Land & Land Reforms And Refugee Relief & Rehabilitation Department

PROFORMA APPLICATION FOR MUTATION

Application No : MUTE2024023305069 Application Date : 25/02/2024

1.Particulars of the Applicant :

(a) Name :GOLAPSEKH

(b) Father's/Husband's Name :LT ABUL SEKH
(c) Postal Address :BARUNA
(d) Phone/Mobile No. (If Any) :9083561976
(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 :001246,05/06/2017
(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 :ABDUL KHALIQUEMOLLA

Father's/Husband's Name :SAHEBJAAN SEKH
Postal Address :BARUNA

4. Land Schedule for which mutation sought for:

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

Manteswar 081 Rautgram 081 469 3704 0.2865 acre Exempted

___________________________________
Signature of the Applicant with seal, if any

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

25/02/2024 , 9:48:32 am