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Application Details

Application Number
9230001547
9230001547

Lottery Name : PUNE FIRST COME FIRST SERVE LOTTERY - 2023 (


Scheme Code : 645-S-NO-309-PART-PIMPRI-WAGHIRE-LIG

Category Code : GP-GENERAL PUBLIC


Income Group : AIG-ALL INCOME GROUP
Application Date : 10/01/2023 10.48.04

Applicant Name : MR ARUNKUMAR RAMCHANDRA MENGANE

Applicant DOB : 19/07/1986


Pan No. : AWNPM2828D

**Signature of applicant

Contact Details

Mobile No : 9867044234 Residence Tel No :

Email : dr.mengane@gmail.com Office Tel No :

Address : MENGANE HOUSE, S.V.ROAD, IRLA PREMNAGAR VILE PARLE WEST, MUMBAI MAHARASHTRA 400056.,K/WEST
WARD,MUMBAI (SUBURBAN),MAHARASHTRA,INDIA,400056

Bank Details

Bank Acc No. : 8611697169 Amount : 50590

MICR code : 0 [50000 + 500 + 90 (18% GST) ]

IFSC code : KKBK0000674

Bank : KOTAK MAHINDRA BANK

Branch : MUMBAI - VILE PARLE (WEST)

I hereby declare that the information given by me in this application form is true and correct.I acknowledge that if the information is noticed to be
false,it would result in cancellation of my application,cancellation of allotment of tenement if any, made in my favour,and liable for legal action for
making a false declaration.
I agree to abide the provisions of the Maharashtra Housing & Area Development Act.1976 and the Maharashtra Housing and Area
Development(Estate Management, Sale, Transfer and Exchange of Tenements) Regulation 1981,and Maharashtra Housing & Area
Development (Disposal of land) Rules-1981 as amended from time to time and shall execute all such agreements and instruments inrelation to
tenements/plot which may require me to do so.
That I will produce to the department within prescribed time limit the requisite prescribed documents e.g. Certificate of age/Certificate of
income/affidavit, Domicile Certificate of Stay in Maharashtra state, Certificate of Caste or other reserved categories and such other documents
as may be found necessary from the appropriate Competent Authority as and when called for to do so, for determination of my eligibility.

Place : Signature of applicant :

Date : Name of applicant :

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