Appeals On Demarcation Application Form 13451i

Price: ` 1

Page 1 of 2

APPEALS ON DEMARCATION APPLICATION FORM (Under BSO 34-A, chapter-2, section-VI, & circular instructions of CSS&LR, AP Hyderabad No.N1/6543/99, Dt. 25.7.2001)

(Application only for entire T.S.No / ed subdivision) SNo. 1 2 3. 4. 5. 6. 7. 8. 9. 10. 11.

Applicant Details Name of the applicant Father/Husband Door No Locality/Land Mark District Mandal Village / Ward Pin code Ration Card No Aadhar Card No Delivery Type

: : : : : : : : : : :

At Kiosk

Local Post

Document Details Description Name of the holder of the land Manner in which rights acquired over the land 1. Pattadar 2. Ancestor property 3. Purchase 4. Gift 5. Inheritance 6. GPA Document District Document Mandal Document Village

:

:

18.

Survey Number Details (Ex:11,12,13) Ward No

19.

Block

:

20.

Type of Service

12.

13.

14 15 16 17.

1. Appeal to Deputy Inspector of Surveyor 2. Appeal to Inspector of Survey

: : : : : : : : :

:

: :

Non Local Post

Price: ` 1

Page 2 of 2

Land Boundaries: Survey no.

Name of the land holder

Father/Husband

Address

East West North South

Signature of applicant

Documents List: 1. Application form* 2. Affidavit/Notary stating that the applicant is owner of the land 3. Panchanama copy of lower cadre * * Denotes Mandatory

Details: 1. Land line no :___________________ 2. Mobile no

:___________________

3. Email ID

:___________________