Puda in punjabi
Form X
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Form X

APPLICATION FORM FOR SANCTION OF SEWERAGE CONNECTION
Plote / House No. Size/Category Residential/ Commercial Sector
Plot House
1. NAME OF THE ALLOTEE*
2. FATHER'S/ HUSBAND'S NAME (of allottee) *
3. NAME OF THE JOINT ALLOTTEE, IF ANY
4. FATHER'S/HUSBAND NAME OF JOINT ALLOTEE
5. PERMANENT ADDRESS*
(Telephone No.)
(Email id) if any
6. CORRESPONDENCE ADDRESS (OF ALLOTTEE (TELEPHONE NO.)
(Telephone No.)
(Email id) if any
7. PARTICULARS OF GPA/SUB GPA IF ANY(ATTACH CERTIFIED COPY)
  GPA SUB GPA
NUMBER
DATE OF ISSUE
PLACE OF ISSUE
8. DATE OF SANCTION OF BUILDING PLAN*
9. PARTICULARS OF OCCUPATION/PARTIALLY OCCUPATION ISSUED BY COMETENT AUTHORITY
CERTIFICATE NO. ISSUE DATE
DECLARATION
I/ We do hereby certify that the information furnished above is true and nothing has been mis-stated or kept concealed therein. I/We understand that in case of any wrong information made by me/us, I/We would be liable for criminal prosecution.
I/ We want to have a sewer connection in my/our above said house plot and have read the provisions of Punjab Urban Development building Rules 1996 and to undertake to abide by them.
 
SIGNATURE OF THE ALLOTEE DATE
SIGNATURE OF THE JOINT ALLOTEE(S), IF ANY DATE
 
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