MEMBERSHIP APPLICATION FORM

Please fill in the form with a ballpoint pen and retain the carbon copy,
any other type of pen does not leave carbon impression clearly.
Member Details
Stamp / Passport
Individual Firm size photograph of
Salutation Mr. Ms./Mrs. Dr M/s Member

Member’s Name: ______________________________________________________________________________

(Name of the Applicant in case of Individual Membership & Name of Firm in case of Firm Membership)

Name of Authorised Person 1: _________________________________________________________________________

(Name of the first authorized person in case of Firm Membership)

Date of Birth: __________________________________________(DD/MM/YYYY)

Preferred Mailing Address: ___________________________________________________________________________

___________________________________________________________________________________________________

Landmark: __________________________________________________________________________________________

City:_______________________________________State: ___________________________________________________

Pin / Postal Code: ________________________________ Country: ____________________________________________

Email:_____________________________________________________________________________________________

Mobile No. ________________________________________________________________________________________

Home Phone No.___________________________________________________________________________________

Work Phone No. ___________________________________________________________________________________

Age: 18-28 28-35 35-45 45-60 60 & Above

Occupation: Salaried Business Self Employed Others: ________________

Profession: _____________________________________________________________________

Firm Name: _____________________________________________________________________

Designation: _____________________________________________________________________

Facebook ID: _______________ ___________ Twitter ID: _________________________________

Which car do you drive? ___________________________________

Annual Income Category: 4-8 Lacs 8-12 Lacs 12-18 Lacs 18-22 Lacs 22 Lacs &Above

Where did you Holiday last? India ________________________________ Abroad __________________________________

Spouse Details

Same as Co-Member

Name: ___________________________________________________________________________

Date of Birth: _____________________________________________________________________

Wedding Anniversary Date: __________________________________________________________

Name of Children

1. Name: ___________________________________________________________ Gender: _____________________

DOB:______________________________

2. Name: ___________________________________________________________ Gender: _____________________

DOB:______________________________

3. Name: ___________________________________________________________ Gender: _____________________

DOB:______________________________
 Stamp / Passport
Co-Member Details
size photograph of
Co-Member’s Name / Authorised Person 2: _______________________________________________________________________________ Co-Member

Relationship with the main applicant: ____________________________________________________________________________________

Date of Birth: ___________________________________________(DD/MM/YYYY)

Mailing Address: ____________________________________________________________________________________

___________________________________________________________________________________________________

Landmark: __________________________________________________________________________________________

City:_______________________________________State: ___________________________________________________

Pin / Postal Code: ________________________________ Country: ____________________________________________

Email:_____________________________________________________________________________________________

Mobile No. ________________________________________________________________________________________

Home Phone No.___________________________________________________________________________________

Work Phone No. ___________________________________________________________________________________

Age: 18-28 28-35 35-45 45-60 60 & Above

Occupation: Salaried Business Self Employed Others: ________________

Profession: _____________________________________________________________________

Firm Name: _____________________________________________________________________

Designation: _____________________________________________________________________

Facebook ID: _______________ ___________ Twitter ID: _________________________________

Which car do you drive? ___________________________________

Annual Income Category: 4-8 Lacs 8-12 Lacs 12-18 Lacs 18-22 Lacs 22 Lacs &Above

Where did you Holiday last? India ________________________________ Abroad __________________________________

Spouse Details

Same as First-Member

Name: ___________________________________________________________________________

Date of Birth: _____________________________________________________________________

Wedding Anniversary Date: __________________________________________________________

Name of Children

1. Name: ___________________________________________________________ Gender: _____________________

DOB:______________________________

2. Name: ___________________________________________________________ Gender: _____________________

DOB:______________________________

3. Name: ___________________________________________________________ Gender: _____________________

DOB:______________________________
Product Details

Season: White Apartment: 2BR 1BR Studio

Time Share Licence Period: 25 Years 15 Years

Member Declaration

I hereby certify that the above details furnished are accurate and are to the best of my knowledge.

Place: __________________________

DD MM YYYY

To be stamped in case of Firm Membership Signature of the Member / Signature of the Co-Member
Authorised Signatory for Firm Membership

Payment Details

All Cheques / Demand Drafts / Pay Orders to be in favour of “KRISHNABHUMI HOLYDAYS PVT. LTD.”

Membership Fee (INR) _________________________________

Payment Option opted: Down Payment Installment Plan (18 Months)

100 % Down Payment Amount (INR): ______________________________________

Mode of Payment: Demand Draft Cheque Credit/Debit Card Third Party Payment

For DD / Cheque Bank Name & Branch _______________________________ Date ___________________________________

Instrument Number _________________________________

Installment Plan

Down Payment Amount (INR) ___________________________, Initial Down Payment.

