ANNEXURE – V

STATEMENT – A
MANHATTAN CO-OP. HOUSING SOCIETY LTD. (PROPOSED)
Enclosure to Application for Registration.
________________________________________________________________________

Flat No. C-506

______________________________

VIJAY VITTHAL SURVE

Full Name of the Customer Mr./Mrs/Messers. __________________________

Whether Individual Corporate Body Individual/Corporate Body

Age 29
_____________________________

4817500
Cost of Flat Rs. _________________________

Profession: - Service/Business

Nationality Indian

DIGHI, HAVELI, PUNE

Place of Residence Village & Taluka ________________________________
________________________________

Amount Subscribed to Share Capital,

Entrance Fees :- Rs. 600.00 OR 1100.00

Whether any other Signatory of the Application

Is a member of his Family _______________________________

In case of Rep. If Society, Whether he is

Member of Committee of the Society ________________________________

Customer Signature
ANNEXURE – VII
STATEMENT – C
INFORMATION ABOUT PROMOTERS MEMBERS OF THE PROPOSED –
MANHATTAN CO-OP. HOUSING SOCIETY LTD. (PROPOSED)
________________________________________________________________________
C-506
Flat No. ______________________________

Full Name of the Customer along

With name of joint promoter if any:-

VIJAY VITTAHL SURVE

Mr./Mrs/Messers. ____________________________

Mr./Mrs/Messers. ____________________________

Male /Female Male /Female

Residential Address of Promoter in full ________________________________

________________________________
Monthly income of Promoter in case he/
She is earning OR Name & Relation of
The person on whom dependent
If he/she is not earning Rs. ____________________________

Share Capital Rs. 500.00 or 1000.00

Entrance Fees :- Rs. 100.00
Cost of Flat /Land :- 4817500
Rs. ___________________________

Signature of the Promoter in Confirmation of information and in token

of having read and understood byelaws, Rules and Regulation of the
Proposed Society.

Customer Signature