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E SPACE REAL ESTATE LTD

APPLICATION FORM

Passport size
photograph
  1. 1. Full Name (In Block Letter) :
  2. 2. Father's Name :
  3. 3. Mother's Name :
  4. 4. Spouse Name :
  5. 5. Minor or Children with no income represented by (with relationship) : Mr. as guardian
  6. 6. Occupation :
  7. 7. Date of Birth :
  8. 8. Nationality :
  9. 9. National ID No. / Passport No. : of Allottee Legal Guardian
  10. 10. TIN : of Allottee Legal Guardian
  11. 11. Telephone No. : Off. Res. Cell
  12. 12. E-mail :
  13. 13. State the name of the person(s) who will introduce the legal heirs to the company incase of the death of the allottee :
  14. 14. Permanent Address : A. As per NID B. Actual
  15. 15. Present Address :
  16. 16. State name and address with phone no. of two respectable persons who are either related to you or closely known to you : (i) (ii)
  17. 17. State the Name of Project and Type and Size of the Plot : Land Project, Plot No. Rd. No. Sector Area Katha, Face
  18. 18. Mode of Payment : i) Installment (As per E Space Payment Schedule) Yes ii) One Entire Yes