FORM NO. 5

On Stamp Paper of RS.20/-

[Under the bye-law no.19 (vi)]

A form of undertaking to be furnished by the prospective Member, who are any of the members of his family is owning the plot/flat/house/to dispose off the same.

I Shri/Shrimati ______________________________________________________ at present residing at _______________________________________________________, intending member of the ___________________________________________________ Co-operative Housing Society Ltd.,

Proposed*Registered, having its address at _____________________________________ give the undertaking that the plot/house/flat at present owned by me Shri/Shrimati _____ __________________________ the member of my family/the person dependent on me, in the area of operation of the Society, the details of which are given in the application for membership made by me to the society shall be disposed off by me/Shri/Shrimati ______ ____________________________within a period of six month from the date of allotment/transfer of the flat to me in this society, without any excuse.

Signature

Place:

Date:

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