White to Pink Card
Corrections
                          ctions in current adangal -Application Form
Adangal Details
District*:_______________________________
         :_______________________________    Mandal
                                             Mandal*:__________________________
Village / Ward *:______________________________
                :______________________________ Survey No *:______________________________
                                                           :______________________________
Correction Type*:  Correction in Adangal Details  Correction in Khata Number
Correction In Survey Number
Edit Fields in Correction in Adangal Details :
Land Nature:: ________________________          Water Source : _________________________
Water Source Extent: _________________           Enjoyment Nature: _______________________
Pattadar Name: ______________________             Pattadar Father Name: ___________________
Occupant Name: ______________________              Occupant Father Name: __________________
                                                                               ____________
Occupant Extent:: _______________________ Water Source Extent: ____________________
                                                               ____________
Edit Fields in Correction in Khata Number:
Land Nature:: ________________________            Water Source: _________________________
Water Source Extent: _________________              Khata No: ____________________________
                                                               ___________________________
Enjoyment Nature: ____________________             Pattadar Name: ______________________
Pattadar Father Name: ___________________           Occupant Name: ______________________
Occupant Father Name: __________________
                            ____________             Occupant Extent:: _______________________
Edit Fields in Correction In Survey Number
                                    Number:
Survey No:: ___________________________             Land Nature:: ________________________
Water Source    : _________________________          Water Source Extent: _________________
Enjoyment Nature: _______________________            Pattadar Name: ______________________
Pattadar Father Name: ___________________           Occupant Name: ______________________
Occupant Father Name: __________________
                            ____________            Occupant Extent:: _______________________
Applicant Details :
AADHAR Card No: __________________________                               Applicant ame*:_____________________
                                                                                       :_____________________
Father's/Mother's/Guardian's Name
                             Name*:: ______________________________________________
Gender*: Male  Female
Permanent Address:
State *: __________________________________ Door No: ________________________________________
District*:________________________________________
         :________________________________________                      Mandal
                                                                        Mandal*:__________________________________
                                                                               :__________________________________
Village / Ward *:__________________________________
                :__________________________________ Pin code: __________________________________
Locality / Land Mark: __________________________ Mobile*:: _______________________________
E-Mail : ______________________________                  Delivery Type*:  Manual  Local post
                                                                                               Non Local post
Documents List:
(NOTE: 1.Total size of Upload Document should not exceed 3 MB.2. All Upload Documents should be in PDF Format Only)
     1.   Application Form*
                                                                                            Applicant’s Signature