1. I am the member/promoter of the ............................. Co-operative Housing
Society Ltd.. at .....................................................................'............... holding the Flat No. ...................................admeasuring...............................................
............... sq. metres, in the building No./known as .............................................

2. I intend to have additional flat in the building of your society, in my
name/in the name of my wife/husband/son having no independent source of
income/unmarried daughter/person dependent on me. The area of the additional
flat is .............................. sq. metres.

3. As the number of members in the family is large/the number of persons
dependent on me and required to stay with me is large/my business activities are
such as need special arrangement to accommodate visitors, coming to me for
business/(state here any other convincing reason), the additional Flat Is absolutely
necessary.

4. It is hereby declared that both the flats will be used for my/our bonafide
residential purposes and would not be sub-let or given on leave and licence or
care-taker basis or possession thereof would not be parted with any other manner,
without the previous permission of the committee of the society.

5. I request you to please grant necessary permission for holding the
additional flat.

Place :                                                                                                              

                                                               Yours faithfully

Date :                                              Signature of the applicant