Land & Land Reforms And Refugee Relief & Rehabilitation Department
PROFORMA APPLICATION FOR MUTATION
Application No : MUTE2024060211936 Application Date : 17/12/2024
1. Particulars of the Applicant :
(a) Name :Naren Malik
(b) Father's/Husband's Name :Late Banamali Malik
(c) Postal Address :Ichhpur HaritDadpur hooghly
(d) Phone/Mobile No. (If Any) 7890352270
(e) Existing Khatian No. of the Applicant in the relevant :N/A
Mouza (If Any)
2. Particulars of the Applicant :
Name :Sankar Malik
Father's/Husband's Name :Late Naren Malik
Postal Address :Ichhpur HaritDadpur hooghly
Phone/Mobile No. (If Any) 7890352270
Name :Dipankar Malik
Father's/Husband's Name :Late Naren Malik
Postal Address :Ichhpur HaritDadpur hooghly
Phone/Mobile No. (If Any) 7890352270
Name :Astu Malik
Father's/Husband's Name :Late Naren Malik
Postal Address :Ichhpur HaritDadpur hooghly
Phone/Mobile No. (If Any) 7890352270
Name :Sambhu Malik
Father's/Husband's Name :Late Naren Malik
Postal Address :Ichhpur HaritDadpur hooghly
Phone/Mobile No. (If Any) 7890352270
Name :Sambhu Malik
Father's/Husband's Name :Late Naren Malik
Postal Address :Ichhpur HaritDadpur hooghly
Phone/Mobile No. (If Any) 7890352270
3. Deatils of Transfer :
(a) Mode of Transfer :Sale
(b) Registered Deed No. and Date :002515,15/06/1962
(c) Whether Transferred directly from recorded raiyat :YES
If not, state whether copies of all chain deeds are -
available with him
4. Particular of transferer:
Name :Padma Bala Dasi
Father's/Husband's Name :Late Sudham Patra
Postal Address :Ichhpur
2. Land Schedule for which mutation sought for:
Police Station Mouza J.L. No. Khatian No. Plot No. Area Valid
Dadpur ICHPUR 71 95/1 76 0.04 acre YES
Dadpur ICHPUR 71 95/1 76 0.04 acre YES
Dadpur ICHPUR 71 95/1 76 0.04 acre YES
Dadpur ICHPUR 71 95/1 76 0.04 acre YES
Signature of the Applicant with seal, if any
3. List of Enlosures: