Land & Land Reforms And Refugee Relief & Rehabilitation Department

PROFORMA APPLICATION FOR MUTATION

Application No : MUTE2022130932919 Application Date : 03/06/2022

1.Particulars of the Applicant :

(a) Name :HARIGOPAL GHOSH

(b) Father's/Husband's Name :KALIDAS GHOSH
(c) Postal Address :VILL HAJRAPOL
(d) Phone/Mobile No. (If Any) :9832030558
(e) Existing Khatian No. of the Applicant in the relevant :N/A
Mouza (If Any)

2.Deatils of Transfer :

(a) Mode of Transfer :Sale

(b) Registered Deed No. and Date :3558,10/04/2019
(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 :KALIPADAGHOSH
Father's/Husband's Name :GHOSH
Postal Address :NIJ

Name :KALIPADAGHOSH
Father's/Husband's Name :GHOSH
Postal Address :NIJ

4. Land Schedule for which mutation sought for:

Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid

Krishnanagar Kurshi 065 19 159 0.73 acre Exempted

Krishnanagar Kurshi 065 19 195 0.43 acre Exempted

___________________________________
Signature of the Applicant with seal, if any

5. List of Enlosures:

03/06/2022 , 17:40:18 pm