1. I am the member/promoter of the...........................................Co-operative Housing Society Ltd. (proposed) at.................................................... and hold/ intend to hold flat No. ............................................ Admeasuring ............................................ Sq. meters, in the building No ....................................... Building/Plot known as ..............................................

2. I intend to have additional flat in the building of your society, in my name/ in the name of my wife /husband/ son having no independent source of income/unmarried daughter/ person dependent on me. The area of the said flat is ................................square meters / ft.

3. As the number of members in the family is large/ the number of persons dependent on me and required to stay with me is large/my business activities are such need special arrangement to accommodate visitors coming to me for business (State here any other convincing reason ), the additional flat is absolutely necessary

4. I hereby declare that both my flats will be used for my/our bonafide residential purposes and would not be sub-let or given on leave and license or care-taker basis or possession thereof would not be part with any other manner without the previous permission of the committee of the society.

5. I request you to please grant necessary permission for holding the additional flat

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