(in the case of an individual) Mr./Ms. _____________________________son of Mr./Ms. __________________________Taluk ________________District ___________________State ____________________________;

Or

(in the case of a firm / society / company) ____________firm / society / company ____________ having its registered office / principal place of business at ____________.

to act as a real estate agent to facilitate the sale or purchase of any plot, apartment or building, as the case may be, in real estate projects registered in the ____________State of Tamil Nadu in terms of the Act and the rules and regulations made thereunder,