FORM I-'D' SEE RULE 2-A (5) FORM OF CHANGE IN OWNERSHIP/MANAGEMENT EXTENT OF AREA OR OTHER PARTICULARS MENTIONED IN THE APPLICATION FORM REFERRED TO IN SUB RULE (5) OF RULE 2 A To The Registering Officer ................ I hereby notify that the following change (a) has/have with effect from......(date) taken place in respect of my plantation as applied by me in my application dated........ My registration certification number is .........dated.......... (Here mention the change) ........................................ ........................................ Therefore, you are requested to cancel the issue a fresh Registration of Plantation Certificate of registration incorporating the above change. @ Strike off whichever is not applicable. Signature of the Employer. Dated:-
