HARYANA STATE INDUSTRIAL & INFRASTRUCTURE DEVELOPMENT CORPORATION LTD.
Application form for Permission to Transfer the Plot allotted under R& R policy-2007.
The Estate Manager,
HSIIDC Ltd.,
Rohtak.
Sub:- Application for transfer of Plot No. 1023, Sector 30 B, Industrial Model Township, Rohtak,
allotted under R & R policy-2007 measuring 153 square meters in favor of Mr. Ravi
Rohaj S/o Sh. Rajender Parsad.
A. Details of Transferor:-
Name of Allotee Jasbir Deswal
Date of Allotment 01.03.2016
Date of offer of possession 01.03.2016
Whether there are any zoning violations of building
be-law? (Enclose no zoning violation certificate No
from registered architect)
Whether all dues towards cost of the plot, enhanced
cost (if any), extension fee (if any), Maint./ Water Full Plot Cost
/Sewer charges etc. have been fully paid till date?
Whether plot mortgaged to any Bank/F1? (if yes, No
enclose NOC in original from such Bank/F1 for
transfer of plot)
Date of execution of conveyance deed 01.12.2023
B. Details of Transferee:
Name of the proposed Transferee Ravi Rohaj S/o
Sh. Rajender Parsad
Date of agreement to sell
Date of exchange of sale consideration, (Give
complete details including cheque/DD No. & date,
amount, bank payees name etc.)
All the particulars given above are correct and nothing has been concealed or misrepresented and if any
facts are found wrong or incorrect, the HSIIDC shall be at liberty to decline our request for transfer of
plot and initiate further including resumption of plot.
You are requested to consider our request and allow transfer of plot in favor of Mr. Ravi Rohaj S/o
Sh. Rajender Parsad. We are ready to pay the applicable transfer fee and comply with other terms &
conditions for the same.
Thanking You,
Yours’s sincerely,
Sign.: _____________________________ Sign: _________________________________
Name: Jasbir Deswal Name: Ravi Rohaj
Address: VPO Baliana, Distt. Rothak Address: H.N. 905, Ward – 12, Dev Colony,
Near Jat College, Rohtak
Mob No.: 9811202789 Mob No.: 7708881673
(Allotee) (Proposed Transferee)
(Rs.20/-)
AFFIDAVIT FROM ORIGINAL ALLOTEE
I, Jasbir Deswal S/o Sh. Sube Singh resident of VPO Baliana, Distt. Rohtak, Allotee of Plot No.
1023 Sector 30 B, Industrial Model Township, Rohtak allotted under R & R policy 2007, do hereby
solemnly affirm and declare as under:-
1. That Plot No. 1023, Sector 30 B , Industrial Model Township, Rohtak, was allotted/re-allotted
by HSIIDC in the name of Jasbir Deswal S/o Sh. Sube Singh vide Regular Letter of Allotment (RLA/)
Re-allotment letter dated 01.03.2016 under R& R policy-2007.
2. That I/We have made complete payment towards full tentative cost of the plot including
Enhanced cost, if any, maintenance/water/sewer charges and noting is outstanding as on date and
conveyance deed of the plot has already been executed in my/our favor on 01.12.2023.
3. That I/We have now sold the aforesaid plot thereon to Ravi Rohaj S/o Sh. Rajender Parsad,
R/o H.N. 905, Ward – 12, Dev Colony, near Jat College, Rohtak vide agreement to sell dated
…………………………………sale deed dated …………………………..and I/We have received
part/full consideration amount thereof.
4. That I have made a request to HSIIDC for transfer of plot on the prescribed application form
and have no objection to HSIIDC transferring the allottee rights of the captioned plot in favor of Mr.
Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College,
Rohtak. I / We also undertake to deposit the requisite transfer fee, any other charges as levied by
HSIIDC for transfer of plot and would comply with all other terms & conditions of provisional transfer
with the subscribed period.
5. That the provisional permission to transfer the plot by HSIIDC shall only be technical
permission required as per terms of allotment and shall not absolve the depondent (s) from any other
clearance required from any of the authorities under any other Act (s), whatsoever, and the HSIIDC
shall in way be responsible for any violation of any Act(s) applicable from time to time.
