3.Approvals/ NOCs from various agencies for connecting external services.

Facility	External/ connecting service to be provided by (Name the agency)	Whether Approval taken from the agency concerned. Yes/No (Annex details in folder C)
ROADS	HSVP	No
WATER SUPPLY	HSVP	No
ELECTRICITY	DHBVN	No
SEWAGE DISPOSAL	HSVP	No
STORM WATER DRAINAGE	HSVP	No

4.Details of services and facilities which will be provided inside the project area as per service plan estimates and/or the project report:

Sr. No.	Name of the facility	Estimated cost (In Lakhs)(Within the project area only)	Remarks: Yet to be prepared / Submitted to HUDA, Town & Country Planning Department/ as per project report etc. (Annex relevant documents showing costing details etc. in folder C)
1	INTERNAL ROADS AND PAVEMENTS	308.75	AS PER PROJECT REPORT
2	WATER SUPPLY SYSTEM	162.09375	AS PER PROJECT REPORT
3	STORM WATER DRAINAGE	61.75	AS PER PROJECT REPORT
4	ELECTRICITY SUPPLY SYSTEM	146.65625	YET TO BE PREPARED
5	SEWAGE TREATMENT & GARBAGE DISPOSAL	154.375	AS PER PROJECT REPORT
6	STREET LIGHTING	15.4375	AS PER PROJECT REPORT
7	SECURITY AND FIRE FIGHTING	0.00	YET TO BE PREPARED
8	PLAYGROUNDS AND PARKS	0.00	YET TO BE PREPARED
9	CLUB HOUSE/COMMUNITY CENTRE	0.00	YET TO BE PREPARED
10	SHOPPING AREA	0.00	YET TO BE PREPARED
11	RENEWABLE ENERGY SYSTEM	0.00	YET TO BE PREPARED
12	SCHOOL	0.00	YET TO BE PREPARED
13	HOSPITAL/DISPENSARY	0.00	YET TO BE PREPARED
14	ANY OTHER	162.09375	AS PER PROJECT REPORT

5. (a) Date of approval of latest layout plans granted by Town & Country Planning Department on the basis of which the project will be executed.

06-04-2023 (date)

6. Date of approval of Building Plans

NA (date)

7. New projects:

i) Likely date of starting the construction work

01-05-2023

ii) Likely date of completing the project

31-03-2027

iii) Sizes of the plots to be offered in the project

Plot Area(In Square Meter)	Number of plots in the project
1348.38	2
1349.72	1
452.86	6
453.40	1
347.88	4
418.13	45
627.20	7
628.02	1
418.20	15
504.41	1

iv. Type of apartments to be constructed in the project:

Type	Carpet area(In Square Meter)	Number of apartments	Number of towers
Apartment/Shops/Other Buildings	0.00	0	0

(vi) Quarterly schedule of development of whole/remaining part of the project:

(c) Apartments/Shops/Other Buildings

Expenditure incurred till the date of application (In Lakhs)

Particulars	Expenditure
Apartments	0
Shops	0
Plots	0

Expenditure to be made in each quarter (In Lakhs)

Particulars	Expenditure to be made in each quarter ()
	Apr-June	July-Sep	Oct-Dec	Jan-Mar

(d) Infrastructure

Expenditure incurred till the date of application (In Lakhs)

Particulars

Expenditure

Expenditure to be made in each quarter (In Lakhs)

Particulars	Year-2026
Particulars	Jan-Mar	Apr-June	July-Sep	Oct-Dec
Roads & Pavements		0	0	0
Water Supply System		0	0	0
Sewerage treatment & garbage disposal		0	0	0
Electricity Supply System		0	0	0
Storm Water Drainage		0	0	0
Parks and Playgrounds		0	0	0
Clubhouse/community centres		0	0	0
Shopping area		0	0	0
Other		16.2	16.2	16.2

Particulars	Year-2027
Particulars	Jan-Mar	Apr-June	July-Sep	Oct-Dec
Roads & Pavements	0
Water Supply System	0
Sewerage treatment & garbage disposal	0
Electricity Supply System	0
Storm Water Drainage	0
Parks and Playgrounds	0
Clubhouse/community centres	0
Shopping area	0
Other	16.29375

It is hereby stated and declared and the above information is correct and true and nothing has been concealed or misrepresented.

Signature of the Applicant / Authorised Representative
Stamp _____________
Date _____________

FORM REP-I

Part - D

Accounts related information:

1. Annex copy of the balance sheet of last 3 years

No

2. In case of on-going projects,cash flow statement since start of the project up-to-date in folder D.
Total receipt of funds, sources of funds and deployment of funds should be stated in tabulated form.

