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SPECIAL HOUSING SCHEME 2021 Annexure C

AFFIDAVIT
(NOTE: This affidavit should be on a non-judicial stamp paper/e-stamp paper of Rs. 10/- and shall be a ested
by Magistrate/Sub-Judge/Notary Public and an extra stamp worth Rs. 5/- should be affixed thereon.)
Affidavit of Sh. /Smt.__________s/o/d/o/w/oShri_____________r/o_____________ solemnly affirm and
state as under:
1. I am a ci zen of India.
2. I or my wife/husband or any of my dependent rela ons, including unmarried children does not own in full or
in part on free hold or lease hold basis a residen al plot having area exceeding 67 sqm or flat/built up house
having carpet area exceeding 67 sqm in the urban area of Delhi, New Delhi and Delhi Cantonment.
3. I am applying for allotment of only one dwelling unit.
4. I have a ained the age of majority at the me of applying under DDA Housing Scheme – 2021. My Date of
Birth is _________________
5. That the joint applicant under the Scheme is my ____________________ (rela onship), as per provision of
Clause 2(xi) of the Scheme Brochure.
6. That my wife /husband has also applied for allotment of a flat under the DDA Housing Scheme – 2021 vide
Applica on No.__________________. She /He was declared successful. He/She has surrendered the said flat
on _______________or she/he has not been declared successful. (Strike out which is not applicable).
7. I have not sold, transferred, assigned or parted with the possession of the whole or any part of the residence
at No. __________________allo ed to me against my Applica on No. ______________in the draw held on
__________by the DDA. That I have not executed any Sale Agreement, Power of A orney or Agreement to Sale
in favour of anybody.
8. That, I,_________S/o D/o W/o Shri____________r/o________________applied for allotment of
EWS/LIG/MIG/HIG flats under DDA Housing Scheme – vide Applica on No._________ and that I have been
allo ed a flat No. _________, Pkt._______Sec._______, Locality ________vide allotment le er No.
____________ dated ___________. That I am en tled for possession of the flat.
9. That Smt. __________________d/o Shri____________ is my legally wedded wife.
10. I have read, understood and before filling the Applica on Form I have accepted all the terms and condi ons
of the Brochure of Housing Scheme – 2021.
DEPONENT
VERIFICATION:
I, ____________________, do hereby verify that the facts men oned in Paras 1 to 10 above are correct to the
best of my knowledge and belief and nothing is false therein and nothing material has been concealed.
DEPONENT
Place ………………………..
Date ………………………...

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