani.com
Tel: (91-80) 40929388/399 Fax: (91-80) 40929377

You might also like