Extract of D-Form site patta application form

Extract of D-Form site patta application form

S.NO.

D-FORM PATTA DETAILS

1

NAME OF ASSIGNEE*

2

FATHER/HUSBAND NAME *

3

SURVEY NO*

4

PROCEEDING NO*

5

PROCEEDING (document)DATE*

6

EXTENT IN ACRES*

7

WARD NO

8

DISTRICT*

9

MANDAL*

10

VILLAGE*

APPLICANT DETAILS

11

APPLICANT NAME*

12

FATHER/HUSBAND NAME *

13

HOUSE NUMBER*

14

LOCALITY/LANDMARK

15

DISTRICT*

16

MANDAL*

17

VILLAGE*

18

PIN CODE

198

MOBILE NUMBER*

20

E-MAIL ID

21

LAND LINE NO

22

AADHAR CARD NO

23

RATION CARD NO

24

DELIVERY TYPE*

Manual Local post Non Local post

DOCUMENTS TO BE ENCLOSED:

1. APPLICATION FORM

Signature of the Applicant