Sub: Application for obtaining possession /demarcation of plot No. Sector

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Urban Improvement Co (P) Ltd F32, CONNAUGHT PLACE, NEW DELHI 110 001 Sub: Application for obtaining possession /demarcation of plot No. Sector I/we,, the Owner(s)/GPA holder(s) of plot No. Sector in Greenfields colony, vide registration No. dated, request the Company to kindly hand over possession/demarcation of the above said plot to me/us. Further I /we declare that the plot under reference above is free from all encumbrances, does not have any lien/mortgage and no legal proceedings regarding the said plot are pending in any court of India. I/we am/are enclosing herewith a certified true copy of conveyance deed and GPA. Further, I/we declare that the above said statement is correct and no part of it is false and nothing material has been concealed. I/we indemnify the Urban Improvement Company against any loss, if any, caused from this act/deed of me/us. I/We undertake that if any encroachment is found on others land at any stage of time during construction and thereafter, either the portion under encroachment shall be demolished by the owner or demolition charges shall be paid by the plot holder to the Company. Further, the company is entitled to demolish such illegal encroachments at any time and recover the cost of demolition and other incidental charges. The amount so recovered by the Company would be final and binding on the owner and the owner shall not dispute the same. Further, I/We undertake that an underground water sump will be constructed on the plot before starting construction. I/we undertake to construct strictly as per the approved building plan and in no case more than one unit per floor will be constructed. I/We undertake to provide proper inspection chambers etc in ramp to be constructed, if any, at the entrance of the house. I/We undertake to restore/maintain the SWD along with my plot in perfect original state. I/We, the executants, undertake to pay security charges/any other charges for the above plot as levied/revised by the Company from time to time. Further, I/we hereby undertake to pay an amount of Rs.50,000/-, non refundable, towards malba clearance /road repair/stacking charges etc.. That I/we undertake to dispose the malba excavated/construction material while constructing my plot at the designated sites immediately and further I will inform the company within 15 days after completion of construction. I/we further undertake that if I fail adhere to the terms and conditions referred above, the company can stop any construction and may initiate legal action. No water connection will be provided at the construction stage. Date: Place : Signature Name: FOR USE AT SITE OFFICE Specimen signature of owner Date : Signature verified Plot No. Sr General Manager Photo

-2- DATE OF APPLICATION : PLOT NO : AREA : WHETHER THERE ARE ANY DUES : WHETHER ANY COURT CASE IS PENDING OR LEGAL NOTICE RECEIVED : IDENTIFICATION OBTAINED : DETAILS OF SECURITY DEPOSIT : AMOUNT : RECEIPT No. & DATE : REFUNDED ON : REMARKS : FOR OFFICE USE VERIFIED APPROVED FOR HANDING OVER POSSESSION/DEMARCATION. SR.ASSTT/SECTION OFFICER/MANAGER SR GENERAL MANAGER

Undertaking I, S/o R/o do hereby solemnly affirm and declare as under : That we undertake that if any encroachment is found on others land at any stage of time during construction on plot No. Sector, Greenfields and thereafter, either the portion under encroachment shall be demolished by the owner or demolition charges shall be paid by the plot holder to the Company. Further, the company is entitled to demolish such illegal encroachments at any time and recover the cost of demolition and other incidental charges. The amount so recovered by the Company would be final and binding on the owner and the owner shall not dispute the same. Further, I undertake to get demarcation of plot verified at D.P.C level. Further, I undertake that an underground water sump will be constructed on the plot before starting construction. That I/we undertake to construct strictly as per the approved building plan and in no case more than one unit per floor will be constructed. That I/We undertake to provide proper inspection chambers etc in ramp to be constructed, if any, at the entrance of the house. That I/We undertake to restore/maintain the SWD along with my plot in perfect original state. That I/We, the executant, undertake to pay security charges/any other charges for the above plot as levied/revised by the Company from time to time. Further, I hereby undertake to pay a non refundable amount of Rs.50,000/- towards malba clearance /road repair/stacking charges etc. That I/We undertake to dispose the malba excavated/construction material while constructing my plot at the designated sites immediately and further we will inform the company within 15 days after completion of construction. I/we further undertake that if I fail adhere to the terms and conditions referred above, the company can stop any construction and may initiate legal action. No water connection will be provided at the construction stage. Signature Date: Place : New Delhi. Name: Witness : 1. 2.