Land & Land Reforms And Refugee Relief & Rehabilitation Department
PROFORMA APPLICATION FOR MUTATION
Application No : MUTE2024081204213 Application Date : 29/02/2024
1.Particulars of the Applicant :
(a) Name :SOBESHBARMAN
(b) Father's/Husband's Name :MAESH BARMAN
(c) Postal Address :CK KHALISHAMARI
(d) Phone/Mobile No. (If Any) :9609618719
(e) Existing Khatian No. of the Applicant in the relevant :N/A
Mouza (If Any)
2.Deatils of Transfer :
(a) Mode of Transfer :Sale
(b) Registered Deed No. and Date :003297,07/11/2014
(c) Whether Transferred directly from recorded raiyat :YES
If not, state whether copies of all chain deeds are -
available with him
3. Particular of transferer:
Name :NABAKANTABARMAN
Father's/Husband's Name :BADHAN BARMAN
Postal Address :CK KHALISHAMARI
4. Land Schedule for which mutation sought for:
Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid
Sitalkuchi chng ku kholismari 010 440 4621 0.01 acre Exempted
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Signature of the Applicant with seal, if any
5. List of Enlosures:
- Copy / copies of registered deed.
- Copy of up-to-date rent receipt.
29/02/2024 , 16:11:27 pm