AMRAPALI EXOTICA RESIDENT WELFARE ASSOCIATION (AERWA)

E-8, SECTOR-50, NOIDA-201301

APPLICATION FORM FOR MEMBERSHIP

SHARE CERTIFICATE NO ______________

FLAT NO __________________

MEMBERSHIP NO ________________
APPLICATION DETAIL

Mr. /Mrs./ Ms. ________________________________________________

S/o. D/o W/o._________________________________________________

Applicant must paste one

photograph with half the
signature on the photograph
and half on the application

Date of Birth _____ /________ /________ .dd/mm/yy

Present Address_________________________________________________
_____________________________________________________________________________________________________
Permanent Address__________________________________________________________ _______________________
______________________________________________________________ ______________________________________
Phone No- ______________________Mobile no-______________________ __________________________________
E-Mail: ______________________________AADHAAR NO ____________________________________________________
CO-APPLICANT DETAILS
Mr. /Mrs./ Ms. ________________________________________________
S/o. D/o W/o._________________________________________________
Date of Birth _____ /________ /________ .dd/mm/yy

Applicant must paste one

photograph with half the
signature on the photograph
and half on the application

Present Address_________________________________________________
_____________________________________________________________
_____________________________________________________________
Permanent Address__________________________________________________________ _______________________
______________________________________________________________ ___________________________________
Phone No- ______________________Mobile no-______________________ __________________________________
Occupation: Employed

Self employed

Professional

E-Mail: ______________________________AADHAAR NO ____________________________________________________

I certify that the information furnished by me in this application has been verified to be correct and that no
information has been concealed or has been misrepresented and I stand by the same.

Signature of Applicant.

Registration number ___________________________________________________ (To be allotted)

AMRAPALI EXOTICA RESIDENT WELFARE ASSOCIATION (AERWA)

E-8, SECTOR-50, NOIDA-201301

FLAT NO

Period of tenancy from ./../.. till ..//.

TENANTS DETAIL

POLICE VERIFICATION REF No .. (ENCL)

Rent/lease agreement ..
Mr. /Mrs./ Ms. ________________________________________________
S/o. D/o W/o._________________________________________________

Tenant must paste one

photograph with half the
signature on the photograph
and half on the application

Date of Birth _____ /________ /________ .dd/mm/yy

Present Address____________________________________________________________________________________
_____________________________________________________________________________________________________
Permanent Address__________________________________________________________ _______________________
______________________________________________________________ _______________________________________
Phone No- ______________________Mobile no-______________________ ____________________________________
E-Mail: ______________________________AADHAAR NO ____________________________________________________
I certify that the information furnished by me in this application has been verified to be correct and that no
information has been concealed or has been misrepresented and I stand by the same.

Signature of Owner

Signature of tenant

---------------------------------------------- VOTING AUTHORIZATION SECTION -------------------------------------------------------Undertaking from the Owner of Flat No .

I owner of flat no .. at AMRAPALI EXOTICA,E-8,

SECTOR-50, NOIDA-201301 give the voting right to my tenant after becoming the associate member to vote on my
behalf in the AERWA election to be held in FEB/MAR 2013.

Signature of Owner
Name .
Contact No /Email id
Postal address : .

.
.