Application form for erection of new Building under the Assam notified Urban areas (other than Guwahati) Building Rules 2014
(Form 1)

Applicant Information

Unique Business Identification Number(UBIN) *

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Applicant Name *

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Father/Mother Name

Spouse Name

Section

Address of the Applicant:

Street Name 1 *

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Street Name 2

Village/Town *

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Country *

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State *

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District

Pincode *

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Mobile Number *

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E-Mail ID *

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Pan No *

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Detail of Proposed Site

Name of the Owner of the Land *

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Name of the Joint Owner

Section

Address of the Proposed Site:

House/Plot no

Dag no(New)

Dag no(Old)

Patta no

Mouza

Ward no

Municipality/Gaon Panchayat Name

Zone

Revenue Village

Locality

Land Use

Road/Street Name

Width of the Road

Section

Name of owners of adjoining Land:

North *

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South *

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East *

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West *

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Details of Building Plan

Building Category

Proposed Use

Total plot area (in sq. meter)

Document/Building Area (in sq. meter)

Type of Construction

No. of Floors

Margin Set back:

North

South

East

West

Cantilever:

North

South

East

West

Section

Parking Details:

Area - Basement

Total No.

Total Area.(in sq mtrs)

Area - Ground

Total No.

Total Area.(in sq mtrs)

Area - Open

Total No.

Total Area.(in sq mtrs)

Section

Area of Floors

Floor *

Area(in Sq mtr.) *

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Total Area in Sq Mtr *

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Section

Boundary Wall Details(in mtrs) :

(a) Length

(b) Height

Is there any future provision for :

(i) Vertical extension

No. of floors

(ii) Horizontal extension

No. of floors

Name and details of RTP :

Registration No.

Name of RTP

Mobile Number

E-Mail ID

Fees Details

Fees Paid *

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Challan No *

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Bank Name *

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Challan Date *

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Declaration

I/We hereby give notice that I intend to erect/re-erect or to make alteration in the House the details as given above which is in accordance with the Building Bye laws of Assam and I/We forward herewith,the following plans and specifications duly signed by me and Registered Technical person duly appointed by us, who have prepared the plans, statements/documents(as applicable).I/We request that the construction may be approved and permission accorded to me to execute the work.I hereby also declare that the contents of the above application and the enclosures are true and correct to my /our knowledge.No part of it is false and nothing has been concealed there form.

I Agree *