Professional Documents
Culture Documents
KNOW ALL MEN BY PRESENTS THAT I/WE, MR. ………………………, SON OF …………………….. (“the
Grantor”), having PAN: ………………., having AADHAR NO. ………………., and ………………, WIFE OF
………………. (“the Grantor”), having PAN: ……………, having AADHAR NO. …………………., both residing
at ……………………………………………………………………………………., DO HEREBY NOMINATE APPOINT AND
COSNTITUTE MR. GAUTAM CHAKRABORTY, son of LATE PRIYATOSH CHAKRABORTY, having PAN:
ABWPC 1302N, having Aadhar No. 9008 9958 9482, residing at 6, VIDYASAGAR ROAD, P.O.
NABAGRAM, P.S. UTTARPARA, DIST. HOOGHLY, PIN-712 246, and MR. SANJIB PAUL, son of SHRI
SHYAM SUNDAR PAUL, having PAN: ASUPP 4633N, having Adhar No. 2957 6864 8009, residing at
SALUA AZADHIND GARH, NEAR SALUA NANARUN SANGHA CLUB, P.O. RAJARHAT GOPALPUR, P.S.
AIRPORT, RAJARHAT, NORTH 24 PGS., PIN-700 136 (W.B.) (“the Attorneys” who have subscribed
their respective signature hereunder in token of identification) , To be my lawful attorneys in my
name and on my behalf to do jointly and/or severally any one or all of the following acts, deeds,
matters and things, namely:-
1. To prepare, fill up and sign the FORM-A/FORM-C and other related documents under the
West Bengal Apartment Ownership Act, 1972 and the amendments thereto and to deposit
govt. fees/charges and submit all related papers/documents before the
concerned/appropriate authority.
2. To receive, to submit the original documents, the accepted /authenticated documents and
to appear, sign and represent those documents before the Competent Authority/concerned
authority and also to resubmit the same before the appropriate authority(s) on my behalf, as
they deem fit and proper.
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4. To rectify/modify the said documents and resubmit the same by putting his/their signature
there on my behalf.
5. To receive the original letters/memos and Registration Certificate(s) from the office of the
Competent Authority by hand and to deliver the same to me.
AND I agree to ratify all lawful acts, deeds, matters and things done by my said Attorneys pursuant to
the powers hereinbefore mentioned.
In witness where of I/We ……………………. & ……………………….., have hereunto set and subscribed my
hands at KOLKATA On ……………….. (Date).
DL/PAN/Passport/ Signature
NAME AND ADDRESS Voter ID/Aadhar Number
1.____________________
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2.____________________
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I/we accept
Specimen signature of ………………………………………., the Attorney of ………………..
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MR. GAUTAM CHAKRABORTY SON OF LATE PRIYATOSH CHAKRABORTY.
Residing at 6, VIDYASAGAR ROAD, P.O. NABAGRAM, P.S. UTTARPARA, DIST. HOOGHLY, PIN-712 246
(W.B.).
I/we accept
Specimen signature of ………………………..……………., the Attorney of ………………..
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Name & Address
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