APPLICATION FOR ISSUE OF N.O.C. / U.L.C. CLEARANCE 1. Name of the Applicant : 2. Father's/Husband's Name : 3. Residential address or : address for communication 4. Name of the owner of the : property in question as on 28.1.1976. 5. Details of vacant land/ : Land with building or which U.L.C Clearance is sought for. a) Extent of vacant land in : Sq.mts b) Extent of built up area in : Sqmts c) Location of the land Village/ : WardNo./BlockNo. d) Premises No. : (Construction permission and map to the rule copies to be enclosed). e) Land use classification as : per Master-Plan(enclose certificate duly obtained H.U.D.A) f) Whether any part of this land : was covered by any structure If Yes evidence of existence of structure. (House tax paid receipts, Water Bills, Electricity Bills, Showing H.No. 6. How title acquired and year of : acquisition. (succession/ purchase/gift/partition/ otherwise.) 7. Document copy and link document : if any (wherever applicable shall be enclosed) duly attested by S.O. 8. Total vacant land held by the : Applicant in H.U.A. or other Agglomerations on his/her spouse and minor children with details. 9. Any declaration or statement : filed U/s.6(1) of the U.L (Ceiling & Regulation) Act, 1976. If so mention C.C.No. and enclose order copy if any. 10. Have or your spouse or minor : Children sold any vacant land lands after 17.2.1975. 11. Purpose for which the clearance : is sought for. The above particulars are true to the best any knowledge. Date: (Signature )