THE DHANSHIRI (BD) LTD
(A Public Limited Company by Share)
Rabey Complex (2nd Floor), Plot-33, Block -Kha, Section-6 Main Road,
(10 no Goal Chakkar), Mirpur, Dhaka-1216.
Phone : 9005482, 9014758, 9014759, Fax : 880-2- 8050378
http://www.dhanshiribd.com, E-mail : info@dhanshiribd.com
Application Form
DHANSHIRI Lily, MIRPUR, DHAKA.
Full Name (In Block Letter)
 :

Father’s / Husband’s Name
:
Mother’s Name
 :
Profession
 :
Nationality
 :
Date of Birth / Age
 :
Permanent Address
 :
Village Post office
   
P. S.: District
Present Address :
Mailing Address :
Telephone Number :
Residence Office
   
Mobile Fax
   
E-mail
Choice of Apartment : Dhanshiri Lily
Floor :
1st 2nd 3rd 4th 5th  
Type :
Size :
Do you like to reserve car park ? :
Yes No   3rd   4th   5th
Value (......... sft.?Tk. .........) :
 
Car parking :
 
Unity :
 
Total :
 
Mode of Payment :
One Time Installment Monthly Installment  
Do you like to available Bank Loan ? :
Yes No   3rd   4th   5th
Description of the Booking Payment
Taka (in Amount) :
Taka (in ward)
CHQ / Pay Order / D.D No :
Date
Bank :
Branch
Declaration
I do hereby declare that the information and particulars furnished by me herein before are true to the best of my knowledge and that I have rot concealed or misrepresented anything. I further declare that I have gone through the prospectus of the Company's apartment building, construction scheme and have seen the relevant plan and specification and have understood the Terms & Conditions of allotment of an apartment. If the apartment is allotted to me, I/we shall execute at my own cost such as Agreement, Deeds and Power of Attorney etc. As may be necessary in correction therewith and I/we shall pay stamp duties, all registration cost. VAT gain tax or any others charges, fees, levies imposed by the Government at the time of Registration. I agree to be a member of the apartment Owner's Cooperative Society and shall abide by the rules and regulations framed by said society.
 
Signature of the Applicant  
Date :  
For Office Use Only
Floor :
Type Rate per Squire Feet (Tk.)
Total Area (Sft.) :
Total Fixed Price (Tk.)
Mode of Payment :
One Time Installment Monthly Installment  
Date of receipt of Application :
     
Sales Executive Director Managing Director