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	3551.60	AS PER PROJECT REPORT
2	WATER SUPPLY SYSTEM	2054.00	AS PER PROJECT REPORT
3	STORM WATER DRAINAGE	1509.30	AS PER PROJECT REPORT
4	ELECTRICITY SUPPLY SYSTEM	1738.10	AS PER PROJECT REPORT
5	SEWAGE TREATMENT & GARBAGE DISPOSAL	1974.70	AS PER PROJECT REPORT
6	STREET LIGHTING	634.40	AS PER PROJECT REPORT
7	SECURITY AND FIRE FIGHTING	0	YET TO BE PREPARED
8	PLAYGROUNDS AND PARKS	560.30	AS PER PROJECT REPORT
9	CLUB HOUSE/COMMUNITY CENTRE	0	YET TO BE PREPARED
10	SHOPPING AREA	0	YET TO BE PREPARED
11	RENEWABLE ENERGY SYSTEM	0	YET TO BE PREPARED
12	SCHOOL	0	YET TO BE PREPARED
13	HOSPITAL/DISPENSARY	0	YET TO BE PREPARED
14	ANY OTHER	0	YET TO BE PREPARED
15	BOUNDARY WALL	977.60	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.

03-10-2025 (date)

6. Date of approval of Building Plans

NA (date)

7. New projects:

i) Likely date of starting the construction work

01-01-2026

ii) Likely date of completing the project

30-09-2030

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

Sr. No	Plot Area(In Square Meter)	Number of plots in the project
1	149.99	15
2	135.02	1
3	128.15	2
4	149.99	18
5	149.99	18
6	128.15	2
7	134.95	8
8	149.99	24
9	149.99	32
10	149.97	11
11	135.43	5
12	149.97	1
13	149.97	10
14	149.97	8
15	149.97	9
16	149.97	12
17	149.97	15
18	129.09	5
19	149.99	32
20	149.99	48
21	130.07	1
22	149.99	10
23	123.16	4
24	149.99	9
25	123.16	4
26	2822.28	1
27	1087.14	1
28	466.41	1
29	396.42	11
30	476.66	1
31	472.89	1
32	393.28	9
33	418.06	1
34	655.69	1
35	393.28	7
36	472.89	1
37	418.06	1
38	393.28	5
39	563.96	1
40	408.30	1
41	393.28	3
42	628.97	1
43	854.01	1
44	444.66	3
45	789.58	3
46	431.09	10
47	601.13	1
48	514.01	1
49	747.22	1
50	418.07	5
51	616.35	1
52	917.58	3
53	1191.04	1
54	427.38	1
55	383.30	4
56	734.27	1
57	720.95	1
58	376.35	5
59	1212.71	1
60	1051.04	3
61	413.76	26
62	1282.54	3
63	1147.01	1
64	948.38	4
65	948.38	1
66	1133.02	1
67	1170.56	1
68	1144.07	1
69	1086.85	7
70	815.53	1
	Total	443

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	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	124.85
Water Supply System	116.95	118.78	118.22	119.21
Sewerage treatment & garbage disposal	0	0	109.19	114.75
Electricity Supply System	0	0	114.11	116.10
Storm Water Drainage	110.30	110.63	77.60	99.11
Parks and Playgrounds	0	0	0	0
Clubhouse/community centres	0	0	0	0
Shopping area	0	0	0	0
Other	0	0	0	0
Street Lighting	52.03	35.12	28.23	36.54
Boundary Wall	85.02	64.53	64.13	65.54

Particulars	Year-2027
Particulars	Jan-Mar	Apr-June	July-Sep	Oct-Dec
Roads & Pavements	222.21	246.54	238.23	232.59
Water Supply System	116.10	118.30	117.10	118.12
Sewerage treatment & garbage disposal	115.50	117.30	118.33	116.20
Electricity Supply System	116.12	118.20	119.20	118.50
Storm Water Drainage	84.12	94.21	105.22	110.61
Parks and Playgrounds	76.43	65.12	55.12	45.32
Clubhouse/community centres	0	0	0	0
Shopping area	0	0	0	0
Other	0	0	0	0
Street Lighting	34.36	34.22	35.12	36.42
Boundary Wall	65.69	65.31	65.53	65.12

