1. Shri/Shrimati ....................................... intend to become a member of the ........................................... . Cooperative Housing Society Ltd., having address at ........................................... by transfer of the Shares Certificate No................................. for five fully paid up shares of Rupees Fifty each bearing distinctive numbers from.............. to .............. [both inclusive] held by Shri/Shrimati....................................... the member of the said society and his / her interest in the flat No..................................... admeasuring sq. meters, in the building of the said society, numbered / known as.................................... held by the said Shri/ Shrimati .............................................to my name

2. I had given my consent to the proposed transfer of the said shares and the interest of the said transferor in the capital / property of the said society to me on .....................................

3. I now make this application for membership of the said society and for transfer of the said shares and the interest of the said transferor in the capital / property of the said society to my name.

4. The particulars for the purpose of consideration of my application for membership of the ..............................................Co-op. Hsg. Soc. Ltd., are given below:

1	Age	: ................................................
2	Occupation	: ................................................
3	Monthly Income	: ................................................
4	Office Address	: ................................................
5	Residential Address	: ................................................

5. I remit herewith the entrance fee of Rs. 100/- [Rupees One Hundred only].

6. I declare that there is no plot / flat / house owned by me / any of the members of my family / the person dependent on me, in the area of operation of the society.

7. I also furnish herewith the undertaking in the prescribed form, on 100/- rupees stamp paper, about registration of the transfer under Section 269 AB of the income – tax Act and the rules made thereunder

8. I undertake to use the flat, proposed to be transferred to me, for the propose mentioned in the letter that will be issued to me by the said society, under bye-law No. 76 (a) of the bye-laws of the said society and that no change of the user of the said flat will be made by me without the prior approval of the society in writing. The undertaking to that effect in the prescribed form is enclosed herewith.

9. I undertake to discharge all the liabilities to the society, which may become due from the date of my admission to the membership of the society. As I have no independent source of income, I enclose herewith the undertaking in the prescribed form from the person, on whom I am dependent, to the effect that he will discharge all the liabilities of the society.

10. I enclose herewith the undertaking in the prescribed form that the plot / flat / house owned by me / any of the members of my family / the person dependent on me, the details of which are given in this application about the disposal of the said flat / plot / house.

11. I have gone through the bye-laws of the society and undertake to abide by the same and any modifications that the Registering Authority may make in them.

12. I request you to please admit me as a member of the said society and transfer the shares and the interest of the transferor in the capital / property of the said society to my name.

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