You are on page 1of 3

Fh\WȺlWsW5Z^€7 K\jWWjEhShaeŽ

Fh\\sȐ ZhƣUh ‰Kƣ_s Ʌk^S

EhShW5Z^ y€x ShɀkDs Zh^Ps_j

DƞȐUh^sWhWh\
Ij\W[h:[hRh[h:zz~z
Wh^dӄF[h:[hRh[h:zz~z
_h_dӄF[h:[hRh[h:zz~z
7\^dӄF[h9[hRh[h9z{~
D\`hZpWWFjW[h9[hRhWjiaGahzz~z
Ʌk^°b[h9WFjW[h9zz~z
9_hZpWWFjW[h9zz~z
bj_hZpWWFjW[h9zz~z

WȺlWh~Ws ƞ_sDd^apW5Z^ ëṕY` 8Dh^ȩkPŽ _sD_ ibëR 7ƛ] 7ƛ]iaFS


WҭVW5Z^ SThˆeƨds e°8^°Is\j ZjEpia dpd ;XD^ D^

{xz yxXzz yzxx EpSj_h]D;X]sF

{|{ x~yy Xy{ EpSj_h]D;X]sF

Ȣk_ z y~~{ yy{

Digitally signed by:

DS REVENUE DEPARTMENT 9

GOVERNMENT OF GUJARAT

Date: 15-02-2024 12:34:51 IST

2221224020266238 MAMLATDAR OFFICE, BARDOLI

Jpƣ_jWҭVWj7d^8Ɯ]hShWjŠƨTiS? apIhRWjWD_Chargable Copy ӔD°Į}xx ĮXj]hXh5Iȶk^h 


dtKƛ]^hƧ˼Ž]ɅlIWhiaìhWD°ƛ̃ȤkK^hS^hԌ] Page 1 of 1
Fh\WȺlWsW5Z^
ƞ_sDd^apW5Z^ {xz

dĂh̆Dh^ ZjEpĭXh́ {?? Fh\\sȐ ZhƣUh

EpS^ȵk5Wh\ ShɀkDs Zh^Ps_j

7ƛ]iaFSs ‰Kƣ_s Ʌk^S

_h]DK\jW ëṕY` EhShW5Z^ëṕY`8Dh^ WҭVW5Z^s7WpDƞȐUh^sWhWh\


e°8^°Is\j e°8^°Is\j

yx{zxx~zz~zzx€z{~{{X
K^h]S yxXzz
x{{€x{|€~
-------------------- ----------- ----------------------------------- -----------------------------------
Ȣk_ëṕY` yxXzz y€x)yxXzz)yzxx Ij\W[h:[hRh[h: zz~z
8Dh^ȿk yzxx Wh^dӄF[h:[hRh[h: zz~z
ȩkPŽSThiacpbVh^sȿk xxx _h_dӄF[h:[hRh[h: zz~z
XhRj[hFȿk xxx 7\^dӄF[h9[hRh[h9 z{~
D\`hZpWWFjW[h9[hRhWjiaGah zz~z
Ʌk^°b[h9WFjW[h9 zz~z
9_hZpWWFjW[h9 zz~z
bj_hZpWWFjW[h9 zz~z

FRsiS]hWjiaFSs ZjĤeDs7WpZsĤWjiaFSs

--------------------------------------------------
\p\h\_SUh^dhe°Z̒jZh^Ps_jĥɅk^SWhɆkD\˲\h5DWbKĦ5ZpbZhƣUh^ĥW5~x~Tj
~xzxy€Shzxx~zxy€7ƛa]pɆkD\WjWҭV{{Xx
\h́‡ZWEpSjWhe°ȱk\hN°ĭi\]\WpXh́{{Xx
\pWh]Zƈ_pdhe°ZZh^Ps_j̆h5SZh^Ps_jWhĥɅk^SWhɆkD\W5
K\WWbK^ŽƥȻk^ĥW5|{yTj|{{y€abjyy}~yy}zxy€Shz|x€zxy€
7ƛa]pɆkD\WjWҭV{{€x
\p8djƨNƛND_pDN^dhe°ZZh^Ps_j̆h5SZh^Ps_jĥɅk^SWhɆkD\W5K\WWe°^D\hƛP
iaƨSh^ƞ_sDW5Z^abjyy|zxz{Shz}xyzxz{7ƛa]p{|€~
8da±W5Z^ƞ_sDW5Z^Wsd\hapbWe°^WhD\hƛPiaƨSh^\h5TSses:ȐTjaeҰIRjWh
ˆDƨdh\h5{|€~
BJh\h5BĠzxȤk5Oh zxxxIs\j ɅkVjWhëṕY`WjaeҰIRjTh]SpahˆDƨdh\h5
ȬkDPhVh^hWsDs:ZhVFRahWs^e°bpWeӄ{|€~

Digitally signed by:

DS REVENUE DEPARTMENT 9

GOVERNMENT OF GUJARAT

Date: 15-02-2024 12:35:22 IST

MAMLATDAR OFFICE, BARDOLI


1221224020266254
Wh\5ȩk^SD^h^Ž ^U apIhRWjWD_Chargable Copy ӔD°Į}xx ĮXj]hXh5Iȶk^h 
Jpƣ_jWҭVWj7d^8Ɯ]hShWjŠƨTiS? Page 1 of 1
dtKƛ]^hƧ˼Ž]ɅlIWhiaìhWD°ƛ̃ȤkK^hS^hԌ]
Fh\WȺlWsW5Z^yz
ƞ_sDd^apW5Z^ {xz Fh\\sȐ ZhƣUh

Ȣk_ëṕY` e°8^°Is\j  yxXzz ShɀkDs Zh^Ps_j

‰Kƣ_s Ʌk^S

eh_WhEhSpUh^sWhWh\ EhShW5Z^ 
Ij\W[h:[hRh[h: y€x
Wh^dӄF[h:[hRh[h: y€x
_h_dӄF[h:[hRh[h: y€x
7\^dӄF[h9[hRh[h9 y€x
D\`hZpWWFjW[h9[hRhWjiaGah y€x
Ʌk^°b[h9WFjW[h9 y€x
9_hZpWWFjW[h9 y€x
bj_hZpWWFjW[h9 y€x

XhDWjiaFSs

ac½ \sd\ XhDȵk5Wh\ XhDWsiaƨSh^ id„Ih9WsĘsS7Wp ɂmësXsShWh bp^s


e°8^°Is\j id„Ih9ȵk5dhVW 7Wpd^Dh^Ž

zxzyzxzz E^ŽY bp^PŽ yxXzz We°^7ƛ]X5X

zxzyzxzz ^aj EpXPS^ yxXzz ---/----

zxzzzxz{ --- --- \hˆeSjWTj --- ---

zxz{zxz| --- --- \hˆeSjWTj --- ---

Digitally signed by:

DS REVENUE DEPARTMENT 9

GOVERNMENT OF GUJARAT

Date: 15-02-2024 12:35:45 IST

5221224020266255 MAMLATDAR OFFICE, BARDOLI

dtKƛ]^hƧ˼Ž]ɅlIWhiaìhWD°ƛ̃ȤkK^hS^hԌ] apIhRWjWD_Chargable Copy ӔD°Į}xx ĮXj]hXh5Iȶk^h 


Page 1 of 1

You might also like