Application For Land Valuation Certificate :
(Fields marked * are mandatory)
Applicant EID details :
Name of Applicant* :- ___________________
Name of Spouse :- ___________________
Gender* :- ___________________
Date Of Birth* :- ___________________
Name of Father* :- ___________________
Permanent Address of the Applicant :
District * :- ___________________
Sub Division* :- ___________________
Revenue Circle* :- ___________________
Village / Town * :- ___________________
GP / Ward :- ___________________
Mouza :- ___________________
Police Station* :- ___________________
Post Office* :- ___________________
Pin No. :
Phone No. : (STD Code without 0 prefix + Phone No.)
Mob. No. : (10 Digit Mobile No.)
e-mail ID,if any :- ___________________
Application Specific details :
Schedule of land applied for valuation :
Name of pattadar * :- ___________________
Father’s Name * :- ___________________
District * :- ___________________
Sub Division* :- ___________________
Revenue Circle* :- ___________________
Village / Town * :- ___________________
Area of Land * :- ___________________
Class of Land * :- ___________________
Patta No.* :- ___________________
Dag No.* :- ___________________
Whether the applicant is actual pattadar? * Yes /No
If no, how the applicant owned the land? * Purchased Right /Inherited Right
Whether the Land is in own name or in Joint Patta? Yes /No (In case of Joint Pattadars, approval of pattadars is to be enclosed)
Whether payment of revenue upto the current year has been made? * Yes /No
Purpose for applying for valuation* :-
___________________
___________________
___________________
Declaration :
All the information furnished above are correct to the best of my knowledge and belief.
Date :-
Signature of Applicant :
Supporting Documents Required :
* In case, each supporting document has multiple pages, please convert the same to a single document, with a file size of less than 2MB(2048 kb) and upload.
1 . Jamabandi Copy
2 . Other Documents (if any)
3 . Land holding certificate
4 . Revenue Clearance Certificate
Download Application Form Here : https://www.indianjobtalks.in/uploads/12415-3046.pdf