ON A TWENTY RUPEES STAMP PAPER

[Under the Bye-law Nos. 17 (b) 19 (vii) 20 (iv) and 40 (d) (ix) ]

Form No. 25

The form of declaration for not holding immovable property in any Urban
Agglomeration, specified under the Urban Land (Ceiling and Regulation)
Act. 1976, exceeding 500 sq. metres.
(To be given by the Transferee/person seeking direct admission to membership)


I * We, Shri * Smt. *Messers ___________________________________ Intending members of the ________________________Co-operative Housing Society Ltd. At_____________________________________________proposing to hold flat No.___________having___________________ sq.metres area, in the building of the society, constructed, or to be constructed, hereby declare that I * We do not hold any vacant land or land with a building thereon, anywhere in any urban agglomeration, mentioned in the Urban Land (Ceiling and Regulation) Act, 1976, the area of which exceeds 500 sq. metres.

Place :

Date :

Signature of the Transferee / Prospective Member

* Strike out which is not applicable.