AFFIDAVIT FOR NOT OWNING ANY APARTMENT/PLOT-3RD PREFRENCE

(To Be Duly Notarized on Stamp Paper of Rs10/-)

I, __________________________(Aadhar No.________________) son/daughter/wife, of

______________________aged about ________, Resident of

_________________________________________________________________being the First

Applicant/ Co Applicant do hereby solemnly affirm and state/declare as under:-

That I have made an application for allotment of residential flat in Affordable Group Housing Colony
named as “Hanu Residency” proposed to be developed by M/s Pareena Infrastructures Private Limited
at Sector-68, Gurugram, Haryana under Government of Haryana Affordable Housing Policy, 2013
issued vide notification no PF-27/48921 dated 19th Aug 2013 and amendments therein. I have read and
understood the policy.

1. That I have not made any other application for allotment of flat in the aforesaid colony.

That I, my spouse and my dependent children are not the identified beneficiaries of either Town or under
State Category as identified under PMAY Scheme

2. That I my spouse and my dependent children have not been allotted any flat under Haryana
Affordable Housing Policy, 2013 and amendments therein.

3. That I, my spouse and my dependent children have not been applied any flat under Haryana
Affordable Housing Policy, 2013 and amendments therein.

4. That I, my spouse and my dependent children do not own any Apartment/ Plot in any HUDA
developed colony/ Sector or any licensed colony in any of the urban areas in Haryana, UT of
Chandigarh and NCT Delhi.

DEPONENT

Signature (Sole/ First Applicant/ Co Applicant)

Verification:

Verified that the contents of my above affidavit are true and correct to the best of my Knowledge,

no part of it is wrong and nothing material has been concealed therein.

Verified at on this day of month year

DEPONENT

Signature (Sole/ First Applicant/ Co Applicant)