GODREJ UNITED PRE-LAUNCH DECLARATION FORM

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1 PRE-LAUNCH DECLARATION FORM Call sms GODREJ UN to Owner & Developer United Oxygen Company Private Limited Development Manager Godrej Properties Limited Site office Godrej United, Khata No.30, Survey Number 28/2, Whitefield Main Road, Near Phoenix Market City, Mahadevapura P.O. Bangalore Regional office Godrej Properties Ltd., Hulkul Ascent, No. 80, 2nd Cross, Lavelle Road, Bengaluru Call Fax Experience us on DISCLAIMER The plans, specifications, images and other details herein are only indicative and the Owner reserves its right to change any or all of these in its discretion, subject to grant of approvals from the relevant authorities. The Development Manager's role is advisory and the Development Manager makes no representation or warranty of any nature. This written material does not constitute an offer, an invitation to an offer and/or commitment of any nature between the Development Manager and/or Owner and the recipient. The Development Manager's and/or Owner's website(s) and other advertising and publicity material(s) include Artist's impressions indicating the anticipated appearance of the completed development. No warranty is given that the completed development will comply in any degree with such Artist's impressions. Amenities, costs, designs and facilities and/or specifications may be subject to change without notice. United Oxygen Company

2 PRE-LAUNCH DECLARATION FORM Date United Oxygen Company Private Limited, Office at Survey No. 28, (New Survey No. 28/2) BBMP Khatha No. 30 also known as No. 30/31/28), Hoodi Village, Mahadevapura Post, Whitefield Main Road, Bangalore Dear Sir / Madam, I / We understand that United Oxygen Company Private Limited is proposing to develop a residential project named as on a land situated at Sy. No. 28/2 and BBMP Khata No. 30 (also known as No. 30/31/28) Hoodi Village, Krishnarajapuram Hobli, Bangalore East Taluk, Whitefield Main Road, Bangalore , (hereinafter referred to as the Project ). I/We understand that Project is being developed by United Oxygen Company Private Limited, the Owner & Developer (hereinafter referred to as United Oxygen ) and supervised & managed by Godrej Properties Limited. I/We understand that United Oxygen has obtained sanction for Development Plan for the above said Project vide Approval Letter bearing No. BDA/Nayosa/DLP dated. I/We further noted that in terms of the aforesaid Development Plan, United Oxygen is in the process of obtaining the building plan approval from the concerned authority which approval is expected on or before 31st December I/We wish to register my/our expression of interest for reservation of a BHK Apartment being Apartment No. admeasuring about sq meters equivalent to sq.ft. (approximately super built up area), on floor, in tower for an estimated consideration of Rs. /- in the said Project excluding taxes, if any, along with a right to use number of parking spaces. I/We hereby tender a cheque /DD for an amount of Rs /- (Rupees only) dated in favour of Godrej United drawn on Bank, Branch payable at towards the initial reservation for purchase of the aforesaid apartment in the said Project which may be adjusted as part payment towards the consideration price payable in respect of the apartment once the aforesaid approvals are in place(hereinafter referred to as Initial Reservation Amount ) I/We understand that, if for any reason the building plans are not approved on or before 31st December 2014, then I/We shall have the option to seek refund from United Oxygen for the amounts

