Download Application Form for Point out Field Boundary Line

¹ ¢ ¬ Ü ¢ ¶ Ü ¢ ¶ £ ¢ ¢ « £ ¼ ¢ £ ¤ ¢ ¢ ¢ (APPLICATION FOR POINT OUT FIELD BOUNDARY LINE) *** Affix here Court fee Stamp forRs.2/­ Ï.2/­ ¢ £ ¦ ¤ ¢ ¢ ¤ ¢¬ ¬ Þ ¢« ¢ ¾ ¢ 1. ¤ ¢ ¢ £ ¢ ª ¢ Name of the Applicant : 2. ¢ £ ¢ / ¢ ª ¢ Father / Husband's Name : 3. Þ¼ ¢ ¤ º ¤ Residential Address : 4. ¹ ¢¬ Ü ¢¶ £ ¢ ¢ « £¼ ¢ ª £ ¢¶ ¢ ¤ ¤ ¢ Details of Land to be pointed out field boundary : £ ¢ ¢ District : ¢ ¢ Taluk : ¤ £ ¢ ¤ ¢ ª ¢ Name of the Village : ° ¤ ¢ Block Number : Ü ¬ ¢ ­ Á ¤ Ü ¬ ¢ Town Survey Number/ Re­Survey Number : ¢Ù ¢ ° ¤ / ¢ ¤ ¢ ª ¢ Name of the Local Area or Town : ª ¼ ¤ ¢ ª ¢ Name of the Street : ¾ ¢ Door No. : ¬ ¢ ¤ ¤¾ ¬ ¢ Lay out Plot No. : ¢ ¾ Extent : ?2? 5. ª £ ¢¶  £ ¼ ¢° ¢ ª £ ¢ £ ¶ ¢ ¢ £ Ý £ Ý ¢ ¤ ¢ £ ¢ ¤ ¢ ¢ ¢ ¢ ¢ Þ¬ ¢ ¢ ¢´ ¢ £? ( ¢ ¤ ¢ / ¢ £ ¢ º ¤ ) Whether attested copy of document for proof that property belongs to the applicant is enclosed? : 6. ¼ ¹ ¢¬ ¢ « £ ¢® ¢° Ï.10/­ ¦ ¢ (°¬ ¢ ¢ ¢ Ï.40/­) ¹ ¢¬ Ü ¾ ¢ ¢ ¢ ª ½ ¢ ¤ ¤ ¢ ( £ ¢ ¢ / £ ¢ / ª £¬ / ª ½ ¢ ¤ ¤ / ¼× ¢ ¤ ¢ ª ¢) Specify remittance Details of Field Boundary line measurement fees Chalan No, Date, Amount & Place and Name of the Treasury or Bank : Á ¤ ª £ ¤ ­ Declaration ¤¼ / ¤¼ ¤///////////////////////////////////// /ª (Ü) /ª ////////////////////////////////// Ý ¤ £ ¢ à ¤ ¤ ¢ ¢ £¾ ¢ ¢¬ £ ¬ ¾ , ¹ ¢¬ Ü ¢¶ £ ¢ ¢ « £¼ ¢ ª £ ¢¶ ¢° ª £ ¢ £ ¶ ¾ ¢ ¹ ¢¬ Ü ¢¶ £ ¢ ¢ « £¼ ¢ ª £ ¢¶ ª £ ¢ £ ¦ ¤ ¢ £ £ ¶¾ ¢ ¤½¬ ¤ ¢ Þ ¢¬ ¾ ¢, £ ¢ à ¤» ¢ ¢ ¤ ¢ «  ¢ £ ¢ ¢ Þ¼ ¢ £ ¤ ¢ £ ¤ ¢ ª ¤ ¢ £ ¢, ¢ª ¤ £ ¤ ¢ Ì ¢ ® ¢¬ « ¢ª £ ¢ ¢ ´ ¢ ¢ ¬ ª ¤ ¢¶ ª £ ¢« ¢ ¾ ¢ Þ ¢ Í ¢ Á ¤ ÃÁ ¤ ¢ « ¢. I .............S/O or D/O ................. is hereby declare that (1) The above­mentioned particulars are correct to the best of my knowledge, (2) The property is under my enjoyment, and it is my own property (3) There is no any Court case pending. (4) Legal action may be taken against me if any particulars given above are come to know as false in future Þ ¢ ­Place :  £ ¤ ¢ ¬ ª £ ¢ £ ¢ ­Date : Signature of Applicant