Particulars	Year-2028
Particulars	Jan-Mar	Apr-June	July-Sep	Oct-Dec
Roads & Pavements	236.20	242.32	218.10	226.20
Water Supply System	119.10	116.95	117.80	115.94
Sewerage treatment & garbage disposal	117.12	116.50	117.50	115.50
Electricity Supply System	112.55	126.60	125.40	116.42
Storm Water Drainage	105.12	88.06	88.38	76.51
Parks and Playgrounds	55.40	40.12	32.12	26.10
Clubhouse/community centres	0	0	0	0
Shopping area	0	0	0	0
Other	0	0	0	0
Street Lighting	36.10	36.20	35.10	35.44
Boundary Wall	66.40	65.12	66.24	64.10

Particulars	Year-2029
Particulars	Jan-Mar	Apr-June	July-Sep	Oct-Dec
Roads & Pavements	236.24	238.25	229.03	216.12
Water Supply System	116.90	116.32	119.96	116.32
Sewerage treatment & garbage disposal	115.50	116.50	116.10	117.21
Electricity Supply System	111.92	95.57	99.12	110.52
Storm Water Drainage	88.21	88.04	88.06	95.12
Parks and Playgrounds	46.12	35.20	21.12	32.12
Clubhouse/community centres	0	0	0	0
Shopping area	0	0	0	0
Other	0	0	0	0
Street Lighting	35.12	35.16	35.21	35.12
Boundary Wall	64.32	65.20	25.58

Particulars	Year-2030
Particulars	Jan-Mar	Apr-June	July-Sep	Oct-Dec
Roads & Pavements	217.24	217.12	210.36
Water Supply System	96.95	74.98	0
Sewerage treatment & garbage disposal	117.50	117.50	116.50
Electricity Supply System	75.00	50.00	12.77
Storm Water Drainage	0	0	0
Parks and Playgrounds	12.77	12.77	4.47
Clubhouse/community centres	0	0	0
Shopping area	0	0	0
Other	0	0	0
Street Lighting	35.12	23.79
Boundary Wall	19.77

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

Yes

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 LTD. , SANGWAN BUILDING , NEAR CANARA BANK, DR. SANGWAN CHOWK, SIRSA, HARYANA ,125055

Bank Account number

99900107550794

IFSC code

HDFC0000610

MICR code

125240055

Branch code

000610

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)

MADHAV JAIN, S/O SANJIV JAIN, R/O OLD TEHSIL STREET ,GEETA BHAWAN MARG, SIRSA , HARYANA 125055

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)

NON DEFAULT CERTIFICATE ATTACHED IN UPLOAD SECTION

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		Yes
iii. Zoning Plan		Yes
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. APPROVAL OF LAYOUT PLAN	ALREADY BEEN OBTAINED	03-10-2025
II. APPROVAL OF DEMARCATION- CUM- ZONING PLAN	ALREADY BEEN OBTAINED	22-12-2025

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)

THE PROVISION OF RERA ACT AND RULES SHALL BE INCORPORATED IN THE DRAFT AGREEMENTS

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	COPY OF LICENSE ALONG WITH SCHEDULE OF LAND	08-12-2025	View Document
2	IN CASE OF PLOTTED COLONY, THE LATEST LAYOUT PLAN	08-12-2025	View Document
3	IN CASE OF GROUP HOUSING/ COMMERCIAL SITES, A COPY OF THE APPROVED SITE PLAN	08-12-2025	View Document
4	NON DEFAULT CERTIFICATE FROM A CHARTERED ACCOUNTANT	23-12-2025	View Document
5	DECLARATION SUPPORTED BY AFFIDAVIT DULY SIGNED BY THE PROMOTER TO BE ENCLOSED.	23-12-2025	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-1871-2025
		Submission Date : 24-12-2025 04:38:21 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		48.9 (Acre)
2. Permissible FAR		1.0
3. FAR proposed to be utilized in the project		1.0
4. Total licensed area, if the land area of the present project is a part thereof		48.9 (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)		LICENCE NO 189 OF 2025 GRANTED BY DTCP HARYANA DATED 01-10-2025
6. Is the applicant owner-licensee of the land for which the registration is being sought.		No
Licensee 1:	Name SH. JATIN BANSAL S/O SH RAJESH KUMAR	Address R/O SIRSA
Licensee 2:	Name SMT. KIRAN BANSAL W/O SH. VINOD BANSAL	Address R/O SIRSA
Licensee 3:	Name SMT. VARSHA AGGARWAL W/O VIPIN GARG	Address R/O SIRSA
Licensee 4:	Name SHREEMAT BREEZ LLP	Address OPPOSITE SENA MEDAL KSK PETROL PUMP NEAR SECTOR 19 20 HSVP VAIDWALA ROAD SIRSA HARYANA 125055