FORM NO. 3 A

For Flat Owners Society Only

On Stamp Paper of Rs.20/-

A form of undertaking to be furnished by the prospective Member to use the flat for the purpose for which it is purchased.

________________________________________________________________________ at present residing/having address ___________________________________________ member/intending members of the ___________________________________________ Co-operative Housing Society Ltd., Proposed/Registered having address at ___________ ___________________________________ hereby give the undertaking that I/We will use the flat purchased by me/us proposed to be acquired by me/us, on cessation of membership of the earlier member, under the bye-law No.78(a) of the bye-laws of the society, proposed/registered.

I/We further give the undertaking that no change of user will be made by me/us without the prior permission, in writing of the committee of the society.

Signature

Place:

Date :