Land & Land Reforms And Refugee Relief & Rehabilitation Department
PROFORMA APPLICATION FOR MUTATION
Application No : MUTE2024101106552 Application Date : 25/10/2024
1.Particulars of the Applicant :
(a) Name :Bhajahari Samanta
(b) Father's/Husband's Name :Guruprasad
(c) Postal Address :Teldanga
(d) Phone/Mobile No. (If Any) :7585968315
(e) Existing Khatian No. of the Applicant in the relevant :N/A
Mouza (If Any)
2.Deatils of Transfer :
(a) Mode of Transfer :
:000042,27/06/2024
(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 :Basudev Samanta
Father's/Husband's Name :Mahendra
Postal Address :Teldanga
4. Land Schedule for which mutation sought for:
Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid
Kesiary Chandana 047 7 128 0.03 acre Exempted
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Signature of the Applicant with seal, if any
5. List of Enlosures:
25/10/2024 , 18:55:4 pm