name); ?>

address); ?>
mobile); ?>
email); ?>

created_at)) { ?>
Date:

Booking/Application form

Name(Capital Letter): name)) { ?>
S/O W/O D/O: hus_father )) { ?>
Mother's name: mother )) { ?>
Date of birth: birthday )) { ?>
Profession: profession )) { ?>
Religion: profession )) { ?>
Nationality: nationality )) { ?>
Permanent address: permanent_address )) { ?>
Present address: present_address )) { ?>
Phone:Office: office )) { ?> res: res )) { ?>
Mobile: mobile )) { ?> E-mail Web: email )) { ?>

picture)) { ?> No image

Nominee's name: name)) { ?>
S/O W/O D/O: name)) { ?>
Nominee's address: address )) { ?>
Nominee's relation: relation)) { ?> Date of birth: birthday)) { ?>
Nominee's nationality: nationality)) { ?>
Referrence: name)) { ?>
Description of applied plot: Name of project: name_project)) { ?>
Block name: title)) { ?> Plot no: plot_no)) { ?> Road no: road)) { ?>
Face: face)) { ?> Plot size: plot_size)) { ?>
Mode of payment: One time/installment: installment)) { ?>
Booking amount: paid)) { ?> Installment amount: installment_amount)) { ?>
Please give details of your payment: Cash/Cheque/PO/DD/No: check_no)) { ?>
Bank: bank)) { ?> Branch: branch)) { ?> Date: date)) { ?>
Tk: tk)) { ?> Tk in word: tk_word)) { ?>

Desclimer

I/We do here by declare that the above mentioned information and description are the best of my/our knowledge. I/We further declare that I/We have not concealed any thing nor I/We have given any wrong information. I/We have gone through the pamphlet of the Company Containing the project and plan understood the conditions of allotment of plot and also I/We have knownabout the registration of the transfer deed after payment of full price. The decision of the company regarding the allotment of plot in my/our favour is binding of me/us. If a plot is allotted to me/us. I/We shall get the sale deed executed and registered at my/our own cost that us I/we shall bear the stamp duty, registration fees, VAT and all other fee payable to the govt. or other local bodies.

signature_image)) { ?> signature_image)) { ?>
Authorize signatory
date: auth_date)) { ?> 		Signature of the aplicant (S)
date: created_at)) { ?>

For official use only

Application Reciving date: app_date)) { ?> Client ID: serial_id)) { ?>
Name of projects: name_project)) { ?>
Road no: road)) { ?> Block name: title)) { ?>
Plot no: plot_no)) { ?> Plot size: plot_size)) { ?> Face: face)) { ?>
Rate per khata tk: rate_per)) { ?> Total fixed price tk: total_rate )) { ?>
Booking amount: paid )) { ?> Down payment: down_pay)) { ?>
Allatment/file no: sale_no )) { ?> One time: one)) { ?>
Installment: installment)) { ?> Installment amount: installment_amount)) { ?>


Accountant Director Accounts
Director Finance DMD
MD/Chairman