FORM 1

Application for grant of sanction to permanently alienate under section5 of the

Alienation of Land Act,Svt.1995

To
The Deputy Commissioner,
_____________ (State the name of the District).

Sir,

1.…………………………………………….(state name with full description) hold/held an

area of…………………..(state the amount of land in Karnals and Marlas) in

village/villages………………..(give the name/names) in ownership/occupancy right as per

extract from the latest annual record (Jamabandi) enclosed.

2. I intend to/ have already by a registered deed dated …………… (state the date of

execution) permanently alienate/alienated the whole area/ an area of ………………….(state

Karnals and Marlas) by sale/gift/bequest/ exchange in favor of ………………………( state

name with full description of the alienee). The alienee has entered into possession on (state the

date with month and year) as will be seen by a copy of the girdawari entries, herewith appended.

3. I am a member of an agricultural class but the alienee is not.

The alienee is however, a permanent resident of the state as copy of the certificate is enclosed.

4. The alienation of land will help me to:-

(a) liquidate the unsecured debts amounting Rs. ………….. (state the total amount borrowed)

borrowed as under :-

Name of the Creditor Amount Borrowed

(i)

(ii)

(iii)
 (b) redeem the property mortaged as under:-

Kind of property Mortgaged Name of the Mortgagee Mortgage debt Rs………..

(i) Land……………………………………………..(state area)

(ii) Trees……………………………………………..( state kind and number)
(iii) Buildings…………………………………………(give number and kid, pucca or
kacha)

(c) Provide the alienee/alienees who is /are bone fide artisan/artisans with small plot of land for
personal cultivation;

(d) Provide the alienee/alienees with a site/sits for setting of industrial unit/units
buildings for offices and housing accommodation for laborers and workers.

(e)………………………………….

(f)…………………………………. (State any other reason

(g) …………………………………. which may be relevant).

5. I have a firmly of ………………………………..(state number ) members, of whom

………….( state numbers ) are adult.

6. Besides the land described in paragraph 1, I possess the following source of income :-

Source Estimated income per annum (Rs).

(i) …………………………………………(State the source, such as some

(ii) ………………………………………… industry, factory, water- mill, rice
(iii) ………………………………………… huller , brick-kiln carpentry, masonry and the
like).
7. It is accordingly requested that sanction to the permanent alienation by me of an area
of………………………….(state karnals and Marlas ) of land situate in
village/villages………………(state name/names with description), the alienee/alienees, may
kindly be granted.

Dated……………………………………. (State, place)

The……………………………………… ( State date, month and year)

Applicant-Alienor,
(Signature or thumb
impression, if he be illiterate)