APPLICATION FORM FOR ISSUE OF RECORD BOOK FOR SUBMISSION OF
APPLICATION UNDER DEEMED SANCTION AND OCCUPANCY
S.No. Description Details
1 Applicant Id GN00684
2 Applicant Name RISHABH VASHISHT
3 Father's / Husband Name SHASHI BHUSHAN SHARMA
4 Correspondence Address A-505 XU-2 Greater Noida Uttar Pradesh 201308
5 Permanent Address A-505 XU-2 Greater Noida Uttar Pradesh 201308
6 Details of COA certificate
a) Registration no. CA/2019/108896
b) Validity of COA certificate 31-Dec-2020
7 Mobile No. 8727054237
8 Verification of Signature and address of
Applicant by Bank Manager in which
applicant is account holder
a) Name of Bank STATE BANK OF INDIA
b) Branch ALPHA 1
c) Type of Account SAVINGS
d) Account Number 65184637615
I RISHABH VASHISHT hereby agree that I have read the Instructions carefully and I shall
abide by all the instructions (as amended from time to time). I RISHABH VASHISHT declare
that information furnished herewith are correct and true to my knowledge.
Enclosure : As above
Signature of Applicant
Name of Applicant
RISHABH VASHISHT
Date: 31-12-2019
Place: G.Noida
Note:
a) All entries made by all applicant should be in one ink & should be legible application, should not contain
erasures and corrections and if they are any they should bear the dated intiials of the applicant.
b) Any change in the address to be informed immediately in writing to GM (Plng & Landscaping), Authority
shall not be liable for any damages and losses on account of non information of the same.
c) In case of loss of record book, the same may be informed immediately in writing to GM (Plng &
Landscaping), Authority shall not be liable for any damages and losses on account of non information of the
same.
d) The hard copy of this document has to reach GNIDA Office within 15 working days, delay in which may lead
to automatic cancellation of registration.