Phone Number:
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Applicant Details:
Name*:
Mr
Dr
Ms
Mrs
Mobile No*:
Secondary Phone
Mail id:
Annual Income:
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< 10 Lak
10 to 15 Lak
15 to 20 Lak
20 to 25 Lak
> 25 Lak
Profession:
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IT
Doctor
Salaried
Self employed
Government
Budget:
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< 25 Lak
25 to 50 Lak
50 to 75 Lak
75 Lak to 1 Cr
1 to 1.25 Cr
1.25 to 1.5 Cr
1.5 to 1.75 Cr
> 2 Cr
Purpose:
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Own Use
Investment
Gift
Is this your first home?*
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Yes
No
Looking For:
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Plots
Apartment
Villa
Preferred Sqft:
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400-600 Sqft
600-800 Sqft
1200-1500 Sqft
1500-2000 Sqft
2000-2400 Sqft
> 2400 Sqft
Product Type:
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2BHK
3BHK
4BHK
Source
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Online
Accompanied by channel partner
Sub-source
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Facebook
Google
SMS
Leaflet
Whatsapp
Hoarding
Radio
Wayboards
TV
Newspaper
Referals
Others
Channel Partner Name*
Please Specify Other :
Sales* : (For office use only)
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Remark
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