No

3. Bank account to which the deposits received from apartment buyers will be credited

Bank and Branch address

HDFC BANK, ADDRESS- SCO-178/179, SQUARE MARKET, RAILWAY ROAD, HISAR, HARYANA- 125001

Bank Account number

99999896556000

IFSC code

HDFC0000155

MICR code

125240102

Branch code

155

4. Name and address of the person/persons who would ordinarily be operating the account (Change at any time must be intimated to the Authority)

Dr. Ajay Kumar Chaudhry R/o. H.No. 1670 Sector - 13, Hisar Arvind Kumar Kharinta R/o. H.No. 3, Sector - 13, Hisar Satish Kumar R/o. 76, AP Beer, Bagla Road, Hisar. (Jointly authorized for operate the account)

5. Attach certificate issued by a Chartered Accountant that the applicant has not defaulted in its debt liabilities in the past five years in folder D. (In case of default, give details)

Attached

I hereby declare that the above information and particulars are based on record and are true to the best of my knowledge and belief and nothing has been concealed.

Signature of the Applicant / Authorised Representative
Stamp _____________
Date _____________

FORM REP-I
Part - E

Details of the statutory approvals:

1. Annex copies of the following in Folder E:

i. Lay out Plan		Yes
ii. Demarcation Plan		No
iii. Zoning Plan		No
iv. Building Plan		No
Site Plan		No
Floor Plan		No
Apartment Plans		No
Elevation Section		No
Detail of Permissible FAR		No
Detail of covered area achieved FAR		No

2. Annex copies of the following in Folder E:

I. ROADS AND PAVEMENT PLAN		No
II. ELECTRICITY SUPPLY PLAN		No
III. WATER SUPPLY PLAN		No
IV. SEWERAGE AND GARBAGE DISPOSAL PLAN		No
V. STROM WATER DRAINAGE		No
VI. 10% LAND TO BE TRANSFERRED TO THE GOVT. FOR COMMUNITY FACILITY		No
VII. STREET LIGHTING PLAN		No
VIII. PARKING PLAN		No

3. Statutory Approvals Status

Statutory Approvals	Statutory Approvals Status	Date
I. LAYOUT PLAN	ALREADY BEEN OBTAINED	06-04-2023
II. ZONING PLAN	YET TO FILE FOR APPROVAL	NA
III. SERVICE PLAN ESTIMATE	YET TO FILE FOR APPROVAL	NA

It is undertaken that the project shall be completed within the time schedule given in Part C and the same will not be delayed on account of non- receipt of any of the statutory approval. The liability for the non-receipt of any of the statutory approval shall be that of the promoter and in case of delay, compensation as per law may be given to the allottees.

Signature _____________
Seal _____________
Date _____________

FORM REP-I

Part - F

1. A copy of the draft allotment letter by which the apartment shall be allotted/ booked in favour of the apartment buyers.
(Annex a copy in Folder F)

Yes

2. A copy of the Draft Agreement which shall be made before seeking any deposit exceeding 10% of the cost of the apartment. (Based on the model agreement prescribed in the Rules)
(Annex a copy in Folder F)

Yes

3. Gist of the important provisions of the Draft Agreement
(Annex a copy in Folder F)

Copy attached

I hereby declare that the above information and particulars are based on record and are true to the best of my knowledge and belief and nothing has been concealed.

Signature of the Applicant / Authorised Representative
Stamp _____________
Date _____________

FORM REP-I

Part - G

Projects launched by the promoter in last five years: (No Projects)

I hereby declare that the above information and particulars are based on record and are true to the best of my knowledge and belief and nothing has been concealed.

Signature of the Applicant / Authorised Representative
Stamp _____________
Date _____________

FORM REP-I

Part - H

SPECIFICATION OF CONSTRUCTION
Specification of apartments and other buildings including the following:
1	FLOORING DETAILS OF VARIOUS PARTS OF HOUSE	NA
2	WALL FINISHING DETAILS	NA
3	KITCHEN DETAILS	NA
4	BATHROOM FITTINGS	NA
5	WOOD WORK ETC	NA
6	DOORS AND WINDOS FRAMES	NA
7	GLASS WORK	NA
8	ELECTRIC FITTINGS	NA
9	CONDUCTING AND WIRING DETAILS	NA
10	CUPBOARD DETAILS	NA
11	WATER STORAGE	NA
12	LIFT DETAILS	NA
13	EXTERNAL GLAZINGS	NA
13.1	WINDOWS/GLAZINGS	NA
14	DOORS	NA
14.1	MAIN DOORS	NA
14.2	INTERNAL DOORS	NA
15	AIR CONDITIONING	NA
16	ELECTRICAL FITTINGS	NA
17	CNG PIPE LINE	NA
18	PROVISION OF WIFI AND BROADBAND FACILITY	NA
19	EXTERNAL FINISHING/COLOUR SCHEME	NA
20	INTERNAL FINISHING	NA