3 PRE-LAUNCH DECLARATION FORM Date United Oxygen Company Private Limited, Office at Survey No. 28, (New Survey No. 28/2) BBMP Khatha No. 30 also known as No. 30/31/28), Hoodi Village, Mahadevapura Post, Whitefield Main Road, Bangalore Dear Sir / Madam, I / We understand that United Oxygen Company Private Limited is proposing to develop a residential project named as on a land situated at Sy. No. 28/2 and BBMP Khata No. 30 (also known as No. 30/31/28) Hoodi Village, Krishnarajapuram Hobli, Bangalore East Taluk, Whitefield Main Road, Bangalore , (hereinafter referred to as the Project ). I/We understand that Project is being developed by United Oxygen Company Private Limited, the Owner & Developer (hereinafter referred to as United Oxygen ) and supervised & managed by Godrej Properties Limited. I/We understand that United Oxygen has obtained sanction for Development Plan for the above said Project vide Approval Letter bearing No. BDA/Nayosa/DLP dated. I/We further noted that in terms of the aforesaid Development Plan, United Oxygen is in the process of obtaining the building plan approval from the concerned authority which approval is expected on or before 31st December I/We wish to register my/our expression of interest for reservation of a BHK Apartment being Apartment No. admeasuring about sq meters equivalent to sq.ft. (approximately super built up area), on floor, in tower for an estimated consideration of Rs. /- in the said Project excluding taxes, if any, along with a right to use number of parking spaces. I/We hereby tender a cheque /DD for an amount of Rs /- (Rupees only) dated in favour of Godrej United drawn on Bank, Branch payable at towards the initial reservation for purchase of the aforesaid apartment in the said Project which may be adjusted as part payment towards the consideration price payable in respect of the apartment once the aforesaid approvals are in place(hereinafter referred to as Initial Reservation Amount ) I/We understand that, if for any reason the building plans are not approved on or before 31st December 2014, then I/We shall have the option to seek refund from United Oxygen for the amounts

4 paid herewith towards initial reservation of the said apartment along with simple interest at the rate of 15% per annum from the date of receipt/realization of the aforesaid amount towards initial reservation till the date of refund of the aforesaid amount. I/We further understand that I/we shall not be entitled for the aforesaid payment of interest in the event I/we have withdrawn this letter/form and sought refund before 31st December 2014 or if the approval has been obtained before 31st December Further on intimation by United Oxygen of having received the approval of building plans as aforesaid, I/We hereby undertake to pay further monies along with the applicable taxes and sign and execute the necessary documents viz., regular Application Form, Confirmation Letter and other necessary agreement/documents, as and when required by United Oxygen within the stipulated time period. I/we hereby further agree that if I/we fail to make the necessary payments within 15 days' time as and when called upon by United Oxygen, then United Oxygen shall be entitled to reject my/our reservation and refund the money tendered herewith after deduction of 2% of the total sale consideration towards the administrative charges. I / We understand that in the event I/we do not pay the further monies and/or the taxes thereon and/or refuse to accept the allotment of the aforesaid apartment within 15 days of United Oxygen calling upon me/us to do so then United Oxygen may refund the amounts tendered herewith after deduction of 2% of the total sale consideration to me/us and United Oxygen shall then be entitled to sell the said apartment to any third party of its choice without any recourse to me/us. I/We understand that the area of the said apartment may be subject to certain changes for reasons beyond the control of United Oxygen. I/We understand that the marketing plan/brochure is a mere indication of the proposed project. The areas mentioned in the drawing/brochures are reasonable estimates however subject to changes. United Oxygen reserves the right to change the design, elevation, specifications, amenities and facilities, plans, etc. due to aesthetic reasons or to meet the planning / regulatory requirement and/or for any other reasons. Changes, if any, will be communicated by United Oxygen which will be binding on me/us. I1. INTENDING SOLE / FIRST APPLICANT Mr. / Mrs./ Ms. Son/Wife/Daughter of Guardian's Name (If the Intending Applicant is a Minor) Relationship of the Guardian with the Minor Date of Birth Nationality Occupation Private Service ( House Wife ( ) Any other Residential status ) Professional Resident/Non-Resident/Foreign ( ) Business () Student ( ) National of Indian Origin/ Others (please specify) Mailing Address PIN Permanent Address PIN Tel. No. Office Name & Address Notwithstanding the fact that United Oxygen may have issued an acknowledgement by way of a receipt for the money tendered with this letter/ form, I/We clearly understand that this is only our request to United Oxygen for reservation of the said apartment and acceptance of the monies tendered herein shall not constitute any kind of acceptance / allotment / contract / agreement / etc. for the aforesaid apartment between me/us and United Oxygen. ) Government Service ( Contact No. Office Mobile Fax I/We agree that United Oxygen at its absolute discretion shall be entitled to accept or reject the offer without assigning any reason, whatsoever or howsoever. ID Income Tax Permanent Account No. Ward/Circle/Range (where assessed) Passport No. (For Non Resident / Foreign National of Indian Origin)

