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SERVICE REQUISITION FORM

(FILL UP THE FORM WITH THE AVAILABLE
DETAILS/IF DETEAILS ARE NOT AVAILALBLE –
LEAVE IT BLANK)

DO NOT PUBLISH/PRINT/FILL UP
CONFIDENTIAL
DETAILS/INFORMATION IN THIS FORM

NAME & ADDRESS

Telephone

Mobile

e-mail

Address for communication.

Full postal address With pin code. Nature of Service Required Be specific and Clear about the Service required NAME/S OF THE OWNER/S Location of the property Survey No/Property/site No /Kaneshmari Number/VP katha No. Any other number?: Sub number: Extent in acres and guntas: Extent in Square Meter or .

DC conversion order DC Order and date .Square Feet or in acres or in hectares Kaneshmari Numebr/House No/panchayat number: Street Road Cross Main road Block Stage Phase site No: Survey No: Village: Kasaba: Hobli: Thaluk: Town/City: District: Size of the property: Schedule of the property: Size or Dimension (site) Property boundaries.

14 Survey Records: Form 11E Survey Sketch Akarbandh Tippany Hissa Tippany Phodi Prathi Phodi Atlas Village Map RR RR balabagada nakalu Saguvali Chit Grant Certificate .Official Memorandum DC Conversion Order charges paid Challan BDA/BMRDA layout Plan number with date Pid number BBMP Number Form No.9 Form No.10 Form No.12 Form No.11 Form No.

If any. Details of Kharab Land: Clear Demarcation of Kharab land with extent and location Hudbast Saguvali Chit Pass Book Family tree RTC Mutation NOC from Thasildar NOC Form 7/7A NOC Form 48 NOC PTCL NOC 79A(lrf) NOC 79B(lrf) Caste Certificate(if applicable) 5 years annual income certificate or income tax returns of the family Any other relevant survey records? BOUNDARY AND LOCATION OF THE PROPERTY EAST .LRF No.

if any. Details of case history . with number and court hall.WEST NORTH SOUTH EAST TO WEST NORTH TO SOUTH Details regarding ownership ORIGINAL OWNERS NAME AND ADDRESS Genealogical Tree or family tree Full name and address of all the legal heirs with age and father`s/husband`s name (photo identity for investigation is required in specific cases) Details regarding Pending suits/litigations etc. if any. city and the name and address of the plaintiff and defendant. Name and address of the advocate/firm handling the suit.

Date.Other details TAX PAID DETAILS YEAR AMOUNT RS Receipt No. Amount paid. Date. PROPERTY REGISTRATION DETAILS SUBREGISTRAR OFFICE DATE DOCUMENT NO . BETTERMENT CHARGES PAID DETAILS YEAR AMOUNT RS Receipt No. Duration or year for which the tax paid. Location.

MOTHER DEED DETAILS Building plan Number. OC No. Date and the Issuing authority CC No. B FORM Number(B KATHA) A katha Number BBMP PID Number New GIS Number BDA katha Number BDA Allotment Letter Number BDA Possession certificate Number BDA lease deed no and date BDA Absolute sale deed no and date .

SPECIFIC DETAILS REGARDING SERVICES REQUIRED AND REFERENCES. Passport Number Temporary Identification Number(TIN) Sales Tax Number Permanent Account Number(Pan) Tax Deducted At Source (TDS) or TAN number Import and Export Code(IEC) Voters Identification Number .

CFO NO AND DATE.LEAVE IT BALNK DO NOT FILL UP CONFIDENTAIL DETAILS OR INFORMATION .KSPCB CONSENT NUBMER CFE NO AND DATE. TRADE LICENSE NUMBER BUILDING PLAN SANCTION NUBMER FSSA LICENSE NUMBER AND DATE Courier Docket Number and details FILL UP ONLY THE APPLICABLE CLAUSES/ IF DETAILS ARE NOT AVAILABLE.

References .