ONLINE FORM


                                                                          Habitat Builders Ltd.
           ABC Heritage (3rd Floor) Plot No. 2 & 4 Jashim Uddin Avenue Sector- 3, Uttara C/A Dhaka- 1230, Bangladesh.
                                                                  Tel        :  7911701- 3.                                          
                                                                  Fax       :  880-2-7911706.
                                                                  E-mail   :  it.info@petrochembd.com  Website   :  habitatbuilders.net


 
Name of the project

Full Name ( in block letter)

Father's  Name 

Husband's Name 

Permanent Address

Present / Mailing Address

Profession/Occupation

Nationality 
Application for Apartment

Flat Floor Sft
Reservation of Car park one Two
Mode of payment (Please Tick) Installment Consolidated
Particular of Payment made
Amount
Cheque/P.O/D.D.No
Date Bank

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