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Application No.

ANNEXIJRE.I

To be submitted in duplicate)

To
The District l^and & Iand Reforms Officer

Sub : Requisition ofiR.S. Scarureri i L.R. pigitized mouza maps

'iu'.

This is to request vou to kindly supply merft.g. Sclmej i L.R. Digitized rnouz.a
map(s)
(mentioned below) aga,nst tlre requisite r:lrarges for the sarne.

!l ESIBIEIICN oI- l.:.E O]; IRED h{A}G)

Name of Police Station

Sheet No(s),

Purpose for which the

lulap 1s requreo

lhanki4g you

l-ours faith{irlly

Dafe
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(Signanre of the Applicant).

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