Booking Form

1. Scheme Name

2. Scheme Code

3. Property Category (required)

4. Property Code (required)

5. Applicant name (required)(Mr./Ms./Mrs.)

Applicant Photo

6. Name of Spouse (If Any)

7. Address for Correspondence

8. PIN

9. Age

10. Gender

11. Marital Status

12. Quota Code (required)

Quota Document

13. Occupation Code

14. Pay Plan Code (required)

DOB (required)

Check here If you are not handicapped
15. Handicapped

Check here If you are not senior citizen
16. Senior Citizen

17. Annual Income

Mobile No (Required)

18. Father's/Husband's Name

Check If Permant Address is Same

19. Permanent Address

20. Whether you possess some Property in Prayagraj? Or has PDA reserved/allotted some property to you? Who has applied in any Scheme which Lottery Draw has not been done till date. If yes please give details. Draw has not been done till date. If yes please give details

Property Details File Upload

21. Enclosers: Kindly inclose Certificate issued by competent authority for reservation.

22. Nominee Details

Nominee Name

Father/Husband Name

Relation

23. Applicant's Bank Details in case for refund of Booking Fee

Bank Branch Name

Bank Branch Address

Your Bank A/c No.

IFSC Code

PAN No.

PAN Upload

Aadhaar No.

Aadhaar Upload

DECLARATION

Remark

Place (required)

Date (required)