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I, ______________ s/o Sh _______________, age about __ Years r/o

______________________, PAN/AADHAAR/Passport Number __________,
address ___________ hereby solemnly affirm and declare as under:

1. That I am holding a power of attorney dated______ executed by Mr/Ms___

(hereinafter referred to as the Grantor) in respect of an apartment bearing
unit reference number _____ in the project named ________ at Sector
______, Noida, Uttar Pradesh, India (hereinafter referred to as the
Apartment) allotted to the Grantor.

2. That I am providing this affidavit on behalf of the Grantor pursuant to the

order of the Honble Supreme Court on November 22, 2017 in writ petition
number 000744/2017 for the sole purpose of recording Grantors response
on the web portal

3. That the details of the Apartment allotted to the Grantor are as under:
a. Project Name:
b. Unit Reference Number:
c. Customer Code:
d. Provisional Allotment Letter Number:
e. Provisional Allotment Letter Date:
f. Contractual delivery date:

4. That against the above allotment, till date the Grantor has paid to the
respondent company the following sums:
a. Against the consideration: _____
b. Against service tax: ______
c. Against interest: ______
Total Amount: __________

5. That the Grantor is seeking possession of the apartment fully completed as

per its specifications and development of the common areas as per brochure
of the project, along with the following:

a. Possession of the Apartment and development of the common areas by

Dec 2018;

b. delay compensation @18% per annum;

c. no increase in FSI/FAR of Grantors project;

d.refund of the amounts paid by the Grantor towards car parking and service
tax; and

e. no increase in super area of the apartment at the time of the possession.


For and on behalf of Mr. _______________

Through duly authorised POA holder Mr. ______
Vide POA dated _____________


Verified at _______ on this ______day of December 2017 that the contents of

above affidavit are true and correct to the best of our knowledge, information and
belief. No part of it is false and nothing material has been concealed therein.

For and on behalf of Mr. _______________
Through duly authorised POA holder Mr. ______
Vide POA dated _____________