(to be filled up by the Allottee after issue
of Allotment Letter and
at the time of taking Possessing Letter of their Dwelling Unit)
(On Rs.10/- Non-judicial stamp paper or such
amount as applicable in the State where the individual is executing this document duly
attested by Notary)
________________________________ S/o / W/o / D/o __________________________ aged about
_____ years R/o __________________________________________ Deponent.
I, the Deponent above named do hereby solemnly affirm and
declare as under:
- That I / my spouse / dependent children / dependent family
members have previously been a registrant / allottee (strike out whichever is in
applicable) of Self Financed Housing Scheme sponsored by the Air Force Naval Housing Board
Scheme at ............ vide Regn No. .............. for a dwelling unit. I am now applying
for another Dwelling Unit of AFNHB Scheme at ............ vide Regn No.
That neither I nor my spouse nor any
of my dependent children or dependent family members during the period of my registration
in the said Scheme has been a member of any housing Scheme in ___________Area.
- That neither I nor my spouse or any of my dependent children
or dependent family members during the period of my registration in the Scheme has owned
either in full or in part, on lease hold or free hold basis any plot of land or a house or
a Flat or a Dwelling Unit within ____________Area.
- That neither I nor my spouse is a member of Hindu undivided
family which owns either in full or in part on lease hold or free hold basis, any plot of
land or a house or a Flat or a Dwelling Unit in ________ Area. (Area of AFNHB Scheme)
- That I will inform the Board within one month if any plot of
land or a house or a Flat or a Dwelling Unit is acquired by me or my spouse or my
dependent children or dependent family members within _________________Area prior to
taking possession of Dwelling Unit.
- That I will abide by all rules, orders and instructions
issued by the Board from time to time and execute such deeds or documents as required by
the Board with regard to the allotment or non-allotment of Flat to me.
I, the above said _____________ do hereby solemnly affirm
and declare that content of my Affidavit are correct and true to the best of my knowledge
and belief and nothing has been concealed or suppressed therefrom.
Verified at _________ on this ______ day of ____________
TO BE NOTARISED
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