On non judicial stamp paper as applicable in the state

Declaration of Borrower

To,

Housing Development Finance Corporation Limited

_____________________

Mr./Mrs./Ms.______________________S/o/D/o/W/o ____________& Mr./Mrs. ________________ S/o/D/o/W/o

_________________ & Mr. / Mrs. ________________ S/o/D/o/W/o_____________hereinafter referred to as
(“Borrowers”) (which expression shall unless the context otherwise requires, include his heirs, executors,
administrators), do hereby declare and confirm to Housing Development Finance Corporation Limited (HDFC) by way of
this declaration as under :

1. I/We have sought for housing loan of Rs.____________/- (Rupees ______________________________Only)

from HDFC in order to purchase/construct the property being
__________________________________________________ (hereinafter referred to as “Said Property”), of
which a photographic image duly identifying the said Property ( alongwith the Borrower/s) is attached herewith
as an integral part of this Declaration.

2. I/we am / are aware of the terms of the Credit Linked Subsidy Scheme (CLSS) under the Pradhan Mantri
Awas Yojana–urban mission (PMAY), the details of which have been duly explained to me/us. I/ We
shall forthwith inform HDFC upon completion of the construction of the Property for which the loan is
availed in terms of the stipulations laid down under the said Scheme.

3. I/We declare that ( select / tick as may be applicable):

a) The annual income of our family1 :

i. has not exceeded INR 6,00,000/- - for EWS and LIG category;
ii. is between INR 6,00,000/- to INR 12,00,000/- -for MIG I category; or
iii. is between INR 12,00,000/- to INR 18,00,000/- - for MIG II category.

b) The carpet area of the Said Property does not exceed :

i. sq.mts for EWS and LIG category; (60 Sq. Mtr in case of extension of the house only)
ii. 160 sq.mts for MIG I category; or
iii. 200 sq.mts for MIG II category
(select as may be applicable should be correspondence to (A) if selected i) in A then must be i) in
B also)

c) The Said Property is owned/co-owned by a woman/women

1 Family mean Husband-wife & unmarried sons & daughters as classified by Ministry of housing & urban poverty alleviation)
4. I/We declare that:

a) The Said Property is the first property of the family & the family doesn’t own any pucca house in
their name as of date.

b) My/Our religion is ( please tick )

Hindu (01), Muslim (02), Christian (03), Sikh (04), Jainism (05), Buddhism (06), Zoroastrianism (07),
Others (08)
c) The head of the family1 is _________________

d) The details of the family are as follows (In case the applicant/co-applicant is single, details of
parents/unmarried siblings to be provided) :

Name of the Family Relationship Gender DOB Aadhaar/Voter ID Card/Any

Member* to the Head (dd/mm other unique identification
of the /yy) number or a certificate of house
Family ownership from Revenue
Authority of beneficiary’s native
district

5. I/We hereby authorize HDFC, to share all information ( including photographs) and details submitted by me/us
under the Scheme with the Central Nodal Agency (CNA), National Housing Bank (NHB), or any other agency,
institution, authorized by NHB or any other government authority duly authorised by NHB or Government of
India under CLSS or otherwise. I/we further authorize HDFC to use my/our/ the Property details and/ or images
in any promotional / reference campaign in relation to the PMAY /CLSS or otherwise that it may deem fit in its
sole discretion in any manner whatsoever. I /We shall also remain accessible to HDFC /NHB for any event related
to the PMAY /CLSS or otherwise as any when required.

6. I/we further authorize HDFC to receive any amount as it may from NHB or any other government authority as a
part of CLSS.

7. I/We declare that we are completely aware that discretion to accept or reject the eligibility to be covered under
CLSS is solely of NHB and I/We shall have no claims against HDFC of any nature whatsoever, if according to NHB
the particulars mentioned hereinabove do not meet the requirements for CLSS.
 8. I/We declare that we have not availed of any benefit/subsidy under any scheme/guidelines formulated by
Government of India under PMAY.

9. In the eventuality of the loan being classified as a Non Performing Asset (NPA) on account of my/our non-
repayment of the said Loan, which causes HDFC to initiate appropriate recovery proceeding, or in the event of
non construction of the Property in its entirety within 3 years from the date of disbursement of the first
installment of the Loan, I/We am/are aware and acknowledge that all amount received as subsidy from
Government/CNA/NHB shall also be subject to recovery by HDFC.

10. I/ we solemnly declare and undertake that what is stated in this Declaration is true and correct to the best of
my/our knowledge and that no material information has been withheld from HDFC.

Solemnly Signed on this _______day of __________, 20______ at __________

Date: ______________

1.)Name of the Borrower _____________ 2.)Name of the Co-Borrower/Co owner _____________

Signature of the Borrower ________________ Signature of the Borrower/Co owner________________

3.)Name of the Co-Borrower/Co owner__________ 4.)Name of the Co-Borrower/Co owner_____________

of the Borrower/Co owner________________ Signature of the Borrower/Co owner________________

Witness:

1) __________________ Name & Address

(Signature)

2) __________________ Name & Address

(Signature)