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r··-r-____________. . _- ~
_ _l (_
_·V_IIUl'tl_•_rou_J:_.,".._'"'_~ ~ _____
J __ _iHl
•MH_ll _•_YHS_-_•_tr._!l'R'_W,._~

MEMBEROF ,,._
CRED /\1
BENGAl.UlfJ

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f

AD AR SH
LUMINA
Off Sarjapur Road

BOO KIN G FOR M

Varthuru Hobli,
Project and Sales Lounge - Adarsh Lumina, Halanayakanahalli Village,
I Email: enquiry @adar shdevelopers.com
Bengaluru East, Karnataka - 560 035, Mob: 63649 21351
www.adarshdevelopers.com
4/007139
RERA Registration Number: PRM/KA/RERA/1251/446/PR/09102

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 ............................... ..........................................
'

, ... v,.
Date:

Unit No: ~30~ Tower: /1A _L.!...\LL ~

• I. "''•Y\h.. "l°"\ - - t -~-----l
Block:

SBA: Agreeme nt Valu_e_:_ _ _ _ _ _ _.i_PUC (If any):

Booking Amount Paid, Rs: No. of car parks:

No:
Vide Chq No/ Online Transfer Ref No. / Card Payment Ref
-
Dated: Drawn 0 n: Preferred Bank/ HFI

Self Bank
Funding Source:
"Refer Terms and Conditions

APPLICA NTS' DETAILS

Passport Size Passport Size

Photo of Photo of
2nd Applicant 3rd Applicant

II First Applicant's Name (As required in Allotment and Agreement)

~Ms./ Mrs.: . Sudhi!.'1- ___ J(u.m.@L_ -- ------------ -------- --- -- ---------- ------ ---------- ---------------------
Father's / Husband's Name: ------------------ ----- --- ------ --------- ---------- ------------------ -------- ---______________________ _
D.O.B.: ------------ ------- --------- -----------------PAN Number: --------- --------- ---- ---- ---------- ------______________________ _
Profession(s): __________________ ---------_______ ---.Company: __ -_________________________________________________________________ _
Mobile/ Phone: _ t :f-_ ~ _3__R_~ _ -+S_ -~-L- _____________________________________________________________________________ _
Email(s): (1) ________________________________________________ (2) ___________________________________________________________________ _

Second Applicant's Name (As required in Allotment and Agreement)

Mr. / Ms. / Mrs.: --------------------------------------------------------------------------------------------------------------------
Father's / Husband's Name: ___________________________________________________________________________________________ . ___ .. __ ....
D.O.B.: . ------------ -__ ------ -- ---- ---- ------ -- -- -__ PAN Number: ________________________________________________________________ _
Profession(s): . _____________ . _______________ . ______ . Company _______________________________________________________ . -------------
Mobile / Phone: _____________________________________ __. --.. ------------
------------------------------------------------------------
Email (s): (1) ________ . ________________________________________ (2) ____________________________________________________ . ____ . -. --------

Third Applicant's Name (As required in Allotment and Agreement)

Mr. / Ms. / Mrs.:
---------------------------------------------------------------------------------------------------------------
Father's/ Husband's Name: ------
----------------------------------------------------- --------------------------------------------
Address for Future Correspondence (Unless changed and specified)
------------------------------------------------------------------------------------------------------------------------------------
------·
--------------------------------------------------------------------------------------------------------------------------------
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 Existing Adarsh Customer?······························ If Yes - Project: ...................................................

Permanent Address For Agreement I Registration: ..........................................................................

• l'ty·
Nat1ona 1 • .................................................. Status: (NRI/ PIO/ OCI) .........................................

Marital Status: ............................................... Any Other Info: ..................................................

Name of POA Holder I Local Contact: (if any} ....................................................................................

Address: •••••••••••••••••••••••••..................................................................................................

Mobile/ Phone: ••••••••••••••............. Email: ...............................................................................

SOURCE
B iMarketing Channel Partner .-c_~t9mer Referral*
Print Eft,~NG DONE TH~:JUG' Existing customer: I
Hoarding ,,~~=~ ~ p i , , 1 f d Name: ______________________________ _
Digital .§ii~\N~~~ ~•p~ ?!': :~1~"' ApWilla/Plot no: ................... .
•,M ~oad.~-!ur-~'! '"''.
1 •
Direct Walk-in ~ec\
l'f'..;,..
~Ki
, "'-L; f.~.
d .. ,, /
U-.,,.,/J • Signature: ........................... .