Deponent (s)
Verification:-
I/We, the above named executants(s) do hereby further solemnly affirm and declare that
the contents of my above affidavit are true and correct to my knowledge & belief and nothing has
been concealed therein.
Verified at_________________ on Dated_____________________ .
Deponent (s)
(Rs.20/-)
UNDERTAKING FROM THE PURCHASER
I, Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College,
Rohtak do hereby solemnly affirm and declare as under:-
1. That I have purchased Plot bearing No. 1023 Sector 30 B situated at HSIIDC, Industrial Model
Township Rohtak allotted under R& R policy-2007 from Mr. Jasbir Deswal vide agreement to sell
dated …………………………/sale deed dated…………………………..
2. That I undertake to unconditionally pay the dues of the Corporation related to the previous
period before transfer and also the future dues as and when demand is raised by the Corporation, without
and dispute & delay.
3. That I/We undertake to comply with all the rules and regulations of HSIIDC as applicable on
said plot from time to time including terms & conditions of provisional transfer, R & R policy and
Estate Management Procedures of HSIIDC, as amended from time to time.
4. And whereas the Regular Letter of Allotment of this plot/shed was issued by the Corporation
any additional price of the aforesaid plot/shed as a consequence of enhancement in compensation that
has been/may be awarded by the Court (s), in any matter thereto, shall be payable by the transferee
allottee, as and when demanded by the Corporation.
5. That I/We undertake to comply with the relevant building bye laws of HSIIDC as well as Town
&Country Planning Department, Haryana and would not violate the same at any point of time. I/We
further undertake that in case any increase in FAR is required at any stage, I/We would approach field
office, HSIIDC who will consider my/our request for any such increase on merits and provisional
permission to transfer in any way will not entitle me/us any such increase in FAR.
6. Provided further that the 25% of built up area of the building or upto 50sq. mtrs, whichever is
less, can be used for non-nuisance professional consultancy services, after getting permission from
Competent Authority in Writing. The applicant shall apply for specific use of consultancy services
mentioned in Code 2(1)(lix) in Form N-I along with fee as mentioned in Schedule IV-A of the Haryana
Building Code-2016.
Place:_______________
Executant(s)
Date________________
(Rs.50/-)
INDEMNITY BOND
Know all men by these presents that this Indemnity Bond is executed at Rohtak on ……./……../2024
by Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College,
Rohtak , Aged 37 years (Herein Called the executants (s) of the one part in favor of Haryana State
Industrial & Infrastructure Development Corporation Limited having its registered office at plot no C-
13-14, Sector-6, Panchkula (hereinafter called “HSIIDC”) of the Second part.
The expression of the above named parties shall mean and include their respective heirs, executors,
administrators and legal representatives in office and assignees.
Whereas sale deed of Plot No. 1023, Sector – 30B, Model Township Rohtak was executed in favor of
the executant(s) by allottee through conveyance deed executed on dated 01.12.2023. It is therefore
requested to HSIIDC for issuance of Final Transfer Letter (FTL) in favor of Mr. Ravi Rohaj S/o Sh.
Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College, Rohtak.
And whereas now the HSIIDC has agreed to issue final transfer letter in respect of aforesaid plot in
favor of Mr. Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat
College, Rohtak on furnishing this Indemnity Bond and whereas the executant(s) to hereby undertake
and has agreed to indemnify the HSIIDC and also make good losses, if any, suffered by the HSIIDC on
account of the said transfer.
Now the condition for the above written bond or obligation is such that the interest of the said HSIIDC,
its successors and assigns and its legal representatives and its effects are and shall from time to time
and at all times hereinafter be kept safe and saved, harmless and indemnified by the executants (s)
against any claim arising out of said transfer and against all actions, losses, costs etc. whatsoever the
said HSIIDC may suffer on account of the said transfer.
This Indemnity Bond is hereby executed by me on the day, month and year first hereinafter mentioned
in the presence of witness.
Executant (s)
WITNESSES WITH FULL ADDRESS
1. ……………………………..
