Part 1- Client Details

Name /s:
Company Name( if applicable):
Address:
City: State:
Phone:
Email/Fax:
Part 2- Agent Details
Agency Name !ay "hite #$rgaon
%aryana Property &ealers 'icense No ( )*+
Ser,ice -ax !egistration No A.!P/011*2S&334
Address '#F3356 S$shant Arcade6 S$shant 'o7 46 #$rgaon
4))33)6 8ndia
Phone 34)993:**34 Fax 34)99+3:))0
Emailg$rgaon;in<ray=hite;com
Part 3- Property Details
Address :
S$b$rb: City:
State:
-itle reference:
Part 4- Appointment of Agent
-he Client appoints the agent to perform the follo=ing
APPOINTMENT OF AGENT
RESIDENTIAL LETTING
-his form is an agreement bet=een >the Client? to appoint a real estate agent or a resident letting agent
>-he Agent? to perform one or more letting6 leasing or property management ser,ices for the client;
ser,ice/s:
'etting / 'easing of property
Collection of !ent
@ther Property /anagement Ser,ices (please specify):
Part 5- Type of Appointment
-his appointment is a Single Appointment (for a partic$lar
ser,ice) Excl$si,e ( Period Start Finish

Contin$ing Appointment (for a n$mber of ser,ices)
End of Contin$ing Appointment:
Part 6- Listed Rental Charge
Amo$nt in !$pees per month :
(as instr$cted by Client)
Part - Agreed Commission
-he Client and the agent agree that the commission payable
for the ser,ice to be performed by the agent is:
a)-otal Commission @ne monthAs rent
b)Ser,ice -ax 4);+0B
c) -otal Payable a) C b)
Part !- A"thori#ation to in$"r e%penses
-he Client a$thoriDes the agent to inc$r the follo=ing expenses
in relation to the performance of ser,ices/s;
&eEne Ser,ices:
Ad,ertising / /ar7eting expenses:
Part &- 'ignat"res
Client 4: Signat$re
Name
&ate
Client ): Signat$re
Name
&ate
Agent: Signat$re
!ay "hite #$rgaon
&ate