CRM Team Adarsh CP Team Employee Referral*

Name: ............................. . Name:1-:.......................... Employee Referral: ._I_ ___,

Signature: .......................... . CP Manager Signature:........... Name: ............................ .

CP Head Signature:............... Project: ........................... .

Employee ID: ........................ .

SIGNATURES
Applicant" ..~ . ~ - · · · · · · · · - . · · · · · · · - Sales Executive/Manager: .C.Hh.NJ)AN...~..f:.'1
. . --- ~ .(.J_/N-' ~
Co-Applicant. ---------------·~ ____ _____ ___ ________ __________ ________ __ Sales Project Head: .............. _.. _....... _.............. _..... .

Co·Applicant 2: _____________ -· ________________________________________ .____ _ Sales Head: ................. _...... _................. -· .......... ·--

FOR OFFICE USE

Referral Customer/ Realtor Name:.................................... -............................ -... •....... ••·--•••-• •··-· · •· -· -···--·
*Introductory mail from referrer/ realtor with complete details of the client (name, mobile no., email): Y/N.................. .
*Confirmation email or signature in the walk·in form by Enquiry Team: YIN. .... ..... ·······-··-·············--····--·--·-·····-·
Customer Declaration regarding the referral/ realtor in the order booking form: Y/ N ·······-······-····---····-·······--·-···-·

Director:
--------

Date:._ _ _ _ _ _ _ _ _ _ _ Place: _ _ _ _ _ _ _ _ Project: _ _ _ _ _ _ _ _ _ _ __

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 TERM S & CON DITIO NS
7. 1 his application Is subject to the terms &
1, The application ,s made by the appllcant(s) for the
allotment of apartment in Mis Shivakar Developers conditions as per the allotment letter.
Private Limited (hereinafter referred to as "Promoter") 8. All the payments should be made by way of
reserves the right to allot or refuse the allotment.
accou~t payee DD/Cheque/Online Payment
2. The allotment will be confirmed/considered only after favouring SDPL Adarsh Lumina Mas Coll
encashment of the cheque/DD/wire transfer of the Escrow A/C at Bangalore as advised from time
to time.
specified Booking Amount of 10%.

3. The application shall accompany self-attested proof of 9. The application/allotment/agreement terms are
address and PAN Card copy. If the application is in joint subject to Bangalore Jurisdiction only.
name/s, both the applicants need to sign the
10. The above are only guidelines & not
application form.
exhaustive, terms of allotment and terms
4. The applicant(s) have inspected the location of the agreed under Sale Agreement shall be binding.
project, read and understood the details and
11. I/We hereby acknowledge that there are no
specifications of the project, selected the size, location
other verbal commitments or mutual
and design of the apartment contained in the
understanding other than the above.
brochures provided by the Promoter.
12. Details for communication furnished shall
5. *Stamp Duty, Registration & other Government levies,
remain in our records for all future
taxes, deposits, etc., are payable as applicable. Stamp
communication, any change needs to be duly
duty for registration of the Sale Agreement, Sale Deed
communicated in writing with valid Address
and miscellaneous expenses shall be borne by the
Proof. Until which time the address/contacts
Applicant.
furnished above are considered final.
6. In case of cancellation by the applicant/s, the following
13. Time is the essence of booking. Delayed
are applicable:
payments attract interest.
a. Cancellation prior to issuance of allotment letter,
14. Within 15 days of booking,entire 10% of the
blocking amount will be forfeited.
booking amount excluding the blocking amount
b. Post issuance of allotment letter and agreement has to be paid.
execution , cancellation charges as per RERA
At the time of booking ,Post Dated cheque has
norms is applicable.
to be given for the balance of 10% booking
c. The Applicant/Allottee is obligated to return all amount.
originals of allotment letter,receipts,agreement
and any other documents to the Promoter on
cancellation of booking.

I / We confirm that I / We have understood the above terms and conditions and agree to abide by them & confirm
that the information provided is correct to my / our knowledge and no material fact has been concealed.

✓s ·()J(\A~~
------· °1---------- -------------
First Applicant Second Applicant Third Applicant
Name & Signature Name & Signature Name & Signature

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