<p> ACKNOWLEDGEMENT</p><p>(DELHI DEVELOPMENT AUTHORITY)</p><p>APPLICATION NO. ______</p><p>Received Application from ______for execution of CD in the name of Purchaser/GPA Holder in respect of flat allotted by DDA on freehold basis after 1992 in respect of residential Property______along with documents as under:-</p><p>(a) Undertaking duly attested by Notary Public/Magistrate Ist Class.</p><p>(b) Affidavit duly attested by Notary Public/Magistrate Ist Class.</p><p>(c) Indemnity Bond duly attested by Notary Public/Magistrate Ist Class.</p><p>(d) Copy of POA(S) along with Sale Agreement (where application is</p><p> made by attorneys) duly attested by Notary Public/Gazetted Officer.</p><p>(e) Proof of Physical Possession of the person in whose name the</p><p> conversion is sought viz. copy of possession letter or slip/Ration</p><p>Card/Passport/Driving Licence /I. Card etc. duly attested by Notary</p><p>Public/Gazetted Officer.</p><p>(f) One attested passport size photograph and 4 attested specimen</p><p> signature of the person in whose favour the conversion is sought.</p><p>(g) Details of payment of service charges.</p><p>(h) Copy of NOC from the mortgagee duly attested by Notary</p><p>Public/Gazetted Officer (Any other documents annexed to be</p><p> mentioned here).</p><p>Dated______Signature of Receipt Clerk</p><p>Special On Line Counter-4 Housing Deptt.,DDA, Vikas Sadan</p><p>APPLICATION FORM FOR EXECUTION OF CONVEYANCE DEED IN THE NAME OF PURCHASER/GPA HOLDER IN RESPECT OF FLATS ALLOTTED BY DELHI DEVELOPMENT AUTHOIRYT ON FREEHOLD BASIS AFTER 1992.</p><p>APPLICATION: F Attested Passport Size photo of applicant </p><p>DELHI DEVELOPMENT AUTHORITY VIKAS SADAN, NEAR INA MARKET NEW DELHI – 110 023.</p><p>1. (a) Name of first allottee ______</p><p>Address ______</p><p>(b) Name of the second/joint allottee ______if applicable</p><p>Father’s/husband’s name ______</p><p>Address ______</p><p>2. Name of the applicant(GPA Holder)s ______</p><p>Father’s/husband’s name ______</p><p>Address ______3. If the applicant is attorney, name of the person in whose favour the conversion is sought.</p><p>(i) Name ______</p><p>Father’s/husband’s name ______</p><p>Address ______</p><p>(ii) Name ______</p><p>Father’s/husband’s name ______</p><p>Address ______</p><p>4. (i) Whether the attested copy of power of attorney is attached Yes No</p><p>(ii) Whether the documents showing possession of the premises with person named in column 3 is enclosed? Yes No</p><p>(iii) Whether Agreement to Sell or any other document of evidence of the transaction in favour of the person named in column 3 is enclosed? Yes No</p><p>5. File No. ______</p><p>6. Details of flat allotted by DDA</p><p>Name of the colony ______</p><p>Flat No.____ Cat____ Floor_____</p><p>Sector______Block___Pkt.______7. (i) Whether the property stand mortgaged Yes No</p><p>(ii) If yes, whether no objection certificate from the mortgagee(s) is enclosed? Yes No</p><p>8. (i) Whether the allotment was cancelled/property re-entered? Yes No</p><p>(ii) If yes, whether restored Yes No</p><p>9. Whether there is any dispute pending in a court of law regarding title of the property? Yes No If yes, give details. </p><p>10. Whether any application for substitution /mutation is pending? Yes No If so, give details.</p><p>11. Whether there is unauthorized construction in the premises? Yes No</p><p>12.(i) Amount of yearly services charges of individual flat as per allotment/ demand letter. Rs.______</p><p>(ii) Whether upto date service charges along with interest for belated payment , if any, has been paid? Yes No</p><p>Self Assessment of conversion charges payable Applicant is requested to calculate 66-2/3% of the current basic conversion charges as penalty; on self assessment basis in the appendix to the application form before filling in the column given below:-</p><p>13. Penalty charges Rs.______</p><p>(in words ______</p><p>______only).</p><p>14. Other misuse charge for use other than residential use Rs. ______</p><p>(in words ______</p><p>______only).</p><p>15. Sum total of 13 & 14 Rs.______</p><p>I/We certify that the information given above is true and correct.</p><p>I/We understand that if any fact has been suppressed or misrepresented, it shall render this application invalid and conversion null and void.</p><p>Signature of GPA Holder</p><p>Place______</p><p>Date______</p>