(Under BSO 34-A, chapter-2, section-VI, & circular instructions of CSS&LR,
AP Hyderabad No.N1/6543/99, Dt. 25.7.2001) (Application only for entire T.S.No / Registered subdivision) S.No Applicant Details 1 Name of the applicant : 2 Father/Husband : 3 Door No : 4 Locality/Land Mark : 5 District : 6 Mandal : 7 Village / Ward : 8 Pin code : 9 Ration Card No : 10 Aadhar Card No : 11 Delivery Type : At Kiosk Local Post Non Local Post Document Details Description
S.No Document Details Description
12 Name of the register holderof the land: 13 Manner in which rights acquired over the land 1. Pattadar : 2. Ancestor property : 3. Purchase : 4. Gift : 5. Inheritance : 6. GPA : 14 Document District : 15 Document Mandal : 16 Document Village : 17 Survey Number Details (Ex:11,12,13): 18 Ward No : 19 Block : 20 Type of Service 1. Appeal to Deputy Inspector of Surveyor: 2. Appeal to Inspector of Survey: Land Boundaries:
Survey no Name of the land holder Father/Husband Address
East
West
North
South
Documents List: Contact Details:
1. Application form* 1. Land line no :___________________
2. Affidavit/Notary stating that the applicant 2. Mobile no :___________________
is owner of the land 3. Email ID :___________________