2. …………………………….
(Rs.50/-)
INDEMNITY BOND
Know all men by these present that this indemnity Bond is executed at Rohtak on
……../………./2024 by Mr. Jasbir Deswal S/o Sh. Sube Singh, VPO Baliana Distt. Rohtak, aged
52 years, (Herein called the executants (s)) of the one part in favor of Haryana State Industrial &
Infrastructure Development Corporation Limited having its registered office at plot no. C-13-14, Sector-
6, Panchkula (hereinafter called “HSIIDC”) of the Second part. The expression of the above named
parties shall mean and include their respective heirs, executors, administrators and legal representatives
in office and assignees.
Whereas the executant(s) have applied to HSIIDC for provisional transfer of Plot No. 1023, Sector –
30B, Industrial Model Township, Rohtak allotted under R & R policy-2007 in favor of Mr. Ravi Rohaj
S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College, Rohtak. And
whereas the executant(s) do hereby undertake and has agreed to indemnify the HSIIDC and also make
good losses, if any, suffered by the HSIIDC on account of the said transfer.
Now the condition for the above written bond or obligation is such that the interest of the said HSIIDC,
its successors and assigns and its legal representatives and its effects are and shall from time to time
and at all times hereinafter be kept safe and saved, harmless and indemnified by the executants(s)
against any claim arising out of said transfer and against all actions, losses, costs etc. whatsoever the
said HSIIDC may suffer on account of the said transfer.
This Indemnity Bond is hereby executed by me on the day, month and year first hereinafter mentioned
in the presence of witnesses.
Witness with full Addresses
1…………………………
Executant(s)
2…………………………
Seller:-
I, Jasbir Deswal (Aadhar No. 230583769119) S/o Sh. Sube Singh R/o VPO Baliana Distt. Rohtak,
Haryana received the full and final payment from Mr. Ravi Rohaj (Aadhar No. 877953223244) S/o Sh.
Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College, Rohtak, Haryana on account
of sale of residential plot measuring 153 Sq. mtrs. Plot no. 1023, Sector – 30B in IMT, Rohtak.
Seller
Jasbir Deswal S/o Sh. Sube Singh R/o VPO
Baliana Distt. Rohtak
Purchaser:-
I, Ravi Rohaj (Aadhar No. 877953223244) S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev
Colony, near Jat College, Rohtak, Haryana on account of sale of residential plot measuring 153 Sq.
mtrs. Plot No. 1023, Sector – 30B in IMT, Rohtak from Jasbir Deswal (Aadhar No. 230583769119) S/o
Sh. Sube Singh R/o VPO Baliana Distt. Rohtak, Haryana. I have made full and final payment to the
seller. The plot may be transferred in my/our name at my/our risk/cost.
Purchaser
Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N.
905, Ward – 12, Dev Colony, near Jat College, Rohtak
(Rs.20/-)
Affidavit from original Seller
I, Jasbir Deswal S/o Sh. Sube Singh, VPO Baliana Distt. Rohtak allottee of Plot No. 1023, Sector
– 30B, Industrial Model Township, Rohtak allotted under R & R policy-2007, do hereby solemnly
affirm and declare as under:-
1. That with reference to my/our application for the transfer of Residential Plot No. 1023, Sector –
30B, in IMT Rohtak measuring 153 Sq. mtrs.
2. That I/we state the absolute and undisputed owner of Residential Plot No. 1023, Sector – 30B, in
IMT Rohtak measuring 153 sq. mtrs. Allotted/transferred to me bearing its reference no.
____________ dated ______________ issued by HSIIDC, my/our specimen signatures given are
as under:-
i)____________________
ii)____________________
iii)___________________
3. That I/we also undertake to make the payment of all the arrears including the Extension fee as
specified by Estate Officer, HSIIDC before the transfer is affected.
4. That I/we have not taken any loan from any bank, society or any department against the said Plot
/House. There is no court case against the said Plot/House.
Deponents
Verification :- The above statements are true and correct to the best of my/our knowledge & belief.
