Name *

Father's Name / Spouse's Name *

Date of Birth & Age *
Age:

Permanent Address

District

Mandal

Assembly constituency

Name of the Nominee & Age

Aadhar card number of member

Membership

FEE

Declaration * I am the member of Happy Homes Mutually Aided Cooperative Housing Society Ltd, affirm and I assure to abide and obey the order and notifications issued by the board of the management of the society from time to time. I bind by the information provided in the form and If you ensure to take any action provided you found any information wrong and incorrect found, you society at liberty to take any action against me and my commitment to the continuous development and welfare of the society.

I agree to the declaration above