SPECIFICATION UNIT WISE
	1 . LIVING/DINING/FOYER/FAMILY LOUNGE
1 . 1	FLOOR	NA
1 . 2	WALLS	NA
1 . 3	CEILING	NA
	2 . MASTER BEDROOM/DRESSROOM
2 . 1	FLOOR	NA
2 . 2	WALLS	NA
2 . 3	CEILING	NA
2 . 4	MODULAR WARDROBES	NA
	3 . MASTER TOILET
3 . 1	FLOOR	NA
3 . 2	WALLS	NA
3 . 3	CEILING	NA
3 . 4	COUNTERS	NA
3 . 5	SANITARY WARE/CP FITTINGS	NA
3 . 6	FITTING/FIXTURES	NA
	4 . BED ROOMS
4 . 1	FLOOR	NA
4 . 2	WALLS	NA
4 . 3	CEILING	NA
4 . 4	WARDROBES	NA
	5 . TOILET
5 . 1	FLOOR	NA
5 . 2	WALLS	NA
5 . 3	CEILING	NA
5 . 4	COUNTERS	NA
5 . 5	SANITARY WARE/CP FITTINGS	NA
5 . 6	FIXTURES	NA
	6 . KITCHEN
6 . 1	FLOOR	NA
6 . 2	WALLS	NA
6 . 3	CEILING	NA
6 . 4	COUNTERS	NA
6 . 5	FIXTURES	NA
6 . 6	KITCHEN APPLIANCES	NA
	7 . UTILITY ROOMS/UTILITY BALCONY/TOILET
7 . 1	FLOOR	NA
7 . 2	WALLS & CEILING	NA
7 . 3	TOILET	NA
7 . 4	BALCONY	NA
	8 . SIT-OUTS
8 . 1	FLOOR	NA
8 . 2	WALLS & CEILING	NA
8 . 3	RAILINGS	NA
8 . 4	FIXTURES	NA

I hereby declare that the above information and particulars are based on record and are true to the best of my knowledge and belief and nothing has been concealed.

Signature of the Applicant / Authorised Representative
Stamp _____________
Date _____________

List of Uploaded Documents

Sr. No.	Document Description	Date of Document Upload	View Document
1	NON DEFAULT CERTIFICATE FROM A CHARTERED ACCOUNTANT	17-04-2023	View Document
2	DECLARATION SUPPORTED BY AFFIDAVIT DULY SIGNED BY THE PROMOTER TO BE ENCLOSED.	21-04-2023	View Document
3	IN CASE OF PLOTTED COLONY, THE LATEST LAYOUT PLAN	17-04-2023	View Document
4	COPY OF LICENSE ALONG WITH SCHEDULE OF LAND	17-04-2023	View Document
5	IN CASE OF GROUP HOUSING/ COMMERCIAL SITES, A COPY OF THE APPROVED SITE PLAN	17-04-2023	View Document

I hereby declare that the above information and particulars are based on record and are true to the best of my knowledge and belief and nothing has been concealed.

Signature of the Applicant / Authorised Representative
Stamp _____________
Date _____________

HRERA Panchkula		Temp Project Id : RERA-PKL-PROJ-1272-2023
		Submission Date : 21-04-2023 10:29:01 PM
		Applicant Type : Firm
		Project Type: NEW

FORM REP-I
Part - B

Information relating to the project land and license:
1. Land area of the project		15.4375 (Acre)
2. Permissible FAR		100
3. FAR proposed to be utilized in the project		100
4. Total licensed area, if the land area of the present project is a part thereof		15.4375 (Acre)
5. License number granted by the Town & Country Planning Department for the project/Allotted By Municipal Corporation/Permission by Local Bodies (Annex copy in folder B)		71 of 2023(06-04-2023)
6. Is the applicant owner-licensee of the land for which the registration is being sought.		No
Licensee 1:	Name SUMATI CHAUDHRY AND OTHERS	Address RESIDENTS OF MALIK NURSING HOME BALSAMAND ROAD HISAR HARYANA
Licensee 2:	Name RAJ SINGH AND SONS HUF	Address MALIK NURSING HOME BALSAMAND ROAD HISAR HARYANA
Licensee 3:	Name ABHAY SINGH KHARINTA SON OF ARVIND KUMAR KHARINTA	Address H NO. 3 SECTOR - 13 HISAR
Licensee 4:	Name SANJAY KUMAR RAJIV KUMAR SATISH KUMAR SONS OF SHRI NIWAS	Address ALL RESIDENTS OF 76 A P BEED BAGLA ROAD TEHSIL AND DISTRICT HISAR HARYANA