MEMBERSHIP APPLICATION FORM Please enable JavaScript in your browser to complete this form.Particulars of Applicant Member - Step 1 of 4CONTACT DETAILSEmail Address *Mobile Number of Member for Communication *Mobile Number on which WhatsApp or Telegram is availablePERSONAL DETAILSName of Proposed Member of Society *Mr.Mrs.Ms.Miss.Dr.First and Last Name *FirstLastOnly Either of allottees can be membersFather/Husband Name of Proposed Member *Date of Birth of MemberADDRESS OF COMMUNICATIONStreet 1 *Street 2City *State / Province *Country *IndiaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsOTHER DETAILSOccupation of Member *Nationality of Member *Choose Country of NationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsResidential Status of Member *Resident IndianNon Resident Indian (NRI)OCI / PIO Card HolderForeignerNextDETAILS OF ALLOTEESName of Main Allottee *Do you have a Joint Allottee ? *YesNoJoint Allottee Name *PROJECT AND UNIT DETAILSSelect your allotment Project 1 *Kassia 1Kassia 2 & 3KoveBuddha Circuit StudiosCountry HomesCountry Homes 2Krown PlotsGreencrest HomesVilla ExpanzaSportsvilleBougainvilleaUdaanOthersSelect up-to 3 projects in which you have allotmentsUnit No. of 1st Allotment *10 Digit Unit Code i.e. KS30230502Select your allotment Projects 2Kassia 1Kassia 2 & 3KoveBuddha Circuit StudiosCountry HomesCountry Homes 2Krown PlotsGreencrest HomesVilla ExpanzaSportsvilleBougainvilleaUdaanOthersSelect up-to 3 projects in which you have allotmentsUnit No. of 2nd Allotment10 Digit Unit Code i.e. PCH02P0255Select your allotment Projects 3Kassia 1Kassia 2 & 3KoveBuddha Circuit StudiosCountry HomesCountry Homes 2Krown PlotsGreencrest HomesVilla ExpanzaSportsvilleBougainvilleaUdaanOthersSelect up-to 3 projects in which you have allotmentsUnit No. of 3rd Allotment10 Digit Unit Code i.e. LD00141501OTHER DETAILSName of bank, if any Loan on Unit *Axis BankICICI BankHDFCPunjab National BankStandard CharteredHSBCState Bank Of IndiaOther BankNo LoanLoan Paid OffIf any of allottee is member of any other society or association ? *YesNoName of Association or Society *Choose name of society where you are already memberJaypee Kassia Welfare SocietyJaypee Kove Buyers AssociationOthersIf any allottee is directly or Indirectly beneficiary from JAL *YesNoIf your unit/any unit is plot then statusRegisteredUnregisteredCONDITIONS OF MEMBERSHIP OF SOCIETY I Declare and agree to membership condition 1 of socety. *Yes, I / We hereby declare that I / We will not share any communication or documents to any third person knowingly which comes to my / our knowledge from the members of society, directly or indirectly without prior approval. मैं / हम इसके माध्यम से घोषणा करते हैं कि मैं / हम किसी भी तीसरे व्यक्ति को जानबूझकर या बिना किसी पूर्व अनुमोदन के प्रत्यक्ष या अप्रत्यक्ष रूप से समाज के सदस्यों से मेरे ज्ञान के लिए आने वाले किसी भी संचार या दस्तावेजों को साझा नहीं करेंगे। I Declare and agree to membership condition 2 of socety. *Yes, I/we have read the Bye Laws of the Society and subscribe to its aims and objectives and shall follow them in letter and spirit. मैंने / हमने सोसाइटी की नियमावली पढ़ी है और इसके उद्देश्यों से सहमत हैं. मैं / हम सोसाइटी के नियमों का अक्षरतः और भाव से उनका पालन करेंगे। I Declare and agree to membership condition 3 of socety. *Yes, I/we have not been ever convicted of any offence involving moral turpitude involving imprisonment of one year or more. मुझे / हमें किसी भी नैतिक अपराध के लिए दोषी नहीं ठहराया गया है जिसमें एक साल या उससे अधिक की कैद की सजा शामिल है। I Declare and agree to membership condition 4 of socety. *Yes, I / We hereby confirm that all information provided by me / us in this application is true to the best of my / our knowledge. मैं / हम इस बात की पुष्टि करते हैं कि इस आवेदन में मेरे / हमारे द्वारा प्रदान की गई सभी तथ्य मेरे / हमारे ज्ञान के अनुसार सत्य है।I/We subscribe for *General Membership (Annual Subscription Fee of Rs. 1000/-) and (Rs. 4000/- for One Time Entry Fee for Legal Fund), Total 5000/- Rs.NextUpload Copy of Allotment Letter OR Proof of Allotment of Unit * Click or drag files to this area to upload. You can upload up to 4 files. Please upload clearly scanned PDF only file of all pages of Allotment Letter/Document. Pictures are not accepted.Upload Copy of Proposed Member's ID * Click or drag files to this area to upload. You can upload up to 2 files. Pdf or Jpg file type, Maximum 2 files of not more than 10MB eachAny Other Documents you would prefer to share Click or drag files to this area to upload. You can upload up to 8 files. Any additional document shall be PDF File only, Pictures are not accepted.NextFee Payment Bank Transaction Reference Number *Application will not be processed without payment in advanceSignatures (Write your name here) *Submit
