FORM NO.- 1

 

THE ORISSA CO-OPERATIVE HOUSING CORPORATION LIMITED,

BHUBANESWAR

APPLICATION FORM FOR MEMBERSHIP

 

To

The Secretary,

_______________ Sub-Divisional/ Town/ Urban

House Building Co-operative Society,

At:- ___________________

P.O:- __________________

District:- _______________

 

Sub:- Application for Membership.

 

 

Sir,

       I, Shri/ Smt. __________________________, son of / Wife of / Daughter of : _____________________ aged ________ years, At:- _____________, P.O:- __________, P.S:- _________________, District :- _______________ beg to state that I am a permanent resident of Village ___________________ which comes under the jurisdiction of your Society. I may please be enrolled as a Member of your Society under the provisions of Bye- laws and Orissa Co- operative Societies Act, 1962 the Rules framed thereunder.

I am depositing herewith the membership fee and the entrance fee today for which a money receipt may please be issued in my favour.

Further, I am to state that I shall abide by the rules and Bye- laws of the Society as Member of your ___________________ Sub- Divisional/ Urban House Building Co- operative Society.

The name/ names of my nominee with relation is / are :-

1.

2.

3.

 

Place : Full signature of the Applicant

Date :-

 

 

 

Verification Report of the Supervisor of

Orissa Co-operative Housing Corporation Limited,

BHUBANESWAR

1. Loan application Number & Date :

2. Name of the applicant :

3. Father’s/ Husband’s name:

4. Address of the applicant:

5. Name of the society in which he/ she Are a member, membership and Number?

6. Amount of loan applied for:

7. Name of the scheme:

8. Geological table:

( Geology of the applicant to be furnished beginning with his grant father both in the male in the female line. Indicate all living windows with names and ages wives to be shown against persons concerned with (=) mark. Ages of all living persons to be given within brackets after their names. Indicate by letter (i) against their names of the coparceners of the applicant who are joint with him/ her in property ) wherever required the vainer genealogy is to be furnished in the above line. The settlement Patta should be verified for ascertaining correct particulars.

9. Verification of House site along with

consolidated up-to-date ‘boundary of

the site is required and also additional

security :

Whether House site is within 2 K.Ms

From Block Head-quarters/ included

Under important place for finance/

Town Planning area but not within

N.A.C. or Municipality area :

BOUNDARY

Village:_______________________ East

Khata No. _____________________ West

Plot No. _______________________ North

Area _______________________ South

Certified that public approach road is in the ______ side of the Plot.

10. Whether plan and estimate of the

proposed house are enclosed with

the application :

11. Estimated cost of the Building to be

constructed with the loan amount :

12. Floor area of the proposed building :
13. Annual income of the member :

(State the sources of income)

a) Service: Rs.

b) Agriculture: Rs.

c) Business: Rs.

d) Other source: Rs.

e) Total: Rs.

14. Encumbrances of all lands to be

mortgaged to the society :

(Supervisors are required to enquire

it from the local area) :

and ensure submission of the Encumbrance

Certificate for 12 years from the

Concerned Sub-Registrar's Office :

15.(a) Title of all plots be checked up and filed

with the loan applicant :

2.  

   Whether the land is ancestral of self

   acquired :

3.  

   In whose name the land is recorded in the

revenue record and in rent receipt: :

(d) How the applicant got title over the land :

(e) Whether up-to-date rent receipt filed :

16. Recommendation of Society for loan :

17.(a) Repaying capacity of loanee:
(b) Annual income of Applicant :

(Form which source what amount) :

i) Agriculture: Rs.

ii) Salary: Rs.

iii)Business: Rs.

iv) others: Rs.

_________________________

TOTAL: Rs.

18. Whether the loan is safe :

19. General remark :

20. Certificate :

Certified that I have verified the house site and the lands offered as additional security as per the details mentioned above are correct to the best of my knowledge and are in order.

I hereby recommended for sanction of a loan amounting to Rs………………….

(Rupees……………………………) to the member under…………………Scheme.

Date:_______________ Signature of the

SUPERVISOR

N.B.- In col.19 the reporting officials to required to indicate as regard distance of house site from the Block H.Q. (In case of loan applications of Rural areas)/ approach Fload/

And any other specific remarks pertaining to the total to facilitate due consideration.

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