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Land & Land Reforms And Refugee Relief & Rehabilitation Department

PROFORMA APPLICATION FOR MUTATION

Application No : MUTE2024081204213 Application Date : 29/02/2024

1.Particulars of the Applicant :

(a) Name :SOBESHBARMAN


(b) Father's/Husband's Name :MAESH BARMAN
(c) Postal Address :CK KHALISHAMARI
(d) Phone/Mobile No. (If Any) :9609618719
(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 :003297,07/11/2014
(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 :NABAKANTABARMAN
Father's/Husband's Name :BADHAN BARMAN
Postal Address :CK KHALISHAMARI

4. Land Schedule for which mutation sought for:

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

Sitalkuchi chng ku kholismari 010 440 4621 0.01 acre Exempted

___________________________________
Signature of the Applicant with seal, if any

5. List of Enlosures:
- Copy / copies of registered deed.
- Copy of up-to-date rent receipt.

29/02/2024 , 16:11:27 pm

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