Land & Land Reforms And Refugee Relief & Rehabilitation Department
PROFORMA APPLICATION FOR MUTATION
Application No : MUTE2025112705872 Application Date : 15/09/2025
1.Particulars of the Applicant :
(a) Name :Tapan Kumar Das
(b) Father's/Husband's Name :Kartik Chandra Das
(c) Postal Address :Telami
(d) Phone/Mobile No. (If Any) :7908945282
(e) Existing Khatian No. of the Applicant in the relevant :N/A
Mouza (If Any)
2.Deatils of Transfer :
(a) Mode of Transfer :Gift
(b) Registered Deed No. and Date :508730,01/09/2025
(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 :Kartik Chandra Das
Father's/Husband's Name :Sreehati Das
Postal Address :Telami
4. Land Schedule for which mutation sought for:
Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid
Egra Telami 65 61 554 0.1 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 **
15/09/2025 , 18:21:20 pm