Professional Documents
Culture Documents
Dated: D D MM YYYY
1 ALLOTTEE NAME
Allottee No. 1:
Allottee No. 2:
2 ADDRESS
Please provide/update your correspondence and permanent address.
A Correspondence Address
B Permanent Address
3 CONTACT NO (MOBILE / TELEPHONE) (Please add area code before the number. e.g. 0120-12345678)
Allottee No. 1:
Allottee No. 2:
4 E-MAIL ID
Allottee No. 1:
Allottee No. 2:
Declaration:
This is to certify that I/we am/are allottee(s) of the above mentioned residential/commercial/industrial/
institutional property/plot/flat/building and all the information provided in this “KYA Form” is correct and true to
the best of my/our knowledge and belief.
Allottee(s) Signature
PLEASE NOTE:
1. Please complete the entire form in BLOCK LETTERS only.
2. For any kind of assistance in filling the above form, please contact Mr. Rakesh Gautam. He can be
contacted on 0120-2326150, 0120-2326151 & 0120-2326152, between 10 AM to 4 PM, on working days.
3. Your contact numbers & Email IDs will assist the authority in communicating efficiently with you.
Once available, the authority will be able to send timely alerts regarding current & future developments.