5 paid herewith towards initial reservation of the said apartment along with simple interest at the rate of 15% per annum from the date of receipt/realization of the aforesaid amount towards initial reservation till the date of refund of the aforesaid amount. I/We further understand that I/we shall not be entitled for the aforesaid payment of interest in the event I/we have withdrawn this letter/form and sought refund before 31st December 2014 or if the approval has been obtained before 31st December Further on intimation by United Oxygen of having received the approval of building plans as aforesaid, I/We hereby undertake to pay further monies along with the applicable taxes and sign and execute the necessary documents viz., regular Application Form, Confirmation Letter and other necessary agreement/documents, as and when required by United Oxygen within the stipulated time period. I/we hereby further agree that if I/we fail to make the necessary payments within 15 days' time as and when called upon by United Oxygen, then United Oxygen shall be entitled to reject my/our reservation and refund the money tendered herewith after deduction of 2% of the total sale consideration towards the administrative charges. I / We understand that in the event I/we do not pay the further monies and/or the taxes thereon and/or refuse to accept the allotment of the aforesaid apartment within 15 days of United Oxygen calling upon me/us to do so then United Oxygen may refund the amounts tendered herewith after deduction of 2% of the total sale consideration to me/us and United Oxygen shall then be entitled to sell the said apartment to any third party of its choice without any recourse to me/us. I/We understand that the area of the said apartment may be subject to certain changes for reasons beyond the control of United Oxygen. I/We understand that the marketing plan/brochure is a mere indication of the proposed project. The areas mentioned in the drawing/brochures are reasonable estimates however subject to changes. United Oxygen reserves the right to change the design, elevation, specifications, amenities and facilities, plans, etc. due to aesthetic reasons or to meet the planning / regulatory requirement and/or for any other reasons. Changes, if any, will be communicated by United Oxygen which will be binding on me/us. I1. INTENDING SOLE / FIRST APPLICANT Mr. / Mrs./ Ms. Son/Wife/Daughter of Guardian's Name (If the Intending Applicant is a Minor) Relationship of the Guardian with the Minor Date of Birth Nationality Occupation Private Service ( House Wife ( ) Any other Residential status ) Professional Resident/Non-Resident/Foreign ( ) Business () Student ( ) National of Indian Origin/ Others (please specify) Mailing Address PIN Permanent Address PIN Tel. No. Office Name & Address Notwithstanding the fact that United Oxygen may have issued an acknowledgement by way of a receipt for the money tendered with this letter/ form, I/We clearly understand that this is only our request to United Oxygen for reservation of the said apartment and acceptance of the monies tendered herein shall not constitute any kind of acceptance / allotment / contract / agreement / etc. for the aforesaid apartment between me/us and United Oxygen. ) Government Service ( Contact No. Office Mobile Fax I/We agree that United Oxygen at its absolute discretion shall be entitled to accept or reject the offer without assigning any reason, whatsoever or howsoever. ID Income Tax Permanent Account No. Ward/Circle/Range (where assessed) Passport No. (For Non Resident / Foreign National of Indian Origin)

