Land & Land Reforms And Refugee Relief & Rehabilitation Department

PROFORMA APPLICATION FOR MUTATION

Application No : MUTE2024023305629 Application Date : 03/03/2024

1.Particulars of the Applicant :

(a) Name :KHADIJA BIBI MALLICK

(b) Father's/Husband's Name :KITABUL MALLICK
(c) Postal Address :UTTARDIHI
(d) Phone/Mobile No. (If Any) :9474886617
(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 :304900,22/11/2011
(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 :NARAYANI DE
Father's/Husband's Name :DINABANDHU DE
Postal Address :MASDANGA

4. Land Schedule for which mutation sought for:

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

Manteswar 077 UTTARDIHI 077 254 647 0.17 acre Exempted

___________________________________
Signature of the Applicant with seal, if any

5. List of Enlosures:
- Copy / copies of registered deed.

03/03/2024 , 17:39:2 pm