REVENUE APPLICATION FOR LAND HOLDING CERTIFICATE

Department: REVENUE. APPLICATION FOR LAND HOLDING CERTIFICATE. ( Marked Fields are mandatory). (*চিহ্নযুক্ত তথ্যব োৰ োধ্যতোমূলক). Language of the Cert...

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Department: REVENUE APPLICATION FOR LAND HOLDING CERTIFICATE (Marked Fields are mandatory) (*চিহ্নযু ক্ত তথ্যব োৰ োধ্যতোমূ লক) Language of the Certificate English Assamese Bengali (

Bodo

)

Applicant Details Applicant's Name

………………………….

Applicant's Gender

Male

Applicant's Mobile No

………………………….

Applicant Email Id

………………………….

Aadhar Number

………………………….

PAN Number

………………………….

Female

Address Details *State (ৰোজ্য)

………………………….

*District(চজ্লো)

………………………….

*Sub-Division (মহকুমো)

………………………….

*Circle Office(ৰোজ্হ িক্র)

………………………….

*Village/Town(গোওঁ/নগৰ)

………………………….

*Police Station(থ্োনো)

………………………….

*Post Office(ডোকঘৰ)

………………………….

Mouza (

)

*Pin Code(চিন নং)

…………………………. …………………………. (e.g 78xxxx)

Signature of the applicant (আব দনকোৰীৰ িোক্ষৰ)

Department: REVENUE APPLICATION FOR LAND HOLDING CERTIFICATE Land Details Name of the Pattadar

………………………….

Guardian Name of Pattadar

………………………….

Relationship Self

Son

Daughter

Mother

Husband

Brother

Sister

Grand Daughter

Grand Mothers

Others

Grand Father

Father

Location of Daag

………………………….

Lot No

………………………….

Patta No

………………………….

Patta Type

Annual Patta

Wife Grand Son

Periodic Patta

Whether Land Revenue Paid?

Yes

No

Reason for availing

………………………….

Land Village/Town

………………………….

Attachment Section 1. Any other document

Signature of the applicant (আব দনকোৰীৰ িোক্ষৰ)