APPENDIX-II

PERIODIC PATTA
See Section 24 read with Section 25
of the Act read with rule 6}

PP Allotment No. 6161/01/09/66 of 1981

This Periodic Patta certifies a

temporary allotment of Agricultural Land
prescribed hereunder and as recorded in the Register
of Records of Rights, for a period
of: 5 (five) years

ITEM(SS) CODE PARTICULARS

Full Name as appeared in
Voter ID issued by Election 6161/01/09
Commission of India / or Zomuanpuii
UID card or PAN

Father's Name
Mother's Name
EUE

ME Chalthuama
Kapthangi
Full Permanent Address
Bazar Veng, Serchhip
SERCHHIP

MIZO
Present Full Address Bazar Veng, Serchhip
OVT. U
Approval of Government conveyed vide No.
Registration No. 66 of 1981

Grade Number III

Area in square Hectare 2 Ha

Revenue rate per Hectare Rs. 150/-

as per assessment sheet)
Annual revenue payable (as Rs. 300/
per assessment sheet)
Period of allotment
Expiry date
Period extension record From 05.06.2020 To 04.06.2025
Note Government may from time revise rate of land revenue, taxes, fees etc. as per
provisions of section 54 of the Act.

Description ofboundary with location :

Survey Number in
Master Plan/Village
Plan
Plot Number

Lecation Sercntup ram, Zehtet lui kam

Boundary a) North Zehtet hui
South :Chhek hmun uite
c East Ramchhia
d) West :Ramchhia
Pillars location

This supercedes Permit/P.Patta

This holder of this

Periodi Patta, is a"lieçásed
cultivator, had entered
into an agreement
with the Government of
Mizoram, to pay land revenue and other
taxes, cesses and rates as shown above, and
thereby acquired the status of Periodic
Patta-holder. He has the rights of Periodic Patta holder as
per provisions laid down in
section 25 of the Mizoram (Land
Revenue) Act, 2013. As a token of accepting all the
terms and conditions in rule 10 of these Rules
completely, the allottee-holder made a
solemn pledge below and append his/her
signature.

This Periodic Patta is renewable on application six months before the

expiry of the period of allotment.

(LALZIKPTd1)
Settlement Officer
Land Revenue & Settlement
Deptt.
Serchhip District: Mizoram
 Government of Mizoram ORIGINAL
LAND REVENUE AND SETTLEMENT
RECEIPT Date 42
Book 7306 18
Book No.: .. ****** Receipt No.
Recryodtonylthsita. i * * * * ' * * * * * * * * * * * * * * " * ****

otndaLK ...on account of... ' * * * * * * * * * * * * * * ' ' * ' ' * * * *

Pass No.Year/ZRC/Bld Period Amount

SI.
No.

8.
9.
10.
Total

(Rupees
NUELSET **************************************************************a*** **********************"

Signaure
Saal sERCHHIP
 HTR HRGh
Goverpment of lndia
Zomuanpuii
DOB: 13/05/1971
Female

9970 3547 4006

AT HTTN, ART TEIT
 3HTTR Uniqueldentification Authorityroftndia
Address:
D/O: Chalthuama (L), VENGLAI, NEAR, KAWNPUI
PRESBYTERIAN CHURCH, VENGLAI, Serchhip, Serchhip,
Mizoram, 796181

9970 3547 4006

www
www.uidai.gov.in
help@uidai.gov.in
1947
ENENUE

018798
SERCHH:
FORM-7

APPLICATION FOR RESIDENTIAL LAND SETTLEMENT

CERTIFICATE
INHMUN LAND SETTLEMENT CERTIFICATE TURA
DILNA
See Rule 13(1)]

Items Particulars
Name in capital (as appeared in EPIC or
UID or PAN) Z0MUAN PULI
(a) Date of Birth
2
(b)Place of Birth, District 1B/0S/27-
SERCHHI
3 Whether married? If married, name of Married Unmarried
husband or wife (in capital letters)_ Name: VANLALHRIATA
4 Present Address
ERC HH1P
SPermanent Address SERCHHIP_
6 a) Name of Father (in capital)
b)Name of Mother (in capital CAALTAUAMA_
Whether applicant belongs to a tribal KAPLHAN G
7 (Mizo) as specified in sub-section (45) of
section 2of the act.
If the applicant is not born in Mizoram, do
you enclose domicile certificate issued by
Home Department?
9 House Site Pass Number and Year
10 Exact location/Area/ Veng
_Plp No /GL/ol/oa J6C_ 9R
Name of Village Council (Name of LZEHTC7LukAm_
11
Village) ve-7
Clearly indicate name(s) & address(s) of
immediate neighbour*
(a) South (Chhim lam)
Yes
12 CHAEK AmUNLune
(b)North (Hmarlam) ZEHTETLu
(C) West ((Khawthlang lam) RAMCHGIA.
d) East (Khawchhak lam) KAm CHHLA
Whether the area is properly cleared for
13
easy movement of Surveyors? Yes
Whether 6 (six) Boundary pillars as
14
prescribed by Revenue Department are
provided for fixing on the day of Survey Yes
Operation?
Checklist whether the following
15 documents are keptready for inspection
(a) House Pass Certificate CCRTIECATG
(b) Tax Clearance Certificate
Ye
Other Contact details;
16 (a) Telephone Number
(6) Email ID
 a ram
hi an a w m lo a nihpawhin
a thenawmte
Note: Hemi vengahhian
a ni.
awmnahmun hi chipchiartakinziahtur

documents are true

and correct.
all particulars and
T hereby certify that finished herein will invite cancellation
even of

Any incorrect particulars Achungasawitekhi a

allotment or settlement has been done. ( allotment emaw
dikvektihkahriattir e. Thildiklotarlan a niherawhchuan
settlement pawhtihfelnimahse, sutlehtheih a nitihkahria e.)

Applicant's Signature (Diltu Signature): uLa upuLA

* * * * * * * °

NB: A diltu voter's ID (attested), Aadhar card (attested), House Pass( attested)
lehchhiahpeknatharbernenthilteltur a ni.
11 April 2023

Serchhip, Mizoram

To
The Settlement Officer
Land Revenue and Settlement
Serchhip, Mizoram

Agiculla LSe

Subject: Prayer for conversion Periodic Patta to Regpstered Rta

Dear SirT
With reference to the above mentioned subject the applicant prays
for conversion of the mentioned land bearing PP Allotment No.
6161/01/09/66 of 1981 under Section 24 read with Section 25 of
the Act read with rule 6 which is pending since long back.
So, I request you to consider the same for a positive conclusion.

A copy of relevant document attached herewith

Thanking you
With regards
AMD AF

Mugp w
(Zomuanpui)
OF MIZO SERCH P
Bazar Veng, Serchhip
RAM
Mizoran