Land & Land Reforms And Refugee Relief & Rehabilitation Department
PROFORMA APPLICATION FOR MUTATION
Application No : MUTE2025180621503 Application Date : 07/08/2025
1.Particulars of the Applicant :
(a) Name :Nobodita Barman
(b) Father's/Husband's Name :Kunjashar Barman
(c) Postal Address :Nij
(d) Phone/Mobile No. (If Any) :9434683185
(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 :111700,15/08/1984
(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 :CjHc
Father's/Husband's Name :hg
Postal Address :Jg
Name :NvHf
Father's/Husband's Name :hg
Postal Address :Ch
Name :JvBv
Father's/Husband's Name :hg
Postal Address :Hg
Name :JgG
Father's/Husband's Name :ug
Postal Address :Hc
Name :FbBc
Father's/Husband's Name :bc
Postal Address :Bc
Name :NcJc
Father's/Husband's Name :G
Postal Address :Hc
Name :NcF
Father's/Husband's Name :Ch
Postal Address :Gc
Name :HdF
Father's/Husband's Name :Hc
Postal Address :jf
Name :HvBc
Father's/Husband's Name :hf
Postal Address :Ch
Name :Hcn
Father's/Husband's Name :C
Postal Address :C
4. Land Schedule for which mutation sought for:
Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid
Raiganj Malibari 18 5412 2383 0.0025 acre YES
Raiganj Malibari 18 5413 2383 0.0025 acre YES
Raiganj Malibari 18 5414 2383 0.0025 acre YES
Raiganj Malibari 18 5415 2383 0.0025 acre YES
Raiganj Malibari 18 5416 2383 0.0025 acre YES
Raiganj Malibari 18 5412 2388 5.0E-4 acre Exempted
Raiganj Malibari 18 5413 2388 5.0E-4 acre Exempted
Raiganj Malibari 18 5414 2388 5.0E-4 acre Exempted
Raiganj Malibari 18 5415 2388 5.0E-4 acre Exempted
Raiganj Malibari 18 5416 2388 5.0E-4 acre Exempted
___________________________________
Signature of the Applicant with seal, if any
5. List of Enlosures:
- Copy / copies of registered deed.
** System Generated **
07/08/2025 , 13:18:47 pm