Annexure H-2

Undertaking for Refund on Withdrawal from a Scheme

(Ref: Para 20 of IRWO General Rules)

I, Shri/Smt./Ms. , applied for booking of Dwelling Unit Type in Scheme of IRWO. My scheme registration no. is . An amount of Rs is available with IRWO against booking money/installments.

Due to unavoidable circumstances, I do not wish to continue in this scheme any longer. As such, I request that my withdrawal from the Scheme may be accepted and refund be processed by IRWO under Para 20 of IRWO General Rules, as amended from time to time.

The amount deposited by me may be refunded immediately after making deductions as per rules and without waiting for formation of a waiting list and re-allotment of the dwelling unit.

I understand that an amount of Rs would be refundable to me. I agree to accept this amount of Rs in full and final settlement of my claim.

Name:

Primary Registration No.:

(Signature)