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Land & Land Reforms And Refugee Relief & Rehabilitation Department

PROFORMA APPLICATION FOR MUTATION

Mutation Case No: MN/2022/1404/9628 Application Date : 20/10/2022

1. Particulars of the Applicant :

(a) Name : নপাড়া বালিকা প্রাথমিক বিদ্যালয়


(b) Father's/Husband's Name :

(c) Postal Address : নপাড়া


(d) Phone/Mobile No. (If Any) 9733003562
(e) Existing Khatian No. of the Applicant in the relevant : NO
Mouza (If Any)

2. Deatils of Transfer :

(a) Mode of Transfer : GIFT


(b) Registered Deed No. and Date : NULL
(c) Whether Transferred directly from recorded raiyat : NO
If not, state whether copies of all chain deeds are -
available with him

3. Particular of transferer:

Name : SUKHADA MAHATANI


Father's/Husband's Name : GOBINDA MAHATO
Postal Address : BALAKDI

4. Land Schedule for which mutation sought for:

Police Station Mouza J.L. No. Khatian No Plot No. Area Share
PUNCHA NAPARA 47 2039 5829 0.17 ACRES 5312

Signature of the Applicant with seal, if any


19/04/2022 , 17:5:24 pm

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