6 MODE OF PAYMENT 2. INTENDING SECOND APPLICANT I) Cheque ii) Draft iii) P.O. iv) Friends/ Relatives Mr. / Mrs./ Ms. Direct / Broker (If Broker Name & Address with Stamp) Son/Wife/Daughter of Guardian's Name (If the Intending Applicant is a Minor) ADDITIONAL INFORMATION FOR NRI/ Foreign National(s) of Indian Origin Relationship of the Guardian with the Minor (A) Date of Birth Nationality Occupation Private Service ( House Wife ( ) Any other Residential status ) Government Service ( Resident/Non-Resident/Foreign Origin/ Others ) Professional ( ) Business () Student ( ) National of Indian a) a. NRE Account No. b. c. NRO Account No. d. e. FCNR Account No. (please specify) Mailing Address PIN (B) For the purpose of remitting funds from abroad by the intending Applicant / Allottee, the following particulars of beneficiary have to be provided Permanent Address PIN Tel. No. Office Name & Address Contact No. Office Fax Mobile ID Income Tax Permanent Account No. Beneficiary's Name b) Beneficiary's A/C No. c) Bank Name d) Branch Name e) Bank Address f) Swift Code (C) Address of the Place of residence abroad Ward/Circle/Range (where assessed) Passport No. (For Non Resident / Foreign National of Indian Origin) (For all intending applicants Photostat copies of PAN Card or Passport or Voters Card are to be submitted along with this Form. If the Intending Applicant is a Minor, proof of age is required to be submitted along with all the details / documentary evidence of the Guardian). (For Companies Memorandum & Articles of Association and certified copy of the Board Resolution). (For Partnership Firm Copy of the Partnership Deed, Firm registration certificate, consent/authorization from all the partners). (For NRI & Foreign national of Indian origin Copy of the Passport and payment through NRE/FCNR account). a) City PIN/ZIP State Country Phone (Home) Phone (Work) Mobile Fax

7 MODE OF PAYMENT 2. INTENDING SECOND APPLICANT I) Cheque ii) Draft iii) P.O. iv) Friends/ Relatives Mr. / Mrs./ Ms. Direct / Broker (If Broker Name & Address with Stamp) Son/Wife/Daughter of Guardian's Name (If the Intending Applicant is a Minor) ADDITIONAL INFORMATION FOR NRI/ Foreign National(s) of Indian Origin Relationship of the Guardian with the Minor (A) Date of Birth Nationality Occupation Private Service ( House Wife ( ) Any other Residential status ) Government Service ( Resident/Non-Resident/Foreign Origin/ Others ) Professional ( ) Business () Student ( ) National of Indian a) a. NRE Account No. b. c. NRO Account No. d. e. FCNR Account No. (please specify) Mailing Address PIN (B) For the purpose of remitting funds from abroad by the intending Applicant / Allottee, the following particulars of beneficiary have to be provided Permanent Address PIN Tel. No. Office Name & Address Contact No. Office Fax Mobile ID Income Tax Permanent Account No. Beneficiary's Name b) Beneficiary's A/C No. c) Bank Name d) Branch Name e) Bank Address f) Swift Code (C) Address of the Place of residence abroad Ward/Circle/Range (where assessed) Passport No. (For Non Resident / Foreign National of Indian Origin) (For all intending applicants Photostat copies of PAN Card or Passport or Voters Card are to be submitted along with this Form. If the Intending Applicant is a Minor, proof of age is required to be submitted along with all the details / documentary evidence of the Guardian). (For Companies Memorandum & Articles of Association and certified copy of the Board Resolution). (For Partnership Firm Copy of the Partnership Deed, Firm registration certificate, consent/authorization from all the partners). (For NRI & Foreign national of Indian origin Copy of the Passport and payment through NRE/FCNR account). a) City PIN/ZIP State Country Phone (Home) Phone (Work) Mobile Fax

8 PRE-LAUNCH DECLARATION FORM Call sms GODREJ UN to Owner & Developer United Oxygen Company Private Limited Development Manager Godrej Properties Limited Site office Godrej United, Khata No.30, Survey Number 28/2, Whitefield Main Road, Near Phoenix Market City, Mahadevapura P.O. Bangalore Regional office Godrej Properties Ltd., Hulkul Ascent, No. 80, 2nd Cross, Lavelle Road, Bengaluru Call Fax Experience us on DISCLAIMER The plans, specifications, images and other details herein are only indicative and the Owner reserves its right to change any or all of these in its discretion, subject to grant of approvals from the relevant authorities. The Development Manager's role is advisory and the Development Manager makes no representation or warranty of any nature. This written material does not constitute an offer, an invitation to an offer and/or commitment of any nature between the Development Manager and/or Owner and the recipient. The Development Manager's and/or Owner's website(s) and other advertising and publicity material(s) include Artist's impressions indicating the anticipated appearance of the completed development. No warranty is given that the completed development will comply in any degree with such Artist's impressions. Amenities, costs, designs and facilities and/or specifications may be subject to change without notice. United Oxygen Company

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