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- FORM NO.- 1
-
- To download the form
-
- THE ORISSA CO-OPERATIVE HOUSING
CORPORATION LIMITED,
- BHUBANESWAR
- APPLICATION FORM FOR MEMBERSHIP
-
- To
- The Secretary,
- _______________ Sub-Divisional/
Town/ Urban
- House Building Co-operative
Society,
- At:- ___________________
- P.O:- __________________
- District:- _______________
-
- Sub:- Application for Membership.
-
-
- Sir,
-
I, Shri/ Smt. __________________________, son of / Wife of / Daughter of :
_____________________ aged ________ years, At:- _____________, P.O:- __________, P.S:-
_________________, District :- _______________ beg to state that I am a permanent resident
of Village ___________________ which comes under the jurisdiction of your Society. I may
please be enrolled as a Member of your Society under the provisions of Bye- laws and
Orissa Co- operative Societies Act, 1962 the Rules framed thereunder.
- I am
depositing herewith the membership fee and the entrance fee today for which a money
receipt may please be issued in my favour.
- Further,
I am to state that I shall abide by the rules and Bye- laws of the Society as Member of
your ___________________ Sub- Divisional/ Urban House Building Co- operative Society.
- The
name/ names of my nominee with relation is / are :-
- 1.
- 2.
- 3.
-
- Place : Full signature of the
Applicant
- Date :-
-
-
-
- Verification Report of the
Supervisor of
- Orissa Co-operative Housing
Corporation Limited,
- BHUBANESWAR
- 1. Loan application Number &
Date :
- 2. Name of the applicant :
- 3. Father’s/ Husband’s
name:
- 4. Address of the applicant:
- 5. Name of the society in which he/
she Are a member, membership and Number?
- 6. Amount of loan applied for:
- 7. Name of the scheme:
- 8. Geological table:
- (
Geology of the applicant to be furnished beginning with his grant father both in the male
in the female line. Indicate all living windows with names and ages wives to be shown
against persons concerned with (=) mark. Ages of all living persons to be given within
brackets after their names. Indicate by letter (i) against their names of the coparceners
of the applicant who are joint with him/ her in property ) wherever required the vainer
genealogy is to be furnished in the above line. The settlement Patta should be verified
for ascertaining correct particulars.
- 9. Verification of House site along
with
- consolidated up-to-date
‘boundary of
- the site is required and also
additional
- security :
- Whether House site is within 2 K.Ms
- From Block Head-quarters/ included
- Under important place for finance/
- Town Planning area but not within
- N.A.C. or Municipality area :
- BOUNDARY
- Village:_______________________
East
- Khata No. _____________________
West
- Plot No. _______________________
North
- Area _______________________ South
- Certified that public approach road
is in the ______ side of the Plot.
- 10. Whether plan and estimate of
the
- proposed house are enclosed with
- the application :
- 11. Estimated cost of the Building
to be
- constructed with the loan amount :
- 12. Floor area of the proposed
building :
13. Annual income of the member :
- (State the sources of income)
- a) Service: Rs.
- b) Agriculture: Rs.
- c) Business: Rs.
- d) Other source: Rs.
- e) Total: Rs.
- 14. Encumbrances of all lands to be
- mortgaged to the society :
- (Supervisors are required to
enquire
- it from the local area) :
- and ensure submission of the
Encumbrance
- Certificate for 12 years from the
- Concerned Sub-Registrar's Office :
- 15.(a) Title of all plots be
checked up and filed
- with the loan applicant :
- Whether the land is ancestral of
self
- acquired :
- In whose name the land is recorded
in the
- revenue record and in rent receipt:
:
- (d) How the applicant got title
over the land :
- (e) Whether up-to-date rent receipt
filed :
- 16. Recommendation of Society for
loan :
- 17.(a) Repaying capacity of loanee:
(b) Annual income of Applicant :
- (Form which source what amount) :
- i) Agriculture: Rs.
- ii) Salary: Rs.
- iii)Business: Rs.
- iv) others: Rs.
- _________________________
- TOTAL: Rs.
- 18. Whether the loan is safe :
- 19. General remark :
- 20. Certificate :
- Certified that I have verified the
house site and the lands offered as additional security as per the details mentioned above
are correct to the best of my knowledge and are in order.
- I hereby recommended for sanction
of a loan amounting to Rs………………….
- (Rupees……………………………)
to the member under…………………Scheme.
- Date:_______________ Signature of
the
- SUPERVISOR
- N.B.- In col.19 the reporting
officials to required to indicate as regard distance of house site from the Block H.Q. (In
case of loan applications of Rural areas)/ approach Fload/
- And any other specific remarks
pertaining to the total to facilitate due consideration.
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