I/we, the above named deponent do hereby further solemnly affirm and declare that the contents of
my above affidavit are true and correct to my knowledge & belief and nothing has been concealed
therein.
Verified at __________ on ____________.
Deponents
(Rs.20/-)
Affidavit from Purchaser
I, Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College,
Rohtak, allottee of Residential Plot No. 1023, Sector – 30B, IMT Rohtak, do hereby solemnly affirm
and declare as under:-
1. That I/we accept the allotment of Residential House/Plot No. 1023, Sector – 30B, R & R
IMT Rohtak, measuring 153 sq. mtrs. inclusive of incidential space allotted.
2. That I/we further undertake to make payment of all outstanding dues such amount as may be
due or become liable dues against this house/plot at any later charges.
3. That I/we accept terms and conditions relating to allotment of the house/plot and incidential
open space if any and sell abide by the provision of HSIIDC Act 1977 and the
rules/regulations made applicable there under amended from time to time.
4. That I/we do not have any other plot/house in my/our name in the name of my/our spouse or
in the name of my/our dependent family members in Urban Estate, HSIIDC Rohtak.
5. That I/we know the allottee, he/she has signed the transfer documents in my/our presence.
The plot/house may be transferred at my/our risk cost in my/our favor.
6. That I/we will not use the said property for commercial or any other purposes except
residential.
Deponents
Verification :- The above statements are true and correct to the best of my/our knowledge & belief.
I/we, the above named deponents do hereby further solemnly affirm and declare that the contents of
my above affidavit are true and correct to my knowledge and belief and nothing has been concealed
therein.
Verified at ___________ on ___________
Deponents
(Rs.20/-)
Affidavit from Purchaser
I, Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College,
Rohtak, allottee of Residential Plot No. 1023, Sector – 30B, IMT Rohtak, do hereby solemnly affirm
and declare as under:-
1. That I/we accept the allotment of Residential House/Plot No. 1023, Sector – 30B, R & R
IMT Rohtak, measuring 153 sq. mtrs. inclusive of incidential space allotted.
2. That I/we further undertake to make payment of all outstanding dues such amount as may be
due or become liable dues against this house/plot at any later charges.
3. That I/we accept terms and conditions relating to allotment of the house/plot and incidential
open space if any and sell abide by the provision of HSIIDC Act 1977 and the
rules/regulations made applicable there under amended from time to time.
4. That I/we shall not use the house/plot for purpose other that which is allotted.
5. That I/we shall pay the interest on the delayed payment of installments/enhancement as per
policy of authority decided from time to time.
6. That I/we shall not raise any dispute in respect of interest paid by transfer in respect of
house/plot as policy of the authority time to time.
Deponents
Verification :- The above statements are true and correct to the best of my/our knowledge & belief.
I/we, the above named deponents do hereby further solemnly affirm and declare that the contents of
my above affidavit are true and correct to my knowledge and belief and nothing has been concealed
therein.
Verified at ___________ on ___________
Deponents
(Rs.20/-)
Affidavit from Purchaser
I, Ravi Rohaj S/o Sh. Rajender Parsad, R/o H.N. 905, Ward – 12, Dev Colony, near Jat College,
Rohtak, allottee of Residential Plot No. 1023, Sector – 30B, IMT Rohtak, do hereby solemnly affirm
and declare as under:-
1. That I/we accept the allotment of Residential House/Plot No. 1023, Sector – 30B, R & R
IMT Rohtak, measuring 153 sq. mtrs. inclusive of incidential space allotted.
2. That I/we shall pay the interest on the delayed payment of installments/enhancement as per
policy of authority decided from time to time.
3. That I/we shall not raise any dispute in respect of interest paid by transfer in respect of
delayed payment of installments/enhanced compensation/possession interest in respect of
house/plot as policy of the authority decided from time to time.
Deponents
Verification :- The above statements are true and correct to the best of my/our knowledge & belief.
I/we, the above named deponents do hereby further solemnly affirm and declare that the contents of
my above affidavit are true and correct to my knowledge and belief and nothing has been concealed
therein.
Verified at ___________ on ___________
Deponents