18 Monthly Installment Amount (INR) ____________________________________, 18 Monthly Fixed Installments.

Mode of Payment: Cheque Credit Card NACH Third Party Payment

For Cheque Bank Name _________________________________________________ Date ________________________________________

Instrument Number _________________________________________________

For NACH* Bank Name ___________________________________________ Date: ______________________________________

MICR No. ____________________________________ Sample Instrument Number_______________________________________________
*Please attach cancelled cheque instrument with NACH Form.

Member Declaration

I hereby certify that the above details furnished are accurate and are to the best of my knowledge.

Place: __________________________

DD MM YYYY

To be stamped in case of Firm Membership Signature of the Member / Signature of the Co-Member
Authorised Signatory for Firm Membership
Member’s Review for Confirmation of Understanding

Dear Members(s)
Here are a few points about your membership that you should be clear about. Please read each point & acknowledge that you have gone through it.
1. I/We understand the terms and conditions of the membership offer that I/We have chosen at the time of signing up for membership under Time Share Licence
Scheme (TSLS).
2. I/We confirm having read the membership rules governing allotment of membership under TSLS. .
Membership and the terms condition with regards to Resort Condominium International Inc. and agree to abide by the same. All necessary clarifications and
information on the membership rules have been provided to us.
3. I/We understand that any payment made by me/us would first be appropriated toward the admission fees and balance if any would be appropriated towards the
entitlement fees
4. I/We understand that in the event of request for cancellation by me/us after the recession period i.e. 7 days, KBHPL shall not be liable to refund the admission
fees paid by me/us
5. I/We understand that I/We shall be admitted as a member only upon realization of the down payment of admission fees and entitlement fee by KBHPL.
6. I/We understand all the enrollment benefits of my/our membership under TSLS with regard to the color of season and size of apartment purchased and process
for changing seasons and apartment size at the time of booking a holiday
7. I/We understand that the number of people who can occupy the apartment is as follows –
2 bedroom apartment -6 Adults, 1 bedroom apartment -4adults studio apartment -3 adults
(Children above 12 years to be considered as adults or 2 children before 12 years to be considered as an adult)
8. I/We understand that the reserving of the week / days is my/our responsibility and in this regards KBHPL does not undertake any responsibility or liability
9. I/We understand that I/We can make our own arrangement to sell my/ our membership & that KBHPL shall not buy it back from us/ me
10. I/We understand that holidays entitlements in excess of 21(twenty one) days at any point of time shall automatically lapse.
11. I/We understand that the confirmation of reservation of bonus/regular holiday is subject to availability and eligibility and those bookings for the same open for 6
months or 1 year in advance from the selected holiday date.
12. I/We understands that KBHPL needs to maintain the property toward I/we confirm having agreed to pay annual service charges (ASC) whether I/We avail the
holiday in a particular year or not and non-payment of the same for 2 consecutive years shall result in my/our decrement from the use of and/or cancellation of
membership.
13. I/We understand that the annual service charges is payable by me/us even for the lapsed holiday entitlements since KBHPL is required to maintain the KBHPL
notified property during the membership usage period
14. I/We understand that my/ our membership in RCI through KBHPL is for the periods of 5 years only. Subsequently the necessary fees for renewal of the Resort
Condominium International (RCI) membership shall be paid by me / us directly to RCI. All membership of RCI shall be handled through RCI and not KBHPL and all
applicable exchange fees are payable to RCI directly. I/We confirm that KBHPL shall not be liable or responsible for RCI exchanges and RCI exchange between me /
us and RCI only
15. I/We understand that any part payment made by me / us towards outstanding shall first be appropriated towards interest and then earlier dues / outstanding.
16. In case of default in payment of any installment by me/us KBHPL shall have the right to terminate my/our membership and that the terms and conditions
mentioned in the membership rules shall apply
17. I/We have read the rules of termination mentioned in the membership rules and agree to the same
18. I/We confirm that there are no other verbal/written promises or any other assurance not mentioned in the membership rules that have been made by any
KBHPL personnel.

KYC Documents
Please tick the box indicating the type of KYC document self attested photocopy attached as proof of identity.

