Land & Land Reforms And Refugee Relief & Rehabilitation Department
PROFORMA APPLICATION FOR MUTATION
Application No : MUTE2025150924120 Application Date : 30/07/2025
1.Particulars of the Applicant :
(a) Name :BABLU ROY
(b) Father's/Husband's Name :NARENDRA NATH ROY
(c) Postal Address :GANGNI BADKULLA TAHERPUR NADIA
(d) Phone/Mobile No. (If Any) :9002272688
(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 :007803,20/07/2012
(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 :KALIGOYALA
Father's/Husband's Name :MONU GOYALA
Postal Address :NIJ
4. Land Schedule for which mutation sought for:
Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid
Titagarh Chanak 4 940 3122 0.025 acre YES
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Signature of the Applicant with seal, if any
5. List of Enlosures:
- Copy / copies of registered deed.
** System Generated **
30/07/2025 , 22:25:46 pm