Member : Aadhar Card Voter ID Passport Driving Licence

Co- Member : Aadhar Card Voter ID Passport Driving Licence

Firm: In case of firm,

a) letter of authorization (original)
b) a photocopy of the ID proof of the authorized signatory or signatories. (self attested)
c) a copy of the registration certificate of the company (stamped and signed)

Name of Krishnabhumi Holydays Executive: _________________________________________ KBE ID: ________________________________

Date: _______________________ ____________ ________________________________

(Signature – Authorised Sales Representative)

Member Declaration
Instruction by member at the time of enrolment
I confirm and agree that Telemarketing Centre of KBHPL is authorised to contact me through telephone for communicating promotions, events and benefits related
to my membership on my telephone number listed or not on NDNC.
I hereby certify that the above details furnished are accurate. I/We have gone through the above listed points, the KBHPL terms of membership and agree to abide
by the same. I have received a copy of the said terms and conditions of membership.

Place: __________________________

DD MM YYYY

To be stamped in case of Firm Membership Signature of the Member / Signature of the Co-Member
Authorised Signatory for Firm Membership
For Office Use Only

Member ID : _____________________ Contract ID ______________________ Checked OK

___________________________ __________________________ ___________________________ _______________________

Signature of the SE/HC Signature of the Sales Manager Signature of the BM/RM Signature of the Proprty Head
(TM/VM/CSM/ Unit Head)

Third Party declaration

UNDERTAKING – FOR MAKING PAYMENT RELATING TO KRISHNABHUMI HOLYDAYS MEMBERSHIP

From,
Member’s details to be stated:
I ____________________________ S/o /D/o /W/o _________________________ aged ___________ years residing at ___________________________________
having Membership No. ___________________ undertake and state as follows:
1. I am a Krishna Bhumi member holding Membership ID No. ___________________ Apartment “_______” and Season “_____________________”. I
state that relating to the said Membership a sum of Rs. ______________ is to be paid to __________________________ Snowwhite Infrastructure Pvt.
Ltd. towards Down Payment (DP) / Equated Monthly Installment (EMI) / Annual Subscription Fees (ASF) / Annual Maintenance Charges (AMC) for the
month of ________________ Year __________________. Due to certain unavoidable circumstances, I shall not be remitting the above stated amount
for the month of _________ year __________ and hence, request you to accept the payment made by _____________ (Relationship) my Mother /
Father / Son / Daughter / etc., in favor of Company. I confirm that I shall abide by the Terms and Conditions stated in the Membership Rules executed
by me and subsequent amendments made relating to my Membership ID No. __________________. I hereby confirm that I have submitted the Know
Your Customer (KYC) documents of ____________ (Relation) as requested for by the Company.
2. I am hereby making the payment vide Cheque / Credit Card / Demand Draft made on my behalf by _____________________ and request you to kindly
accept the same as payment made towards my Membership ID No. ___________________.
3. I certify that the information provided above is true to my knowledge and belief. I hereby authorize the Company to acknowledge the receipt for the
payment.
4. I agree and undertake that in such cases where the Cheque has been dishonoured for any reasons and in case if charge back is made by the issuing
Bank, then all applicable charges levied by the Bank will be borne by me in this regard.

Membership Details _____________________________

Signature of the Proposer / Member ______________________________
Signature of the Payment Issuer __________________________________
Place and Date ________________________________________________

KYC Checklist
Individual Membership
Serial No. of Proof of ID: _____________
Date of Issue: ________________ Expiry Date: _______________________
Validity needs to be within 3 months from date of sign up of contract for all documents.
Passport Driving License Aadhar Card Voters ID Card

Non- Resident Indian: Overseas address is mandatory. (Out of permanent & correspondence address, one address must be that of overseas).
Serial No. of Proof of ID: __________________
Date of Issue: _______________________ Expiry Date: __________________________

Passport International Driving License with photo Work permits/ Visa with Photo

Proprietor / Corporate Bodies: Mandatory self-certified true documents to be submitted.

Serial No. of Proof of ID submitted: _________________________
Date of Issue: __________________________ Expiry Date: ____________________________
Certificate of Incorporation
Memorandum & Articles of Association / Power of Attorney
Authorized Signatories list with specimen signatures and PAN of authorized signatory
Company ID proof if listed company / MNC.

Partnership Firm: - Mandatory certified documents to be submitted. (All compulsory).

Serial No. of Proof of ID submitted: _____________
Date of Issue: ________________ Expiry Date: _______________________
Certificate of Registration
Partnership Deed or declaration of NOC on Letter head given by all partners.
Authorized signatories list with specimen signatures and PAN of authorized signatory / PAN of company.

Hindu Undivided Family (HUF): - (All Compulsory)

Serial No. of Proof of ID submitted: _________________________
Date of Issue: __________________________ Expiry Date: ____________________________
Proof of Identity:- Self attested copy of PAN card in HUF name is mandatory.
Mandatory certified documents to be submitted.
Deed of declaration of HUF or PAN in name of Karta.
Bank Passbook/ Bank Statement
Demat Statement in the name of HUF